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Attachment C: Evaluation Workbook <br /> 2. Project Objective: Increasing Prevention and Enhancing Access to Care and <br /> Services <br /> Project topic (check all that apply): <br /> ❑ Increased Usage ❑ Improved Access ❑ Improved ❑ Organizational ❑ Increased Access <br /> of Integrated to and Usage of Screening and Changes to&Usage of <br /> Care Models Crisis Early Prevention <br /> Intervention Intervention Services or <br /> Services Activities <br /> Project Description:What is your project? How does it address the objective of increasing prevention <br /> and enhancing access to care? <br /> Activities:The actions or tasks you will perform to achieve your project objective(s). Detail each step <br /> you will take to reach the desired outcomes. For successful applicants,these activities will be listed in <br /> your contract's Scope of Work. <br /> Outputs (Choose at least 4 outputs for this project.) Outputs are part of the project deliverables.They <br /> are the main results you'll use to track your progress. It is strongly encouraged that at least 3 of the 4 <br /> outputs for this project be selected from the list provided. <br /> If you have additional outputs to include, write them in the "other" space provided. If you create other <br /> outputs, please be sure they are both measurable and meaningful. <br /> ❑ Number of unique individuals receiving or ❑ Number of unique individuals trained in <br /> participating in evidence-based behavioral suicide risk assessment as a result of the <br /> health-related services as a result of the grant <br /> grant ❑ Number of unique individuals screened for <br /> ❑ Number of unique individuals screened for suicide ideation as a result of the grant <br /> behavioral health or related interventions ❑ Number of unique individuals screened for <br /> ❑ Number and percentage of unique trauma-related experiences as a result of <br /> individuals accessing services after referral the grant <br /> ❑ Number of unique individuals referred to ❑ Number of organizational changes made to <br /> crisis or other behavioral health services for support improvement <br /> suicide risk, ideation, or behavior ❑ Number of new staff hired <br /> 7 <br />