INSTRUCTIONS for DMH Service Access Capacity Survey

DMH Service Access Capacity Survey

We sincerely appreciate our partners who provide valuable team-based and residential services. It's essential to have the up-to-date information about the capacities that are available in our communities. The data collected are utilized to make the referral process more efficient and improve our system across the State.

Instructions for the Survey

To be completed by the 10th of each month or the next business day if the 10th falls on a holiday or weekend.  

Survey Sections & Fields:

  1. Provider Name: Select the provider's name.
  2. Reporting Year and Reporting Month:
    Select the reporting year (calendar year) and the reporting month.
  3. Select data type to be reported: Select Team-Based Services, Residential Services, or Both.
    1. Team-Based Services:

      1. Assertive Community Treatment (ACT)
      2. Community Support Team (CST)
    2. DMH-Funded Residential Services:

      1. Program 620 Community Integrated Living Arrangement (CILA)
      2. Program 820 Supported Residential
      3. Program 830 Supervised Residential
      4. Program 830 Supervised Residential for Williams members
      5. Program 860 Crisis Residential
  4. Your Name and Your Email: Type in your name and email address.
  5. Confirmation and Submit: To submit your survey, click the "Confirmation" box and then click the "Submit" button.
  6. Reset: to clear all the fields.

Helpful Tips:

There are specific fields designated to report capacities for the class members.

To revise the data in the survey that has been previous submitted, please complete and submit another survey with the correct information.

If you have any questions about this survey, please contact us at DHS.DMH.ResidentialPrograms@illinois.gov.