School of Medicine
Discipline of Psychiatry
Evaluation Unit
Preliminary Survey Regarding the Workers WebPages
Resources.
Children of Parents with a Mental Illness (COPMI) Project.
Thank you for taking the time to answer the questions on this survey. Here
are some things you may like to know before you start:



We do not need to know your name but we do need to be able to link what you write
here with questions we might ask you later about some WebPages.
A way of coding your identity has been developed (see 1 below). If you do not wish to
write the letters from your name in the code boxes, you may write other letters in the
boxes. Please make sure the letters you write in the boxes are the same each time
you fill in a survey about the WebPages.
This isn’t a test – you can’t get things “right” or “wrong” and there are no “trick
questions”. Just write down what you honestly think.
1. Please write letters from your name in the boxes below as instructed by
the writing under each box.
1st letter
of your
first
name
2nd letter
of your
first
name
1st letter
of your
last
name
2nd letter
of your
last
name
Last
letter of
your last
name
2. I am a (please tick the one that most applies): (mandatory)
General Practitioner (GP)
Child Protection and/or
Justice Sector Worker
Child and/or Family
Health Worker
Early Childhood Worker
Youth and/or Community
Worker
Mental Health Worker
Education Sector Worker
Other ________________
_____________________
_____________________
3. What Australian state or territory do you work in?
New South Wales (NSW)
Tasmania
Victoria
Western Australia
Queensland
South Australia
Northern Territory
Australian Capital Territory
(ACT)
OR
I do not work in Australia. I work in:
_________________________________________(Country)
4. Do you work in a capital city (including its suburbs), major town, rural area,
or remote area? (mandatory)
Capital
City
Major
Town
Rural
Area
Remote
Area
Other:
________________
________________
____
5. Do you (or might you) provide services to any of the following client
groups? (please tick as many as applicable)
Client Group
Consumers of Mental Health
Services
Carers of people with mental
illness
Families where a person in
the family has a mental
illness
Parents with mental illness
Children under the age of 8
years with a Parent(s) with
Mental Illness
Children 8-12years old with a
Parent(s) with Mental Illness
Tick
Client Group
Young People 13-18 years with
a Parent(s) with mental illness
Young Adults 18-25 years with
a Parent(s) with mental illness
Aboriginal and/or Torres Strait
Islander people
Rural and Remote
Communities/located people
Persons of Non-English
speaking background
Other ____________________
_________________________
Tick
Please tick how much you agree or disagree with each of the next 4
statements:
6. When I am providing services to and/or supporting a person with mental
illness it is important to find out if they have any children.
Strongly
agree
Agree
Neither agree
or disagree
Disagree
Strongly
disagree
Not
applicable
7. In my work I encourage people with mental illness to speak to their
children about their mental illness at a level the child can
Not
understand.
applicable
Strongly
agree
Agree
Neither agree
or disagree
Disagree
Strongly
disagree
8. For a child or young person who has a parent with mental illness, support
necessary to meet socialisation needs is no different to any other child.
Strongly
agree
Agree
Neither agree
or disagree
Disagree
Strongly
disagree
Not
applicable
9. When working with a child or young person who has a parent with a
mental illness I can easily identify all of the potential risk factors.
Not
applicable
Strongly
agree
Agree
Neither agree
or disagree
Disagree
Strongly
disagree
10. Please list organisations that you can work with to support
families and improve families’ capacity to support, protect and
care for their children.
_______________________________________________________
_______________________________________________________
Not
applicable
11. Please list organisations that you can use to assist a child or young
person to access age appropriate information about their issues/needs.
___________________________________________________________
___________________________________________________________
___________________________________________________________
_________
Not
applicable
Yes
No
12. Do you know the contact details of your local child protection
service?
13. Any additional comments or suggestions?
______________________________________________________________
______________________________________________________________
______________________________________________________________
14. Approximately how long did it take you to complete this survey?
(mandatory)
(minutes)
15. Today’s date (date survey completed on):
________________________________________________________(date)