2026 Community Needs Assessment

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2026
Southwest Guidance Center
Certified Community Behavioral Health Clinic
Community Needs Assessment Report

Prepared by The Learning Tree Institute at Greenbush
Center of Community Supports
Grants, Research, and Evaluation Department

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Table of Contents

  • Introduction
  • Key Findings
  • Recommendations
  • Appendix A CCBHC Regional Needs Assessment
  • Appendix B Staff Survey – Outpatient Clinical Service Needs
  • Appendix C Community Survey
  • Appendix D Consumer Survey
  • Appendix E Community Partners
  • Appendix F Service Locations

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Executive Summary

Introduction

Southwest Guidance Center (SWGC) was awarded a Certified Community Behavioral Health Clinic-Planning, Development, and Implementation (CCBHC-PDI) grant, effective 9/30/2022, designed to

  1. Increase access to community-based mental health and substance use disorder services, particularly to underserved communities.
  2. Advance integration of behavioral health with physical health care.
  3. Improve the consistent use of evidence-based practices.

As required by the Substance Abuse and Mental Health Services Administration (SAMHSA), a comprehensive needs assessment must be completed within 3 years of the previous one. To assist in this process, the Learning Tree Institute at Greenbush (LTI) worked with SWGC to gather information from various stakeholders to identify needs or gaps between current and desired conditions. The needs assessment will be used to clarify problems and find appropriate solutions. To complete this process, high-quality data is needed to pinpoint gaps. Quantitative and qualitative data collection methods were used and described as follows.

The needs assessment started with a population overview of the counties served by SWGC, including Haskell, Meade, Seward, and Stevens, and a comparison of County demographic data to the State of Kansas. Additional measures included employment and education, mental health, social determinants of health, and special populations (Appendix A).

Additional data collection included three online stakeholder surveys and two planned focus groups, designed to reach prior patients, community members, and other stakeholders from across the service area and service locations. (Appendix F). All focus groups required informed consent for participation.

SWGC staff, stakeholders, and members of the client group were provided approximately three weeks to sign up and share feedback as part of the needs assessment process. No Client responses were received.

SWGC attempted to conduct stakeholder focus groups on February 10, 2026. In addition, the Center reached out to former clients and their guardians to participate in individual interviews; however, no responses were received. The Focus Groups netted participation rates below the required minimum and could not be administered. Therefore, no Focus Group data is available.

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Surveyed stakeholders participated voluntarily, and responses were anonymous.

The SWGC Staff Survey (Appendix B) assessed unmet needs in outpatient clinical services. Twenty-two (22) staff members participated in the survey (11 complete, 11 partial). A Community Survey (26 complete, 8 partial) assessed the availability and accessibility of services among 34 stakeholders, of whom 4 individuals have received services from SWGC (Appendix C).

The Community Survey was sent to a targeted group of key stakeholders representing various community sectors across the service area as outlined in the CCBHC certification criteria. Community sectors included county health, education, Federally Qualified Healthcare (FQHC), other healthcare, social/human support, child welfare, employment services, and crisis response. (Appendix E).

A Patient Perception of Care Survey to assess satisfaction with SWGC services netted zero (0) respondents. To provide patient satisfaction data, results from an internal consumer (client) survey conducted by SWGC are included (Appendix D). The survey was administered solely by SWGC in March and November 2025, in accordance with K.A.R. 30-60-55(a)(1)(2).

Key Findings

Demographic and Environmental Considerations

Key Strengths

  • A housing ownership rate (67.1 compared to the State of Kansas at 67.2), suggesting residential stability.
  • A lower suicide rate (15.4 compared to the State of Kansas at 19.0), suggesting protective community factors such as social support networks and access to services. However, a lower rate does not mean that ongoing monitoring and prevention are not required.
  • A foster care rate (.2 compared to State of Kansas at .7) suggesting preventative protective community factors such as parenting education and home visiting programs, and early intervention.

Key Needs/Opportunities

There are several challenges to delivering behavioral health services in the Southwest Region (Haskell, Meade, Seward, and Stevens Counties related to geographic size (nearly 3,000 square miles), population demographics, and social determinants of

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health (Appendix A). Among these are:

  • A larger percentage of single-mother households (23.0% compared to the State of Kansas at 15.5%), increasing the need for family support services, childcare resources, and parenting programs.
  • A more significant percentage of individuals without a high-school diploma (25.2% as compared to the State of Kansas at 8.0%), increasing the need for adult career, technical, and educational opportunities.
  • A larger percentage of uninsured (13.1% compared to the State of Kansas at 8.8%), resulting in barriers to accessing health care and preventive services.
  • A slightly larger percentage of adults reported poor mental health (17.5% as compared to the State of Kansas at 16.6%), suggesting ongoing opportunities for outreach and support.
  • A slightly larger rate of adults with new court commitments (3.1% as compared to the State of Kansas at 2.0%), resulting in potential barriers to steady employment, family, and housing stability.
  • A larger percentage of youth under 21 (36.4% as compared to the State of Kansas at 30.4%) with risks associated with a slightly larger percentage of youth use alcohol (6.4% as compared to the State of Kansas at 5.7%) and a lower perception of community safety by youth (83.1% compared to the State of Kansas at 85.4%).

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Patient perception
Twenty-eight patients completed the SWGC-administered Satisfaction Survey. Forty-three percent (42.8%) were adult patients, and 57% were child patients. Guardians provided eleven (11) responses.

Fifty percent (50.0%) of respondents identified as female, 46.4% as male, and 3.6% preferred not to answer.

Eighty-nine percent (89.2%) of respondents reported receiving outpatient therapy, 53.5% reported receiving case management, and 71.4% reported receiving medication management.

Fifty-seven percent (57.1%) of those responding indicated they had been receiving services for more than one year, and an additional 28.5% indicated they had been receiving services for six months to one year. An additional 7.1% reported receiving services for less than 6 months.

When asked about services received during the two reporting windows of March 2025 and December 2025:

  • Ninety-six percent (96.4%) agree or strongly agree that they believe they are making progress in their treatment, with 3.6% preferring not to answer.
  • Ninety-six percent (96.4%) agree or strongly agree that they are treated with dignity and respect, with 3.6% preferring not to answer.
  • Ninety-three percent (92.8%) agree or strongly agree that they decided their treatment goals.
  • One hundred percent (100%) agree or strongly agree they would recommend SWGC services to friends/family.

Community Perception
Twenty-six (26) community members completed the survey, and an additional 8 community members partially completed it. Thirty-eight percent (38.2%) indicated they reside in Seward, 35.3% in Haskell, 11.8% in Meade, and 8.8% in Stevens. Two (2) respondents identified residence in counties in proximity to SWGC's catchment area.

Sixty-five percent (65.4%) have either received or know someone who has received services SWGC, with 34.6% indicating they were not aware of anyone who has received services. A majority of respondents were between the ages of 35 and 64 (73.5%). The majority were female (82.4%), with 17.6% male. Twenty-one percent (20.6%) indicated they were Hispanic, Latino/a, or of Spanish origin. One hundred percent (100%) of respondents identified as White.

No respondents indicated they had served in the Armed Forces, the Reserves, or the National Guard, with 30.3% indicating they are close to or a family member of someone

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currently on active duty or retired/separated from the Armed Forces, the Reserves, or the National Guard.

Eighty-nine percent (88.5%) reported having a primary care provider, and 68.0% reported being able to get a timely appointment with their primary care provider. Ninety-two percent (92.0%) indicated they were aware of services within their community (food bank, senior citizen center, housing support, childcare, etc.).

The top five health (mental or physical health) concerns in the SWGC region for those who took the survey were:

  • Depression (51.7%)
  • Substance abuse (51.7%)
  • Anxiety (44.8%)
  • Mental illness (44.8%)
  • Lack of health insurance (27.6%)

The five greatest needs in the region are:

  • Access to physical and mental health care (71.4%)
  • Financial assistance (46.4%)
  • Emotional support (39.3%)
  • Housing assistance (39.3%)
  • Specialty services (28.6%)

Barriers to receiving services included:

  • Lack of knowledge/awareness of services (64.0%)
  • Access (56.0%)
  • Expense (56.0%)
  • Transportation (48.0%)
  • Perception (40.0%)

Concerns for the future behavioral health services for them or their family included:

  • Access (52.4%)
  • Funding (52.4%)
  • Lack of knowledge/awareness of services (52.4%)
  • Lack of provider choice (42.9%)

Of those who received services or had someone they knew who received services:

  • 58.8% were very satisfied or somewhat satisfied with the services received.
  • 40.0% indicated that staff members were sensitive to their cultural background.

When asked about the adequacy of specific behavioral health services at SWGC, fifty-four percent (53.6%) indicated that patient-centered treatment planning was adequate, including crisis services (50.0%) and screening (50%), with respondents agreeing or strongly agreeing. Identified areas of need where respondents disagreed, strongly disagreed, or did not know about adequate services include:

  • Primary care monitoring (64.2%)
  • Primary care screening (60.8%)
  • Substance use services (60.7%)

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The table below details the areas covered on the community survey and respondents' levels of agreement.

Behavioral Health Services Agree or Strongly Agree Disagree or Strongly Disagree Don't Know
Crisis mental health services 50.0% 32.2% 17.9%
Screening, assessment, diagnosis, and risk management 50.0% 35.7% 14.3%
Patient-centered treatment planning 53.6% 28.5% 17.9%
Outpatient mental health services (group, individual, other) 42.9% 39.3% 17.9%
Outpatient substance use services 39.3% 32.1% 28.6%
Outpatient clinic primary care screening of health indicators and health risk 39.3% 32.2% 28.6%
Outpatient clinic primary care monitoring of health indicators and health risk 35.7% 32.1% 32.1%
Targeted case management for those who qualify 39.3% 32.1% 28.6%
Psychiatric rehabilitation services 28.5% 42.8% 28.6%
Peer support and counselor services and family supports 46.5% 28.5% 25.0%

Staff Perception
Eleven (11) SWGC staff completed the survey, with an additional 11 partially completing it.

Sixty-eight percent (68.2%) of the staff represented Seward County, 4.5% Haskell County, 4.5% Stevens County, Meade County, 0.0%, and 22.7% represented other counties. A majority of the staff are in the 26-54 age range. Eighty-six percent (86.4%) consider themselves female, and 13.6% male. Forty-six (45.5%) consider themselves Hispanic, Latino/a, or of Spanish origin, with 100.0% indicating they are White.

Five percent (4.5%) indicated they had served in the Armed Forces, the Reserves, or the National Guard, with 40.9% indicating they have family members or someone close to them currently on active duty or retired/separated from the Armed Forces, the Reserves, or the National Guard.

The rest of the survey touched on each of the nine CCBHC* areas and service categories:

  1. Crisis Behavioral Health Services*
  2. Service Categories
  3. Patient-Centered Treatment Planning*
  4. Outpatient Behavioral Health Services*
  5. Outpatient Substance Use Services*
  6. Outpatient Clinic Primary Care Screening* (combined with area #7 for CCBHC)
  7. Outpatient Clinic Primary Care Monitoring* (combined with area #6 for CCBHC)
  8. Targeted Case Management*
  9. Psychiatric Rehabilitation Services*
  10. Peer Support and Family Peer Support*
  11. Community-Based Services for Members of Armed Forces and Veterans*

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The table below demonstrates the percentage of staff who Agreed or Strongly Agreed with statements in each area. Numbers correspond to each area above.

Comprehensive Behavioral Health Care Service Areas

Service Area Number 1 2 3 4 5 6 7 8 9 10
Staff size and composition are appropriate for serving the patient population. 86.6% 86.6% 78.6% 69.3% 92.3% 58.3% 58.4% 81.8% 63.7% 72.8%
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma informed care; and primary care/behavioral health integration 82.3% 80.0% 69.3% 69.3% 92.3% 66.7% 50.0% 81.8% 72.8% 81.9%
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 82.3% 80.0% 77.0% 69.3% 84.7% 75.0% 58.4% 90.9% 81.8% 90.9%
Services are offered in all parts of the service area. 82.3% 86.7% 92.4% 76.9% 92.4% 50.0% 58.4% 90.9% 63.7% 79.9%
Services are offered at all times (i.e., nights and weekends). 94.1 86.6% 77.0% 46.2% 38.5% 33.4% 41.7% 45.5% 72.8% 63.7%

More than 80% of the staff responding to the survey indicated they Agreed or Strongly Agreed that staff size and composition were appropriate for outpatient substance use

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services (92.3%), screening, assessment, diagnosis/risk management (86.6%), and targeted case management (81.8%).

More than 75% of the staff responding to the survey indicated that reasonable steps are taken to provide meaningful access in 8 of the 10 assessed areas. Slightly less than seventy percent Agreed or Strongly Agree in the remaining two categories.

More than seventy percent of the staff responding to the survey indicated services are offered in all parts of the service area in eight of the ten assessed areas, with the weakest areas being outpatient primary care screening (50.5% Agree or Strongly Agree) and outpatient clinic primary care monitoring (58.5% Agree or Strongly Agree).

More than 60% of the staff responding to the survey indicated that services are always offered in five of the ten assessed areas. The weakest areas are outpatient primary care screening (58.3%), targeted case management (54.6%), and outpatient mental health services (53.9%), where staff disagree or strongly disagree.

There were some general themes for staff who disagreed or strongly disagreed with the services offered. These themes are summarized below.

  • Outlying offices: more in-person therapists
  • Outlying offices: more days per week
  • Case management: understaffed, high caseloads
  • More staffing: peer support, crisis QMHP
  • More crisis mental health services: incarcerated, adolescents, adults, or geriatric
  • Outpatient substance use services: homeless
  • Outpatient substance use services: groups

Staff were forthcoming with their written comments regarding staffing limitations. The full text is available in Appendix B. Several themes emerged from the comments and are summarized below.

  • More groups
  • More psychiatric rehabilitation staff
  • Smaller caseloads

Staff indicated where and when (and which) services are not available in the service area. Themes that emerged from the data are summarized below.

  • Psychiatric rehab for SUD, ACT
  • Understaffing in outlier counties
  • More case managers.

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Staff identified specific populations for which they would like to offer services. Populations that emerged from the comments are summarized below.

  • Incarcerated population
  • Homeless

Focus Group
A focus group was attempted by experienced researchers at the Learning Tree Institute at Greenbush; however, no participants responded to recruitment efforts. The stakeholder focus group, intended to include community members and/or patients, yielded two participants, which did not meet the minimum threshold. Therefore, no focus group data is available.

Recommendations
Based on the unique demographic and environmental factors, along with staff, patient, and community input, SWGC should work with the city, county, and other stakeholders to find innovative ways to overcome barriers. Recommendations for consideration include:

Increase Availability and Access for Patients and Families

  • Implement additional services in outlying locations.
  • Expand services for outpatient substance use services.
  • Expand primary care screening and monitoring services.
  • Expand services for targeted case management.
  • Expand group availability.
  • Increase the number of mental health professionals.
  • Continue building patient trust and community relationships.

Enhance Service Provision/Staffing

  • Increase the number of clinicians in outlying locations.
  • Increase the number of crisis staff.
  • Expand services to incarcerated, homeless, adolescent, and geriatric populations.
  • Continued participation in evidence-based training and assurance that all staff can provide effective clinical care.
  • Continued recruitment of staff who, through training and experience, add high value to teams.
  • Expand psychiatric rehabilitation services.

Increase Awareness and Knowledge of Services, Awareness and Understanding of Services

  • Create networking and learning opportunities.
  • Assist clients and family members with the paperwork needed to apply for,

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  • participate in, and receive qualifying services such as Medicaid.
  • Build relationships between families, professionals, and between professionals and non-professionals through community events, roundtables, etc.
  • Ensure the information provided is relevant.
  • Provide bilingual options for all resources and materials.

Reduce Stigma

  • Continuing work with a team to implement a social norms media campaign focused on reducing stigma.
  • Market using common, non-Internet mediums (e.g., radio, TV, fliers, print media).

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Appendix A
Southwest Guidance Center
CCBHC Regional Needs Assessment

Learning Tree Institute at Greenbush
March 2026

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Southwest Guidance Center
Regional Needs Assessment

DEMOGRAPHICS
American Community Survey (ACS) 5-Year Estimates 2024

Population By Age # Region % Region KANSAS
Ages 0-17 10,215 30.3 24.5
Ages 18-21 2,066 6.1 5.9
Ages 22-39 7,913 23.5 24.4
Ages 40-64 9,634 28.6 30.4
Ages 65 and Older 3,850 11.4 14.8

Households by Type		 # Region % Region KANSAS
Households with householder living alone 1,050 8.7 5.6
Families with children: Married couple 2,534 64.6 71.2
Families with children: Cohabitating 336 8.6 8.4
Families with children: Single mom 900 23.0 15.5
Families with children: Single dad 150 3.8 5.0

Population By Race		 # Region % Region KANSAS
Single race: White 16,226 66.0 85.0
Single race: Black / African American 0 0.0 0.0
Single race: American Indian / Alaska Native 2,124 8.6 11.9
Single race: Asian 1 0.0 0.1
Single Race: Pacific Islander 0 0.0 0.0
Single race: Other 281 1.1 0.7
Multi-Racial 9,601 28.1 10.6
Hispanic (of any race) 210 0.6 1.5

Language Spoken at Home
English Only: 16112 (51.1%), Spanish: 13710 (43.5%), Vietnamese: 222 (0...), All Other Languages: 1472 (4.7%), French: 19 (0...)

Country of Birth
8,278 Foreign Born
Mexico: 6693 (93.8%), Laos: 60 (0.8%), Vietnam: 202 (2.8%), India: 41 (0.6%), El Salvador: 76 (1.1%)

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EMPLOYMENT:

American Community Survey (ACS) 5-Year Estimates 2024

Employment Type # Region % Region KANSAS
Armed Forces (percent of population) 0 0.0 1.0
Employed (percent of labor force) 15,789 95.8 94.8
Unemployed (percent in labor force) 680 4.1 3.9

EDUCATIONAL ATTAINMENT:

Level of Education # Region % Region KANSAS
No diploma 5,222 25.2 8.0
Diploma / GED only 6,107 29.4 25.4
Bachelors degree or more 3,236 15.6 35.6

At A Glance: Education Attainment Percent Comparisons to Kansas

For No diploma, Region is 25.2% and KANSAS is 8.0%. 

For Diploma / GED only, Region is 29.4% and KANSAS is 25.4%. 

For Bachelors degree or more, Region is 15.6% and KANSAS is 35.6%.

SOCIAL DETERMINANTS OF HEALTH

Determinants # Region % Region KANSAS
No health insurance 4,415 13.1 8.8
Owner occupied housing 9,406 67.1 67.2
Select monthly owner costs: Owner occupied without a mortgage 6,117 1,689
Median household income at 20th percentile 137,480 32,692
Median household income at 40th percentile 218,990 59,423

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KCTC Kansas Communities That Care STUDENT SURVEY
Funded by: Kansas Department for Aging and Disability Services

Percentage of students in grades 6, 8, 10, & 12 responding YES! or yes to the question: I feel safe in my community or the area in which I live. Data from the Kansas Communities That Care Student Survey (KCTC).

Region Survey Year Total 6th Grade 8th Grade 10th Grade 12th Grade
Kansas 2026 85.40 86.10 85.60 84.60 85.20
Southwest Guidance Center 2026 83.10 82.50 82.20
  • Minimum 20% participation and 20 survey responses by grade to show data.

SPECIAL POPULATIONS

Indicator Data Year # Region Rate Region KANSAS
Foster care - Kansas Department of Children & Families (DCF) 2026 28 0.2 0.7
New court commitments Rate pr/1k - Kansas Department of Corrections (DOC) 2024 74 3.1 2.0
Civilian Veterans - American Community Survey (ACS) 5-Year Estimates 2024 614 2.5 6.8
Disabled - American Community Survey (ACS) 5-Year Estimates 2024 3,960 11.7 13.5

At A Glance: Special Population Percent Comparison to Kansas
<img>Bar chart comparing RegionRate and KANSAS for New court commitments Rate pr/1k - Kansas Department of Corrections (DOC), Disabled - American Community Survey (ACS) 5-Year Estimates, Foster care - Kansas Department of Children & Families (DCF), and Civilian Veterans - American Community Survey (ACS) 5-Year Estimates.

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MENTAL HEALTH

Percentage of adults reporting 14 or more days of poor mental health per month (age-adjusted).
County Health Rankings Data (BRFSS Survey)

Data Year # Region % Region KANSAS
2022 4216 17.45 16.60

Health Professional Shortage Area (HPSA) data as compiled and published by the Health Resources & Services Administration (HRSA)

HPSA Name FTE Practitioners Needed in Region HPSA Score (Higher score, higher priority 0-26) Rural Status Current HPSA Status
▲

Kansas Information for Communities (KDHE)

Suicide Rate pr/100k population (5-years) Data Year # Region Rate Region KANSAS
2023 0 15.4 19.0

Percentage of students in grades 6, 8, 10, and 12 reporting use of the following substances in the past 30 days. Kansas Communities That Care Student Survey (KCTC).

Substance Used Total 6th Grade 8th Grade 10th Grade 12th Grade
Alcohol 6.40 2.00 4.80
Vaping 3.80 0.50 2.70
Binge Drinking 3.10 0.60 1.00
Inhalants 2.10 2.60 2.20
Prescription Drugs (Any) 2.00 1.10 2.30
Marijuana 1.90 0.00 0.90
Prescription Pain Relievers 1.80 1.00 1.80
Smokeless Tobacco 0.70 0.00 0.40
Cigarettes 0.50 0.00 0.40
Prescription Stimulants 0.50 0.00 0.90
Prescription Tranquilizers 0.30 0.00 0.40
  • Minimum 20% participation and 20 survey responses by grade to show data.

At A Glance: Student Drug Use Comparison to Kansas (Total Students Only)
2026 KCTC Year

For Alcohol, County/Region is 6.4 and Kansas is 5.7. 

For Vaping, County/Region is 3.8 and Kansas is 3.9. 

For Binge Drinking, County/Region is 3.1 and Kansas is 3.1. 

For Marijuana, County/Region is 1.9 and Kansas is 2.2. 

For Inhalants, County/Region is 2.1 and Kansas is 1.7. 

For Prescription Drugs (Any), County/Region is 2.0 and Kansas is 1.8. 

For Smokeless Tobacco, County/Region is 0.7 and Kansas is 0.9. 

For Cigarettes, County/Region is 0.5 and Kansas is 0.8.

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Appendix B

Southwest Guidance Center
CCBHC Community Needs Assessment

Staff Survey – Outpatient Clinical Services Needs

Learning Tree Institute at Greenbush
March 2026

The survey was administered online to key staff members in February 2026 as part of the needs assessment process for the SAMHSA CCBHC-PDI grant project awarded in September 2022. There were eleven (11) completed surveys. Additionally, eleven (11) partial community responses were received. These responses are included in the analysis.

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Report for Southwest Guidance Center Staff Survey_2026

Response Counts

Completion Rate: 50%
Complete 11
Partial 11
Totals: 22

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  1. How old are you?
Value Percent Responses
16-25 4.5% 1
26-34 36.4% 8
35-44 18.2% 4
45-54 13.6% 3
55-64 27.3% 6

Totals: 22

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  1. What do you consider yourself to be?
Value Percent Responses
Male 13.6% 3
Female 86.4% 19

Totals: 22

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  1. Are you Hispanic, Latino/a, or of Spanish origin?
Value Percent Responses
Yes 45.5% 10
No 54.5% 12
Totals: 22

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  1. What is your race?
Value Percent Responses
White 100.0% 21

Totals: 21

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  1. Have you ever served in the Armed Forces, the Reserves, or the National Guard?
Value Percent Responses
Yes 4.5% 1
No 95.5% 21

Totals: 22

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  1. Is anyone in your family or someone close to you currently serving on active duty in or retired/separated from the Armed Forces, the Reserves, or the National Guard?
Value Percent Responses
Yes, one person 18.2% 4
Yes, more than one person 22.7% 5
No 59.1% 13
Totals: 22

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  1. What is your county of residence?
Value Percent Responses
Haskell 4.5% 1
Seward 68.2% 15
Stevens 4.5% 1
Other - Write In (Required) 22.7% 5
Totals: 22

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Other - Write In (Required) Count
Beaver 1
St. Joseph, IN 1
Texas 1
out of state 1
texas 1
Totals 5

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  1. For crisis mental health services (24/7 mobile crisis teams, emergency intervention, stabilization, other crisis MH services, withdrawal management and detoxification), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
5.9%		 4
23.5%		 6
35.3%		 0
0.0%		 17
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 2
11.8%		 5
29.4%		 9
52.9%		 17
Count
Row %

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Strongly Disagree Disagree Neither nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 3
17.6%		 4
23.5%		 10
58.8%		 0
0.0%		 17
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 3
17.6%		 3
17.6%		 11
64.7%		 0
0.0%		 17
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 0
0.0%		 1
5.9%		 7
41.2%		 9
52.9%		 0
0.0%		 17
Count
Row %
Totals 17
Total Responses

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  1. For crisis mental health services, provide any additional comments related to staffing limitations.
ResponseID Response
9 N/A
18 None known
22 It would be nice to have peer support and another crisis qmhp.

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  1. For crisis mental health services, indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
9 Unknown.
14 non clients
16 None
18 None known
22 Depends on weather and some to services travel time can lengthen service response time.
24 Crisis services are available everywhere.

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  1. For crisis mental health services, please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
9 I will see any adolescents, adults, or geriatric patients.
14 Incarcerated population
18 None known
22 To all in our area at this time can only provide to current consumers

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  1. For service categories including screening, assessment, diagnosis, and risk management, please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
6.7%		 1
6.7%		 5
33.3%		 8
53.3%		 0
0.0%		 15
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 2
13.3%		 4
26.7%		 8
53.3%		 1
6.7%		 15

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Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 3
20.0%		 3
20.0%		 9
60.0%		 0
0.0%		 15
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 2
13.3%		 3
20.0%		 10
66.7%		 0
0.0%		 15
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 0
0.0%		 2
13.3%		 5
33.3%		 8
53.3%		 0
0.0%		 15
Count
Row %
Totals 15
Total Responses

Page 35

  1. For service categories including screening, assessment, diagnosis, and risk management, provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
18 None known
22 Would be nice to have more in person therapists and more case managers.

Page 36

  1. For service categories including screening, assessment, diagnosis, and risk management, indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
18 None known
22 Psychological testing services
24 Available throughout the area.

Page 37

  1. For service categories including screening, assessment, diagnosis, and risk management, please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 None known
22 Those in the jail

Page 38

  1. For patient-centered treatment planning or similar processes (risk assessment and/or crisis planning), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
7.1%		 2
14.3%		 7
50.0%		 4
28.6%		 0
0.0%		 14
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 3
23.1%		 4
30.8%		 5
38.5%		 1
7.7%		 13
Count
Row %

Page 39

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 3
23.1%		 4
30.8%		 6
46.2%		 0
0.0%		 13
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 1
7.7%		 6
46.2%		 6
46.2%		 0
0.0%		 13
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 1
7.7%		 2
15.4%		 6
46.2%		 4
30.8%		 0
0.0%		 13
Count
Row %
Totals 14
Total Responses

Page 40

  1. For patient-centered treatment planning or similar processes (risk assessment and/or crisis planning), provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
18 None known
22 Being able to have ability to sign plans thru an application or other electronic means would be nice

Page 41

  1. For patient-centered treatment planning or similar processes (risk assessment and/or crisis planning), indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
18 None known

Page 42

  1. For patient-centered treatment planning or similar processes (risk assessment and/or crisis planning), please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 None known

Page 43

  1. For outpatient mental health services (psychotherapy and psychiatric medication management), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
7.7%		 3
23.1%		 4
30.8%		 5
38.5%		 0
0.0%		 13
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 3
23.1%		 3
23.1%		 6
46.2%		 1
7.7%		 13
Count
Row %

Page 44

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 3
23.1%		 3
23.1%		 7
53.8%		 0
0.0%		 13
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 1
7.7%		 2
15.4%		 2
15.4%		 8
61.5%		 0
0.0%		 13
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 4
30.8%		 3
23.1%		 3
23.1%		 3
23.1%		 0
0.0%		 13
Count
Row %
Totals 13
Total Responses

Page 45

  1. For outpatient mental health services (psychotherapy and psychiatric medication management), provide any additional comments related to staffing limitations.
ResponseID Response
6 M/A
18 None known
22 Need more in person therapists and offer more days for outlying offices, such as 2 days per week with multiple providers.

Page 46

  1. For outpatient mental health services (psychotherapy and psychiatric medication management), indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
18 None known
21 while the provider does not go to each outlying county, accommodations are provided such as via zoom if needed. the provider also does not have scheduled availability over nights and weekends but can be reached by phone in case of emergencies by mobile crisis or therapists
22 Patients have the option of either televideo or in person in liberal, would be nice if they had a day in the outlying areas too and cut down on patient travel time for medication

Page 47

  1. For outpatient mental health services (group, multi-family group, individual, partial hospitalization, other), please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 None known
22 Groups and psychological testing

Page 48

  1. For outpatient substance use services (group and/or individual), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
7.7%		 0
0.0%		 8
61.5%		 4
30.8%		 0
0.0%		 13
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 0
0.0%		 7
53.8%		 5
38.5%		 1
7.7%		 13
Count
Row %

Page 49

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 1
7.7%		 1
7.7%		 6
46.2%		 5
38.5%		 0
0.0%		 13
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 1
7.7%		 6
46.2%		 6
46.2%		 0
0.0%		 13
Count
Row %
Services are offered at all times (i.e., nights and weekends). 1
7.7%		 3
23.1%		 3
23.1%		 2
15.4%		 3
23.1%		 1
7.7%		 13
Count
Row %
Totals 13
Total Responses

Page 50

  1. For outpatient substance use services (group and/or individual), provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
18 None known
22 More availability for outlying offices

Page 51

  1. For outpatient substance use services (group and/or individual), indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
17 After hours
18 None known
22 Not in outlying offices, need more therapists for sud only

Page 52

  1. For outpatient substance use services (group and/or individual), please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
17 Homeless
18 None known
22 We do not offer groups

Page 53

  1. For outpatient clinic primary care screening of key health indicators and health risks, please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 0
0.0%		 4
33.3%		 3
25.0%		 4
33.3%		 1
8.3%		 12
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 2
16.7%		 3
25.0%		 5
41.7%		 2
16.7%		 12
Count
Row %

Page 54

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 2
16.7%		 4
33.3%		 5
41.7%		 1
8.3%		 12
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 5
41.7%		 2
16.7%		 4
33.3%		 1
8.3%		 12
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 3
25.0%		 4
33.3%		 2
16.7%		 2
16.7%		 1
8.3%		 12
Count
Row %
Totals 12
Total Responses

Page 55

  1. For outpatient clinic primary care screening of key health indicators and health risks, provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
18 None known

Page 56

  1. For outpatient clinic primary care screening of key health indicators and health risks, indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
18 None known

Page 57

  1. For outpatient clinic primary care screening of key health indicators and health risks, please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 None known

Page 58

  1. For outpatient clinic primary care monitoring of key health indicators and health risks, please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 0
0.0%		 3
25.0%		 2
16.7%		 5
41.7%		 2
16.7%		 12
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 3
25.0%		 2
16.7%		 4
33.3%		 3
25.0%		 12
Count
Row %

Page 59

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 3
25.0%		 2
16.7%		 5
41.7%		 2
16.7%		 12
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 3
25.0%		 2
16.7%		 5
41.7%		 2
16.7%		 12
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 2
16.7%		 3
25.0%		 2
16.7%		 3
25.0%		 2
16.7%		 12
Count
Row %
Totals 12
Total Responses

Page 60

  1. For outpatient clinic primary care monitoring of key health indicators and health risks, provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
18 N/A

Page 61

  1. For outpatient clinic primary care monitoring of key health indicators and health risks, indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
18 N/A

Page 62

  1. For outpatient clinic primary care monitoring of key health indicators and health risks, please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 N/A

Page 63

  1. For targeted case management (requires SPMI and SED eligibility), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 0
0.0%		 2
18.2%		 2
18.2%		 7
63.6%		 0
0.0%		 11
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 1
9.1%		 3
27.3%		 6
54.5%		 1
9.1%		 11
Count
Row %

Page 64

Strongly Disagree Disagree Neither nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 1
9.1%		 3
27.3%		 7
63.6%		 0
0.0%		 11
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 1
9.1%		 3
27.3%		 7
63.6%		 0
0.0%		 11
Count
Row %
Services are offered at all times (i.e., nights and weekends). 0
0.0%		 4
36.4%		 2
18.2%		 2
18.2%		 3
27.3%		 0
0.0%		 11
Count
Row %
Totals 11
Total Responses

Page 65

  1. For targeted case management (requires SPMI and SED eligibility), provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
14 Understaffed and over capacity on case loads
18 None known
22 It would be nice to have another waf/tcm to assist due the increasing sizes of population

Page 66

  1. For targeted case management (requires SPMI and SED eligibility), indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
18 None known

Page 67

  1. For targeted case management (requires SPMI and SED eligibility), please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 None known

Page 68

  1. For psychiatric rehabilitation services (CPST, PRI, PRG, and similar), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
9.1%		 3
27.3%		 3
27.3%		 4
36.4%		 0
0.0%		 11
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 2
18.2%		 3
27.3%		 5
45.5%		 1
9.1%		 11
Count
Row %

Page 69

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 2
18.2%		 3
27.3%		 6
54.5%		 0
0.0%		 11
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 1
9.1%		 2
18.2%		 3
27.3%		 5
45.5%		 0
0.0%		 11
Count
Row %
Services are offered at all times (i.e., nights and weekends). 1
9.1%		 0
0.0%		 2
18.2%		 3
27.3%		 5
45.5%		 0
0.0%		 11
Count
Row %
Totals 11
Total Responses

Page 70

  1. For psychiatric rehabilitation services (CPST, PRI, PRG, and similar), provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
14 understaffed and over capacity on case loads
18 None known
22 Need more case managers as caseload are so big that clients aren't being seen as often as they should be.

Page 71

  1. For psychiatric rehabilitation services (CPST, PRI, PRG, and similar), indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
14 outlier counties due to understaffing
18 None known

Page 72

  1. For psychiatric rehabilitation services (CPST, PRI, PRG, and similar), please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
14 SUD, ACT, all age groups
18 None known

Page 73

  1. For peer support and counselor services and family supports (individual, group, other), please indicate the level of agreement with the following statements:
Strongly Disagree Disagree Neither nor Agree Strongly Agree Not Applicable Responses
Staff (clinical and non-clinical) are appropriate for serving the consumer population (including unserved consumers in the service are) in terms of size and composition and service providers. 0
0.0%		 1
9.1%		 2
18.2%		 5
45.5%		 3
27.3%		 0
0.0%		 11
Count
Row %
Training addresses cultural competence; person-centered and family-centered, recovery-oriented, evidence-based, and trauma-informed care; and primary care/behavioral health integration. 0
0.0%		 0
0.0%		 1
9.1%		 5
45.5%		 4
36.4%		 1
9.1%		 11
Count
Row %

Page 74

Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree Not Applicable Responses
Reasonable steps are taken to provide meaningful access to individuals with Limited-English-Proficiency or with language-based disabilities. 0
0.0%		 0
0.0%		 1
9.1%		 6
54.5%		 4
36.4%		 0
0.0%		 11
Count
Row %
Services are offered in all parts of the service area. 0
0.0%		 0
0.0%		 1
9.1%		 6
54.5%		 4
36.4%		 0
0.0%		 11
Count
Row %
Services are offered at all times (i.e., nights and weekends). 1
9.1%		 1
9.1%		 2
18.2%		 3
27.3%		 4
36.4%		 0
0.0%		 11
Count
Row %
Totals 11
Total Responses

Page 75

  1. For peer support and counselor services and family supports (individual, group, other), provide any additional comments related to staffing limitations.
ResponseID Response
6 N/A
11 More staffing needed
14 ACT peer support for SPMI and SUD are still needed.
18 None known
22 Need to hire ACT spmi and sud peer support and 1 for mobile crisis would be nice

Page 76

  1. For peer support and counselor services and family supports (individual, group, other), indicate where and when (and which) services are not available throughout the service area.
ResponseID Response
6 N/A
14 ACT
18 None known

Page 77

  1. For peer support and counselor services and family supports (individual, group, other), please identify specific populations that you would like to offer services to that you currently do not because of barriers and limitations.
ResponseID Response
6 N/A
18 None known

Page 78

Appendix C

Southwest Guidance Center
CCBHC Community Needs Assessment

Community Survey

Learning Tree Institute at Greenbush
March 2026

The survey was administered online in February 2026 as part of the needs assessment process for the SAMHSA CCBHC-PDI grant project awarded in September 2022. Twenty-six (26) complete community responses were received. Additionally, eight (8) partial community responses were received.

<page_number>16</page_number>

Page 79

Report for Southwest Guidance Center

Community Needs Assessment_2026

Response Counts

Completion Rate: 76.5%
Complete 26
Partial 8
Totals: 34

Page 80

  1. Thank you for being a valued Southwest Guidance Center community partner. We ask that you take a few minutes to complete a community needs assessment survey. This survey will be used to tailor services to the needs of our community. Participation is voluntary and anonymous. If you prefer not to answer any item, please leave that item blank. The survey will begin after you check “I agree to take the survey.”
Value Percent Responses
I agree to take the survey 100.0% 34

Totals: 34

Page 81

  1. Please select the statement that best describes the services you have received from Southwest Guidance Center:
Value Percent Responses
I just began services with Southwest Guidance Center. 5.9% 2
I have been receiving services from Southwest Guidance Center for more than a year. 5.9% 2
I do not receive services from my Southwest Guidance Center, but I know someone who does. 38.2% 13
I do not receive services from Southwest Guidance Center. 50.0% 17
Totals: 34

Page 82

  1. How old are you?
Value Percent Responses
16-25 2.9% 1
26-34 11.8% 4
35-44 20.6% 7
45-54 20.6% 7
55-64 32.4% 11
65-74 8.8% 3
75+ 2.9% 1

Totals: 34

Page 83

  1. What do you consider yourself to be?
Value Percent Responses
Male 17.6% 6
Female 82.4% 28

Totals: 34

Page 84

  1. Are you Hispanic, Latino/a, or of Spanish origin?
Value Percent Responses
Yes 20.6% 7
No 79.4% 27
Totals: 34

Page 85

  1. What is your race?
Value Percent Responses
White 100.0% 34

Totals: 34

Page 86

  1. Have you ever served in the Armed Forces, the Reserves, or the National Guard?
Value Percent Responses
No 100.0% 34

Totals: 34

Page 87

  1. Is anyone in your family or someone close to you currently serving on active duty in or retired/separated from the Armed Forces, the Reserves, or the National Guard?
Value Percent Responses
Yes, one person 18.2% 6
Yes, more than one person 12.1% 4
No 69.7% 23
Totals: 33

Page 88

  1. What is your county of residence?
Value Percent Responses
Haskell 35.3% 12
Meade 11.8% 4
Seward 38.2% 13
Stevens 8.8% 3
Other - Write In (Required) 5.9% 2
Totals: 34

Other - Write In (Required)

Count
Beaver 1
Clark 1
Totals 2

Page 89

  1. What do you feel are your region's top three health concerns (mental or physical health)?
  • Anxiety: 50%
  • Autoimmune disease: 10%
  • Cancer: 15%
  • Depression: 55%
  • Diabetes: 20%
  • Heart Disease: 15%
  • Infectious Diseases: 5%
  • Lack of Health Insurance: 30%
  • Mental Illness: 50%
  • Obesity: 25%
  • Post-Traumatic Stress Disorder: 5%
  • Substance Abuse (use of illegal drugs, or misuse of prescription drugs or alcohol): 60%
  • Violence: 5%
  • Other - Write In: 10%
    </img>

Page 90

Value Percent Responses
Anxiety 44.8% 13
Autoimmune disease 6.9% 2
Cancer 13.8% 4
Depression 51.7% 15
Diabetes 17.2% 5
Heart Disease 10.3% 3
Infectious Diseases 3.4% 1
Lack of Health Insurance 27.6% 8
Mental Illness 44.8% 13
Obesity 20.7% 6
Post-Traumatic Stress Disorder 3.4% 1
Poverty 17.2% 5
Substance Abuse (use of Illegal drugs, or misuse of prescription drugs or alcohol) 51.7% 15
Violence 3.4% 1
Other - Write In (Required) 6.9% 2

Page 91

Other - Write In (Required) Count
Loneliness 1
Timely Access to providers 1
Totals 2

Page 92

  1. What are the biggest needs in your region right now?
  • Access to physical and mental health care: 75%
  • Basic Needs (food, emergency water, shelter): 15%
  • Emotional Supports: 45%
  • Financial Assistance: 55%
  • Housing Assistance: 45%
  • Legal Assistance: 15%
  • Opportunities to Socialize: 20%
  • Specialty Services: 35%
  • Transportation: 30%
  • Preventative Healthcare: 20%
  • Educational Opportunities: 15%</img>

Page 93

Value Percent Responses
Access to physical and mental health care 71.4% 20
Basic Needs (food, water, shelter) 14.3% 4
Emergency Shelters 14.3% 4
Emotional Supports 39.3% 11
Financial Assistance 46.4% 13
Housing Assistance 39.3% 11
Legal Assistance 10.7% 3
Opportunities to Socialize 17.9% 5
Specialty Services 28.6% 8
Transportation 25.0% 7
Preventative Healthcare 17.9% 5
Educational Opportunities 14.3% 4
Other - Write In (Required)
Totals 0

Page 94

  1. The following mental health services are provided by Southwest Guidance Center and are adequate for my community.
Strongly disagree Disagree Agree Strongly agree I don't know Responses
Crisis mental health services 1 8 10 4 5 28
Row % 3.6% 28.6% 35.7% 14.3% 17.9%
Screening, assessment, diagnosis, and risk management 3 7 9 5 4 28
Row % 10.7% 25.0% 32.1% 17.9% 14.3%
Patient-centered treatment planning 2 6 10 5 5 28
Row % 7.1% 21.4% 35.7% 17.9% 17.9%
Outpatient mental health services (group, individual, other) 3 8 7 5 5 28
Row % 10.7% 28.6% 25.0% 17.9% 17.9%
Outpatient substance use services 3 6 7 4 8 28
Row % 10.7% 21.4% 25.0% 14.3% 28.6%
Outpatient clinic primary care screening of key health indicators and health risk 1 8 6 5 8 28
Row % 3.6% 28.6% 21.4% 17.9% 28.6%
Outpatient clinic primary care monitoring of key health indicators and health risk 2 7 6 4 9 28
Row % 7.1% 25.0% 21.4% 14.3% 32.1%
Targeted case management for those who qualify 2 7 7 4 8 28
Row % 7.1% 25.0% 25.0% 14.3% 28.6%

Page 95

Strongly disagree Disagree Agree Strongly agree I don't know Responses
Psychiatric rehabilitation services 2 10 6 2 8 28
Count 7.1% 35.7% 21.4% 7.1% 28.6%
Row %
Peer support and counselor services and family supports 2 6 8 5 7 28
Count 7.1% 21.4% 28.6% 17.9% 25.0%
Row %
Totals 28
Total Responses

Page 96

  1. Please indicate any barriers to receiving mental health services in your community by checking the boxes you believe are barriers below.
  • Access: ~60%
  • Transportation: ~55%
  • Language: ~30%
  • Expense: ~60%
  • Limited Office Hours/Times: ~40%
  • Lack of Knowledge/Awareness of Services: ~70%
  • Lack of Specialized Care: ~25%
  • Perception: ~45%
  • Stigma: ~40%
  • Trust: ~40%

Page 97

Value Percent Responses
Access 56.0% 14
Transportation 48.0% 12
Language 28.0% 7
Expense 56.0% 14
Limited Office Hours/Times 36.0% 9
Lack of Knowledge/Awareness of Services 64.0% 16
Lack of Specialized Care 20.0% 5
Perception 40.0% 10
Stigma 36.0% 9
Trust 36.0% 9
Other - Write In (Required)
Totals 0

Page 98

  1. If you have any concerns about the future of mental health services for you or your family, please check the boxes you believe are concerns below.
Value Percent Responses
Acceptance 19.0% 4
Access 52.4% 11
Funding 52.4% 11
Hospital Beds/Acute Placement 28.6% 6
Lack of Knowledge/Awareness of Services 52.4% 11
Lack of Provider Choice 42.9% 9
Stigma 14.3% 3
Other - Write In (Required) 14.3% 3

Page 99

Other - Write In (Required) Count
Ignorance and Laziness of Staff 1
None 1
They don't respond when you contact them 1
Totals 3

Page 100

  1. Have you, or anyone you know, received services from Southwest Guidance Center?
Value Percent Responses
Yes, I or someone I know has received services. 65.4% 17
No, I am not aware of anyone who has received services. 34.6% 9
Totals: 26

Page 101

  1. How satisfied were you (or the person you know) with the services you (or they) received?
Value Percent Responses
Very satisfied 23.5% 4
Somewhat satisfied 35.3% 6
Somewhat dissatisfied 29.4% 5
Very dissatisfied 11.8% 2
Totals: 17

Page 102

  1. Do you have a primary care provider (i.e. a regular doctor, PA, APRN, or mid-level you see for your routine health care needs)?
Value Percent Responses
Yes 88.5% 23
No 11.5% 3

Totals: 26

Page 103

  1. Can you get a timely appointment with your primary care provider when you need one?
Value Percent Responses
Yes 68.0% 17
No 32.0% 8
Totals: 25

Page 104

  1. Are you aware of services in your community that help families?
Value Percent Responses
Yes 92.0% 23
No 8.0% 2

Totals: 25

Page 105

  1. If you, or anyone you know, have received mental health or other health services in your region, were staff were sensitive to cultural background (e.g., race, religion, language)?
Value Percent Responses
Yes 40.0% 10
No 12.0% 3
I don't know 24.0% 6
Not applicable 24.0% 6

Totals: 25

Page 106

Appendix D
Southwest Guidance Center
CCBHC Community Needs Assessment

Patient Survey – Consumer Satisfaction Survey

Learning Tree Institute at Greenbush
March 2026

The survey was administered by Southwest Guidance Center in March 2025 and December 2025 in accordance with K.A.R. 30-60-55 (a) (1) (2). Twenty-eight (28) patient responses were recorded.

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Southwest Guidance Center
Consumer Satisfaction Survey 03-14-2025 & 11-3-2025
Data Summary

On March 14, 2025 and November 13, 2025, SWGC conducted its Client Satisfaction Survey. As per our policy established 11/4/2010, SWGC will use this survey to assess satisfaction 3 times each year (every March, July, and November on the 15th of the month). The following is a summary of the data obtained from this survey.

Total
Scheduled Appointment/Closed Charts (2 days) 98 98
Surveys returned from appointments/closed charts 28 28
Demographics/Service Information
Adult (12) / Child (16) / Unknown (0) Receive therapy 25
Male (13) / Female (14) / Unknown (1) Receive case management 15
English Speaking (22) / Spanish Speaking (5) Unknown (1) Receive medication management 20
Client responded (17) No response on service type 0
Guardian responded (11) Service < 6 months (2)
Unknown (0) 6 months to 1 year (8)
Mean age of client served = 23 years > 1 year (16) unknown (2)
Survey Item Results
0 = Strongly Disagree, 1 = Agree, 2 = Do not agree or disagree, 3 = Agree, 4 = Strongly Agree
1. Treat me with dignity and respect 4 3 2 1 0
2. Listen to me and hear what I have to say about my life and treatment 23 4
3. Start appointments with me on time. 23 4 1
4. Return my phone calls in 24 hours. 19 8 1
5. Know what they are doing and know how to do their job. 20 5 1 1
6. I, not staff, decide my treatment goals. 22 5 1
7. I feel that I am making progress in my treatment. 11 15 1 1
8. I feel comfortable asking questions about my treatment and medications. 16 11
9. I feel safe when I am at SWGC or with SWGC staff. 17 11
10. I feel like the services I receive are confidential. 22 6
11. SWGC buildings are clean and professional. 23 4 1
12. I would recommend SWGC services to my friends/family. 23 5
13. My overall satisfaction with SWGC is: 24 4
Total 21 6 1
264 88 3 2 4

Data compiled by Karla Bradley

Page 108

Appendix E
Southwest Guidance Center
CCBHC Community Partners

Page 109

Community Partner Category
American Title and Abstract Specialists Business
HEAT, Inc. Business
Heritage Real Estate Business
Hermesro, Inc. Business
Hugoton Chamber of Commerce Business
Kernell Body Shop Business
Liberal Chamber of Commerce Business
Scout EP Business
Seaboard Energy Business
Shelter Insurance Business
Zielke Law Firm Business
Department of Children and Families Child Welfare
Kansas Children's Service League Child Welfare
Saint Francis Foster Care Services Child Welfare
TFI Foster Care Services Child Welfare
Western Kansas Child Advocacy Services Child Welfare
Meade County Health Department County Health Dept
Hugoton Police Department Crisis Response
Liberal Police Department Crisis Response
Meade County Sheriff Office Crisis Response
Meade Fire Department Crisis Response
Russell Child Development Center Education (0-3)
USD 210 Education (K-12)
USD 374 Education (K-12)
USD 480 Education (K-12)
USD 507 Education (K-12)
Seward County Community College Education (post-secondary)
Kansas Work Force One Employment Services
Cross Point Now Faith-based
Liberal Ministerial Alliance Faith-based
Fowler City Hall Government
Haskell County Government
Meade County Government
Seward County Government
Stevens County Government
Stevens County Highway Department Government
Mays Home Care Health Care
Genesis Family Health Health Center (FQHC)
Meade County Hospital Health Center
Satanta Hospital Health Center
Southwest Medical Center Health Center
Stevens County Hospital Health Center
Meade County News Media

Page 110

SWKS Radio Media
DCCCA Mental Health (other)
NAMI of Southwest Kansas Mental Health (other)
City of Liberal Municipality
City of Meade Municipality
City of Moscow Municipality
City of Plains Municipality
Common Spirit Health Municipality
Fifth and Main Other
Liberal Memorial Library Other
Western Kansas Community Foundation Other
Aim to Inspire Social/Human Support
Alzheimer Association, Western Kansas Social/Human Support
Birthline Liberal Social/Human Support
Catholic Charities of Southwest Kansas Social/Human Support
Dorothy's House Social/Human Support
Harvest America Social/Human Support
Kansas Appleseed Social/Human Support
Liberal Area Coalition for Families Social/Human Support
Liberal Area Rape Crisis and Domestic Violence Servic Social/Human Support
OMG Youth Club Social/Human Support
Pheasant Heaven Charities Social/Human Support
Red Cross Social/Human Support
Stepping Stones of Kansas Social/Human Support
Kansas Department of Emergency Management State Agency

Page 111

Appendix F
Southwest Guidance Center
CCBHC Service Locations

Page 112

Organization Name (of Service Location) Address City State Zip Code Operated by CCBHC? Active Signed Agreement Organization Type
SWGC: Main Office 333 W. 15th Street Liberal KS 67901 Yes Operated by CCBHC Behavioral Health Provider - Community
SWGC: CSP Office 21 Plaza Drive Liberal KS 67901 Yes Operated by CCBHC Behavioral Health Provider - Community
Robin King Center (Group Site) 2nd & Pershing Liberal KS 67901 Yes Operated by CCBHC Behavioral Health Provider - Community
SWGC: Stevens County 1006 S. Jackson Street Hugoton KS 67951 Yes Operated by CCBHC Behavioral Health Provider - Community
SWGC: Haskell County 301 S. Derby Street Sublette KS 67877 Yes Operated by CCBHC Behavioral Health Provider - Community
SWGC: Meade County 309 S. Webb Street Meade KS 67864 Yes Operated by CCBHC Behavioral Health Provider - Community
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