SASH Participant Tracking List Sample

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					                                                                                Heineberg SASH Participant List
                                                                                          Person-                                                             2011    2011 Update HAP
                                     Enrollment                                          centered                  HAP Meeting with                         Updated meeting w/
                                     Agreements   SASH Assessment   Participant Status   Interview   Draft HAP     Participant (2010)                      Draft HAPs Participant
                   unit   Wellness
Participant Name    #      Client       Done           Done         HIGH Mod LOW           Done      Done                Done           Comments/updates     Done           Done        Comment/update
John                114                 Yes            Yes                    X             X        X                    X                                   X              X
Jane                318                                                                                                                                       X              X
Bob                 124      X          Yes             Yes          X                      X        X (Betsy)             X                                  X              X
Sue                 209                 Yes             Yes          X                      X        X (Betsy)             X                                  X              X
Mary                321                 Yes
Betty               302                 Yes             Yes          X                      X        X (Maggie)            X                                   X             X
Gail                126                 Yes             Yes          X                      X        X (Maggie)            X                                   X             X
                    212      X          Yes             Yes                                                                                                    X             X
                    308      X          Yes             Yes          X                      X        X (Lynette)           X                                   X
                    323                 Yes
                    305      X          Yes             Yes                                                                                                    X             X
                    225                 Yes             Yes                        X        X        X (Maggie)            X                                   X             X
                    315                 Yes             Yes                                                                                                    X             X
                    119      X          Yes             Yes          X                      X        X                    X                                    X             X
                    202      X          Yes             Yes                 X               X        X Betsy              X                                    X             X
                    314                 Yes             Yes                 X               X        X (Maggie)           X                                    X             X
                    206      X          Yes             Yes          X                      X        X (Lynette)          X                                                  X
                    111                 Yes             Yes          X                      X        X (Maggie)           X                Back home           X             X
                    303                 Yes             Yes                 X               X        X (Betsy)            X                                    X             X
                    221                 Yes             Yes          X                      X        X (Lynette)    Hap meeting 2/27
                    113                 Yes             Yes                 X               X        X Maggie             X                                    X             X
                    328                 Yes             Yes                 X               X        X Lynette            X                                    X             X
                    201      X          Yes             Yes          X                                                                                         X             X
                    207
                    116                                                                                                                                                      X
                    312      X          Yes             Yes          X                      X        X (Lynette)           X                                   X             X
                    218                 Yes                                                 X        X (Maggie)            X                                   X             X
                    118                 Yes             Yes                 X               X        X (Betsy)         Refused -
                    327                 Yes             Yes                 X               X        X (Maggie)            X                                   X             X
                    226                 Yes             Yes                 X               X        X (Betsy)             X                                   X             X
                    311
                    318                 Yes             Yes                 X               X        X (Lynette)           X                                   X             X
                    317                                 Yes
                    317                                 Yes
                    228                 Yes             Yes                 X               X        Betsy to do           X                                   X             X
                    108      X          Yes             Yes          X                      X        X Lynette             X                                   X
                    210      X          Yes             Yes          X                      X        X (Lynette)           X                                   X             X
                    310                 Yes             Yes                 X                                                                                  X
                    107                 Yes             Yes          X                       X       X Betsy               X                                   X             X
                    120                 Yes             Yes                 X                X       X (Lynette)           X                                   X             X
                    214      X          Yes             Yes                        X         X       X (Maggie)      Away for winter                           X             X
                    220      X          Yes             Yes                 X                X       X Lynette             X                                   X             X
                    219                 Yes             Yes          X                       X       X (Maggie)            X                                   X             X
                    325                 Yes             Yes                 X                X       X Maggie              X                                   X             X
                    203                 Yes             Yes          X                       X       X (Josie)             X                                   X             X
                    222      X          Yes             Yes                 X                X       X Lynette             X                                   X
                    222                 Yes             Yes                        X      refused                          X                                   X
                    103      X          Yes             Yes          X                       X       X (Lynette)           X               Back to HSH         X             X
                    326                 Yes             Yes                        X         X       X (Lynette)           X                                   X             X
                    204                 Yes             Yes          X                       X       X (Maggie)            X                                   X             X
                    227                 Yes             Yes                 X                X       X Lynette             X
                    209                 Yes             Yes          X                       X       X                     X                                   X             X
                    102                 Yes             Yes                        X         X       X Betsy               X                                   X             X
                                                                                 Heineberg SASH Participant List
                                                                                          Person-                                                             2011    2011 Update HAP
                                     Enrollment                                          centered                  HAP Meeting with                         Updated meeting w/
                                     Agreements   SASH Assessment   Participant Status   Interview   Draft HAP     Participant (2010)                      Draft HAPs Participant
                   unit   Wellness
Participant Name    #      Client       Done           Done         HIGH Mod LOW           Done      Done                Done           Comments/updates     Done           Done        Comment/update
                    224                 Yes            Yes                    X             X        X (Maggie)           X                                   X
                    216                 Yes            Yes                    X             X        X (Betsy)            X                                   X              X
                    211                 Yes            Yes            X                     X        X Betsy              X                                   X              X
                    115                 Yes            Yes                X                 X        X Lynette            X                                   X              X
                    307                 Yes            Yes                    X             X        X (Lynette)          X
                    309                 Yes            Yes                                           X
                    309                 Yes            Yes                                           X
                                                                     20     17      9

				
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posted:11/18/2012
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