HHSC MHSA Heiquarterly Narrative Report

HHSC MHSA HEIQuarterly Narrative Report

Organization’s NameClick here to enter text.

Quarter Reporting☐1☐2 ☐3 ☐4

LocationClick here to enter text.

Please respond to the following questions as of the end of each quarter

Use FTE broken down to signify the total number of FTE positions dedicated specifically to the following programs (example: 1.75 FTE, .25 FTE, etc):

HEI CMs Click here to enter text.Number of FTEs charged to this grant Click here to enter text.

I. Caseloads

THE FOLLOWING QUESTIONS REFER TO THE TOTAL NUMBER OF UNDUPLICATED (UNIQUE) CLIENTS IN EACH CASE MANAGER’S CASELOAD FOR THIS QUARTER.

1. Total number of unduplicated HEI clients in all program caseloads during this quarter:

Male:Click here to enter text.

Female:Click here to enter text.

Transgender:Click here to enter text.

2. Total of unduplicated HEI clients under the age of 24 years old during this quarter:Click here to enter text.

3. HEI clients per case manager:

Case Manager Name / Number of Unduplicated Clients served / Number of Home Visits performed
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4. Number of people tested for HIV by HEI case managers: Click here to enter text.

5. Number of these people testing HIV positive: Click here to enter text.

6. Number of clients in HEI caseloads whocurrently have Medicaid:Click here to enter text.

7. Number of unduplicated HEI clients who are currently retained in medical care:Click here to enter text.

8. Number of unduplicated HEI clients who are virally suppressed:Click here to enter text.

9. Number of unduplicated HEI clients who received SUD services during this quarter (as defined by CMSHS in HEI case management):Click here to enter text.

10. Number of unduplicated HEI clients currently using illicit drugs or abusing alcohol:Click here to enter text.

11. Number of unduplicated HEI clients with a Recovery Coach assigned:Click here to enter text.

II. “Safer Kits”

Type of Kit / Number
Demonstrated / Number
Distributed
Crack Smoking Kits / Click here to enter text. / Click here to enter text. /
Clean Needle Kits / Click here to enter text. / Click here to enter text. /
Safer Sex Kits- Female / Click here to enter text. / Click here to enter text. /
Safer Sex Kits- Male / Click here to enter text. / Click here to enter text. /
Other:Click here to enter text. / Click here to enter text. / Click here to enter text. /

III. PrEP

1. Number of people receiving specific PrEP informational materials this quarter:Click here to enter text.

2. Number of people directly referred for PrEP medication:Click here to enter text.

3. Number of people currently ON PrEP as a direct result of your program’s efforts:

Male:Click here to enter text.

Female:Click here to enter text.

Other:Click here to enter text.

IV. Overdose Prevention

1. Number of overdose rescue kits distributed this quarter:Click here to enter text.

2. Number of people receiving specific overdose information and material:Click here to enter text.

3. To your knowledge, how many lives have been saved as a result of receiving overdose rescue kits through the efforts of your program?Click here to enter text.

V. Number of HIV education presentations done by CMs this quarter:Click here to enter text.

VI. Narrative Section:

1. HEI Training - Identify training sessions program staff attended, training programs offered during the quarter,and any training needs you have at this time.

1. Staff Support - Number of Motivational Interviewing (MI) staff coaching, client-worker observations, staff observations sessions by Case Manager Supervisor:

1. Emerging Trends - Describe any new trends or patterns that HEI program staff are seeing in their clients in terms of resource needs and availability of services, changes in drug use patterns, overdose, healthcare services, mental health needs, transmission patterns, etc.

1. Successes - Describe a specific client-centered success, community collaboration successes, or special efforts around clients, community, and/or your organization to improve the quality of services and care for persons with HIV/AIDS such as, linkages to medical care, substance abuse, housing and mental health services.

Click here to enter text.

1. Challenges - Report any challenges or problems your program is experiencing such as funding, staff shortages, staff recruitment, difficulties with client referrals, linkages to medical care, substance abuse services and mental health services, documentation, communications with stake holders, agency structure, etc.

Click here to enter text.

1. General Comments- Please add any additional information you would like to share regarding your HHSC HEI program.

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Submitted by:Click here to enter text.Date: Click here to enter text.

*Please note that you will need to fill out the HIV Positives Profile form for all those testing positive through your efforts this quarter. This is a cumulative worksheet for the FY, but is turned in quarterly.

Questions related to the HEI Quarterly Narrative Report contact Report is due the 15th of the month following the quarter being reported. Submit quarterly report to: and .

smgv 9/17