HOCKING COUNTY SHERIFF'S OFFICEHOCKING HOPE/HVCH OUTCOMES

Fiscal Year*

Reporting Period*

Mid-Year (Jul 1-Dec 31)

Year-End (Jul 1-Jun 30)

Number of individuals Referred to HOPE Team*

Number of Contacts Made with Individuals Referred to HOPE Team*

Number of Referrals to Recovery Support Services*

(SMART Recovery, general healthcare, homeless shelters, etc.)

Number of Referrals Connected to Treatment Services*

(Assessments, Outpatient, Inpatient, Detox MAT, etc.)

Number of Narcan/Naloxone Distributed*

Did you track any additional outcomes?*

Yes

No

Are You On Target to Meet Projections?*

Yes

No

Narratives

Program Achievements*

Briefly describe achievements for reporting period

Program Challenges*

Briefly describe program challenges for reporting period

Program Improvements*

Briefly describe any program improvements made during the reporting period

Significant Differences Last Year to this Year*

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

Additional Noteworthy Remarks

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Agency Representative Providing Data

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Email Address for Person Providing Data

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Phone Number for Person Providing Data*

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Phone

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