1. Comprehensive Program Review March 16, 2012

2.  Successfully opened two new programs, both doing very well.  Danielle’s program is now running very smoothly, mom is extremely happy.  Dina went to Florida for the first time in her life, stayed 3 months and had a fantastic time!  Ian is now expecting more support hours, he is feeling comfortable with staff and is enjoying life more now.  Josh was finally able to find employment with staff’s assistance, after many months of searching, he is employed at Price Chopper and loving it.  Three of our autistic individuals (Ericka, Jenny and Danielle) are attending a gymnastics group for adults with autism and they are doing very well.  New program in New Market and filled apartment in New Market site.  Increased referral and work with Autism.  Successfully worked with Provider, Family and Individual through Cancer diagnosis and treatment.  Need to hire a Program Coordinator for Keene.  Continue to stabilize the Andover St. Program.  Continue to work on a more seamless process for RFP’s and intake.  Resolve the issue of Day Program space at 1480 Elm St., Manchester.  More timely evaluations. Data obtained from CSNH

3.  There has been a 32.5% increase in clients experiencing new day activities since last CPR (40  53).  Only 1 restraint occurred August-January.  There were 0 elopements August-January.  There were 0 incidents involving contraband August-January.  An average of 28% of clients were competitively employed (August-January).  CSNH received 3 written commendations from site visits by outside regulators/funders and 27 deficiencies (over 6 months). However, at the time of the last CPR there were 38 deficiencies so this is an improvement.  The number of medication incidents and occurrences rose from 1 (at the time of the last CPR) to 7.  There is a steady decline in the percentage of department success with individuals community involvement. Data obtained from MMRs

4. Staff Turnover Rate March 1, 2011 – February 29, 2012 Last CPR: Keene, Manchester and Unity House had 0% turnover. Individual Sites had 20% turnover. CSNH: 17.9% CRJ: 26% Overdue Performance Evaluations August 2011-January 2012 Aug. 8 FT 8 PT 1B Sept. 10 FT 9 PT 1B Oct.14 FT 10 PT 1B Nov. 14 FT 11 PT 1B Dec. 13 FT 8 PT 1B Jan. 13 FT 9 PT 1B Total of 72 FT, 55 PT and 6B Overdue Performance Evaluations. Last CPR: Total of 64 FT and 23 PT Overdue Performance Evaluations. Data obtained from HR Personnel Summary

5. Data obtained from MMRs New Clients August 2011-January 2012 Completed Service Contact Forms August 2011-January 2012 Total of 151 Completed Service Forms over 6 months. (avg. of 25 forms per month) Last CPR: Total of 140 completed service forms over 6 months (avg. of 23 forms per month). Total of 3 new clients over 6 months. (same as last CPR)

6. Individuals Experiencing New Day Activities August 2011-January 2012 Total of 53 individuals experiencing new day activities over 6 months. Data obtained from MMRs Last CPR: Total of 40 individuals experiencing new day activities over 6 months.

7. Competitively Employed Clients August 2011-January 2012 Department Success in Community Involvement August 2011-January 2012 Average of 28% of clients competitively employed over 6 months. Data obtained from MMRs Last CPR: Average of 29.5% clients competitively employed over 6 months. Average of 93% Department Success in Community Involvement over 6 months. (same as last CPR)

8. Clinical Hours Average number of clinical hours per client each month August 2011-January 2012 Average of.7 clinical hours per client each month. Last CPR: Average of.48 clinical hours per client each month. Total of 188 clinical hours over 6 months. Clinical Hours include in-house individual and group clinical service hours, community treatment counseling and in-house treatment counseling. Data obtained from MMRs

9. Medication Administration Medication Incidents and Occurrences Per Client Each Month August 2011 – January 2012 Total of 7 medication incidents or occurrences over 6 months. Last CPR: Total of 1 medication incident or occurrence. Data obtained from MMRs