Data required from SAPC-contracted EOP Hubs
 
 
INSTRUCTIONS
 
Please complete the SAPC Monthly Required Data Report by the 10th of each month using the prior month's complete data.  For the questions below, SAPC requests encounter level data, not unique-individual level data. 
 
Please use whole numbers only for numerical data requested, including percentages.  Do not include fractions, decimals, symbols, or text in numerical-data responses.  For questions requesting percentages, percent-based responses should add up to 100% unless otherwise noted. 
 
SUBMISSION DETAILS

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* 1. Organization:

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* 2. Submitter's information:

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* 3. The report is being submitted for which month and year?

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* 4. Today's date:

DATA

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* 5. Enter the total number of encounters you are reporting for this month.

For questions 6–13, enter the percentages of encounters by category.  Demographic percentages may be obtained by completing the demographic point-in-time survey and extrapolating for the remaining months in the same fiscal quarter.

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* 6. Age:  Percentage of encounters by age range (in years).

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* 7. Gender:  Percentage of encounters by gender category.

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* 8. Ethnicity:  Percentage of encounters by ethnicity.

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* 9. Race:  Percentage of encounters by racial category.

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Use this map and the list below to identify LA County Service Planning Areas (SPAs) for Question 10.

Map showing the 8 Service Planning Areas (SPAs) for Los Angeles County

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List of communities by SPA

SPA 1 — Acton, Agua Dulce, Gorman, Lake Hughes, Lake Los Angeles, Lancaster, Littlerock, Palmdale, Quartz Hill, and others. SPA 2 — Burbank, Calabasas, Canoga Park, Canyon Country, Encino, Glendale, LA Cañada-Flintridge, San Fernando, Sherman Oaks, Sun Valley, Van Nuys, Woodland Hills, and others. SPA 3 — Alhambra, Altadena, Arcadia, Azusa, Baldwin Park, Claremont, Covina, Diamond Bar, Duarte, El Monte, Glendora, Irwindale, Monrovia, Monterey Park, Pasadena*, Pomona, San Dimas, San Gabriel, San Marino, Temple City, Walnut, West Covina, and others. SPA 4 — Boyle Heights, Central City, Downtown LA, Echo Park, El Sereno, Hollywood, Mid-City Wilshire, Monterey Hills, Mount Washington, Silverlake, West Hollywood, and Westlake. SPA 5 — Bel Air, Beverly Hills, Brentwood, Culver City, Ladera, Malibu, Mar Vista, Marina del Rey, Pacific Palisades, Palms, Playa del Rey, Santa Monica, Venice, West LA, Westchester, and Westwood. SPA 6 — Athens, Compton, Crenshaw, Florence, Hyde Park, Lynwood, Paramount, and Watts. SPA 7 — Artesia, Bell, Bellflower, Bell Gardens, Cerritos, City of Commerce, City Terrace, Cudahy, Downey, East Los Angeles, Hawaiian Gardens, Huntington Park, La Habra Heights, Lakewood, La Mirada, Los Nietos, Maywood, Montebello, Norwalk, Pico Rivera, Santa Fe Springs, Signal Hill, South Gate, Vernon, Walnut Park, Whittier, and others. SPA 8 — Athens, Avalon, Carson, Catalina Island, El Segundo, Gardena, Harbor City, Hawthorne, Inglewood, Lawndale, Lennox, Long Beach*, Hermosa Beach, Manhattan Beach, Palos Verdes Estates, Rancho Dominguez, Rancho Palos Verdes, Redondo Beach, Rolling Hills, Rolling Hills Estates, San Pedro, Torrance, Wilmington, and others. * City has its own health department.

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* 10. Residence:  Percentage of encounters by Service Planning Area (SPA) of residence.

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* 11. Housing:  Percentage of encounters by housing status.  (The sum of percentages reported for this question may be equal to or less than 100%.)

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* 12. Encounter setting:  What percentage of this month's encounters took place in a fixed storefront location versus mobile / on-foot outreach ?  (Answers should add up to 100.)

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* 13. Substances:  What were the percentages of encounters in which clients reported the following drugs as their most recently used substance?  (During encounters, clients may report more than one substance last used; therefore, the sum of percentages in this question may be equal to or greater than 100%.) 

List of common benzodiazepines & Rx opioids

If your organization provides services within the City of Los Angeles or is contracted with the City of Los Angeles AIDS Coordinator's Office (ACO), then please provide data for questions 14–16. 

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* 14. Veterans:  Percentage of encounters by U.S. Veteran status.

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* 15. Funding:  What percentage of your organization's overall funding comes from the City of Los Angeles / AIDS Coordinator's Office?

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* 16. Encampments:  Number of encampments served in the City of Los Angeles during the reported month. (Use raw number, not percentage.)

SUPPLIES & SERVICES

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* 17. Supplies:  Enter the number of each of the following types of supplies provided to Clients.  (Use raw numbers, not percentages.)

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* 18. Services:  Enter the NUMBER of encounters that involved the following services or linkages to services.  Use whole numbers only, not percentages.  

Since a Client encounter may involve more than one type of service or linkage, the sum of numbers below does not need to match the total number of encounters in question 5 above. 

For each type of training listed below, there are two consecutive questions.  For the 1st question, give the number of trainings given, including both 1-on-1 and group trainings.  For the 2nd question, give the number of Clients who participated in or received that type of training. The same Client who participated in two trainings would be counted separately for each training.

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* 19. Syringe distribution: What percentage of total encounters included syringe distribution? 

SAMHSA-SPECIFIC DATA REQUESTS

For questions 20–22, responses should pertain only to SAMHSA-funded staff and supplies.

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* 20. SAMHSA staff:  For staff funded (partially or wholly) through SAMHSA, please provide the percentage of encounters that involved or were supported by SAMHSA-funded staff’s work.

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* 21. SAMHSA supplies:  What is the total amount of money (in dollars) that your organization spent this month on supplies purchased through SAMHSA?

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* 22. SAMHSA documentation:  Check one of the boxes to indicate whether you have sent SAPC all purchase orders and receipts for supplies purchased through SAMHSA for this month.  (Please do so by the 10th of each month following the month of purchase, unless otherwise requested by SAPC.)

NARRATIVE

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* 23. Please highlight any successes of your organization's work for the past month.  This may include new services added, increasing service locations/sites, hiring staff, trainings completed, other harm-reduction initiatives, or more.

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* 24. Please highlight any challenges your organization faced in the past month.  This may include organizational changes, supply shortages, staffing challenges, media-related issues, or any other challenges we should know about.

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* 25. How can SAPC provide your organization additional support?

END OF REPORT
CONTACT SAPC 
 
Please email HarmReduction@ph.lacounty.gov with any questions. 
 
Thank you! 
  
—SAPC Harm Reduction Unit
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