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

List only the number of new 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

Measured by Daily Service Report/Sign-in Logs

Measured by Survey/Outcomes Specialist knowledge of member

Participants find meaningful activity through volunteering at TGP or in the community

Participants increase access to healthy foods and nutrition services

Participants gain information or access to housing resourcesParticipants gain information or access to housing resources

Members maintain personal empowerment and makes decisions based upon ODMH’s Mental Health Recovery Model

Member maintains a high level of social connectedness based upon ODMH’s Mental Health Recovery Model

Measured by being a dues-paid member of TGP and/or a weekly attendee of the program for at least half of the reporting period

Measured by Daily Service Report - even with limited hours at time or closings

Previously referred to as intakes

For example: Programming/classes, Off-site activities, etc.

Van trips for activities for members/in addition to staff driving members to appointments

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