4.Attachment C - Eval Workbook 110th

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Attachment C: Performance Indicators and Evaluation Workbook Enhancing Access to Care and Services Increased Usage of Integrated Care Models Improved Access to and Usage of Crisis Intervention Services Improved Screening and Early Intervention Organizational Changes For more detailed descriptions of the goals and outcomes, please turn to the Detailed Goals section at the end of this workbook. 1. Project Description 2. Activities 3. Outputs (Choose at least 4 outputs for this project.) You may add alternative outputs in the spaces provided, but only 1 of these “other” outputs can be considered for evaluation. At least 3 of the 4 must be from the existing list.  Number of individuals receiving evidence- based behavioral health-related services as a result of the grant  Number of individuals screened for behavioral health or related interventions  Number and percentage of people accessing services after referral  Number of individuals referred to crisis or other behavioral health services for suicide risk, ideation, or behavior  Number of individuals trained in suicide risk assessment as a result of the grant  Number of individuals screened for suicide ideation as a result of the grant  Number of individuals screened for trauma-related experiences as a result of the grant  Number of organizational changes made to support improvement  Number of new staff hired  Number of individuals trained in prevention or behavioral health promotion  Number of individuals trained in trauma- informed care practices  Other:________________________ _____________________________  Other:________________________ _____________________________