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Research Question 1
What systemic barriers exist to keep children, youth, and families from accessing needed services?

Question | Response |
|---|---|
What do you feel is not working in the overall System of Care? | There are still long waiting times for certain services and a lack of follow-up after initial interventions. Some families struggle to navigate the system or access mental health support due to limited resources and staffing shortages |
What do you feel is not working in the overall System of Care? | The most significant issues in the overall system of care center around high costs that lead to financial strain and unequal access, a fragmented system lacking coordination, and workforce shortages and burnout. |
What do you feel is not working in the overall System of Care? | Hmmm maybe in love |
What do you feel is not working in the overall System of Care? | Short-term grants and lack of sustained funding make programs hard to maintain. |
What do you feel is not working in the overall System of Care? | Lack of adequate resources |
What do you feel is not working in the overall System of Care? | High staff turnover and limited training affect continuity and quality of care. |
What do you feel is not working in the overall System of Care? | Not sure |
What do you feel is not working in the overall System of Care? | Limited access to specialized care (e.g., for youth with complex needs or in rural areas). |
What do you feel is not working in the overall System of Care? | Too expensive |
What do you feel is not working in the overall System of Care? | It’s expensive and need some sort of changes on how much they cost |
What do you feel is not working in the overall System of Care? | Poor coordination between services Inequality in access and affordability Overworked healthcare staff High costs and weak long-term support |
What do you feel is not working in the overall System of Care? | The system can feel impersonal at times. People in recovery often need empathy and consistent encouragement, but the current system sometimes focuses more on procedures than on people. |
What do you feel is not working in the overall System of Care? | Youth and families from diverse racial, cultural, and linguistic backgrounds often face barriers to culturally competent care. |
What do you feel is not working in the overall System of Care? | The process can be slow, with long wait time. |
What do you feel is not working in the overall System of Care? | I don't have any actually because everything is on side |
What do you feel is not working in the overall System of Care? | It is quite inflexible |
What do you feel is not working in the overall System of Care? | And I would say long wait times, lack of providers, insurance complexities, or fragmentation between services. |
What do you feel is not working in the overall System of Care? | Communication between agencies is weak, and families often have to repeat their stories to every provider. Wait times are long, especially for specialized care, and insurance doesn’t always cover what’s truly needed. There’s also a lack of consistent follow-up once a youth leaves a program, which makes recovery harder to sustain. |
What do you feel is not working in the overall System of Care? | As far as I know, everything is normal, but innovation through experts will also go a long way. |
What do you feel is not working in the overall System of Care? | Communication between providers is poor, which makes coordination difficult and confusing for clients. |
What do you feel is not working in the overall System of Care? | Fragmentation and lack of coordination |
What do you feel is not working in the overall System of Care? | Sometimes it's hard to get access to the needed care. The wait time can be discouraging |
What do you feel is not working in the overall System of Care? | There's no organisation of outreach or awareness programmes for the youth |
What do you feel is not working in the overall System of Care? | Transportation and location make access difficult in rural areas. |
What do you feel is not working in the overall System of Care? | There’s a lack of culturally appropriate care and limited options for people in rural areas. |
What do you feel is not working in the overall System of Care? | Availability of staff |
What do you feel is not working in the overall System of Care? | Medical support |
What do you feel is not working in the overall System of Care? | There’s still stigma around asking for help, especially in small towns. |
What do you feel is not working in the overall System of Care? | Too much paperwork and bureaucracy slow down the process of actually getting help. |
What do you feel is not working in the overall System of Care? | There is not enough coordination between providers and agencies |
What do you feel is not working in the overall System of Care? | Not enough focus on prevention and early intervention. |
What do you feel is not working in the overall System of Care? | There’s a lack of long-term support — people often get help in crisis but not enough follow-up afterward. |
What do you feel is not working in the overall System of Care? | The system feels disconnected. Agencies often don’t share information, which causes delays and confusion for clients. |
What do you feel is not working in the overall System of Care? | Families often have to tell their story multiple times because systems don’t communicate effectively or share information. |
What do you feel is not working in the overall System of Care? | There aren’t enough affordable therapy options or crisis services available outside regular business hours. |
What do you feel is not working in the overall System of Care? | Lack of affordable services for families without strong insurance. |
What do you feel is not working in the overall System of Care? | long wait time and funding pressures |
What do you feel is not working in the overall System of Care? | resource availability (think gov't funding) |
What do you feel is not working in the overall System of Care? | There are too few providers, especially for mental health, and long wait times discourage people from continuing care. |
What do you feel is not working in the overall System of Care? | Long wait times before a youth can see a specialist. |
What do you feel is not working in the overall System of Care? | Accessibility |
What do you feel is not working in the overall System of Care? | The system feels fragmented and difficult to navigate |
What do you feel is not working in the overall System of Care? | Long wait times, lack of follow-up, and limited access to affordable services are major issues. Many people give up before they can actually get the help they need. |
What do you feel is not working in the overall System of Care? | It takes too long to get appointments, especially during a crisis. |
What do you feel is not working in the overall System of Care? | We need more affordable services for our youth |
What do you feel is not working in the overall System of Care? | Security |
What do you feel is not working in the overall System of Care? | The transition from youth to adult systems is particularly precarious changes in eligibility and insufficient handoffs leave many individuals falling through the cracks. |
What do you feel is not working in the overall System of Care? | Inability to resolve an illness |
What do you feel is not working in the overall System of Care? | What’s not working is the lack of coordination between services, long wait times, and barriers like stigma, racism, or language gaps. Many systems still don’t fully meet the needs of marginalized communities, and there’s often limited follow-up or support after initial care is given. |
What do you feel is not working in the overall System of Care? | No proper implementation of everything they have made available |
What do you feel is not working in the overall System of Care? | Shortage of staff |
What do you feel is not working in the overall System of Care? | People need information on how use it |
What do you feel is not working in the overall System of Care? | Poor integration of health |
What do you feel is not working in the overall System of Care? | I believe there’s still a lack of culturally sensitive care, so not everyone feels seen or understood in the system. |
What do you feel is not working in the overall System of Care? | They need to employ more people |
What do you feel is not working in the overall System of Care? | The complex mix of public and private insurers, each with different rules, creates a massive administrative burden for providers and patients alike |
What do you feel is not working in the overall System of Care? | Programs needs to take culture, believes , language and understand them to provide the best services for the community. Sometimes they want a program to work for all when culture,,values are not part of those programs. |
What do you feel is not working in the overall System of Care? | Transitions from youth to adult systems are especially risky eligibility changes and lack of coordinated handoffs cause people to fall through the cracks |
What do you feel is not working in the overall System of Care? | People most time do not understand their aim |
What do you feel is not working in the overall System of Care? | Culturally specific and trauma informed programs are limited, and short-term funding often ends before families reach real stability. |
What do you feel is not working in the overall System of Care? | Communication breaks down between mental health, medical, and school systems. |
What do you feel is not working in the overall System of Care? | There are some aspects that are not covered |
What do you feel is not working in the overall System of Care? | Services don’t always reflect diverse backgrounds or trauma experiences. |
What do you feel is not working in the overall System of Care? | There’s still a lack of culturally competent and LGBTQ+ affirming services. |
What do you feel is not working in the overall System of Care? | Rural areas still lack enough behavioral health providers and transportation options. |
What do you feel is not working in the overall System of Care? | There are still too many gaps in access, long wait times, and not enough follow-up support once people leave treatment. |
What do you feel is not working in the overall System of Care? | No proper implementation of everything they planned on |
What do you feel is not working in the overall System of Care? | There’s not enough coordination between agencies — families often have to repeat their stories multiple times. |
What do you feel is not working in the overall System of Care? | Unavailability of workers and agencies to put things in order |
What do you feel is not working in the overall System of Care? | What is not working is the cost and affordability,access and coverage gaps |
What do you feel is not working in the overall System of Care? | Wait times for counseling services are still too long for youth in crisis. |
What do you feel is not working in the overall System of Care? | The inability the meet the needs of all those who are in need of the information, agencies provided. |
What do you feel is not working in the overall System of Care? | I believe that people of color often do not receive quality care as others would - a lot of places call themselves inclusive only to check off a box |
What do you feel is not working in the overall System of Care? | Staff there are not been paid enough |
What do you feel is not working in the overall System of Care? | It is kind of hard to reach them |
What do you feel is not working in the overall System of Care? | Finance |
What do you feel is not working in the overall System of Care? | Customer service support |
What do you feel is not working in the overall System of Care? | Gaps in care for uninsured or underinsured families. |
What do you feel is not working in the overall System of Care? | I think there is not enough awarenesses for me |
What do you feel is not working in the overall System of Care? | The financing part that many might not be able to cover |
What do you feel is not working in the overall System of Care? | Some of the programmes still feel like they need a little more funding or staffing because the quality of those programs are affected. |
What do you feel is not working in the overall System of Care? | Poor customer service support system |
What do you feel is not working in the overall System of Care? | Lack of cultural competency and representation in the workforce. |
What do you feel is not working in the overall System of Care? | The overall system of care often struggles with limited access, inequities, understaffing, delays, which can lead to gaps in treatment and lower quality outcomes. |
What do you feel is not working in the overall System of Care? | Not creating enough awarenes |
What do you feel is not working in the overall System of Care? | Poor coordination and communication between agencies. |
What do you feel is not working in the overall System of Care? | The overall system of care isn’t working well due to gaps in access and insufficient support for those in need. |
What do you feel is not working in the overall System of Care? | Long wait times and shortage of youth-specialized providers. |
What do you feel is not working in the overall System of Care? | Services can be hard to find or take too long to access |
What do you feel is not working in the overall System of Care? | Trusting the process, sometimes it takes time to get a good middle. |
What do you feel is not working in the overall System of Care? | Families may feel overwhelmed or unsure how to navigate the system. |
What do you feel is not working in the overall System of Care? | Support for specific populations, like LGBTQ+ youth or youth of color, can be limited. |
What do you feel is not working in the overall System of Care? | Nepotism |
What do you feel is not working in the overall System of Care? | Communication between different agencies is sometimes inconsistent. |
What do you feel is not working in the overall System of Care? | I feel the it doesn't work the insurance covage |
What do you feel is not working in the overall System of Care? | Limited time |
What do you feel is not working in the overall System of Care? | Attending to people on time |
What do you feel is not working in the overall System of Care? | Limited access to complementary and alternative therapies |
What do you feel is not working in the overall System of Care? | Services can be hard to find or take too long to access. |
What do you feel is not working in the overall System of Care? | I think lack of digitalization |
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