Please enter the expected total amount for each item below.

Target Setting	FFY {{item.reportingDate.description}}	Sum of All Years
	Edit
A. Service Encounters
Total number of service encounters expected this year (in the field)	{{item.serviceEncountersFieldNum}}	{{model.viewModel.model.serviceEncountersFieldSum}}
Total number of service encounters expected this year (at the facility)	{{item.serviceEncountersFacilityNum}}	{{model.viewModel.model.serviceEncountersFacilitySum}}
B. Commodities Purchased/Distributed
Safe sex kit supplies purchased	{{item.safeSexKitSuppliesPurchasedNum}}	{{model.viewModel.model.safeSexKitSuppliesPurchasedSum}}
Naloxone kits (nasal spray) purchased (1 kit=2 doses)	{{item.naloxoneKitsPurchasedNum}}	{{model.viewModel.model.naloxoneKitsPurchasedSum}}
Naloxone kits (intramuscular) purchased (1 kit=2 doses)	{{item.naloxoneKitsIntraPurchasedNum}}	{{model.viewModel.model.naloxoneKitsIntraPurchasedSum}}
Vending machines purchased/leased	{{item.vendingMachinesPurchasedNum}}	{{model.viewModel.model.vendingMachinesPurchasedSum}}
Stock for Vending machines purchased	{{item.stockVendingMachinesPurchasedNum}}	{{model.viewModel.model.stockVendingMachinesPurchasedSum}}
Medication lock boxes purchased	{{item.medicationLockBoxesPurchasedNum}}	{{model.viewModel.model.medicationLockBoxesPurchasedSum}}
Sharps/medication disposal boxes purchased	{{item.medicationDisposalBoxesPurchasedNum}}	{{model.viewModel.model.medicationDisposalBoxesPurchasedSum}}
Wound care management supplies purchased	{{item.woundCareManagementSuppliesPurchasedNum}}	{{model.viewModel.model.woundCareManagementSuppliesPurchasedSum}}
Fentanyl test strips purchased	{{item.fentanylTestStripsPurchasedNum}}	{{model.viewModel.model.fentanylTestStripsPurchasedSum}}
Other substance test strips purchased	{{item.substanceTestStripsPurchasedNum}}	{{model.viewModel.model.substanceTestStripsPurchasedSum}}
Sterile syringes purchased	{{item.sterileSyringesPurchasedNum}}	{{model.viewModel.model.sterileSyringesPurchasedSum}}
Safe smoking kits purchased	{{item.safeSmokingKitsPurchasedNum}}	{{model.viewModel.model.safeSmokingKitsPurchasedSum}}
C. Specific Harm Reduction Service Encounters
Overdose Prevention
Naloxone trainings	{{item.naloxoneTrainingsNum}}	{{model.viewModel.model.naloxoneTrainingsSum}}
Individuals to receive naloxone trainings	{{item.individualsReceiveNaloxoneTrainingsNum}}	{{model.viewModel.model.individualsReceiveNaloxoneTrainingsSum}}
Overdose education sessions	{{item.overdoseEducationSessionsNum}}	{{model.viewModel.model.overdoseEducationSessionsSum}}
Individuals to receive overdose education trainings	{{item.individualsReceiveOverdoseEducationTrainingsNum}}	{{model.viewModel.model.individualsReceiveOverdoseEducationTrainingsSum}}
Other overdose prevention services	{{item.otherOverdosePreventionServicesNum}}	{{model.viewModel.model.otherOverdosePreventionServicesSum}}
Individuals to receive other overdose prevention services	{{item.individualsReceiveOtherOverdosePreventionServicesNum}}	{{model.viewModel.model.individualsReceiveOtherOverdosePreventionServicesSum}}
Mental and Physical Health Promotion
Counseling services	{{item.counselingServicesNum}}	{{model.viewModel.model.counselingServicesSum}}
Health education sessions	{{item.healthEducationSessionsNum}}	{{model.viewModel.model.healthEducationSessionsSum}}
Other mental/physical/health promotion services	{{item.otherMentalPhysicalHealthPromotionServicesNum}}	{{model.viewModel.model.otherMentalPhysicalHealthPromotionServicesSum}}
Linkages to Treatment and Recovery Support Services
Linkages to peer services	{{item.linkagesPeerServicesNum}}	{{model.viewModel.model.linkagesPeerServicesSum}}
Linkages to treatment services	{{item.linkagesTreatmentServicesNum}}	{{model.viewModel.model.linkagesTreatmentServicesSum}}
Linkages to recovery services	{{item.linkagesRecoveryServicesNum}}	{{model.viewModel.model.linkagesRecoveryServicesSum}}
Other linkages to treatment and recovery support services	{{item.otherLinkagesTratementRecoverySupportServicesNum}}	{{model.viewModel.model.otherLinkagesTratementRecoverySupportServicesSum}}

Demographics	FFY {{item.reportingDate.description}}	Sum of All Years
	Edit
Gender (by encounters)
Female	{{item.femaleNum}}	{{model.viewModel.model.femaleSum}}
Male	{{item.maleNum}}	{{model.viewModel.model.maleSum}}
Transgender	{{item.transgenderNum}}	{{model.viewModel.model.transgenderSum}}
Non-Binary	{{item.nonbinaryNum}}	{{model.viewModel.model.nonbinarySum}}
Other	{{item.otherGenderNum}}	{{model.viewModel.model.otherGenderSum}}
Ethnicity (by encounters)
Hispanic, Latino/a, or Spanish Origin	{{item.hispanicLatinxSpanishNum}}	{{model.viewModel.model.hispanicLatinxSpanishSum}}
Not Hispanic, Latino/a, or Spanish Origin	{{item.nonHispanicLatinxSpanishNum}}	{{model.viewModel.model.nonHispanicLatinxSpanishSum}}
Race (by encounters)
American Indian or Alaskan Native	{{item.americanIndianAlaskanNativeNum}}	{{model.viewModel.model.americanIndianAlaskanNativeSum}}
Asian	{{item.asianNum}}	{{model.viewModel.model.asianSum}}
Black or African American	{{item.blackAfricanAmericanNum}}	{{model.viewModel.model.blackAfricanAmericanSum}}
Native Hawaiian or Other Pacific Islander	{{item.nativeHawaiianOtherPacificNum}}	{{model.viewModel.model.nativeHawaiianOtherPacificSum}}
White	{{item.whiteNum}}	{{model.viewModel.model.whiteSum}}
Multiracial	{{item.multiracialMultiethnicNum}}	{{model.viewModel.model.multiracialMultiethnicSum}}
Age (by encounters)
Under 15 years	{{item.ageUnder15Num}}	{{model.viewModel.model.ageUnder15Sum}}
15 to 17 years	{{item.age15To17Num}}	{{model.viewModel.model.age15To17Sum}}
18 to 24 years	{{item.age18To24Num}}	{{model.viewModel.model.age18To24Sum}}
25 to 34 years	{{item.age25To34Num}}	{{model.viewModel.model.age25To34Sum}}
35 to 44 years	{{item.age35To44Num}}	{{model.viewModel.model.age35To44Sum}}
45 to 54 years	{{item.age45To54Num}}	{{model.viewModel.model.age45To54Sum}}
55 to 64 years	{{item.age55To64Num}}	{{model.viewModel.model.age55To64Sum}}
65 years and older	{{item.age65AndOlderNum}}	{{model.viewModel.model.age65AndOlderSum}}

Please enter the expected total amount for each item below.

Fiscal Year:*

Target Setting

A. Service Encounters

Total number of service encounters expected this year (in the field):

Total number of service encounters expected this year (at the facility):

B. Commodities Purchased/Distributed

Safe sex kit supplies purchased:

Naloxone kits (nasal spray) purchased:
(1 kit=2 doses)

Naloxone kits (intramuscular) purchased:
(1 kit=2 doses)

Vending machines purchased/leased:

Stock for Vending machines purchased:

Medication lock boxes purchased:

Sharps/medication disposal boxes purchased:

Wound care management supplies purchased:

Fentanyl test strips purchased:

Other substance test strips purchased:

Sterile syringes purchased:

Safe smoking kits purchased:

C. Specific Harm Reduction Service Encounters

Overdose Prevention

Naloxone trainings:

Individuals to receive naloxone trainings:

Overdose education sessions:

Individuals to receive overdose education trainings:

Other overdose prevention services:

Individuals to receive other overdose prevention services:

Mental and Physical Health Promotion

Counseling services:

Health education sessions:

Other mental/physical/health promotion services:

Linkages to Treatment and Recovery Support Services

Linkages to peer services:

Linkages to treatment services:

Linkages to recovery services:

Other linkages to treatment and recovery support services:

Demographics

Gender (by encounters)

Female:

Male:

Transgender:

Non-Binary:

Other:

Ethnicity (by encounters)

Hispanic, Latino/a, or Spanish Origin:

Not Hispanic, Latino/a, or Spanish Origin:

Race (by encounters)

American Indian or Alaskan Native:

Asian:

Black or African American:

Native Hawaiian or Other Pacific Islander:

White:

Multiracial:

Age (by encounters)

Under 15 years:

15 to 17 years:

18 to 24 years:

25 to 34 years:

35 to 44 years:

45 to 54 years:

55 to 64 years:

65 years and older:

Annual Targets