HEALTH RECOVERY SERVICES

HOCKING OUTPATIENT OUTCOMES

 
 
 

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

 

List only the number of new clients enrolled in program during current 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

 
 

 

Numbers Served by County

Please indicate numbers served by county of residence below. Totals for all counties should equal Number of Clients Carried over from Previous Fiscal Year + Number of New People Served

 
 
 
 
 

 

Additional Program Outcomes

 

Defined as attended three or more appointments

 
 
 

 

Narratives

 

Briefly describe achievements for reporting period

 
 

Briefly describe program challenges for reporting period

 
 

Briefly describe any program improvements made during the reporting period

 
 

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

 
 

Optional: Use file upload to attach and include any supporting documents

Drop your files here
 

 

Agency Contact

 

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

Phone