OJJDP Performance Measures for Title II Formula Grant ... - Government grants for school programs

***Please complete all sections of this form. Funds will not be dispersed until complete information is received.***

Section I Project Identification

1. OJA Grant Number:

2. Total Amount of Subgrant (Federal Funds Only): $

Year of OJA Funding: 1st 2nd 3rd

3. Subgrant Project Title:

4. Organization:

5. Contact Person:

Telephone # and Email Address:

|Report Period |1st Quarter |2nd Quarter |3rd Quarter |Final Report (Due 30 days after the end of the project period) |

|(for Formula grants) | |1st and 2nd quarter |1st, 2nd and 3rd quarter |The report must include cumulative numbers and outcomes for the |

| |Date |Cumulative Data |Cumulative Data |entire grant period. |

| | | | | |

| | |Date |Date | |

6. Implementing Organization Type:

Coalition Faith-based Organization Juvenile Justice

Non-profit community-based organization Other community-based organization

Other government agency Police/other law enforcement School/Other Education Unit of local government

7. Project Start Date:

8. Project End Date:

9. Federal Congressional District:

10. Is the implementing organization a faith-based program? Yes No

11. Does the subgrant implement an evidence-based program or practice? Yes No

12. If yes, select one source from which the program or practice model was cited:

a. Blueprints for Violence Prevention

b. CASEL (Collaborative for Academic, Social, and Emotional learning)

c. Centers for Disease Control and Prevention

d. Community Guide to Helping America’s Youth

e. Department of Education Safe, Disciplined, and Drug-free Schools

f. Drug Strategies, Inc.

g. Making the Grade

h. Hamilton Fish Institute

i. Institute for Medicine

j. NIDA Preventing Drug Abuse

k. National Institute of Justice What Works Report

l. OJJDP Model Programs Guide

m. Promising Practices Network

n. SAMSHA Model Programs

o. Surgeon General’s Youth Violence Report

p. Other (e.g., State model program resources)

Please indicate the name of the evidence-based program implemented or describe the evidence-based practice instituted:

Section II: Data Regarding Youth Served

Target Population for this Subgrant

Total Number of Youth Served:

Total Number of Youth referred:

What does “served” mean for this project? (i.e. youth showed up once, attended a minimum # of sessions, completed the program)

Please check the appropriate boxes to indicate for this subgrant:

1. The population actually served during the reporting period; and

2. The populations, if any, to which the program offers targeted services.

Targeted services include any services or approaches specifically designed to meet the needs of the population (e.g., gender specific, culturally based, developmentally appropriate services).

Table 1: Target Population Information

| | |1. Did you serve this group during the |2. Did this Subgrant provide targeted services|

| |Population |reporting period? |for any of the following groups? |

|RACE/E|American Indian/Alaskan Native | | |

|THNICI|Asian | | |

|TY |Black/African American | | |

| |Hispanic or Latino (of any race) | | |

| |Native Hawaiian and Other Pacific Islander | | |

| |Other Race | | |

| |White/Caucasian | | |

| |Youth population not directly served | | |

| |At-Risk Population (no prior offense) | | |

|J |First Time Offenders | | |

|U |Repeat Offenders | | |

|S |Sex Offenders | | |

|T |Status Offenders | | |

|I |Violent Offenders | | |

|C |Youth population not directly served | | |

|E | | | |

| | | | |

|G |Male | | |

|E |Female | | |

|N |Youth population not directly served | | |

|D | | | |

|E | | | |

|R | | | |

| |Population |1. Did you serve this group during the |2. Did this Subgrant provide targeted services|

| | |reporting period? |for any of the following groups? |

| |Under 11 | | |

|A |12 - 13 | | |

|G |14 - 15 | | |

|E |16 – 17 | | |

| |18 and over | | |

| |Youth population not directly served | | |

|G |Rural | | |

|E |Suburban | | |

|O |Tribal | | |

| |Urban | | |

| |Youth population not directly served | | |

|O |Mental Health | | |

|T |Pregnant | | |

|H |Substance Abuse | | |

|E |Truant/Dropout | | |

|R | | | |

Main Activities (Brief narrative about what was completed and how it was accomplished.)

Goals and Objectives: (Please list all the goals and objectives from your application and provide a narrative on your progress toward achieving those goals and objectives and the activities used to achieve that progress).

Section III-Project Reporting Using Performance Indicators

(Please answer the “bolded” items on the following pages. These are required by the federal government)

PA 18. OUTPUT MEASURES

|# |Output Measure |Definition |Reporting Format |

|1 |Number of MOUs developed |The number of Memoranda of Understanding or interagency agreements developed |A. |

| | |during reporting period of the program. Include all formal partnership or |Number of Memoranda of Understanding |

| | |coordination agreements. Program records are the preferred data source. |developed |

| | | | |

|2 |Number of program slots |The number of client service slots available during the reporting period of the |A. |

| |available |program. If slots were lost over the reporting period, please report a negative |Number of client services slots |

| | |number. Program records are the preferred data source. |available during the reporting period |

| | | | |

| | | | |

|3 |Number of FTEs funded by TV|The number of staff funded through Title V or Formula Grants, as measured through |A. |

| |or FG |the number of Full-Time Equivalents, working for the program during the reporting |Number of Full-Time Equivalents |

| | |period. To calculate FTE, divide the number of staff hours used by the program and| |

| | |divide by 2080. | |

|4 |Number of program materials|The number of program materials that were developed during the reporting period. |A. |

| |developed |Include only substantive materials such as program overviews, client workbooks, |Number of materials developed |

| | |lists of local service providers. Do not include program advertisements or | |

| | |administrative forms such as sign-in sheets or client tracking forms. Count the | |

| | |number of pieces developed. Program records are the preferred data source. | |

|5 |Number and percent of |The number and percent of program staff that are trained during reporting period. |A. |

| |program staff trained |Program staff include full and part-time employees and/or volunteers. The number |Number of staff who participated in |

| | |is the raw number of staff to receive any formal training relevant to the program |training |

| | |or their position as program staff. Include any training from any source or medium| |

| | |received during the reporting period as long as receipt can be verified. Training |B. |

| | |does not have to have been completed during the reporting period. To get the |Total number of program staff |

| | |percent divide the raw number by the total number of program staff. Program | |

| | |records are the preferred data source. |C. |

| | | |Percent (A/B) |

| | | | |

|6 |Number of hours of program |The number of training hours that program staff are provided during the reporting |A. |

| |staff training provided |period. Training includes in-house and external trainings. |Number of hours of training provided |

| | | |to staff |

| | | | |

|7 |Number of planning |The number of planning activities undertaken during the reporting period. Planning|A. |

| |activities conducted |activities include meetings held, needs assessments undertaken. |Number of planning activities |

| | | |undertaken |

| | | | |

|8 |Number of program/agency |The number of program/agency policies or procedures created, amended, or rescinded|A. |

| |policies or procedures |during the reporting period. A policy is a plan or specific course of action that |Number of program/agency policies or |

| |created, amended, or |guides the general goals and directives of the program or agency. Include policies|procedures created, amended, or |

| |rescinded |that are either relevant to the topic area of the program or policies that affect |rescinded |

| | |program operations. | |

|9 |Number of program youth |An unduplicated count of the number of youth served by the program during the |A. |

| |served |reporting period. Definition of the number of youth served for a reporting |Number of program youth carried over |

| | |period is the number of program youth carried over from previous reporting |from the previous reporting period, |

| | |period, plus new admissions during the reporting period. In calculating the |plus new admissions during the |

| | |3-year summary, the total number of youth served is the number of participants |reporting period |

| | |carried over from the year previous to the first fiscal year, plus all new | |

| | |admissions during the 3 reporting fiscal years. Program records are the preferred | |

| | |data source. | |

|10 |Number of service hours |The number of hours of service completed by program youth during the reporting |A. |

| |completed |period. Service is any explicit activity (such as program contact, counseling |Total number of program youth service |

| | |sessions, course curriculum, community service, etc.) delivered by program staff |hours |

| | |or other professionals dedicated to completing the program requirements. Program | |

| | |records are the preferred data source. | |

|11 |Number of referrals made |The number of referrals to needed services made by program staff. Program records |A. |

| | |are the preferred data source. |Total number of program youth referred|

| | | | |

| | | | |

|12 |Average length of stay in |The average length of time, in days, that clients remain in the job training |A. |

| |job training program |program. Include data for clients who both complete program requirements prior to |Total number of days between intake |

| | |program exit and those who do not. Program records are the preferred data source. |and program exit across all program |

| | | |youth exiting program |

| | | | |

| | | |B. |

| | | |Number of cases closed |

| | | | |

| | | |C. |

| | | |Average (A/B) |

| | | | |

PA 18. OUTCOME MEASURES

|# |Outcome Measure |Definition |Reporting Format |Reporting Term |

|1 |Number and percent of |The number and percent of participating program youth|Total number of program youth served |Short |

| |program youth who offend |who were arrested or seen at a juvenile court for a | | |

| |during the reporting |delinquent offense during the reporting period. |Number of program youth tracked during this | |

| |period |Appropriate for any youth-serving program. Official |reporting period | |

| |(9/30/2010) |records (police, juvenile court) are the preferred | | |

| | |data source. |Of B, number of program youth who had an arrest| |

| | | |or delinquent offense during this reporting | |

| | |The number of youth tracked should reflect the number|period | |

| | |of program youth that are followed or monitored for | | |

| | |arrests or offenses. Ideally this number should be |Number of program youth who were recommitted to| |

| | |all youth served by the program during this reporting|a juvenile facility during this reporting | |

| | |period. |period | |

| | | | | |

| | |Ex. If I am serving 100 youth in my program, A would |Number of program youth who were sentenced to | |

| | |be 100. If I am following up with 50 of them, B would|adult prison during this reporting period | |

| | |be 50. Of these 50 program youth I’m tracking, if 25| | |

| | |of them were arrested or had a delinquent offense |Number of youth who received another sentence | |

| | |during this reporting period, then C would be 25. |during this reporting period | |

| | | | | |

| | | |Percent offending (C/B) | |

| | | | | |

|1 |Number and percent of |The number and percent of participating program youth|Number of program youth who exited the program |Long |

| |program youth who offend |who were arrested or seen at a juvenile court for a |6-12 months ago that you are tracking | |

| |during the reporting |delinquent offense during the reporting period. | | |

| |period (Long Term) |Appropriate for any youth-serving program. Official |Of A, the number of program youth who had an | |

| |(9/30/2010) |records (police, juvenile court) are the preferred |arrest or delinquent offense during this | |

| | |data source. |reporting period | |

| | | | | |

| | |The number of youth tracked should reflect the number|Number of program youth who were recommitted to| |

| | |of program youth that are followed or monitored for |a juvenile facility during this reporting | |

| | |arrests or offenses 6-12 months after exiting the |period | |

| | |program. | | |

| | | |Number of program youth who were sentenced to | |

| | |Ex. I have a lot of youth who exited my program 6-12 |adult prison during this reporting period | |

| | |months ago, but we are only tracking 100 of them, so | | |

| | |A is 100. Of these 100 program youth that exited the|Number of youth who received another sentence | |

| | |program 6-12 months ago 65 had a new arrest or |during this reporting period | |

| | |delinquent offense during this reporting period, so B| | |

| | |is 65. |Percent of Long Term offending (B/A) | |

| | | | | |

|1 |Number and percent of |The number and percent of participating program youth|Total number of program youth served |Short |

| |program youth who |who were arrested or seen at a juvenile court for a | | |

| |re-offend during the |new delinquent offense during the reporting period. |Number of program youth tracked during this | |

| |reporting period |Appropriate for any youth-serving program. Official |reporting period | |

| |(9/30/2010) |records (police, juvenile court) are the preferred | | |

| | |data source. |Of B, the number of program youth who had a new| |

| | | |arrest or delinquent offense during this | |

| | |The number of youth tracked should reflect the number|reporting period | |

| | |of program youth that are followed or monitored for | | |

| | |new arrests or offenses. Ideally this number should |Number of program youth who were recommitted to| |

| | |be all youth served by the program during this |a juvenile facility during this reporting | |

| | |reporting period. |period | |

| | | | | |

| | |Ex. If I am serving 100 youth in my program, A would |Number of program youth who were sentenced to | |

| | |be 100. If I am following up with 50 of them, B would|adult prison during this reporting period | |

| | |be 50. Of these 50 program youth I’m tracking, if 25| | |

| | |of them were arrested or had a delinquent offense |Number of youth who received another sentence | |

| | |during this reporting period, then C would be 25. |during this reporting period | |

| | | | | |

| | | |Percent recidivism (C/B) | |

| | | | | |

|1 |Number and percent of |The number and percent of participating program youth|Number of program youth who exited the program |Long |

| |program youth who |who were arrested or seen at a juvenile court for a |6-12 months ago that you are tracking | |

| |re-offend during the |new delinquent offense during the reporting period. | | |

| |reporting period |Appropriate for any youth-serving program. Official |Of A, the number of program youth who had a new| |

| |(9/30/2010) |records (police, juvenile court) are the preferred |arrest or delinquent offense during this | |

| | |data source. |reporting period | |

| | | | | |

| | |The number of youth tracked should reflect the number|Number of program youth who were recommitted to| |

| | |of program youth that are followed or monitored for |a juvenile facility during this reporting | |

| | |new arrests or offenses 6-12 months after exiting the|period | |

| | |program. | | |

| | | |Number of program youth who were sentenced to | |

| | |Ex. I have a lot of youth who exited my program 6-12 |adult prison during this reporting period | |

| | |months ago, but we are only tracking 100 of them, so |Number of youth who received another sentence | |

| | |A is 100. Of these 100 program youth that exited the|during this reporting period | |

| | |program 6-12 months ago 65 had a new arrest or | | |

| | |delinquent offense during this reporting period, so B|Percent of Long Term recidivism (B/A) | |

| | |is 65. | | |

|2 |Number and percent of |The number and percent of program youth who have been|A. |Short |

| |program youth committed |ordered to a correctional facility. Include youth |Number of youth enrolled in correctional | |

| |to correctional facility |mandated to any secure residential facility including|facility | |

| | |juvenile correctional and adult corrections | | |

| | |facilities. Official records are the preferred data |B. | |

| | |source. |Number of youth in program | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|2 |Number and percent of |The number and percent of program youth who have been|A. |Long |

| |program youth committed |ordered to a correctional facility. Include youth |Number of youth enrolled in correctional | |

| |to correctional facility |mandated to any secure residential facility including|facility | |

| | |juvenile correctional and adult corrections | | |

| | |facilities. Official records are the preferred data |B. | |

| | |source. |Number of youth in program | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|3a |GED |Number and percent of program youth who earned a GED |A. |Short |

| | |(through the program) during the reporting period. |Number of program youth served during the | |

| | |Self-report or staff rating are most likely data |program period with the noted behavioral change| |

| | |sources. | | |

| | | | | |

| | | |B. | |

| | | |Number of youth in the program who received | |

| | | |services for this behavior. | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|3a |GED |Number and percent of program youth who earned a GED |A. |Long |

| | |(through the program) 6 months to 1 year after |Total number of youth who exited the program | |

| | |exiting the program. |6-12 months ago who had the noted behavioral | |

| | | |change | |

| | | | | |

| | | |B. | |

| | | |Number of youth who exited the program 6-12 | |

| | | |months earlier and received services for this | |

| | | |behavior | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|3b |Job skills |Number and percent of program youth who exhibited an |A. |Short |

| | |increase in job skills during the reporting period. |Number of program youth served during the | |

| | |Self-report or staff rating is most likely data |program period with the noted behavioral change| |

| | |source. | | |

| | | | | |

| | | |B. | |

| | | |Number of youth in the program who received | |

| | | |services for this behavior. | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|3b |Job skills |Number and percent of program youth who exhibited an |A. |Long |

| | |increase in job skills 6 months to 1 year after |Total number of youth who exited the program | |

| | |exiting the program. |6-12 months ago who had the noted behavioral | |

| | | |change | |

| | | | | |

| | | |B. | |

| | | |Number of youth who exited the program 6-12 | |

| | | |months earlier and received services for this | |

| | | |behavior | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|4 |Number and percent of |The number and percent of placed youth who were |A. |Short |

| |program youth employed |employed. Self-reporting or program records are |Number of program youth employed | |

| | |preferred data sources. | | |

| | | |B. | |

| | | |Number of youth in program | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|4 |Number and percent of |The number and percent of placed youth who were |A. |Long |

| |program youth employed |employed. Self-reporting or program records are |Number of program youth employed | |

| | |preferred data sources. | | |

| | | |B. | |

| | | |Number of youth in program | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|5 |Number and percent of |The number and percent of program youth who have |A. |Short |

| |program youth completing |successfully fulfilled all program obligations and |Number of program youth who exited the program | |

| |program requirements |requirements. Program obligations will vary by |having completed program requirements | |

| | |program, but should be a predefined list of | | |

| | |requirements or obligations that clients must meet |B. | |

| | |prior to program completion. Program records are the |Total number of youth who exited the program | |

| | |preferred data source. The total number of youth |during the reporting period (both successfully | |

| | |include those who exited successfully or |and unsuccessfully) | |

| | |unsuccessfully. | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|6 |Number and percent of |The number and percent of program families satisfied |A. |Short |

| |program families |with the program in areas such as staff relations and|Number of program families satisfied with the | |

| |satisfied with program |expertise, general program operations, facilities, |program during the reporting period | |

| | |materials, and service. Self-report data collected | | |

| | |using program evaluation or assessment forms are the |B. | |

| | |expected data source. |Total number of program families served by the | |

| | | |program during the reporting period | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|7 |Number and percent of |The number and percent of program youth satisfied |A. |Short |

| |program youth satisfied |with the program in areas such as staff relations and|Number of program youth who report being | |

| |with program |expertise, general program operations, facilities, |satisfied with the program during the reporting| |

| | |materials, and service. Self-report data collected |period | |

| | |using program evaluation or assessment forms are the | | |

| | |expected data source. |B. | |

| | | |Total number of program youth served by the | |

| | | |program during the reporting period | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|8 |Number and percent of |The number and percent of staff who gained a greater |A. |Short |

| |program staff with |knowledge of the gender specific program area through|Number of staff trained during the reporting | |

| |increased knowledge of |trainings or other formal learning opportunities. |period who report increased knowledge | |

| |the program area |Appropriate for any program whose staff received | | |

| | |program-related training. Training does not need to |B. | |

| | |have been given by the program. Self-report data |Number of staff trained during the reporting | |

| | |collected using training evaluation or assessment |period and returning surveys | |

| | |forms are the expected data source. | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

|9 |Number and percent of |The number and percent of employers who report being |A. |Short |

| |employers satisfied with |satisfied with the program in areas such as staff |Number of employers during the reporting period| |

| |program |training, general program operations, facilities, |who report being satisfied with the program | |

| | |materials, and service. Self-report data collected | | |

| | |using program evaluation or assessment forms are the | | |

| | |expected data source. |B. | |

| | | |Number of employers served by the program | |

| | | |during the reporting period | |

| | | | | |

| | | |C. | |

| | | |Percent (A/B) | |

| | | | | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

To fulfill the demand for quickly locating and searching documents.

It is intelligent file search solution for home and business.

Literature Lottery

Related download

Related searches