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Lane County Health and Human Services Survey for Parents

Lane County Health and Human Services Survey for Parents

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Published by Sherryi Smileyi

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Published by: Sherryi Smileyi on Nov 27, 2012
Copyright:Attribution Non-commercial


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The researches we
’ve conducted suggested that
one of the concerns of the parents whohave a child suffering from depression or other 
mental illness is “privacy.” They don’t want other 
people knowing this. This concern associates to their perception of 
mental health stigma so it’
important to understand parents’ understanding about depression and mental illness (i.e. whatthey know and don’t know about mental illness). Thi
s will help us increasing awareness aboutdepression and mental illness in the parenthood. Below is a mental health questionnaire, and asignificant part of it was adopted fromHunter Institute of Mental Health.
Welcome to the Lane County Health and Human Services survey! Thank you for participating.This should take less than 15 minutes of your time. If in the middle of the survey, you wish to stopparticipating, you can close the browser window at any time. All answers will be anonymous. Allof the demographic questions about you (your birth year, gender and ethnicity etc.) will beseparated from the information you provide on the rest of the survey. You will not be given your individual results. If this sounds OK, please continue!
Do you consent to participate?
[ ] I consent; I'd like to begin the survey.
[ ] I do not consent; I don’t want to take the survey.
****1. Have you or any member of your family or any of your friends ever suffered from any type of mental illness? (Tick one box only)
OfficeUse only
[ ]
[ ]
22. Which of these conditions do you think is a form of mental illness? (Tick all those that youthink are a form of mental illness).
[ ]
[ ]
Down's Syndrome…….
[ ]
 Anorexia Nervosa……..
[ ]
Cerebral Palsy
[ ]
[ ]
[ ]
 Alzheimer's Disease….
[ ]
Manic Depression…….
[ ]
[ ]
[ ]
[ ]
 Attention Deficit………..
[ ]
yperactivity Disorder Developmental Delay...
[ ]
[ ]
For each of the following questions, tick the response which you think is the correctanswer. Tick one response for each question.:Answers
 3. Which of the following statements is
?(a) Mental illness refers to five specific illnesses of the brain. [ ](b) Only people who have a family history of mental illness will suffer from amental illness themselves. [ ](c) Many mental illnesses are caused by a physical or chemical dysfunctionof the brain. [ ](d) Mental illness only occurs in people who have had an accident or a traumaduring childhood. [ ]4. How many people will experience a mental illness sometime in their lives?
(a) 1 in 5 [ ](b) 1 in 10 [ ](c) 1 in 100 [ ](d) 1 in 500 [ ]5. Hallucinations are:(a) drugs that give a lift to people who are depressed [ ](b) drugs that calm down people who are "high" or "manic" [ ](c) seeing, hearing, smelling or tasting things that are not there [ ](d) talking to yourself [ ]6. Which of the following is
likely to be associated with depression?(a) Insomnia [ ](b) Decreased appetite [ ](c) Poor self esteem [ ]
(d) Poor judgement and inability to control one's impulses [ ]7. People with a
generalised anxiety disorder
:(a) worry constantly about things that might be harmful to themselves, their family members or their friends [ ](b) experience feelings of fear each time they are confronted with a particular everyday situation such as going shopping [ ](c) perform rituals to try to relieve their anxiety [ ](d) all of the above [ ]8. What are the chances that a young woman will suffer from anorexia nervosa?(a) 1 in 10 [ ](b) 1 in 100 [ ](c) 1 in 150 [ ](d) 1 in 250 [ ]9. Which of the following is
associated with a person suffering from schizophrenia(a) seeing or hearing things that are not actually there [ ](b) being agitated all the time [ ](c) believing that others are out to get them [ ](d) believing that there is nothing wrong with them [ ]10. Which of the following is an example of someone suffering from
?(a) hearing voices that tell them to distrust everyone [ ](b) believing that they could leap off buildings without getting hurt [ ](c) feeling desperately sad and wanting their life to be over [ ](d) seeing aliens and wanting to join them in their ship [ ]11. Which of the following is
associated with anorexia nervosa?(a) loss of at least 15% of the person's body weight [ ](b) eating binges [ ]

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