CHAMP CORPORATION

EMPLOYEE PROGRAMM TOTAL REFERRALREPORT FOR - 1994 TROUGH 4th QUARTER


  CORPORATION - WIDE
  TOTAL
EAP
TOTAL
REFERRALS/FOLLOW THRO
TOTAL
NOT
  PARTICIPANTS VBN HMO OTHER REFERRED
EMPLOYEE 13 9/4 1/1 2/2 1
SPOUSE 2 1/1 0/0 1/1 0
DEPENDENT 2 0/0 1/1 1/0 0
----------------- ------- ------- ------- ------- --------
TOTAL 17 10/5 2/2 4/3 1

 

  TOTAL REFERRALS/FOLLOW THROUGH NOT
RANK PRESENTING PROBLEM REFERRALS VBN HMO OTHER REFERRED
2 MENTAL-EMOTIONAL/DEPRESSION 2 1/1   1/1 0
3 MENTAL-EMOTIONAL/STRESS 2 2/0     0
4 FAMILY/OTHER 2 2/1     0
5 AGING/SPOUSE 1 1/1     0
6 SUBSTANCE ABUSE/COCAINE 1 1/1     0
7 ABUSE/CHILD 1   1/1   0
8 FAMILY/MARITAL 1     1/1 0
9 SUBSTANCE ABUSE/ALCOHOL 1 1/0     0
10 FAMILY 1 1/0     0
11 RETURN TO WORK CASE MGT 1 1/1     0
12 SUBSTANCE ABUSE/OTHER DRUGS 1   1/1   0
13 SUBSTANCE ABUSE/MORIJUANA 1     1/0 0
14 SUBSTANCE ABUSE/POLYDRUGS 1     1/1 0
15 INFORMATION ONLY 1       1
16 FINANCIAL 0       0
17 TRAUMA RESPONSE/FAMILY MBR. 0       0
  --------------------------------- -------- --------- --------- --------- --------
  TOTALS 17 10/5 2/2 4/3 1