0930-0205 PATH Questions

Question
#
1
2
3

4
5
6
7
7a.
7b.
7c.
7d.
7e.
7f
7g.
7h.
7i.
8
9
10
11
12a.
12b.
13a.

13b.

14
15

PATH Annual Report Questions
Budget Information Section
Federal PATH funds received this reporting year
Matching funds from state, local, or other sources used in
support of PATH received this year
Total funds dedicated this year, agency wide, to persons who
have serious mental illness and are
experiencing homelessness or are at risk of homelessness
(include PATH, matching, and non- PATH funds)
Number of staff supported by PATH and matching funds
Full-time equivalent (FTE) of staff supported by PATH and
matching funds
Number of trainings provided by PATH-funded staff this
reporting year
Type of organization in which your PATH program operates
(select one)
Community mental health center
Consumer-run mental health agency
Other mental health agency
Social service agency
Health Care for the Homeless/other health agency
Substance abuse treatment agency
Shelter or other temporary housing resource
Other housing agency
Other (please specify)
Persons served during this reporting period
Number of persons contacted by PATH-funded staff this reporting
period
Number of persons contacted this reporting period in a PATH
Street Outreach project
Number of persons contacted this reporting period in a PATH
Services Only project Total number of new persons contacted this reporting period
(#9+#10)
Instances of contact this reporting period prior to date of
enrollment.
Total instances of contact during the reporting period
Number of new persons contacted this reporting period
who could not be enrolled because provider was unable
to locate the client
Number of new persons contacted this reporting period
who could not be enrolled because provider was unable
to locate the client
Number of new persons contacted this reporting period who
became enrolled in PATH
Number with active, enrolled PATH status at any point during

16

reporting period
Number of active, enrolled PATH clients receiving community
mental health services through any funding source at any point
during the report period
Services Provided

17
17a.
17b.
17c.
17d.
17e.
17f.
17g.
17h.
17i.
17j.
17k.
17l.
17m.

Reengagement
Screening
Clinical Assessment
Habilitation/rehabilitation
Community mental health
Substance use treatment
Case management
Residential supportive services
Housing minor renovation
Housing moving assistance
Housing eligibility determination
Security deposits
One-time rent for eviction prevention
Referrals Provided
18a.
Number receiving each
18b. Number who attained
18. Referrals Provided
referral
the service from the referral
(unduplicated count of PATHenrolled individuals only) Of those
with an active, enrolled PATH
status during this reporting
period, which referrals did they
receive? Note: Referrals provided
prior to PATH enrollment should
not be counted here.

Community mental health
Substance use treatment
Primary health/dental care
Job training
Educational services
Housing services
Permanent housing
Temporary housing
Income assistance
Employment assistance
Medical insurance

18a1.
18a2.
18a3.
18a4.
18a5.
18a6.
18a7.
18a8.
18a9.
18a10.
18a11.

18b1.
18b2.
18b3.
18b4.
18b5.
18b6.
18b7.
18b8.
18b9.
18b10.
18b11.

Outcomes (unduplicated count
of PATH-enrolled individuals
only)
Of those with an active,
enrolled PATH status during this
reporting period, how many
were receiving the items below
at PATH project entry and at
PATH project exit or at the end
of the reporting period?

At PATH project
entry

At PATH project
exit (for clients
who were
exited from
PATH this year
– Leavers)

At Report
End Date (for
clients who
were still
active in PATH
as of report
end date Stayers)

Outcomes
19. Income from any source
Yes
No
Client doesn’t know
Client refused
Data not collected
Total
20. SSI/SSDI
Yes
No
21. Non-cash benefits from any
source
Yes
No
Client doesn’t know
Client refused
Data not collected
Total
22. Covered by health
insurance
Yes
No
Client doesn’t know
Client refused
Data not collected
Total
23. Medicaid/Medicare
Yes
No

19a1.
19b1.
19c1.
19d1.
19e1.
19f1.

19a2.
19b2.
19c2.
19d2.
19e2.
19f2.

19a3.
19b3.
19c3.
19d3.
19e3.
19f3.

20a1.
20b1.

20a2.
20b2.

20c1.
20c1.

21a1.
21b1.
21c1.
21d1.
21e1.
21f1.

21a2.
21b2.
21c2.
21d2.
21e2.
21f2.

21a3.
21b3.
21c3.
21d3.
21e3.
21f3.

22a1.
22b1.
22c1.
22d1.
22e1.
22f1.

22a2.
22b2.
22c2.
22d2.
22e2.
22f2.

22a3.
22b3.
22c3.
22d3.
22e3.
22f3.

23a1.
23b1.

23a2.
23b2.

23a3.
23b3.

24. Other health insurance
Yes
No
25. Destination at Exit

24a1.
24b1.

24a2.
24a3.
24b2.
24b3.
Housing Outcomes
Temporary Destinations
Emergency shelter, including hotel or motel
paid for with emergency shelter voucher, or
RHY-funded Host Home shelter.
Moved from one HOPWA funded project to
another HOPWA TH
Transitional housing for homeless persons
Staying or living in a family member’s room,
apartment, or house, temporary tenure.
Staying or living in a friend’s room,
apartment, or house, temporary tenure
Place not meant for habitation (e.g., a
vehicle, an abandoned building,
bus/train/subway station/airport, or
anywhere outside)
Safe Haven
Hotel or motel, paid by client
Host Home (non-crisis)
Subtotal
Institutional Situation
Foster care home or foster care group home
Psychiatric hospital or other psychiatric
facility
Substance use treatment facility or detox
center
Hospital or other residential non-psychiatric
medical facility
Jail, prison, or juvenile detention facility
Long-term care facility or nursing home
Subtotal
Permanent Destinations
Moved from one HOPWA funded project to
another HOPWA PH
Owned by client, no ongoing housing subsidy
Owned by client, with ongoing housing
subsidy
Permanent housing (other than RRH) for

25a1.

25a2.
25a3.
25a4.
25a5.
25a6.

25a7.
25a8.
25a9.
25a10.
25a11.
25a12.
25a13.
25a14.
25a15.
25a16.
25a17.
25a18.
25a19.
25a20.
25a21.

26. Demographics

26a. Gender

formerly homeless persons
Rental by client, no ongoing housing subsidy
25a22.
Rental by client, with RRH or equivalent
25a23.
subsidy
Rental by client, with VASH subsidy
25a24.
Rental by client, with GPD TIP subsidy
25a25.
Rental by client, with other ongoing housing
25a26.
subsidy
Rental by client, with HCV voucher (tenant or
25a27.
project based)
Rental by client in a public housing unit
25a28.
Residential project or halfway house with no
25a29.
homeless criteria
Staying or living in a family member’s room,
25a30.
apartment, or house, permanent tenure
Staying or living in a friend’s room,
25a31.
apartment, or house, permanent tenure
Subtotal
25a32.
Other Destinations
Deceased
25a33.
Other
25a34.
No exit interview completed
25a35.
Client doesn’t know
25a36.
Client refused
25a37.
Data not collected
25a38.
Subtotal
25a39.
PATH-enrolled clients still active as of report
25a40.
end date (Stayers)
Total
25a41.
Demographics
Of those with an active, enrolled PATH status during this reporting
period, how many individuals are in each of the following
categories?
Female
26a1.
Male
26a2.
Trans Female (MTF or Male to Female)
26a3.
Trans Male (FTM or Female to Male)
26a4.
Gender Non-Conforming (i.e. not exclusively
26a5.
male or female)
Client doesn’t know
26a6.
Client refused
26a7.

26b. Age

26c. Race

26d. Ethnicity

26e. Veteran status (Adults
Only)

26f. Co-occurring disorder

26g. SOAR connection

Data not collected
Total
17 and under
18 - 23
24 - 30
31 - 40
41 - 50
51 - 61
62 and over
Client doesn't know
Client refused
Data not collected
Total
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Client doesn't know
Client refused
Data not collected
Total
Non-Hispanic/Non-Latino
Hispanic/Latino
Client doesn't know
Client refused
Data not collected
Total
Veteran
Non-veteran
Client doesn't know
Client refused
Data not collected
Total
Co-occurring substance use disorder
No co-occurring substance use disorder
Unknown
Total
Yes

26a8.
26a9.
26b1.
26b2.
26b3.
26b4.
26b5.
26b6.
26b7.
26b8.
26b9.
26b10.
26b11.
26c1.
26c2.
26c3.
26c4.
26c5.
26c6.
26c7.
26c8.
26c9.
26d1.
26d2.
26d3.
26d4.
26d5.
26d6.
26e1.
26e2.
26e3.
26e4.
26e5.
26e6.
26f1.
26f2.
26f3.
26f4.
26g1.

No
Client doesn’t know
Client refused
Data not collected
Total
26h. Prior Living Situation

26g2.
26g3.
26g4.
26g5.
26g6.

Literally Homeless
Place not meant for habitation (e.g., a
vehicle, an abandoned building, a
bus/train/subway
station, airport, or anywhere outside)
Emergency shelter, including hotel or motel
paid for with emergency shelter voucher, or
RHY-funded Host Home Shelter
Safe Haven

26h1.

26h2.

26h3.

Institutional Situation
Foster care home or foster care group home
26h4.
Hospital or other residential non-psychiatric
26h5.
medical facility
Jail, prison, or juvenile detention facility
26h6.
Long-term care facility or nursing home
26h7.
Substance abuse treatment facility or detox
26h8.
center
Psychiatric hospital or other psychiatric
26h9.
facility
Transitional and Permanent Housing Situation
Hotel or motel paid for without emergency
26h10.
shelter voucher
Owned by client, no ongoing housing subsidy
26h11.
Owned by client, with ongoing housing
26h12.
subsidy
Permanent housing (other than RRH) for
26h13.
formerly homeless persons
Rental by client, no ongoing housing subsidy
26h14.
Rental by client, with VASH subsidy
26h15.
Rental by client, with GPD TIP subsidy
26h16.
Rental by client, with RRH or equivalent
26h17.
subsidy
Rental by client, with other ongoing housing
23h18.
subsidy
Rental by client, with HCV voucher (tenant or
26h19.
project based)
Rental by client in a public housing unit
26h20.
Residential project or halfway house with no
26h21.
homeless criteria

Staying or living in a family member’s room,
apartment, or house
Staying or living in a friend’s room,
apartment, or house
Transitional housing for homeless persons
(including homeless youth)
Host Home (non-crisis)
Client doesn’t know
Client refused
Data not collected
Total
26i. Length of stay in prior living One night or less
situation (emergency shelter or Two to six nights
One week or more, but less than one month
place not meant for human
One month or more, but less than 90 days
habitation ONLY)
90 days or more, but less than one year
One year or longer
Client doesn’t know
Client refused
Data not collected
Total
26j. Chronically homeless
Yes
No
Unknown
Total
26k. Domestic Violence History Yes
No
Client doesn’t know
Client refused
Data not collected
Total

26h22.
26h23.
26h24.
26h25.
26h26.
26h27.
26h28.
26h29.
26i1.
26i2.
26i3.
26i4.
26i5.
26i6.
26i7.
26i8.
26i9.
26i10.
26j1.
26j2.
26j3.
26j4.
26k1.
26k2.
26k3.
26k4.
26k5.
26k6.