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<br />~P""t!iW~ <br />,'m*,**'4J'" -, ",> ;.-i <br />"~~i_,-,-,"_.""., :,__;"." "', <br />Mulll Components: 0 Ves D No I <br />If YES, please attach Program Component Evaluation Infonnation, Component Summary, and Component Narrative pages for each <br />component. These additional pages are available on the additional component tabs in this file. <br /> PROGRAM COMPONENT INFORMATION FOR APPUCATION YEAR <br />Component Name I Substance Abuse Evaluation Services I 10#1 313023 <br />What is this component's maximum client capacity at any given time? r 40 <br />Frequency: Contacts per Client I I per month Anticipated Average Length of Stay I 21 Idays <br />Estimated number of youth to be admitted during funding period I 40 I <br />Component Cost I $ 38,594 I Estimated average cost per youth r $ 965 <br />lI<eeidiVism <br />Describe how you will obtain and analyze data to determine the court involvement of clients one year following <br />termination from the program. <br />Analysis of data provided through the Juvenile Court Program Referrals and the Clerk of Court. <br /> CONTINUATION PROGRAM INFORMATION <br />IS THIS COMPONENT CURRENTLY FUNDED?I 0 Ves DNo I <br />IF YES, COMPLETE THE INFORMATION BELOW. IF NO SKIP TO SECTION III. <br />Evaluation of Measurable Objectives (first six months of current fiscal year) <br />Please Jist each Measurable Objective in your current program agreement and indicate the degree to which your <br />program has been successful in achieving each. These objectives should include reductions in court refemJls, and <br />may include runaway behavior, disruptive behavior in school, and improvement in school attendance and academic <br />achievement (Use data from program opera60n through December 31st of current funding yeer.) <br />MEASURABLE OBJECTIVES 6 MONTH RESULTS <br />Objective #1: Will assist in screening all diverted DJJ Objective # 1: From July 2004 to January 2005 was 6.3 <br />referrals to SA selVices within 7 days of referral. days. Objective # 2: Provided Substance Abuse Specific <br />Objective #2: Provided Substance Abuse SpecifIC Assessments (SASSI) and assisted with administration of <br />Assessment (SASSI) and assist with administration of computerized SA screenings for 25 clients. Objective #3: <br />computerized SA screening, results within 21 days of Completed. <br />assessment for all 40 DJJ referralslyear. Objective <br />#3: Provde recommendations for treabnent for all <br />referrals with appropriate linkage to these services <br />within the community. <br />Component Service Statistics for Past Fiscal Year <br />WAS THIS COMPONENT FUNDED DURING THE LAST FULL FISCAL YEAR? 10 Ves DNo <br />IF YES COMPLETE THE INFORMATION BELOW. IF NO SKIP TO SECnON III. <br />Continuation Actual number of youth admitted last fiscal vear <br />programs only 25 # of admissions Juvenile Court referred .1 #DIVlO! lof total admissions <br /> 0 # of law enforcement referred I #DIV/O! lof total admissions <br /> <br />, <br /> <br />/=- ~+ <br />