Substance Abuse Services Program Activities Sfy 2001

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Alaska Commission on Aging, Home Community Based Services
Substance Abuse Services
Program Activities
SFY 2001
Quarter Ending:
pSept. 30, 2000
pDec. 31, 2000
pMarch 31, 2001
Grantee: __________________________________________________
pJune 30, 2001
1st quarter
2nd quarter
3rd quarter
4th quarter
Totals
Substance Abuse Services
Jul - Sep
Oct - Dec
Jan - Mar
Apr - Jun
Number of NEW Clients
Day Treatment program
1:1 counseling
Small group therapy
Caregiver counseling/ support
Other (list):
Total hours of Substance Abuse Services
Totals
Day Treatment program
1:1 Counseling
Small Group Therapy
Caregiver counseling/ support
Other (list):
Number of clients discharged this quarter
Does this report revise information submitted on earlier reports?__________ Please highlight the revision(s).

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