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This Web site is a component of the SAMHSA Health Information Network.

Evidence-Based Practices: Shaping Mental Health Services Toward Recovery

Supported Employment

General Organizational Index: Score Sheet

Program: _____________________________ Date of Visit: _______________

Informants—Name(s) and Position(s): ________________, ________________,

_______________, _______________, _______________, _______________

Number of Records Reviewed: _______

Rater 1: _________________________ Rater 2: ________________________

TOC | Cover Sheet | Scale