HOPEWELL HEALTH CENTERS

ADAM-AMANDA OUTCOMES

Fiscal Year*
Reporting Period*

How many unique clients of total number served for the reporting period

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

Success defined as: Number of admissions with planned discharge to community 2025 will be pulled from Respite Service Summary report

Are you on target to meet projections?*

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


These numbers will be pulled from Respite Service Summary

On Respite Service Summary as 'Clients Out of Catchment'


Additional Program Outcomes

Number of clients who engage in treatment at HHC - changed to treatment with a BH provider

Number of clients who accept referrals or to community-based resources -NON Behavioral Health Provider

Number of clients who leave Respite to go to safe housing

Pull from monthly Respite Service Summary

Pull from monthly Respite Service Summary

Equals Referrals minus Hospital Stepdowns and Jail Diversions - pull from Respite Summary sheet

Pull from monthly Respite Service Summary

Pull from monthly Respite Service Summary

Pull from monthly Respite Service Summary


Narrative

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

Drag and drop files here or

Agency Contact

Phone

Year End Reporting Only

Projections

Use this section to project total number served, number who ended involvement, and number who will continue in the next fiscal year: July 1-June 30.

Remove - not helpful

Remove - not helpful

Total number who will be discharged or end involvement for any reason (successfully, unsuccessfully or neutrally) Not helpful

Of the total number of discharge or those ending involvement, how many will be successful

Successful discharges will be determined from number of admission divided by number of successful discharges

%

Not helpful