Social Needs Assessment
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  • Social Needs Assessment

    Our aim is to guarantee that every client enjoys optimal health by addressing crucial needs such as access to adequate food, dependable transportation, secure housing, address substance use and mental health needs. We kindly request that you answer the following questions to aid us in comprehending your current needs, after which we will strive to link you with relevant local resources. Your responses to this assessment are optional and you do not have to answer every question. The answers on this assessment are completely confidential and will not be discussed with anyone outside of Jackson County Public Health.

  • Immediate Needs

  • Are any of your needs urgent? For example, you don't have food or need a safe place to sleep tonight.

  • Food

  • Within the past 6 months, did you worry that your food would run out before got money to buy more?
  • Within the past 6 months, did the food you bought just not last and you didn't have money to get more?

  • Housing & Utilities

  • Within the past 6 months, have you ever stayed outside, in a tent, in an overnight shelter, or temporarily in someone else's home (i.e. couchsurfing)?
  • Are you worried about losing your housing?
  • Within the past 6 months, have you been unable to afford utilities (such as heat or electricity) when they were really needed?

  • Transportation

  • Within the past 6 months, has a lack of transportation kept you from medical appointments or from doing things needed for daily living?

  • Alcohol & Substance Use

  • Within the past 6 months, have you drank alcohol in a way that has caused problems for you at home or work?
  • Within the past 6 months, have you worried about your health as a result of using tobacco products (e.g. cigarettes', cigars, snuff, chew, vapes)?
  • Within the past 6 months, have you been concerned about your substance use or the substance use of someone you care about?

  • Mental Health

  • Within the past 6 months, have you felt down, depressed, or hopeless?

  • Other Resources

  • Are there other resources or support that our team can assist you with?

  • Connect with a Community Health Worker

    JCPH Community Health Workers are available to meet with you, connect over the phone or email, or provide resources to help meet your needs.
  • Would you like to connect with a Community Health Worker to discuss the needs identified?
  • Are your needs emergent and you would like to meet with a Community Health Worker today?
  • If you prefer a phone call, is it okay to leave a message/voicemail for you?
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