List only the number of clients carried over from previous fiscal year

List only the number of clients enrolled in program during reporting period

List total number discharged or ended involvement for any reason - successfully, unsuccessfully, or neutrally

Of the total number discharged, or ended involvement, list how many were successful

List number who continue to be engaged and will receive services in next reporting period

Number booked into SEORJ who are behavioral health clients at HHC (any diagnosis)

Of the SPMI for Jail Case Manager, number who were already HHC clients

Of those SPMI opened for Jail CM, how many did not have a re-arrest this fiscal year?

SPMI wo are HUD Homeless (shelter/streets) at entry into jail

SPMI who have At-Risk Housing Status at entry into jail (couch surfing, doubled-up, risk of eviction, etc.)  

Briefly describe achievements for reporting period

Briefly describe program challenges for reporting period

Briefly describe any program improvements made during the reporting period

Were there any significant differences between last year and this year? If so, please describe

Optional field to share additional info such as a story demonstrating how people have benefited from program

List name of staff member providing data on this form

List email address of staff member providing data on this form

List phone number for staff member providing data on this form