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New hOME sAFE iNSTRUCTION mANUAL · 2020. 8. 17. · Home Safe Instruction Manual 1 Contents Column...

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Home Safe Instruction Manual 1 Contents Column A - Reporting Agency ........................................................................................................................... 5 Column B - Report Month.................................................................................................................................. 5 1 Column C - Last Name ................................................................................................................................ 5 2 Column D - First Name ................................................................................................................................ 5 3 Column E - Last Four Digits of Social Security Number ................................................................................. 5 4 Column F - Date of Birth............................................................................................................................... 5 5 Column G - Location of Participation ............................................................................................................ 6 6 Column H - Method of Assessment .............................................................................................................. 6 7 Column I - Assessment Score ...................................................................................................................... 6 8 Column J - Gender Identity ............................................................................................................................ 6 9 Column K - Race 1 ...................................................................................................................................... 7 10 Column L - Race 2....................................................................................................................................... 7 11 Column M - Ethnicity 1................................................................................................................................. 7 12 Column N - Ethnicity 2 ................................................................................................................................. 7 13 Column O - Current Marital Status ............................................................................................................... 7 14 Column P - Number of Children ................................................................................................................... 7 15 Column Q - Sexual Orientation .................................................................................................................... 7 16 Column R - Preferred Language .................................................................................................................... 8 17 Column S - Veteran Status ............................................................................................................................ 9 18 Column T - Medi-Cal ................................................................................................................................... 9 19 Column U - Medicare................................................................................................................................... 9 20 Column V - Representative Payee or Conservator...................................................................................... 10 21 Column W - Living Situation Upon Entry to HSAPS ..................................................................................... 10 22 Column X - Monthly Rent/Mortgage Contribution ....................................................................................... 11 23 Column Y - Number of Adults in Household - Not Including Client ................................................................ 11 24 Column Z Number of Minor Children in Household .................................................................................. 11 25 Column AA - Client Homeless Within the Last Three Years ......................................................................... 11 26 Column AB - Number of Times Homelessness Occurred in the Last Three Years .......................................... 11 27 Column AC - Total Duration of Homelessness ............................................................................................... 11 28 Column AD - Last Period of Homelessness ....................................................................................................... 12 29 Column AE - Previous Evictions or Foreclosures ........................................................................................ 12 30 Column AF - Number of Past Evictions or Foreclosures .............................................................................. 12 31 Column AG - Current Eviction or Foreclosures ........................................................................................... 12 32 Column AH - Discharge from Institution in the Last Six Months .................................................................... 12
Transcript
Page 1: New hOME sAFE iNSTRUCTION mANUAL · 2020. 8. 17. · Home Safe Instruction Manual 1 Contents Column A - Reporting Agency..... 5 Column B - Report Month..... 5

Home Safe Instruction Manual

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Contents

Column A - Reporting Agency ........................................................................................................................... 5

Column B - Report Month.................................................................................................................................. 5

1 Column C - Last Name ................................................................................................................................ 5

2 Column D - First Name ................................................................................................................................ 5

3 Column E - Last Four Digits of Social Security Number ................................................................................. 5

4 Column F - Date of Birth............................................................................................................................... 5

5 Column G - Location of Participation ............................................................................................................ 6

6 Column H - Method of Assessment .............................................................................................................. 6

7 Column I - Assessment Score ...................................................................................................................... 6

8 Column J - Gender Identity ............................................................................................................................ 6

9 Column K - Race 1 ...................................................................................................................................... 7

10 Column L - Race 2 ....................................................................................................................................... 7

11 Column M - Ethnicity 1 ................................................................................................................................. 7

12 Column N - Ethnicity 2 ................................................................................................................................. 7

13 Column O - Current Marital Status ............................................................................................................... 7

14 Column P - Number of Children ................................................................................................................... 7

15 Column Q - Sexual Orientation .................................................................................................................... 7

16 Column R - Preferred Language .................................................................................................................... 8

17 Column S - Veteran Status ............................................................................................................................ 9

18 Column T - Medi-Cal ................................................................................................................................... 9

19 Column U - Medicare ................................................................................................................................... 9

20 Column V - Representative Payee or Conservator...................................................................................... 10

21 Column W - Living Situation Upon Entry to HSAPS ..................................................................................... 10

22 Column X - Monthly Rent/Mortgage Contribution ....................................................................................... 11

23 Column Y - Number of Adults in Household - Not Including Client ................................................................ 11

24 Column Z – Number of Minor Children in Household .................................................................................. 11

25 Column AA - Client Homeless Within the Last Three Years ......................................................................... 11

26 Column AB - Number of Times Homelessness Occurred in the Last Three Years .......................................... 11

27 Column AC - Total Duration of Homelessness ............................................................................................... 11

28 Column AD - Last Period of Homelessness ....................................................................................................... 12

29 Column AE - Previous Evictions or Foreclosures ........................................................................................ 12

30 Column AF - Number of Past Evictions or Foreclosures .............................................................................. 12

31 Column AG - Current Eviction or Foreclosures ........................................................................................... 12

32 Column AH - Discharge from Institution in the Last Six Months .................................................................... 12

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33 Column AI - Household Trauma in the Last Six Months ............................................................................... 12

48 Column AX - Other Ambulatory or Physical Difficulty .................................................................................. 15

49 Column AY - Oxygen Therapy/ Respirator ................................................................................................. 15

50 Column AZ - Kidney Dialysis ........................................................................................................................ 15

51 Column BA - Depression ........................................................................................................................... 15

52 Column BB - Anxiety ................................................................................................................................. 15

53 Column BC - Bipolar .................................................................................................................................. 15

54 Column BD - Post-Traumatic Stress Disorder ............................................................................................ 16

55 Column BE - Schizophrenia ....................................................................................................................... 16

56 Column BF - Dementia/ Cognitive Disorder ................................................................................................ 16

57 Column BG - Substance Abuse .................................................................................................................... 16

58 Column BH Intellectual Disability ............................................................................................................... 16

59 Column BI - Other Behavioral/ Mental Condition ......................................................................................... 16

60 Column BJ - APS Reported Incident Date ..................................................................................................... 17

61 Column BK - APS Reported Incident Location ............................................................................................ 17

73 Column BW - Financial Abuse - Improper Use/Access ................................................................................ 19

74 Column BX - Financial Abuse – Theft ......................................................................................................... 19

75 Column BY - Financial Abuse – Fraud ........................................................................................................ 19

76 Column BZ - Financial Abuse – Amount ..................................................................................................... 19

77 Column CA - Alleged Abuser 1 - Identity ..................................................................................................... 20

78 Column CB - Alleged Abuser 1 - Living with Client ...................................................................................... 20

79 Column CC - Alleged Abuser 2 – Identity .................................................................................................... 20

80 Column CD - Alleged Abuser 2 - Living with Client ...................................................................................... 20

81 Column CE - Alleged Abuser 3 - Identity ..................................................................................................... 20

82 Column CF - Alleged Abuser 3 - Living with Client ....................................................................................... 20

101 Column CY - HSAPS Intervention 1 - Mode of Disbursement Explanation .................................................... 24

102 Column CZ - HSAPS Intervention 2 - Type ................................................................................................. 24

103 Column DA - HSAPS Intervention 2 - "Other" Explanation ........................................................................... 24

104 Column DB - HSAPS Intervention 2 - Date ................................................................................................. 24

105 Column DC - HSAPS Intervention 2 - Amount ............................................................................................ 24

106 Column DD - HSAPS Intervention 2 - Mode of Disbursement ...................................................................... 24

107 Column DE - HSAPS Intervention 2 - Mode of Disbursement Explanation .................................................... 24

108 Column DF - HSAPS Intervention 3 - Type ................................................................................................. 25

109 Column DG - HSAPS Intervention 3 - "Other" Explanation .......................................................................... 25

110 Column DH - HSAPS Intervention 3 - Date ................................................................................................. 25

111 Column DI - HSAPS Intervention 3 - Amount .............................................................................................. 25

112 Column DJ - HSAPS Intervention 3 - Mode of Disbursement ....................................................................... 25

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113 Column DK - HSAPS Intervention 3 - Mode of Disbursement Explanation .................................................... 25

114 Column DL - HSAPS Intervention 4 - Type ................................................................................................. 25

115 Column DM - HSAPS Intervention 4 - "Other" Explanation .......................................................................... 26

116 Column DN - HSAPS Intervention 4 - Date ................................................................................................. 26

117 Column DO - HSAPS Intervention 4 - Amount ............................................................................................ 26

118 Column DP - HSAPS Intervention 4 - Mode of Disbursement ............................................................................... 26

119 Column DQ - HSAPS Intervention 4 - Mode of Disbursement Explanation .................................................... 26

120 Column DR - HSAPS Intervention 5 - Type ................................................................................................. 26

121 Column DS - HSAPS Intervention 5 - "Other" Explanation ........................................................................... 26

122 Column DT - HSAPS Intervention 5 - Date ................................................................................................. 27

123 Column DU - HSAPS Intervention 5 - Amount ............................................................................................ 27

124 Column DV - HSAPS Intervention 5 - Mode of Disbursement ............................................................................... 27

125 Column DW - HSAPS Intervention 5 - Mode of Disbursement Explanation ................................................... 27

126 Column DX - HSAPS Intervention 6 - Type ................................................................................................. 27

127 Column DY - HSAPS Intervention 6 - "Other" Explanation ........................................................................... 27

128 Column DZ - HSAPS Intervention 6 - Date ................................................................................................. 27

129 Column EA - HSAPS Intervention 6 - Amount ............................................................................................. 28

130 Column EB - HSAPS Intervention 6 - Mode of Disbursement .............................................................................. 28

131 Column EC - HSAPS Intervention 6 - Mode of Disbursement Explanation .................................................... 28

132 Column ED - Legal Services ........................................................................................................................ 28

133 Column EE - In Home Assistance ................................................................................................................. 28

134 Column EF - Case Management ................................................................................................................ 28

135 Column EG - Assistance with Benefits ....................................................................................................... 28

136 Column EH - Payee Services ....................................................................................................................... 29

137 Column EI - Financial Management ........................................................................................................... 29

138 Column EJ - Other Services ........................................................................................................................ 29

139 Column EK - Other Services – Explanation ................................................................................................ 29

140 Column EL - Case Closure Date .................................................................................................................. 29

141 Column EM - Living Situation at Exit ........................................................................................................... 30

142 Column EN - Six Month Follow-Up Living Situation Verified Date ................................................................. 30

143 Column EO - Six Month Follow-Up - Method .............................................................................................. 30

144 Column EP - Six Month Follow-Up - Living Situation Assessment ............................................................... 31

145 Column EQ - Six Month Follow-Up - Homelessness Assessment .................................................................... 31

146 Column ER - Six Month Follow-Up - Substantiated APS Reports ................................................................. 31

147 Column ES - Twelve Month Follow-Up - Living Situation Verified Date ......................................................... 31

148 Column ET - Twelve Month Follow-up - Method ......................................................................................... 32

149 Column EU - Twelve Month Follow-Up - Living Situation ............................................................................. 32

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150 Column EV - Twelve Month Follow-Up – Homelessness ................................................................................ 32

151 Column EW - Twelve Month Follow-Up - Substantiated APS Reports .......................................................... 32

152 Column EX - Comments ............................................................................................................................ 32

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Column A - Reporting Agency This cell is automatically populated and is for CDSS use only.

Column B - Report Month This cell is automatically populated and is for CDSS use only

1 Column C - Last Name Information is collected on the Client Details page -> Last Name.

2 Column D - First Name Information is collected on the Client Details page -> First Name.

3 Column E - Last Four Digits of Social Security Number Information is collected on the Client Details page -> SSN.

4 Column F - Date of Birth Information is collected on the Client Details page -> Date of Birth.

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5 Column G - Location of Participation Information is collected on the Client details page -> Address -> City

6 Column H - Method of Assessment Report is going to populate PR VI SPDAT or VI SPDAT

7 Column I - Assessment Score Information is auto populated from the PR VI SPDAT assessment or VI SPDAT

8 Column J - Gender Identity Information is collected on the Client Details page -> Gender.

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9 Column K - Race 1 Information is collected on the Client Details page -> Race

10 Column L - Race 2 There isn’t a field to collect second Race information. Report is going to show the default value “Data not collected.”

11 Column M - Ethnicity 1 Information is collected on the Client Details page -> Ethnicity

12 Column N - Ethnicity 2 There isn’t a field to collect second Ethnicity information. Report is going to show the default value “Data not collected.”

13 Column O - Current Marital Status Information is collected on the Client Details page -> Marital Status

14 Column P - Number of Children Information is collected from the PR VI SPDAT Assessment.

15 Column Q - Sexual Orientation Information is collected on the Client Details page -> Sexual Orientation

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16 Column R - Preferred Language Information is collected on the Client Details page -> Language

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17 Column S - Veteran Status Information is collected on the Client Details page -> Veteran Status

18 Column T - Medi-Cal Information is collected on the Client Details page -> Resources sub tab -> Resource drop down = Medi-Cal

19 Column U - Medicare Information is collected on the Client Details page -> Resources sub tab -> Resource drop down = Medicare

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20 Column V - Representative Payee or Conservator

Information is collected on the Collaterals tab -> Collaterals sub tab -> Resource Type = Representative Payee or

Conservator.

21 Column W - Living Situation Upon Entry to HSAPS

Information is collected from the PR VI SPDAT Assessment.

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22 Column X - Monthly Rent/Mortgage Contribution Information is collected from the PR VI SPDAT Assessment

23 Column Y - Number of Adults in Household - Not Including Client Information is collected from the PR VI SPDAT Assessment

24 Column Z – Number of Minor Children in Household Information is collected from the PR VI SPDAT Assessment

25 Column AA - Client Homeless Within the Last Three Years Information is collected from the PR VI SPDAT Assessment

26 Column AB - Number of Times Homelessness Occurred in the Last Three Years

Information is collected from the PR VI SPDAT Assessment

27 Column AC - Total Duration of Homelessness Information is collected from the PR VI SPDAT Assessment

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28 Column AD - Last Period of Homelessness Information is collected from the PR VI SPDAT Assessment

29 Column AE - Previous Evictions or Foreclosures Information is collected from the PR VI SPDAT Assessment

30 Column AF - Number of Past Evictions or Foreclosures Information is collected from the PR VI SPDAT Assessment

31 Column AG - Current Eviction or Foreclosures

Information is collected from the PR VI SPDAT Assessment

32 Column AH - Discharge from Institution in the Last Six Months Information is collected from the PR VI SPDAT Assessment

33 Column AI - Household Trauma in the Last Six Months Information is collected from the PR VI SPDAT Assessment

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34 Column AJ - Death of Household Member

Information is collected from the PR VI SPDAT Assessment

35 Column AK - Death of a Partner

Information is collected from the PR VI SPDAT Assessment

36 Column AL - Breakup of Partnership

Information is collected from the PR VI SPDAT Assessment

41 Column AQ - Natural Disaster

Information is collected from the PR VI SPDAT Assessment

42 Column AR - Incarceration - Household Member

Information is collected from the PR VI SPDAT Assessment

43 Column AS - Additional Expense

Information is collected from the PR VI SPDAT Assessment

37 Column AM - Job Loss - Client

Information is collected from the PR VI SPDAT Assessment

44 Column AT - Other Causes of Housing Instability

Information is collected from the PR VI SPDAT Assessment

38 Column AN - Job Loss - Household Member

Information is collected from the PR VI SPDAT Assessment

45 Column AU - Deaf

Information is collected from the PR VI SPDAT Assessment

39 Column AO - Illness/ Injury/ Hospitalization - Client

Information is collected from the PR VI SPDAT Assessment

46 Column AV - Wheelchair

Information is collected from the PR VI SPDAT Assessment

40 Column AP - Illness/ Injury/ Hospitalization -

Household Member

Information is collected from the PR VI SPDAT Assessment

47 Column AW - Cane/Walker

Information is collected from the PR VI SPDAT Assessment

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48 Column AX - Other Ambulatory or Physical Difficulty Information is collected from the PR VI SPDAT Assessment

49 Column AY - Oxygen Therapy/ Respirator

Information is collected from the PR VI SPDAT Assessment

50 Column AZ - Kidney Dialysis Information is collected from the PR VI SPDAT Assessment

51 Column BA - Depression Information is collected from the Client Detail page -> Behavioral Condition = Depression

52 Column BB - Anxiety Information is collected from the Client Detail page -> Behavioral Condition = Anxiety

53 Column BC - Bipolar Information is collected from the Client Detail page -> Behavioral Condition = Bipolar

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54 Column BD - Post-Traumatic Stress Disorder Information is collected from the Client Detail page -> Behavioral Condition = PTSD (Post-Traumatic Stress Disorder)

55 Column BE - Schizophrenia Information is collected from the Client Detail page -> Behavioral Condition = Schizophrenia

56 Column BF - Dementia/ Cognitive Disorder Information is collected from the Client Detail page -> Behavioral Condition = Dementia or Cognitive Disorder

57 Column BG - Substance Abuse Information is collected from the Client Detail page -> Behavioral Condition = Substance Abuse

58 Column BH Intellectual Disability

Information is collected from the Client Detail page -> Vulnerability = Intellectual Disability

59 Column BI - Other Behavioral/ Mental Condition

Information is collected from the Client Detail page. This part of the report is going to show any behavioral conditions

other than Depression, Anxiety, Bipolar, PTSD, Schizophrenia, Dementia/Cognitive Disorder, and Substance Abuse as

Other Behavioral/Mental Condition.

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60 Column BJ - APS Reported Incident Date System auto populate this information entered on the Incident Info tab at intake -> Date and Time of this incident.

61 Column BK - APS Reported Incident Location

Information is collected from the Intake Report page/ Incident information -> Incident Address -> City

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62 Column BL - Previous APS Involvement

System auto populates this information if the client has had a previous involvement with APS -> Overview Page -> Related Reports.

63 Column BM - Self-Neglect - Physical Care

Information is collected from the Findings tab -> Allegations = Physical Care (Physical Care, Malnutrition, or Medical Care)

64 Column BN - Self-Neglect - Financial

Information is collected from the Findings tab -> Allegations = Financial

65 Column BO - Self-Neglect - Residence

Information is collected from the Findings tab -> Allegations = Residence (Health & Safety)

66 Column BP - Physical Abuse

Information is collected from the Findings tab -> Allegations = Financial

67 Column BQ - Sexual Abuse

Information is collected from the Findings tab -> Allegations = Sexual Abuse

68 Column BR - Neglect

Information is collected from the Findings tab -> Allegations = Neglect

69 Column BS - Abandonment

Information is collected from the Findings tab -> Allegations = Abandonment

70 Column BT - Isolation

Information is collected from the Findings tab -> Allegations = Isolation

71 Column BU - Abduction

Information is collected from the Findings tab -> Allegations = Abduction

72 Column BV - Psychological/ Mental Suffering

Information is collected from the Findings tab -> Allegations = Psychological/Mental Abuse

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73 Column BW - Financial Abuse - Improper Use/Access Information is collected from the Findings tab -> Allegations = Financial -> Financial Detail = Improper Use of Assets

74 Column BX - Financial Abuse – Theft Information is collected from the Findings tab -> Allegations = Financial -> Financial Detail = Theft

75 Column BY - Financial Abuse – Fraud Information is collected from the Findings tab -> Allegations = Financial -> Financial Detail = Fraud (Scam)

76 Column BZ - Financial Abuse – Amount Information is collected from the PR VI SPDAT Assessment

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77 Column CA - Alleged Abuser 1 - Identity Information is collected from the Coll/Perp tab -> Perpetrators sub tab -> Perpetrator Association -> Relationship

78 Column CB - Alleged Abuser 1 - Living with Client

Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Alleged Perpetrator Information -> Lives with

Client checkbox.

79 Column CC - Alleged Abuser 2 – Identity

Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Perpetrator Association -> Relationship

80 Column CD - Alleged Abuser 2 - Living with Client

Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Alleged Perpetrator Information -> Lives with

Client checkbox.

81 Column CE - Alleged Abuser 3 - Identity

Information is collected from the Coll/Perp tab -> Perpetrators sub tab-> Perpetrator Association -> Relationship

82 Column CF - Alleged Abuser 3 - Living with Client

Information is collected from the Coll/Perp tab -> Perpetrators sub tab -> Alleged Perpetrator Information -> Lives

with Client checkbox.

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83 Column CG - Reporting Source

Information is collected from the Coll/Perp tab -> Collaterals sub tab-> Reporter -> Collateral Association

84 Column CH - APS Incident Reported to Law Enforcement

Information is collected from Findings tab -> Agencies sub tab -> Agency drop down = Law enforcement

85 Column CI - Disability Income

Information is collected from the Client Details page -> Resources sub tab -> Resources drop down = Disability Income

86 Column CJ - Social Security Income

Information is collected from the Client Details page -> Resource sub tab -> Resources drop down = Social Security Income

87 Column K - Pension or Other Retirement

Information is collected from the Client Details page -> Resource sub tab -> Resource drop down = Pension or Other Retirement.

88 Column CL - Private Health Insurance

Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = Private Health Insurance.

89 Column CM - CalFresh

Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = CalFresh

90 Column CN - Work for Pay

Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = Work for Pay

91 Column CO - Other Income

Information is collected from the Client Details page -> Resources sub tab -> Resource drop down = Other Income

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92 Column CP - Case Start Date

System auto populates this information from the Overview page

93 Column CQ - Client Referred to CES

Information is collected from the PR VI SPDAT Assessment.

94 Column CR - Referral to Longer-Term Assistance - Date

Information is collected from the PR VI SPDAT Assessment

95 Column CS - Referral to Longer-Term Assistance - Amount

Information is collected from the PR VI SPDAT Assessment

96 Column CT - HSAPS Intervention 1 - Type

Information is collected from the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list (Values with “HS-”)

97 Column CU - HSAPS Intervention 1 - "Other" Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.

98 Column CV - HSAPS Intervention 1 - Date

Information is collected from the Service Plan tab -> Service Item Start Date

99 Column CW - HSAPS Intervention 1 - Amount

Information is collected from the Service Plan tab -> Amount = Entered Amount

100 Column CX - HSAPS Intervention 1 - Mode of Disbursement

Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list (Values with “HS-“)

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101 Column CY - HSAPS Intervention 1 - Mode of Disbursement Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime

Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home

Safe list

102 Column CZ - HSAPS Intervention 2 - Type

Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list (Values with “HS-”)

103 Column DA - HSAPS Intervention 2 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.

104 Column DB - HSAPS Intervention 2 - Date Information is collected from the Service Plan tab -> Service Item Start Date

105 Column DC - HSAPS Intervention 2 - Amount

Information is collected from the Service Plan tab -> Amount = Entered Amount

106 Column DD - HSAPS Intervention 2 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list (Values with “HS-“)

107 Column DE - HSAPS Intervention 2 - Mode of Disbursement Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime

Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home

Safe list

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108 Column DF - HSAPS Intervention 3 - Type

Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list (Values with “HS-”)

109 Column DG - HSAPS Intervention 3 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.

110 Column DH - HSAPS Intervention 3 - Date Information is collected from the Service Plan tab -> Service Item Start Date

111 Column DI - HSAPS Intervention 3 - Amount Information is collected from the Service Plan tab -> Amount = Entered Amount

112 Column DJ - HSAPS Intervention 3 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list (Values with “HS-“)

113 Column DK - HSAPS Intervention 3 - Mode of Disbursement Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime

Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home

Safe list

114 Column DL - HSAPS Intervention 4 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list (Values with “HS-”)

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115 Column DM - HSAPS Intervention 4 - "Other" Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.

116 Column DN - HSAPS Intervention 4 - Date Information is collected from the Service Plan tab -> Service Item Start Date

117 Column DO - HSAPS Intervention 4 - Amount Information is collected from the Service Plan tab -> Amount = Entered Amount

118 Column DP - HSAPS Intervention 4 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list (Values with “HS-“)

119 Column DQ - HSAPS Intervention 4 - Mode of Disbursement Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime

Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home

Safe list

120 Column DR - HSAPS Intervention 5 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list (Values with “HS-”)

121 Column DS - HSAPS Intervention 5 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.

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122 Column DT - HSAPS Intervention 5 - Date Information is collected from the Service Plan tab -> Service Item Start Date

123 Column DU - HSAPS Intervention 5 - Amount Information is collected from the Service Plan tab -> Amount = Entered Amount

124 Column DV - HSAPS Intervention 5 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list (Values with “HS-“)

125 Column DW - HSAPS Intervention 5 - Mode of Disbursement Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime

Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home

Safe list

126 Column DX - HSAPS Intervention 6 - Type Information is collected form the Service Plan tab -> Provider Type = Provider Type is from the Home Safe list (Values with “HS-”)

127 Column DY - HSAPS Intervention 6 - "Other" Explanation The report will populate “Explanation not available in LEAPS” as a default description in this column anytime Service Plan tab -> Provider Type = HS-Other.

128 Column DZ - HSAPS Intervention 6 - Date Information is collected from the Service Plan tab -> Service Item Start Date

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129 Column EA - HSAPS Intervention 6 - Amount

Information is collected from the Service Plan tab -> Amount = Entered Amount

130 Column EB - HSAPS Intervention 6 - Mode of Disbursement Information is collected from the Service Plan tab -> Service Item Status = Service Item Status is from the Home Safe list (Values with “HS-“)

131 Column EC - HSAPS Intervention 6 - Mode of Disbursement Explanation

The report will populate “Explanation not available in LEAPS” as a default description in this column anytime

Service Plan tab -> Service Item Status = HS-Other, To Vendor, or Service Item Status is not from the Home

Safe list

132 Column ED - Legal Services Information is collected from the Service Plan tab -> Service Item Type = Legal Services

133 Column EE - In Home Assistance Information is collected from the Service Plan tab -> Service Item Type = In Home Assistance

134 Column EF - Case Management

Information is collected from the Service Plan tab -> Service Item Type = Case Management

135 Column EG - Assistance with Benefits Information is collected from the Service Plan tab -> Service Item Type = Assistance with Benefits

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136 Column EH - Payee Services Information is collected from the Service Plan tab -> Service Item Type = Payee Services

137 Column EI - Financial Management Information is collected from the Service Plan tab -> Service Item Type = Financial Management

138 Column EJ - Other Services Information is collected from the Service Plan tab -> Service Item Type = Service Item Type is not from the Home Safe list

139 Column EK - Other Services – Explanation

Information is collected from the Service Plane tab -> Service Item Type = Explanation of Service Item Type that is not

from the Home Safe list.

140 Column EL - Case Closure Date Information is collected from the Overview page -> Investigation Complete Date

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141 Column EM - Living Situation at Exit Information is collected from the PR VI SPDAT or Case Closure Assessment depending on the county.

142 Column EN - Six Month Follow-Up Living Situation Verified Date

Information is collected from the Six-Month Follow-Up Assessment

143 Column EO - Six Month Follow-Up - Method Information is collected from the Six-Month Follow-Up Assessment

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144 Column EP - Six Month Follow-Up - Living Situation Assessment Information is collected from the Six-Month Follow-Up Assessment

145 Column EQ - Six Month Follow-Up - Homelessness Assessment Information is collected from the Six-Month Follow-Up Assessment

146 Column ER - Six Month Follow-Up - Substantiated APS Reports LEAPS system auto calculates this report based on the confirmed related cases.

147 Column ES - Twelve Month Follow-Up - Living Situation Verified Date Information is collected from the Twelve-Month Follow-Up Assessment

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148 Column ET - Twelve Month Follow-up - Method Information is collected from the Twelve-Month Follow-Up Assessment

149 Column EU - Twelve Month Follow-Up - Living Situation Information is collected from the Twelve-Month Follow-Up Assessment

150 Column EV - Twelve Month Follow-Up – Homelessness Information is collected from the Twelve-Month Follow-Up Assessment

151 Column EW - Twelve Month Follow-Up - Substantiated APS Reports LEAPS system auto calculates this based on the confirmed related cases

152 Column EX - Comments LEAPS is not populating any information on this column – not mandatory.


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