Untitled Page

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Restrictions
Upload and attach Transition Plan to the service.

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Upload and attach completed Transition Plan

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Assign to the individual responsible for the check-in

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Upload and attached the completed Intake Form

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Upload and attach the completed Transition Plan

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Did you communicate with the participant about their information being approved? Don’t forget to add a contact service if you did.

No Description Available

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Have you Completed a Contact services yet? DO NOT Upload/Attach any completed JFS documents

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Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes

No Description Available

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Date of the service is the date the prescription was received. Include provider name in the case notes

No Description Available

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Date of the service is the date the dose was received. Include provider name in the case notes.

No Description Available

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The date of the service is the date the injection was supposed to be received. Include a reason why the injection was not received in the case note.

No Description Available

Restrictions
The date of the service is the date the injection was received.

No Description Available

Restrictions
1) Complete this service once the injection is scheduled. The date of the service should be the date the MAT Coordinator notified you. 2) Include the date of the injection in the case notes and set yourself a reminder to follow up on that date to find out if the participant received it. 3) If the injection was received, complete the subsequent "received" service.

No Description Available

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Date of the service is the date the injection was received. Include provider name in the case notes.

No Description Available

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Complete this service once the assessment has occurred. The date of the service should be the date the assessment was completed.

No Description Available

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1) Send an email to Melissa with the requested service, dollar amount, and reason for service. 2) Complete this service and Include the same information in the case note, along with a sentence indicating the request has been sent to Melissa.

No Description Available

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Weekly Check-In is completed once per week and recorded only if successful contact is made. During the check-in the transition plan is reviewed and case management is provided. Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc.

No Description Available

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Complete once the client has been enrolled in the Anchor4Hope system.

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Remember to include # of bus passes as service quantity

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Restrictions
Record the family member's contact information in the case note

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The date of the service is the date the letter was sent. Please include where it was sent and why it was sent in the case notes.

No Description Available

No Description Available

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Record the family member’s contact information in the case notes.

No Description Available

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Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc. If email is different than what is in Client Details, update that section and add the new email in the case note

No Description Available

Restrictions
1. Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc. 2. If the meeting occurred in the client's residence, include the address in the case note and update the Client Details.

No Description Available

Restrictions
Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc.

No Description Available

Restrictions
Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc. If phone number is different than what is in Client Details, update that section and add the new phone number in the case note.

No Description Available

Restrictions
Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc.

No Description Available

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The date of the service is the date the letter was received. Please scan, upload, and attach a copy of the letter to the service.

No Description Available

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Upload and Attach copy of Birth Certificate

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Upload and Attach copy of ID

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Upload and Attach copy of Medical Card.

No Description Available

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Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM

No Description Available

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Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.

No Description Available

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Courtney or Caitlin will record this service on the Transfer is Complete.

No Description Available

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Assign to the staff member responsible for the check-in

No Description Available

Restrictions
Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.

No Description Available

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Specify in the notes 1) What GPRA type (3 or 6-Month) the Incentive is related to, 2) What type of gift card was provided. Note: The service date should be the date the gift card was provided.

No Description Available

Restrictions
Upload and Attached Completed GPRA then Assign to Courtney. Leave on "Waitlist".

No Description Available

Restrictions
Upload and Attached Completed GPRA, Consent Form, and Locator Form, then Assign to Courtney. Leave on "Waitlist".

No Description Available

Restrictions
Include housing partner name and reason for placement end in the case note

No Description Available

Restrictions
Include housing partner name in case note.

No Description Available

Restrictions
Upload and Attach Completed GPRA then Assign to Courtney. Leave on "Waitlist".

No Description Available

Restrictions
Use this service if you pre-positioned the JFS documentation with a program participant while they were incarcerated. Upon release, submit the paperwork to JFS and complete the corresponding "JFS Application, Submitted" service. Reminder: DO NOT Upload/Attach any completed JFS documents.

No Description Available

Restrictions
Use this service if you pre-positioned the JFS documentation with a program participant while they were incarcerated and you are now submitting the paperwork to JFS. Once you hear back from JFS, be sure to complete the corresponding "JFS Application, Approved by JFS" service. Reminder: DO NOT Upload/Attach any completed JFS documents.

No Description Available

Restrictions
Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.

No Description Available

Restrictions
Only record this service if the report is from a reliable source, i.e. client, client
family, coroner's office, professional service provide. Include whether or not the
overdose was fatal in a case note.

No Description Available

Restrictions
Include reasons for placement end in case note

No Description Available

Restrictions
1. Include reason for requested extension in the case note
2. Assign to Caitlin

No Description Available

Restrictions
1. Complete Custom Form "Temporary Subsidized Transitional Housing
Understanding. 2. Complete a Participation Agreement. 3. Upload and Attach
signed Participation Agreement.

No Description Available

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Restrictions
Include any known information about when, what substances, length of time, etc.
in case note

No Description Available

No Description Available

Restrictions
Open service on Waitlist and Assign to Caitlin or Courtney. They will Complete the Service

No Description Available

Restrictions
Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.

No Description Available

Restrictions
Record the name of the Office and contraction information in the case note as well as the reason for reaching out

No Description Available

Restrictions
Record the name of the Officer and contact information in the case note as well as notes from the contact content.

No Description Available

Restrictions
Assign to Melissa, include amount, who the check should be made out to, and whether or not the client has met housing requirements in the case note. Send Melissa an email to let her know the request is submitted

No Description Available

Restrictions
Remember to Upload and Attach Transition Plan

No Description Available

Restrictions
Even if client was in the vehicle multiple times in one day, only count as "1" transport. Did you talk with the participant during the transport? Do you need to add another service like a food pantry referral, treatment referral, etc?

No Description Available

Restrictions
Please include rideshare app used in the case notes as well as why the rideshare was used instead of direct transport or bus pass.

No Description Available

Restrictions
Upload and Attach signed Transportation Waiver

Franklin County OJPP SAFER (PVRT)
373 S. High Street, 25th floor Site MAT Columbus, OH 43215 614-525-5577
Engagement: Additional Engagement Conversation No Description Available*
Engagement: Intake Form No Description Available*
Engagement: M.E.A. Introduction No Description Available*
Engagement: MEA Intro/Transition Plan No Description Available* Restrictions Upload and attach Transition Plan to the service.
Engagement: Transition Plan No Description Available* Restrictions Upload and attach completed Transition Plan
First Post-Release Check-in No Description Available* Restrictions Assign to the individual responsible for the check-in
Jail Visit: General Check-in or Follow Up No Description Available*
Jail Visit: Intake Form No Description Available* Restrictions Upload and attached the completed Intake Form
Jail Visit: M.E.A. Introduction No Description Available*
Jail Visit: Post Release Engagement Conversation No Description Available*
Jail Visit: Transition Plan No Description Available* Restrictions Upload and attach the completed Transition Plan
Jail Visit: Vivitrol Medical Detainer In-Reach No Description Available*
JFS Application, Approved by JFS No Description Available* Restrictions Did you communicate with the participant about their information being approved? Don’t forget to add a contact service if you did.
JFS Application, Completed and Submitted No Description Available* Restrictions Have you Completed a Contact services yet? DO NOT Upload/Attach any completed JFS documents
MAT (Buprenorphine), Hard Linkage No Description Available* Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
MAT (Buprenorphine), Prescription Received No Description Available* Restrictions Date of the service is the date the prescription was received. Include provider name in the case notes
MAT (Methadone), Dose Received No Description Available* Restrictions Date of the service is the date the dose was received. Include provider name in the case notes.
MAT (Methadone), Hard Linkage No Description Available* Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
MAT (Vivitrol) Pre-Release injection (NaphCare), Not Received No Description Available* Restrictions The date of the service is the date the injection was supposed to be received. Include a reason why the injection was not received in the case note.
MAT (Vivitrol) Pre-Release Injection (NaphCare), Received No Description Available* Restrictions The date of the service is the date the injection was received.
MAT (Vivitrol) Pre-Release Injection (NaphCare), Scheduled No Description Available* Restrictions 1) Complete this service once the injection is scheduled. The date of the service should be the date the MAT Coordinator notified you. 2) Include the date of the injection in the case notes and set yourself a reminder to follow up on that date to find out if the participant received it. 3) If the injection was received, complete the subsequent "received" service.
MAT (Vivitrol), Hard Linkage No Description Available* Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
MAT (Vivitrol), Injection Received No Description Available* Restrictions Date of the service is the date the injection was received. Include provider name in the case notes.
Mental Health Treatment, Hard Linkage No Description Available* Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Southeast Mental Health Assessment, Completed No Description Available* Restrictions Complete this service once the assessment has occurred. The date of the service should be the date the assessment was completed.
SUD Treatment, Hard Linkage No Description Available* Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Supportive Service Request - ID No Description Available* Restrictions 1) Send an email to Melissa with the requested service, dollar amount, and reason for service. 2) Complete this service and Include the same information in the case note, along with a sentence indicating the request has been sent to Melissa.
Supportive Services - Birth Certificate No Description Available* Restrictions 1) Send an email to Melissa with the requested service, dollar amount, and reason for service. 2) Complete this service and Include the same information in the case note, along with a sentence indicating the request has been sent to Melissa.
Supportive Services - Walmart No Description Available* Restrictions 1) Send an email to Melissa with the requested service, dollar amount, and reason for service. 2) Complete this service and Include the same information in the case note, along with a sentence indicating the request has been sent to Melissa.
Supportive Services Request - Housing No Description Available* Restrictions 1) Send an email to Melissa with the requested service, dollar amount, and reason for service. 2) Complete this service and Include the same information in the case note, along with a sentence indicating the request has been sent to Melissa.
Weekly Check-in No Description Available* Restrictions Weekly Check-In is completed once per week and recorded only if successful contact is made. During the check-in the transition plan is reviewed and case management is provided. Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc.
Anchor4Hope App Enrollment No Description Available Restrictions Complete once the client has been enrolled in the Anchor4Hope system.
Attended Peer Led Community Group No Description Available
Attended Zoom Small Group Session No Description Available
Boutique Visit No Description Available
Bus Pass No Description Available Restrictions Remember to include # of bus passes as service quantity
Contact Attempt, No Response: Client Family Member No Description Available Restrictions Record the family member's contact information in the case note
Contact Attempt, No Response: Phone No Description Available
Contact Attempt, No Response: Text No Description Available
Contact Attempt, USPS Letter Sent No Description Available Restrictions The date of the service is the date the letter was sent. Please include where it was sent and why it was sent in the case notes.
Contact Attempt: Email, No Response No Description Available
Contact Attempt: No Response In-Person Community No Description Available
Contact, Succesful: Client Family Member No Description Available Restrictions Record the family member’s contact information in the case notes.
Contact, Succesful: Email No Description Available Restrictions Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc. If email is different than what is in Client Details, update that section and add the new email in the case note
Contact, Succesful: In-Person Community No Description Available Restrictions 1. Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc. 2. If the meeting occurred in the client's residence, include the address in the case note and update the Client Details.
Contact, Succesful: In-Person Office No Description Available Restrictions Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc.
Contact, Succesful: Text No Description Available Restrictions Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc. If phone number is different than what is in Client Details, update that section and add the new phone number in the case note.
Contact, Successful: Phone No Description Available Restrictions Do any other services need completed as a result of this check-in? Supportive Service Requests, JFS paperwork, treatment referral, housing referral, etc.
Contact, Successful: Social Media No Description Available
Contact, Successful: USPS Letter Received No Description Available Restrictions The date of the service is the date the letter was received. Please scan, upload, and attach a copy of the letter to the service.
Copy of Birth Certificate No Description Available Restrictions Upload and Attach copy of Birth Certificate
Copy of ID No Description Available Restrictions Upload and Attach copy of ID
Copy of Medical Card No Description Available Restrictions Upload and Attach copy of Medical Card.
Discharge: Client Completed MEA Program No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Discharge: Client Not Following Through with Appointments No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Discharge: Client Requests Discharge No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Discharge: Client Stopped Communicating No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Discharge: Holder in Another Jurisdiction No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Discharge: Sentenced to CBCF No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Discharge: Sentenced to Prison No Description Available Restrictions Be as specific as possible in the case note with the circumstances that lead to discharge. A discharge must be staffed before being recorded in the VCM
Education Program, Hard Linkage No Description Available Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Education Program, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Employment Program, Hard Linkage No Description Available Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Employment Program, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
File Transfer to Pathways Females VCM Complete No Description Available Restrictions Courtney or Caitlin will record this service on the Transfer is Complete.
First Post-Release Check-In, Scheduled No Description Available Restrictions Assign to the staff member responsible for the check-in
Food Pantry, Hard Linkage No Description Available Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Food Pantry, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Free Store, Hard Linkage No Description Available Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Free Store, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
GPRA Incentive Provided No Description Available Restrictions Specify in the notes 1) What GPRA type (3 or 6-Month) the Incentive is related to, 2) What type of gift card was provided. Note: The service date should be the date the gift card was provided.
GPRA: 3 Month No Description Available Restrictions Upload and Attached Completed GPRA then Assign to Courtney. Leave on "Waitlist".
GPRA: 6 Month No Description Available Restrictions Upload and Attached Completed GPRA then Assign to Courtney. Leave on "Waitlist".
GPRA: Discharge No Description Available Restrictions Upload and Attached Completed GPRA then Assign to Courtney. Leave on "Waitlist".
GPRA: Initial No Description Available Restrictions Upload and Attached Completed GPRA, Consent Form, and Locator Form, then Assign to Courtney. Leave on "Waitlist".
Housing-Partner Provided End Date No Description Available Restrictions Include housing partner name and reason for placement end in the case note
Housing-Partner Provided Start Date No Description Available Restrictions Include housing partner name in case note.
Jail Visit: 3 Month GPRA No Description Available Restrictions Upload and Attach Completed GPRA then Assign to Courtney. Leave on "Waitlist".
Jail Visit: 6 Month GPRA No Description Available Restrictions Upload and Attach Completed GPRA then Assign to Courtney. Leave on "Waitlist".
Jail Visit: Discharge GPRA No Description Available Restrictions Upload and Attach Completed GPRA then Assign to Courtney. Leave on "Waitlist".
Jail Visit: Initial GPRA No Description Available Restrictions Upload and Attach Completed GPRA then Assign to Courtney. Leave on "Waitlist".
JFS Application, Completed Only No Description Available Restrictions Use this service if you pre-positioned the JFS documentation with a program participant while they were incarcerated. Upon release, submit the paperwork to JFS and complete the corresponding "JFS Application, Submitted" service. Reminder: DO NOT Upload/Attach any completed JFS documents.
JFS Application, Submitted Only No Description Available Restrictions Use this service if you pre-positioned the JFS documentation with a program participant while they were incarcerated and you are now submitting the paperwork to JFS. Once you hear back from JFS, be sure to complete the corresponding "JFS Application, Approved by JFS" service. Reminder: DO NOT Upload/Attach any completed JFS documents.
MAT (Buprenorphine), Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
MAT (Methadone), Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
MAT (Vivitrol), Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Medical Issue, Hard Linkage No Description Available Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Medical Issue, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Mental Health Treatment, Soft LInkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Other Resource, Hard Linkage No Description Available Restrictions Hard Linkage means phone or email contact has successfully been made with an organization to provide the service to the participant. Please include who you contacted and the outcome of the conversation. If an appointment has been set, please include the information in the case notes
Other Resources, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Overdose Report No Description Available Restrictions Only record this service if the report is from a reliable source, i.e. client, client family, coroner's office, professional service provide. Include whether or not the overdose was fatal in a case note.
Pathways Funded Transitional Housing Placement End Date No Description Available Restrictions Include reasons for placement end in case note
Pathways Funded Transitional Housing Placement Extension No Description Available Restrictions 1. Include reason for requested extension in the case note 2. Assign to Caitlin
Pathways Funded Transitional Housing Placement Start Date No Description Available Restrictions 1. Complete Custom Form "Temporary Subsidized Transitional Housing Understanding. 2. Complete a Participation Agreement. 3. Upload and Attach signed Participation Agreement.
Provided Fentanyl Test Strips No Description Available
Provided Narcan No Description Available
Relapse No Description Available Restrictions Include any known information about when, what substances, length of time, etc. in case note
Released No Description Available
Request to Transfer File to Pathways Females VCM No Description Available Restrictions Open service on Waitlist and Assign to Caitlin or Courtney. They will Complete the Service
SUD Treatment, Soft Linkage No Description Available Restrictions Soft Linkage means only information, literature, or contact info provided to the client. No direct work was done to connect them to the resource.
Supervision Officer Contact, Attempt No Description Available Restrictions Record the name of the Office and contraction information in the case note as well as the reason for reaching out
Supervision Officer Contact, Successful No Description Available Restrictions Record the name of the Officer and contact information in the case note as well as notes from the contact content.
Supportive Service Request-Other No Description Available Restrictions Assign to Melissa, include amount, who the check should be made out to, and whether or not the client has met housing requirements in the case note. Send Melissa an email to let her know the request is submitted
Transition Plan Updated No Description Available Restrictions Remember to Upload and Attach Transition Plan
Transportation No Description Available Restrictions Even if client was in the vehicle multiple times in one day, only count as "1" transport. Did you talk with the participant during the transport? Do you need to add another service like a food pantry referral, treatment referral, etc?
Transportation via Rideshare (Uber, Lyft, etc) No Description Available Restrictions Please include rideshare app used in the case notes as well as why the rideshare was used instead of direct transport or bus pass.
Transportation Waiver Signed No Description Available Restrictions Upload and Attach signed Transportation Waiver