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									       Shelter, Support and Housing Administration

         Drop-in Services Partnership Program
                      January 1- December 31, 2012
                          Final Reporting Form

     Agency Name
     Project Name
    Project Address
Funding Amount (annual)
     Staff Contact
        Phone
         Email
    Date Submitted

 Name and Authorized
     Signature
                                                                            Drop-in Services
                                                                        Final Reporting Form


QUESTION 1: Project Changes

1.1       In 2012, were there any changes made to the following? If so, please describe,
          indicate the reason, and identify any impacts of the change.

             Elements                 Describe any changes in 2012, reason for change, and
                                                         any impacts
Organization
Client Group
Partnerships
Other (e.g. Location)

QUESTION 2: Service Detail Changes

2.1    The basic services provided at drop-in centres are listed below. Were there any
changes made to the following services in 2012? If so, please describe, indicate the
reason, and identify any impacts of the change.

                                                  Describe any changes in 2012, reason for
                Basic Services
                                                          change, and any impacts
Meals and/or refreshments
Washrooms
Telephones
Information and referral
Informal counselling/individualized support
Showers
Laundry facilities
Internet / email access
A mailing address
Storage

2.2       A list of enhanced services provided at drop-in centres are listed below. If your
          drop-in offers any of these enhanced supports, were there any changes made to
          the following services in 2012? If so, please describe, indicate the reason, and
          identify any impacts of the change.

                                                  Describe any changes in 2012, reason for
               Enhanced Services
                                                          change, and any impacts
Housing access supports
Housing follow-up supports
Obtaining basic identification
Assistance with income support programs


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                                                                              Drop-in Services
                                                                          Final Reporting Form


                                                    Describe any changes in 2012, reason for
                 Enhanced Services
                                                            change, and any impacts
Health services
Employment
Recreation
Case management
Legal services
Trusteeships
Connecting with family members
Other:
Other:

QUESTION 3: Evaluation

3.1      If you have evaluated this project during 2012, please describe the process used.
         Please attach a copy of your evaluation summary report, if applicable.
      Methodology                    Stakeholders             Review & Implementation
 (survey, focus group,
                             (clients, staff, community    (annual review, improved business
   feedback, other)
                                  partners, other)            practice, staff training, other)




QUESTION 4: Hours of Service

4.1      Indicate the opening and closing hours each day that your drop-in was open:

                 Day                            Open                          Close
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday




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                                                                        Drop-in Services
                                                                    Final Reporting Form



                Day                      Open                           Close
January 1, 2012
February 20, 2012
April 6, 2012
April 9, 2012
May 21, 2012
July 2, 2012
August 6, 2012
September 3, 2012
October 8, 2012
November 11, 2012 (Sunday)
December 25, 2012
December 26, 2012

QUESTION 5: Demographic Observations

5.1    Drop-in Users

       On average, how many different people used your drop-in each day of the week,
       and over the whole week? Report all people regardless of how much the drop-in
       is supported by this funding.

                                                # Of Different People
                  Monday
                  Tuesday
                  Wednesday
                  Thursday
                  Friday
                  Saturday
                  Sunday
                  Total Week                             0
                  Statutory Holidays




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                                                                      Drop-in Services
                                                                  Final Reporting Form


5.2   Gender

      Approximately what percentage of the people served by your project were:

                                  Gender             %

                                   Female

                                    Male

                              Trans-gendered

                                    Total            100


5.3   Age

      Approximately what percentage of the people served by your project were:

                                    Age              %

                              Children (0 -15)

                               Youth (16 - 24)

                               Adults (25 - 64)

                                Seniors (65+)

                                    Total            100


5.4   Household Type

      Approximately what percentage of the people served by your project were:

                              Household Type               %

                                   Single

                          Couples without children

                                Lone parent

                                Two parent




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                                                                                   Drop-in Services
                                                                               Final Reporting Form



                                     Household Type               %

                                         Extended

                                          Other

                                          Total                  100


5.5     Language

        Approximately what percentage of the clients accessing your project were served
        in English:

                                         Language            %

                                          English


        Please advise if your project is able to provide services in French.

                                             Yes
      - If yes, approximately what percentage of clients received services in French?         %.

                                             No

5.6     Aboriginal

        Approximately what percentage of the people served by your project self
        identified as Aboriginal, First Nations, Métis or Inuit heritage:

                            Aboriginal                             %
                            Aboriginal




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                                                                            Drop-in Services
                                                                        Final Reporting Form


5.7   Major Health Issues or Physical Disability

      Approximately what percentage of the people served by your project had:

              Major Health or Physical Disability                       %

              Major health issues only
              Physical disability only
              Both major health issues and physical disability
              Neither major health issues or physical disability
              Total                                                    100



5.8   Mental Health and Addictions

      Approximately what percentage of the people served by your project had:

                 Mental Health and Addictions                           %
                 Mental health issues only
                 Addiction issues only
                 Both mental health and addiction issues
                 Neither mental health or addiction issues
                 Total                                                100

5.9   Housing Status

      When you first helped them, approximately what percentage of the people served
      by your project was:

         Housing Status                                                      %
         Living outside or on the street
         In shelter
         In temporary housing (e.g. motels, with family or friends)
         In housing (e.g. apartments or houses)
         In rooming houses
         Recently discharged from a health facility
         Recently discharged from corrections
         Unknown
         Total                                                               100




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                                                                      Drop-in Services
                                                                  Final Reporting Form


5.10   History of Homelessness

       When you first helped them, approximately what percentage of the people served
       by your project was:

                History of Homelessness                     %
          Homeless less than one year
          Homeless more than one year
          Not Homeless
          Unknown
          Total                                            100

5.11   Source of Income

       When you first helped them, approximately what percentage of the people served
       by your project received primary or secondary income from:

      Source of Income               PRIMARY %                   SECONDARY %
 Employment
 Employment Insurance
 Ontario Works
 ODSP
 CPP
 OAS
 Panhandling
 Other
 None
 Total                                    100                        100




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                                                                          Drop-in Services
                                                                      Final Reporting Form


QUESTION 6: Training – Accessibility for Ontarians with Disabilities Act

6.1    Please confirm all of your staff and volunteers who have been required by the City
       to complete training on the “Accessible Customer Service Standard” under the
       Accessibility for Ontarians with Disabilities Act (including staff and volunteers
       who deal with the public) have received the required training.

                              Yes                    No

       If No, please explain and confirm when staff will be trained. The MCSS online
       training is available on: http://www.mcss.gov.on.ca/mcss/serve-
       ability/HTML_Eng/screen01.html




QUESTION 7: Emerging Issues and Other Comments

7.1    Have there been any major changes in the past year in the profile of your clients?
       For example, their age, gender, family status, health status, mental health status,
       citizenship status, or reasons for homelessness.



7.2    Have there been any major changes in the past year in the types or intensity of
       services you are providing? If there has been a change, what might be the
       reasons? For example, increase/decrease in landlord negotiations, need for TTC
       tickets, or mental health referrals.



7.3    Have there been any major changes in the service system in the past year? What
       might be the reasons for these changes? What do you think could improve the
       system’s effectiveness? For example, more or less collaboration with community
       partners or change in accessing other services.



7.4    Please include or provide comment on any other information you would like to
       share with the City about your project. (Optional)




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                                                                          Drop-in Services
                                                                      Final Reporting Form


QUESTION 8: Project Revenue, Expenditures, Staffing, Volunteers, and In-Kind
Contributions

       Please complete all pages of the attached Excel spreadsheet identifying:
      Project Revenue
      Project Expenditures
      Staffing
      Volunteers and In-Kind Contributions




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