California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 14 - Mental Health Services Act › Article 5 - Reporting Requirements › Section 3580.010 - Annual Innovative Project Report

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Annual
				  Innovative Project Report shall include:
(1) Name
				  of the Innovative Project
(2) Whether
				  and what changes were made to the Innovative Project during the reporting period and
				  the reasons for the changes.
(3)
				  Available evaluation data, including outcomes of the Innovative Project and
				  information about which elements of the Project are contributing to
				  outcomes.
(4) Program information
				  collected during the reporting period, including for applicable Innovative Projects
				  that serve individuals, number of participants served by:
(A) Age by the following categories:
1. 0-15 (children/youth)
2. 16-25 (transition age youth)
3. 26-59 (adult)
4. ages 60+ (older adults)
5. Number of respondents who declined to answer
				  the question
(B) Race by the
				  following categories:
1. American Indian or Alaska
				  Native
2. Asian
3. Black or African American
4. Native Hawaiian or other Pacific
				  Islander
5. White
6. Other
7. More than one race
8. Number of respondents who declined to answer
				  the question
(C) Ethnicity by
				  the following categories:
1. Hispanic or Latino as
				  follows
a. Caribbean
b. Central American
c. Mexican/Mexican-American/Chicano
d. Puerto Rican
e. South American
f. Other
g. Number of respondents who declined to answer
				  the question
2. Non-Hispanic
				  or Non-Latino as follows
a. African
b. Asian Indian/South Asian
c. Cambodian
d. Chinese
e. Eastern European
f. European
g. Filipino
h. Japanese
i. Korean
j. Middle Eastern
k. Vietnamese
l. Other
m. Number of respondents who declined to answer
				  the question
3. More than one
				  ethnicity
4. Number of respondents who
				  declined to answer the question
(D) Primary language used by threshold languages
				  for the individual county
(E) Sexual
				  orientation,
1. Gay or Lesbian
2. Heterosexual or Straight
3. Bisexual
4. Questioning or unsure of sexual
				  orientation
5. Queer
6. Another sexual orientation
7. Number of respondents who declined to answer
				  the question
(F) A Disability,
				  defined as a physical or mental impairment or medical condition lasting at least six
				  months that substantially limits a major life activity, which is not the result of a
				  severe mental illness.
1. Yes, report the number
				  that apply in each domain of disability(ies)
a.
				  Communication domain separately by each of the following
(i) Difficulty seeing
(ii) Difficulty hearing, or having speech
				  understood
(iii) Other
				  (specify)
b. Mental domain not
				  including a mental illness (including but not limited to a learning disability,
				  developmental disability, dementia)
c.
				  Physical/mobility domain
d. Chronic
				  health condition (including but not limited to chronic pain)
e. Other (specify)
2. No
3. Number of respondents who declined to answer
				  the question
(G) Veteran
				  status,
1. Yes
2. No
3. Number of respondents who declined to answer
				  the question
(H) Gender
1. Assigned sex at birth
a. Male
b. Female
c. Number of respondents who declined to answer
				  the question
2. Current gender
				  identity
a. Male
b. Female
c. Transgender
d. Genderqueer
e. Questioning or unsure of gender
				  identity
f. Another gender
				  identity
g. Number of respondents who
				  declined to answer the question
(5) Any other data the County considers
				  relevant.