Exhibit_B_-_Prop_47_Cohort_5_Data_Template.xlsx

XLSX spreadsheet 46 KB Posted

Attached to
Prop 47 Cohort 5 Grant: Programming Services
Solicitation number
RFP-2025-0128
Issued by
Tuolumne County, California

About this file

This is a data template and reporting document for the Proposition 47 Cohort 5 Grant program administered by the County of Tuolumne, California, in coordination with the Board of State Community Corrections (BSCC). The template serves as the primary data collection and reporting mechanism for tracking participants enrolled in programming services designed to serve justice-involved individuals with substance use and co-occurring mental health disorders, particularly those eligible under Proposition 36. The document functions as both a participant tracking spreadsheet and a comprehensive data dictionary, establishing standardized definitions, field formats, and reporting requirements for all data elements. Organizations selected to provide case management, risk/needs assessments, outpatient substance use disorder treatment, employment and education programming, and community navigation services must complete this template on a quarterly basis for a minimum of 13 quarters, tracking up to approximately 100 or more individual participants per reporting period.

The template requires grantees to report extensive demographic, clinical, and service delivery data for each participant, including enrollment and exit information, employment and housing status at program entry and completion, mental health and substance use treatment modalities, and quarterly assessments of participant motivation to change. Data reporting must be submitted quarterly for all enrolled participants, with one-time intervention participants tracked separately. The Grantee Code assigned by BSCC (a two-letter identifier such as "DZ" for Tuolumne County) must precede all participant identification numbers to ensure no duplication across grantees. Participants are tracked across 13 consecutive quarters of service delivery, with mandatory reporting fields for all active participants and completion status required only when participants successfully complete program requirements. The template includes dropdown menus and standardized response options for consistency across all grantee reporting, ensuring data integrity and comparability across the Proposition 47 Cohort 5 initiative statewide.

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Prop 47 Cohort 5 Participant ID Participation Status Reason for Exiting Stage in Prop 36 Process Age Gender Race Ethnicity Level of Education Contact without a Case Prior Arrests Prior Convictions Probation, Parole or PRCS Prop 36 Treatment Mandated Felony Prop 36 Prior Conviction Eligibility 1 Prop 36 Prior Conviction Eligibility 2 Enrollment Date (optional) Completion Date (optional) Days Enrolled 1st Quarter Served Employment Status Enrollment Employment Status Completion Employment Goal Housing Status Enrollment Housing Status Completion Housing Goal MH Treatment Mandated SUD Treatment Mandated Q1 Motivation to Change Q1 Mental Health Treatment Q1 SUD- Detox Q1 SUD-Inpatient Q1 SUD-Outpatient Q1 Diversion Program Q1 Assistance with Food Q1 Basic Necessities Q1 Case Management Q1 Education Services Q1 Employment Services Q1 Family Services Q1 Health Services Q1 Housing Services Q1 Legal Services Q1 Re-entry Services Q1 Social Services Q1 Transportation Services Q1 Other Support Services Q2 Motivation to Change Q2 Mental Health Treatment Q2 SUD- Detox Q2 SUD-Inpatient Q2 SUD-Outpatient Q2 Diversion Program Q2 Assistance with Food Q2 Basic Necessities Q2 Case Management Q2 Education Services Q2 Employment Services Q2 Family Services Q2 Health Services Q2 Housing Services Q2 Legal Services Q2 Re-entry Services Q2 Social Services Q2 Transportation Services Q2 Other Support Services Q3 Motivation to Change Q3 Mental Health Treatment Q3 SUD- Detox Q3 SUD-Inpatient Q3 SUD-Outpatient Q3 Diversion Program Q3 Assistance with Food Q3 Basic Necessities Q3 Case Management Q3 Education Services Q3 Employment Services Q3 Family Services Q3 Health Services Q3 Housing Services Q3 Legal Services Q3 Re-entry Services Q3 Social Services Q3 Transportation Services Q3 Other Support Services Q4 Motivation to Change Q4 Mental Health Treatment Q4 SUD- Detox Q4 SUD-Inpatient Q4 SUD-Outpatient Q4 Diversion Program Q4 Assistance with Food Q4 Basic Necessities Q4 Case Management Q4 Education Services Q4 Employment Services Q4 Family Services Q4 Health Services Q4 Housing Services Q4 Legal Services Q4 Re-entry Services Q4 Social Services Q4 Transportation Services Q4 Other Support Services Q5 Motivation to Change Q5 Mental Health Treatment Q5 SUD- Detox Q5 SUD-Inpatient Q5 SUD-Outpatient Q5 Diversion Program Q5 Assistance with Food Q5 Basic Necessities Q5 Case Management Q5 Education Services Q5 Employment Services Q5 Family Services Q5 Health Services Q5 Housing Services Q5 Legal Services Q5 Re-entry Services Q5 Social Services Q5 Transportation Services Q5 Other Support Services Q6 Motivation to Change Q6 Mental Health Treatment Q6 SUD- Detox Q6 SUD-Inpatient Q6 SUD-Outpatient Q6 Diversion Program Q6 Assistance with Food Q6 Basic Necessities Q6 Case Management Q6 Education Services Q6 Employment Services Q6 Family Services Q6 Health Services Q6 Housing Services Q6 Legal Services Q6 Re-entry Services Q6 Social Services Q6 Transportation Services Q6 Other Support Services Q7 Motivation to Change Q7 Mental Health Treatment Q7 SUD- Detox Q7 SUD-Inpatient Q7 SUD-Outpatient Q7 Diversion Program Q7 Assistance with Food Q7 Basic Necessities Q7 Case Management Q7 Education Services Q7 Employment Services Q7 Family Services Q7 Health Services Q7 Housing Services Q7 Legal Services Q7 Re-entry Services Q7 Social Services Q7 Transportation Services Q7 Other Support Services Q8 Motivation to Change Q8 Mental Health Treatment Q8 SUD- Detox Q8 SUD-Inpatient Q8 SUD-Outpatient Q8 Diversion Program Q8 Assistance with Food Q8 Basic Necessities Q8 Case Management Q8 Education Services Q8 Employment Services Q8 Family Services Q8 Health Services Q8 Housing Services Q8 Legal Services Q8 Re-entry Services Q8 Social Services Q8 Transportation Services Q8 Other Support Services Q9 Motivation to Change Q9 Mental Health Treatment Q9 SUD- Detox Q9 SUD-Inpatient Q9 SUD-Outpatient Q9 Diversion Program Q9 Assistance with Food Q9 Basic Necessities Q9 Case Management Q9 Education Services Q9 Employment Services Q9 Family Services Q9 Health Services Q9 Housing Services Q9 Legal Services Q9 Re-entry Services Q9 Social Services Q9 Transportation Services Q9 Other Support Services Q10 Motivation to Change Q10 Mental Health Treatment Q10 SUD- Detox Q10 SUD-Inpatient Q10 SUD-Outpatient Q10 Diversion Program Q10 Assistance with Food Q10 Basic Necessities Q10 Case Management Q10 Education Services Q10 Employment Services Q10 Family Services Q10 Health Services Q10 Housing Services Q10 Legal Services Q10 Re-entry Services Q10 Social Services Q10 Transportation Services Q10 Other Support Services Q11 Motivation to Change Q11 Mental Health Treatment Q11 SUD- Detox Q11 SUD-Inpatient Q11 SUD-Outpatient Q11 Diversion Program Q11 Assistance with Food Q11 Basic Necessities Q11 Case Management Q11 Education Services Q11 Employment Services Q11 Family Services Q11 Health Services Q11 Housing Services Q11 Legal Services Q11 Re-entry Services Q11 Social Services Q11 Transportation Services Q11 Other Support Services Q12 Motivation to Change Q12 Mental Health Treatment Q12 SUD- Detox Q12 SUD-Inpatient Q12 SUD-Outpatient Q12 Diversion Program Q12 Assistance with Food Q12 Basic Necessities Q12 Case Management Q12 Education Services Q12 Employment Services Q12 Family Services Q12 Health Services Q12 Housing Services Q12 Legal Services Q12 Re-entry Services Q12 Social Services Q12 Transportation Services Q12 Other Support Services Q13 Motivation to Change Q13 Mental Health Treatment Q13 SUD- Detox Q13 SUD-Inpatient Q13 SUD-Outpatient Q13 Diversion Program Q13 Assistance with Food Q13 Basic Necessities Q13 Case Management Q13 Education Services Q13 Employment Services Q13 Family Services Q13 Health Services Q13 Housing Services Q13 Legal Services Q13 Re-entry Services Q13 Social Services Q13 Transportation Services Q13 Other Support Services

Data Dictionary

Participant ID Grantee Code:DZ
VariablesDefinition/Options for DropdownSecondary DefinitionsField FormatReporting Requirements by Participation StatusReporting Frequency
Participant IDEach participant should be assigned a unique identification code created at the local level to assist in tracking the individuals while maintaining anonymity. BSCC will assign each grantee with a two-letter code (e.g., MC) located onn Row 1 of this sheet that all participant ID's should start with to ensure that there is no chance for duplication of participant IDs across grantees. The BSCC code should be followed by any combination of numbers and letters (no symbols or spaces).Text BoxRequired for allOnce Upon Enrollment
Participation StatusStatus of the participant at the end of the reporting quarter.Drop DownRequired for allWhen Status Changes
One-Time Intervention ServiceIndividuals who are receiving services only once, such as diversion to a sobering center or a mental health crisis response. Participants may receive multiple one-time interventions throughout the duration of the grant, for example if an person receives services at a sobering center multiple times.
Enrolled, active participant (including returning participants)A participant is considered "enrolled" when they have been admitted into the program and begin receiving services.
Enrolled, no contact during reporting periodA participant is enrolled in the program using the above definition, but has not been in contact with staff and did not receive any services in the reporting quarter. It is up to each grantee to decide how long a participant may be out of contact with staff before considering them as exited the program without completing program requirements. BSCC encourages grantees to establish a set time period to allow a participant to stay enrolled without contact prior to withdrawing them from the program.
Exited without completing program requirements (regardless of reason)A participant leaves the program (regardless of reason) prior to completing the program requirements. No additional reporting is required in future quarters unless the participant returns to the program at a later time. If a participant does return at a later time, the Participation Status should be changed to "Enrolled, active participant".
Completed program requirementsGrantees are required to submit a local definition of "program completion". No additional reporting is required in future quarters. If a participant continues to receive services after completing the program requirements or returns at a later time after completing the program requirements, use the "Completed program requirements, still active" option.
Completed program requirements, still activeIf a participant completes the program requirements, but continues to receive services or returns at a later time to receive additional services.
Reason for ExitingIf the participant exited prior to completing, indicate the reason the participant exited the program prior to completing program requirements.DropdownRequired for all participants who exit program prior to completing program requirementsOnce When Participant Exits
Dropped out/lost contactThe participant stopped attending sessions or meetings, stopped responding to outreach by staff, or stopped corresponding with staff.
Non-compliant (asked to leave)The participant was not compliant with the requirements of the program or for any other reason they were asked to leave the program.
IncarcerationThe participant was arrested, convicted, violated terms of probation or parole, or any other reason which resulted in incarceration.
Successful transition into societyThe participant did not meet the criteria for program completion, they still successfully transitioned into society. For example, they obtained employment which interfered with their ability to continue to participate in the program.
Other
Stage of Prop 36 ProcessIndicate the stage of the Prop 36 process that the participant is at the end of the reporting period/quarter.DropdownRequired for all participants who indicated "yes" indicating services are the result of a Prop 36 treatment mandated felony.When Status Changes
Participant's case is pending
Participant has entered a plea
Participant has completed court mandated assessment
Court referred the participant for treatment - treatment pending
Participant enrolled in treatment - compliant
Participant enrolled in treatment - non-compliant
Participant completed treatment/charges dismissed by the court
Participant performed unsatisfactory and motion for entry of judgment and sentencing has been made
Participant's case was reduced to a misdemeanor
Judgment was imposed and the participant was sentenced
AgeNumber of years since birth, in whole numbers, at the time of enrollment.TextboxRequired for allOnce Upoon Enrollment
GenderSelf-reported gender.DropdownRequired for allOnce Upoon Enrollment
Gender non-binary
Man
Transgender man
Transgender woman
Two-spirit
Woman
Prefer to self-define
Other
Prefer not to state/Unknown
Race EthnicitySelf-identified Race/Ethnicity.Dropdown.Required for allOnce Upoon Enrollment
American Indian/Alaska Native
Asian - Chinese
Asian - Japanese
Asian - Filipino
Asian - Korean
Asian - Vietnamese
Asian - Asian Indian
Asian - Laotian
Asian - Cambodian
Asian - Other
Black or African American
Hispanic, Latino, or Spanish
Middle Eastern/North African
Native Hawaiian/Pacific Islander - Native Hawaiian
Native Hawaiian/Pacific Islander - Guamanian
Native Hawaiian/Pacific Islander - Samoan
Native Hawaiian/Pacific Islander - Other
White
Two or more races
Other identified ethnic origin, ethnicity, or race
Unknown
Decline to State
Level of EducationSelf-reported or documented highest level of education completed at the time of enrollment.DropdownRequired for allOnce Upoon Enrollment
Enrolled in middle schoolIs currently enrolled in middle schoolYes
Enrolled in high schoolIs currently enrolled in high schoolNo
Enrolled in vocational trainingIs currently enrolled in vocational trainingUnknown
Enrolled in 2/4 year collegeIs currently enrolled in college
Completed some middle schoolDid not graduate from middle school.
Completed some high schoolDid not graduate from high school.
High school graduation or GEDGraduated from high school or passed the GED (General Education Development test) or HiSET (High School Equivalency Test).
Completed some collegeHas completed some college courses or obtained an Associates Degree or other Certificate.
College graduate (4 year degree) or higherHas completed a Bachelor's Degree or other four-year degree program, or has a graduate or professional degree.
Vocational Training Certificate or DegreeCompleted a training program that prepares individuals for a specific job, trade or craft.
Other
Decline to state/Unknown
Contact without a CaseContact with law enforcement, school resource officers, or other similar members of law authority that did not result in a a legal caseProp 47 legislation requires that programs serve justice involved individuals. At least one of these four fields must be marked "yes" to demonstrate the participant is eligible to receive services.Dropdown: Yes/NoRequired for allOnce Upoon Enrollment
Prior ArrestsPrior arrests for a misdemeanor or felony at date of enrollment.Dropdown: Yes/NoRequired for allOnce Upoon Enrollment
Prior ConvictionsPrior convictions for a misdemeanor or felony at date of enrollment.Dropdown: Yes/NoRequired for allOnce Upoon Enrollment
Probation, Parole, or PRCSProbation, parole, or post release community supervision (PRCS) status at date of enrollment.Dropdown: Yes/NoRequired for allOnce Upoon Enrollment
Prop 36 Treatment Mandated FelonyIndicate whether the services the participant will receive through this grant program is the result of a Prop. 36 treatment mandated felony.Dropdown: Yes/NoRequired for allOnce Upoon Enrollment
Indicate the prior violations that qualifies the participant for Prop 36 TreatmentFor each of the columns ("Prior Convictions for Prop 36 EligibilityTreatment 1" and "Prior Convictions for Prop 36 EligibilityTreatment 2") indicate the two most recent convictions that qualifies them for Prop 36 Court Mandated Treatment, with the first column being the most recent conviction.DropdownRequired for all participants who indicated "yes" in the Prop 36 Treatment Mandated Felony column.Once Upoon Enrollment
Section 11350Possession of a controlled substance, without a written prescription from a California licensed physician, dentist, podiatrist, or veterinarian.
Section 11351Posession of a controlled substanced for sale or purchases a controlled subsance for purposes of sale.
Section 11351.5Possession for sale or purchases for purposes of sale of cocaine base.
Section 11352Transports, imports into the state, sells, furnishes, administers, or gives away, or offers to transport, import into the state, sell, furnish, administer, or give away or attempts to import into the state any controlled substance.
Prior Convictions for Prop 36 EligibilityTreatment 1 and Prior Convictions for Prop 36 EligibilityTreatment 2Section 11353Any person 18 years of age or over who, in any voluntary manner, (a) solicits, induces, ecourages, or intimidates any minor with the intent that the minor shall violate any provisions related to controlled substances, or (b) who hires, employs, or uses a minor to illegally transport, carry, sell, give away, prepare for sale, or peddle any such controlled substance, or (c) who unlawfullly sells, furnishes, administers, gives, or offers to sell, furnish, administer, or give, a controlled substance to a minor.
Section 11353.5Person 18 years of age or older who unlawfully prepares for sale upon school grounds or a public playground, a child day care facility, a church, or a synagogue, or sells or gives away a controlled substance to a minor upon the grounds of, or within, any school, child day care facility, public playground, church, or synagogue providing instruction in preschool, kindergarten, or any of grades 1 to 12.
Section 11353.7Any person 18 years of age or older who unlawfully prepares for sale in a public park, including units of the state park system and state vehicular recreation areas, or sells or gives away a controlled substance to a minor under the age of 14 years in a public park.
Section 11370.1Every person who unlawfully possesses any amount of a substance containing cocaine base, a substance containing cocaine, a substance containing heroin, a substance containing methamphetamine, a substance containing fentanyl, a crystalline substance containing phencyclidine (PCP), a liquid substance containing PCP, plant material containing PCP, or a hand-rolled cigarette treated with (PCP) while armed with a loaded, operable firearm.
Section 11377Possession of a controlled substance without a written prescription from a California licensed physician, dentist, podiatrist, or veterinarian, and that person has one or more prior convictions for a serious or violent felony or for an offense requiring sex offender registration.
Section 11378Except for individuals who have obtained a pharmaceutical license from the State of California, possession for sale a controlled substance.
Section 11378.5Except for individuals who have obtained a pharmaceutical license from the State of California, possession for sale phencyclidine (PCP) or any analog or precursor of PCP.
Section 11379Except for individuals who have obtained a pharmaceutical license from the State of California, no person shall transport, import into the state, sell, furnish, administer, or give away, or offer to transport, import into this state, sell, furnish, administer, or give away, or attempt to import into this state any controlled substance.
Section 11379.5Except for individuals who have obtained a pharmaceutical license from the State of California, no person shall transport, import into the state, sell, furnish, administer, or give away, or offer to transport, import into this state, sell, furnish, administer, or give away, or attempt to import into this state any phencyclidine (PCP).
Section 11379.6Except as otherwise provided by law, no person shall manufacture, compound, convert, produce, derive, process, or prepare, either directly or indirectly by chemical extraction or independently by means of chemical synthesis, any controlled substance.
Section 11380No person 18 years of age or older who violates any provision involving controlled substances by the use of a minor agent who solicits, induces, encourages, or intimidates any minor with the intent that the minor shall violate any provision involving controlled substances or who unlawfully furnishes, offers to furnish, or attempts to furnish those controlled substances to a minor.
Section 11395A person with two or more prior felony or misdemeanor convictions for a violation of Sections 11350, 11351, 11351.5, 11352, 11353, 11353.5, 11353.7, 11370.1, 11377, 11378, 11378.5, 11379, 11379.5, 11379.6, 11380, or 11395 who possesses a hard drug, without a written prescription from a California licensed physician, dentist, podiatrist, or veterinarian, may elect treatment by pleading guilty or no contest and entering a drug treatment program.

If at any time the individual is performing unsatisfactorily, not benefiting from treatment, not amenable to treatment, has refused treatment, or has been convicted of a crime that was committed since starting treatment, a motion for entry of judgment and sentencing may be made.

If the individual successfully completes the drug treatment program, the charges against them are dismissed.

Enrollment Date (optional)Date the participant enrolls in the program.MM/DD/YYYYOptionalOptional
Completion Date (optional)Date the participant completes the program requirements.MM/DD/YYYYOptionalOptional
Number of Days Enrolled in ProgramProgram completion date, minus the program enrollment date, plus 1. Use numerical values only. If there are multiple components that they enroll in at different times, use the earliest/first enrollment date and the latest/last completion date.Example: 01/02/23 - 01/28/23 would be 28 - 02 = 27+1 =28 Note: if you enter the dates in the Enrollment Date and Completion Date fields, this field will autocalculate.Numerical textRequired for all who complete the program requirements.Once Upon Completion
1st Quarter ServedThe first quarter the participant received services. This may differ from the first quarter they enrolled in the program.Example: a participant may enroll at the end of Q3, however no services were provided until the following week, which happened to fall in Q4, so the response in this field should be 4.Numerical textRequired for allOnce Upon Enrollment
Employment Status EnrollmentSelf-reported or verified employment status at the time of program enrollment.DropdownRequired for all enrolled participants. Not required for one-time interventions.Once Upon Enrollment
Employed, full timeParticipant is considered a "full-time" employee by their employer, usually 40 hours per week, or works multiple part-time jobs totaling at least 40 hours per week.
Employed, part timeParticipant is considered a "part-time" employee by their employer, usually less than 40 hours per week.
Not workingParticipant is too young to work, is of retirement age, disabled, a student, volunteer or caretaker.
UnemployedParticipant is not currently employed, and may or may not be looking for employment.
Other
Employment Status CompletionSelf-reported or verified employment status at the time of program completion.DropdownRequired for all enrolled participants. Not required for one-time interventions.Once Upon Completion
Employed, full timeParticipant is considered a "full-time" employee by their employer, usually 40 hours per week, or works multiple part-time jobs totaling at least 40 hours per week.
Employed, part timeParticipant is considered a "part-time" employee by their employer, usually less than 40 hours per week.
Not workingParticipant is too young to work, is of retirement age, disabled, a student, volunteer or caretaker.
UnemployedParticipant is not currently employed, and may or may not be looking for employment.
Other
Employment GoalIndicate whether employment is a personal goal for the participant.Dropdown: Yes/NoRequired for all enrolled participants. Not required for one-time interventions.Once Upon Enrollment
Housing Status EnrollmentSelf-reported or verified housing status at the time of program enrollment.DropdownRequired for all enrolled participants. Not required for one-time interventions.Once Upon Enrollment
Independent living/housingAn individual is able to maintain a residence, including the associated expenses (e.g., rent, utilities, etc.)
Family/relatives homeAn individual is residing in a household where a family member maintains the residence.
Foster careIndividuals under the age of 18 that are in the legal guardianship or custody of a State, county, or private adoption or foster care agency, yet are cared for by foster parents in their own homes, under some kind of short-term or long-term foster care arrangement with the custodial agency.
Permanent Supportive HousingAn evidence-based housing intervention that combines non-time-limited affordable housing assistance with wrap-around supportive services.
Transitional or Bridge HousingDesigned to provide housing and appropriate supportive services to individuals to facilitate movement to independent living. The housing is short-term, usually less than 24 months.
Rapid RehousingAn intervention designed to help individuals quickly exit homelessness and return to permanent housing without any preconditions.
Residential Treatment ProgramAny facility, building, or group of buildings which is maintained and operated to provide 24-hour, residential, nonmedical, substance use disorder recovery or treatment services.
Sober Living HomeA supportive alcohol and drug free living environment for individuals attempting to maintain abstinence from alcohol or drugs in their live.
HomelessAn individual who lacks a fixed, regular, and adequate nighttime residence; as well an individual who has a primary nighttime residence that is a supervised publicly or privately operated shelter designed to provide temporary living accommodations; or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.
Other
Housing Status CompletionSelf-reported or verified housing status at the time of program completion.DropdownRequired for all enrolled participants. Not required for one-time interventions.Once Upon Completion
Independent living/housingAn individual is able to maintain a residence, including the associated expenses (e.g., rent, utilities, etc.)
Family/relatives homeAn individual is residing in a household where a family member maintains the residence.
Foster careIndividuals under the age of 18 that are in the legal guardianship or custody of a State, county, or private adoption or foster care agency, yet are cared for by foster parents in their own homes, under some kind of short-term or long-term foster care arrangement with the custodial agency.
Permanent Supportive HousingAn evidence-based housing intervention that combines non-time-limited affordable housing assistance with wrap-around supportive services.
Transitional or Bridge HousingDesigned to provide housing and appropriate supportive services to individuals to facilitate movement to independent living. The housing is short-term, usually less than 24 months.
Rapid RehousingAn intervention designed to help individuals quickly exit homelessness and return to permanent housing without any preconditions.
Residential Treatment ProgramAny facility, building, or group of buildings which is maintained and operated to provide 24-hour, residential, nonmedical, substance use disorder recovery or treatment services.
Sober Living HomeA supportive alcohol and drug free living environment for individuals attempting to maintain abstinence from alcohol or drugs in their live.
HomelessAn individual who lacks a fixed, regular, and adequate nighttime residence; as well an individual who has a primary nighttime residence that is a supervised publicly or privately operated shelter designed to provide temporary living accommodations; or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.
Other
Housing GoalIndicate whether housing is a personal goal for the participant.Dropdown: YesRequired for all enrolled participants. Not required for one-time interventions.Once Upon Enrollment
MH Treatment MandatedIndicate whether the mental health treatment is the result of a treatment mandated felony under Prop 36, part of a diversion program funded through Prop 47, a mandated requirement not related to Prop 36 or Prop 47, or not mandated.DropdownRequired for all participants who indicate they received mental health treatment.Once During the Quarter that Mental Health Treatment Begins
Prop 36 mandatedThe participant is receiving mental health treatment as a result of being receiving treatment under Proposition 36.
Prop 47 mandatedThe participant is receiving mental health treatment as part of a diversion program, court-mandated or other required program funded through a Proposition 47 grant.
Not mandatedThe participant is not mandated to receive mental health treatment, but is voluntarily choosing to receive the service.
SUD Treatment MandatedIndicate whether the substance use treatment is the result of a treatment mandated felony under Prop 36, part of a diversion program funded through Prop 47, a mandated requirement not related to Prop 36 or Prop 47, or not mandated.DropdownRequired for all participants who indicate they received any form of substance use disorder treatment (i.e., detox, inpatient, or outpatient).Once During the Quarter that Substance Use Disorder Treatment Begins
Prop 36 mandatedThe participant is receiving substance use disorder treatment as a result of being charged with a treatment mandated felony under Proposition 36.
Prop 47 mandatedThe participant is receiving mental health treatment as part of a diversion program, court-mandated or other required program funded through a Proposition 47 grant.
Not mandatedThe participant is not mandated to receive substance use disorder treatment, but is voluntarily choosing to receive the service.
Q# Motivation to ChangeRating from support staff such as a Peer Navigator or Case Manager of the participant's level of motivation to change their substance use disorder at the end of each quarter based on interactions with the participant during the reporting period. This measure is independent of whether the participant is receiving services, as they may be required to receive substance use disorder treatment services as part of their probation, diversion program or Court Mandated Treatment. See Data Reporting Guide for additional information.DropdownRequired for all participants receiving substance use disorder treatmentQuarterly
PrecontemplationRejecting need to change

Engaging in potentially dangerous behavior

Unwilling/unable to follow through with treatment recommendations Contemplation Unaware of and not interested in the need to change

Unwilling/only partially able to follow through with treatment

Passively compliant, goes through the motions in treatment Preparation Reluctant to agree to treatment

Low commitment to change alcoholr or drug (AOD) use

Variable adherence to treatment Action Willing to enter treatment

Ambivalent to the need to change Maintenance Proactive responsible participant in treatment

Commited to changing alcohol or other drug (AOD) use

Insufficient InteractionsSelect this option if there were insufficient interactions with the participant during the quarter to assess their motivation to change.
Q# Mental Health TreatmentIndicate whether the participant received mental health treatment during the reporting period. Refer to Attachment C: Glossary of Key Terms in the RFP for additional information related to mental health treatment/services.Select or type "Yes" if a participant received mental health treatment during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# SUD-DetoxIndicate whether the participant received detox treatment during the reporting period. Refer to Attachment C: Glossary of Key Terms in the RFP for additional information related to substance use disorder treatment.Select or type "Yes" if a participant received detox treatment during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# SUD-InpatientIndicate whether the participant received inpatient/residential substance use disorder treatment during the reporting period. Refer to Attachment C: Glossary of Key Terms in the RFP for additional information related to substance use disorder treatment.Select or type "Yes" if a participant received inpatient/residential substance use disorder treatment during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# SUD-OutpatientIndicate whether the participant received outpatient substance use disorder treatment during the reporting period. Refer to Attachment C: Glossary of Key Terms in the RFP for additional information related to substance use disorder treatment.Select or type "Yes" if a participant received outpatient substance use disorder treatment during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Diversion ProgramIndicate whether the participant engaged in a diversion program during the reporting period. Refer to Attachment C: Glossary of Key Terms in the RFP for additional information related to diversion programs.Select or type "Yes" if a participant engaged in a diversion program during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Assistance with FoodIndicate whether the participant received services to help secure food. Examples include gift cards to grocery stores, snacks/meals, referral to food bank, etc.Select or type "Yes" if a participant received assistance with food during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Basic NecessitiesIndicate whether the participant received any basic necessities (excluding food), such as clothing, hygiene kits, use of phone chargers, etc.Select or type "Yes" if a participant received basic necessities during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Case ManagementIndicate whether the participant has someone that assesses, plans, implements, coordinates, monitors, and/or evaluates services.Select or type "Yes" if a participant received case management during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Education ServicesIndicate whether the participant received education related services or support, such as GED preparation, vocational training, college planning or enrollment, etc.Select or type "Yes" if a participant received education services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Employment ServicesIndicate whether the participant received services or support to increase the likelihood of securing employment. Examples include assistance with preparing resumes, interview prep, job placement, etc.Select or type "Yes" if a participant received employment services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Family ServicesIndicate whether the participant services designed to strengthen the family or assist with family needs. Examples include family reunification, child support services, child care, etc.Select or type "Yes" if a participant received family services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Health ServicesAny type of medical service, except for mental health. Examples include physical exams, dental care, health assessments, and receiving treatment for medical conditions.Select or type "Yes" if a participant received health services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Housing ServicesIndicate whether the participant received housing related support services provided. Refer to Attachment C: Glossary of Key Terms in the RFP for additional information related to housing services.Select or type "Yes" if a participant received housing services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Legal ServicesIndicate whether the participant received services or support to address a participant's legal issues. Examples include record expungement; reclassification of prior Prop 47 convictions.Select or type "Yes" if a participant received legal services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Re-entry ServicesIndicate whether the participant received services while incarcerated to develop a plan to assist in re-entering society upon release from prison or jail. These services may be referred to as jail/prison in-reach, pre-release services, or re-entry services.Select or type "Yes" if a participant received re-entry services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Social ServicesIndicate whether the participant received assistance with enrollment in government funded programs such as MediCal, CalFresh, etc.Select or type "Yes" if a participant received social services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Transportation ServicesIndicate whether the participant received transportation services. Examples include bus passes, Uber rides, gift cards to gas stations, etc.Check the box if a participant received transportation services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Q# Other Support ServicesIndicate whether the participant received any other services or support not identified in other categories.Select or type "Yes" if a participant received other support services during the corresponding quarter/reporting period.Dropdown: YesRequired for all.Quarterly
Yes
No
Unknown

Quarters

Q1
Q2
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File details come from the government source that posted it. Updated .