Crises Center Foll Crises Center Follow-Up: Semi-Annual Data Table

Crisis Center Follow-Up Semi-Annual Reporting Updates	Month 1	Month 2	Month 3	Month 4	Month 5	Month 6	Semi-Annual Total
Follow-Up Contacts and Modality
Instructions: Please list the number of contacts that fall into each category below.
Total number of new follow-up connections or contacts
Total number of follow-up attempts
Contacts made by phone call
Contacts made by text message
Contacts made by chat message
Contacts made by email
Contact made by another mechanism (e.g. social media)
Average number of follow-up attempts per individual1
Average number of follow-up connections or contacts per individual1
Follow-Up Dispositions
Instructions: Please list the number of contacts that fall into each category below based on the final disposition or result of the contact.
Resulted in emergency rescue – with law enforcement
Resulted in emergency rescue – without law enforcement2
Included suicide attempts in progress
Resulted in mobile crisis outreach referrals
If “yes” to mobile crisis outreach referrals…
Instructions: Please list the number of contacts that fall into each category below.
“Traditional” Mobile Crisis – crisis response by behavioral health staff (can include peers)
Co-Response – pairing of behavioral health staff with law-enforcement or EMS
Resulted in referrals to services other than mobile crisis
Average number of referrals to services other than mobile crisis per individual1
Follow-Up Enrollment
Instructions: Please list the number of unique individuals that fall into each category below.
Enrolled in follow-up services
Declined follow-up services
Could not be contacted about follow-up services
Follow-Up Risk Assessment and Outcomes
Instructions: Please list the total number of risk assessments that fall into each category below.
New Risk assessments completed
Total number of contacts that included a risk assessment3
Total number of contacts that did not include a risk assessment3
Total number of contacts that resulted in individual being classified as ‘imminent risk’3
Individuals Served by Age- Declined Offer of Follow-Up Services
Instructions: Please list the number of unique individuals contacted that fall into each category below.
0-12
13-17
18-25
26-29
30-39
40-49
50-59
60-65
66 and older
Information Missing or Unknown
Individuals Served by Age- Enrolled in Follow-Up Services
Instructions: Please list the number of unique individuals contacted that fall into each category below.
0-12
13-17
18-25
26-29
30-39
40-49
50-59
60-65
66 and older
Information Missing or Unknown
Individuals Served by Military Status- Declined Offer of Follow-Up Services
Instructions: Please list the number of unique individuals contacted that…
Ever been in the United States Armed Forces?
Never been in the United States Armed Forces
Information Missing or Unknown
If yes to “Ever been in the United States Armed Forces?”
Instructions: Please list the number of unique individuals contacted that…
Currently on active duty in the United States Armed Forces
In a Reserve component
Now separated or retired from the military
Individuals Served by Military Status- Enrolled in Follow-Up Services
Instructions: Please list the number of unique individuals contacted that…
Ever been in the United States Armed Forces?
Never been in the United States Armed Forces
Information Missing or Unknown
If yes to “Ever been in the United States Armed Forces?”
Instructions: Please list the number of unique individuals contacted that…
Currently on active duty in the United States Armed Forces
In a Reserve component
Now separated or retired from the military
Individuals Served by Ethnicity- Declined Offer of Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their ethnicity as…
Hispanic, Latino, or Spanish origin or descent
Not Hispanic, Latino, or Spanish origin or descent
Information Missing or Unknown
Individuals Served by Ethnicity- Enrolled in Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their ethnicity as…
Hispanic, Latino, or Spanish origin or descent
Not Hispanic, Latino, or Spanish origin or descent
Information Missing or Unknown
Individuals Served by Race- Declined Offer of Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their race as…(Mixed race individuals should be captured by selecting all categories that apply.)
American Indian or Alaska Native, including North American, Central American, and South American Indians
Asian, including Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese
Black or African American
Native Hawaiian or Other Pacific Islander, including Guamanian, Chamorro, and Samoan
White
Other
Information Missing or Unknown
Individuals Served by Race- Enrolled in Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their race as…(Mixed race individuals should be captured by selecting all categories that apply.)
American Indian or Alaska Native, including North American, Central American, and South American Indians
Asian, including Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese
Black or African American
Native Hawaiian or Other Pacific Islander, including Guamanian, Chamorro, and Samoan
White
Other
Information Missing or Unknown
Individuals Served by Gender- Declined Offer of Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their gender as…
Male
Female
Transgender
Uses a different term
Information Missing or Unknown
Individuals Served by Gender- Enrolled in Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their gender as…
Male
Female
Transgender
Uses a different term
Information Missing or Unknown
Individuals Served by Sexual Orientation- Declined Offer of Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their sexual orientation as…
Heterosexual, that is straight
Gay or Lesbian
Bisexual
Uses a Different Term
Not sure about sexual orientation
Caller/ chatter/ texter doesn’t know what this question is asking
Information Missing or Unknown
Individuals Served by Sexual Orientation- Enrolled in Follow-Up Services
Instructions: Please list the number of unique individuals contacted that identify their sexual orientation as…
Heterosexual, that is straight
Gay or Lesbian
Bisexual
Uses a Different Term
Not sure about sexual orientation
Caller/chatter/texter doesn’t know what this question is asking
Information Missing or Unknown

1 This indicator was added to better characterize the distribution of contacts and referrals among individuals. This is not directly referenced in grantee NOFOs.

2 This indicator was added to ensure consistency with 988 State/Territory Reporting, which distinguishes emergency rescues that include law enforcement and those that do not include law enforcement. While this is not directly referenced in grantee NOFOs, it is in alignment with language requiring grantees to report the number of contacts resulting in emergency rescues.

3 This indicator was added to capture the consistency with which risk assessments are completed during each contact or the outcomes of this risk assessment. While this is not directly referenced in grantee NOFOs, it is in alignment with language requiring grantees to report “risk assessment and outcome for each contact with an enrolled individual.”