HOPEWELL HEALTH CENTERS

INPATIENT AFTERCARE OUTCOMES

Fiscal Year*
Reporting Period*

Year End reports should be cumulative

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

List only the number of 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. Successful defined as AHV residents discharged from ABH with an aftercare appointment with Hopewell attending that appointment post discharge.

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

Are you on target to meet projections?*

Additional Program Outcomes

List number of AHV residents discharged from ABH for reporting period

Of those discharged from ABH, how many remained stable - not readmitted to ABH for at least 30 days post discharge

List number of clients who are still attending services at HHC 6 months after initial appointment

Client receives person-centered wraparound assistance to address a need

Is there any after care data you can report about those who were admitted to a private psychiatric hospital?

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 New People Served


Narratives

Briefly describe achievements for reporting period

Briefly describe any program challenges for the reporting period

Briefly describe program improvements for 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 or additional results possible if extra resources available

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

Drag and drop files here or

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

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.

Total number who will be discharged or end involvement for any reason (successfully, unsuccessfully or neutrally)

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