CalVIP Quarterly Progress Report
Part 2: Enrollments and Service Outputs

SECTION 1 - GRANTEE INFORMATION

1. Grantee Name

Please select the name of the city/organization that received funding from the BSCC.

2. Your Name

3. Your Role(s)

4. Phone #

Phone

5. Email

SECTION 2 - ENROLLMENT QUARTERLY TOTALS

Report the total number of participants entering and participating in your project during the reporting period.

2.1 - Enrollments

Indicate whether your project enrolls participants.

If your project does enroll participants, indicate the number of participants entering the project during the current reporting period. Item 3 should include all individuals enrolled in the project for the FIRST TIME. Any reenrollments will be counted in item 4.

1. Does your project enroll participants?

Yes

2. How many individuals did your project informally contact during the current reporting period?

2.2 - Demographics at Enrollment

Record the total number of individuals entering the project within each demographic category during the current reporting period. This section should be a non-duplicated count of the individuals your project served.

The total number of FIRST TIME and SECOND TIME (if applicable) enrollments in each of the items below should equal the totals provided for items 3 and 4 in Section 2.1, above.

Note: Items in this section will only display if you enroll participants and you recorded having enrollments during the current reporting period.

SECTION 3 - PARTICIPATION IN SERVICES

Provide the total number of individuals who were provided with the following services during the current reporting period.

Be sure to include individuals who are identified as “Successfully Completed – still active” in these counts.

3.1 - Case Management

Provide the total number of individuals who received case management services.

If your project did not provide case management services directly, leave these items blank.

1. Case Management:

2. Other Case Management Services:

3.2 - Community Engagement

Provide the total number of individuals who received community engagement services.

If your project did not provide community engagement services directly, leave these items blank.

1. Community Engagement/Outreach:

2. Neighborhood Beautification:

3. Police Trust Building:

4. Other Community Engagement Services:

3.3 - Gang Intervention Services

Provide the total number of individuals who received gang intervention services.

If your project did not provide gang intervention services directly, leave these items blank.

1. Tattoo Removal:

2. Other Gang Intervention Services:

3.4 - Basic Services

Provide the total number of individuals who received access to basic services.

If your project did not provide access to basic services directly, leave these items blank.

1. Advocacy:

2. Basic Needs Access:

3. Housing Services:

4. Legal Services:

5. Other Basic Access Services:

3.5 - Mentoring Services

Provide the total number of individuals who received mentoring services.

If your project did not provide access to mentoring services directly, leave these items blank.

1. General Mentoring Services:

2. Credible Messengers:

3. Other Mentoring Services:

3.6 - Outreach/Intervention Services

Provide the total number of individuals who received outreach/intervention services.

If your project did not provide access to outreach/intervention services directly, leave these items blank.

1. Crisis Intervention:

2. Hospital-Based Violence Intervention:

3. Street Outreach/Intervention:

4. Other Outreach/Intervention Services:

3.7 - School/Student Services

Provide the total number of individuals who received school/student services.

If your project did not provide access to school/student services directly, leave these items blank.

1. After-School Programming:

2. Educational/Academic Support:

3. School Outreach:

4. Youth Court:

5. Other School/Student-based Services:

3.8 - Substance Use Treatment, Mental Health Treatment, and Behavior Modification Services

Provide the total number of individuals who received substance use treatment, mental health treatment, and/or behavior modification services.

If your project did not provide access to substance use treatment, mental health treatment, and/or behavior modification services directly, leave these items blank.

1. Anger Management:

2. Domestic Violence Support Services:

3. Interactive Journaling System:

4. Mental Health Services/Treatment:

5. Restorative Circles:

6. Substance Use Treatment/Prevention:

7. Other Substance Use Treatment/Mental Health Treatment/Behavior Modification Services:

3.9 - Training/Skills Building

Provide the total number of individuals who received training/skills building services.

If your project did not provide access to training/skills building services directly, leave these items blank.

1. Employment Training/Mentoring:

2. Group Social-Emotional Learning:

3. Law-Related Education:

4. Parenting Classes:

5. Other Training/Skills Building Services:

3.10 - Referral/Linkage to Outside Services

Provide the total number of individuals who were provided a linkage or referral to the following services outside your project.

If your project did not provide any linkages/referrals, leave these items blank.

1. Referral/Linkage to Basic Services:

2. Referral/Linkage to Case Management Services:

3. Referral/Linkage to Focused Deterrence Services:

4. Referral/Linkage to Gang Intervention Services:

5. Referral/Linkage to Housing Services:

6. Referral/Linkage to Legal Services:

7. Referral/Linkage to Medical Services:

8. Referral/Linkage to Mental Health Treatment Services:

9. Referral/Linkage to Mentorship Services:

10. Referral/Linkage to School/Student Services:

11. Referral/Linkage to Social Services:

12. Referral/Linkage to Substance Use Treatment Services:

13. Referral/Linkage to Training/Skills Building Services:

14. Referral/Linkage to Other Services:

3.11 - Other Service Types

1. In the box below, describe any services your project has provided that do not fit under the previous sections:

If you have no additional services to describe, leave this box blank.

SECTION 4 - PROJECT SERVICE OUTCOMES

1. During the current reporting period, how many hours of service did your project provide for each items 1a-1i below?

If a service was not provided during the current reporting period, write "0" in the box.

1a. Hours of Case Management Services:

1b. Hours of Community Engagement Services:

1c. Hours of Gang Intervention Services:

1d. Hours of Intervention Services (street outreach, hospital-based, crisis, etc.)

1e. Hours of Mentorship Services:

1f. Hours of Mental Health Services/Treatment:

1g. Hours of Training/Skills Building:

1h. Hours of Student Services:

1i. Hours of Substance Use Services/Treatment:

2. Do your project’s goals include detecting/interrupting cycles of violence?

Yes

3. Did any enrolled participants exit your project during the current reporting period?

If your project does not enroll participants, select "No".

Yes

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CalVIP Quarterly Progress ReportPart 2: Enrollments and Service Outputs