SOP 214.04-att-5: Evidence Based Program Weekly Report

Division:
Facilities
Effective Date:
February 20, 2025
Topic Area:
214 Policy-Facilities Programs
PowerDMS:
View on PowerDMS
Length:
345 words

Summary

This is a weekly reporting form used to track Evidence Based Program (EBP) activities at GDC facilities. The form captures data on program proposals, mentor involvement across multiple program phases, participant graduation rates, elective course enrollment, family day events, and disciplinary referrals. Facilities submit this report on a weekly basis covering the previous week's activities, and completed forms are retained by the Statewide EBP Coordinator for two years.

Key Topics

  • Evidence Based Program
  • EBP
  • weekly reporting
  • program phases
  • mentors
  • Pathfinders
  • Identity Reformation
  • graduation rates
  • electives
  • family day
  • disciplinary referrals
  • offender programs
  • facilities programs
  • program tracking

Full Text

SOP 214.04
Attachment 5

02/20/25
Page 1 of 4

Evidence Based Program Weekly Report Facility Name Submitted By

|Facility Name|Col2|Week-of|Col4|
|---|---|---|---|
|Submitted by||Date||
|_This is one week retroactive of report due date_
_(Example: report due Wednesday May 31st is for activities from Wednesday May 24-May_
_Tuesday May 30th) _|_This is one week retroactive of report due date_
_(Example: report due Wednesday May 31st is for activities from Wednesday May 24-May_
_Tuesday May 30th) _|_This is one week retroactive of report due date_
_(Example: report due Wednesday May 31st is for activities from Wednesday May 24-May_
_Tuesday May 30th) _|_This is one week retroactive of report due date_
_(Example: report due Wednesday May 31st is for activities from Wednesday May 24-May_
_Tuesday May 30th) _|

# Weekly Activities

Retention Schedule: Upon completion this form shall be maintained by the Statewide EBP Coordinator for two (2)
years.

SOP 214.04
Attachment 5

02/20/25
Page 2 of 4
# Proposal

|Ideas presented that further the goals and mission of EPB that establish a positive forward
momentum. This is required on a minimum monthly basis|Col2|
|---|---|
|Proposal
Name/Idea||
|Result| Approved by _______________ Denied BY_________________
|

|Mentors|Col2|Col3|Col4|Col5|
|---|---|---|---|---|
||Completed|Enrolled|Start Date|End Date|
|Total Number of
Mentors:|||||
|Pathfinders:|||||
|Identity
Reformation|||||
|Mentor Meeting
Date and take ways
from meeting|||||

# Phase Numbers:

|Pre-Phase|Col2|Phase 1|Col4|
|---|---|---|---|
|Phase 2|
|Phase 3||
|Phase 4|
|Graduates Phase||
|Mentors|
|Fire Station||
|Total Offenders||||

Start and end Date of any EBP Training: __________________________________________
Graduation Date: ______________________________________________________________

# Graduation Rates

|Year|Col2|
|---|---|
|2023||
|2024||
|Total||

Retention Schedule: Upon completion this form shall be maintained by the Statewide EBP Coordinator for two (2)
years.

SOP 214.04
Attachment 5

02/20/25
Page 3 of 4
# Electives

_(use additional sheets as needed)_

|Col1|Elective|Number of Offenders|
|---|---|---|
|1 |||
|2 |||
|3 |||
|4 |||
|5 |||
|6 |||
|7 |||
|8 |||
|9 |||
|10|||
|11|||
|12|||
|13|||
|14|||
|15|||
|16|||
|17|||
|18|||
|19|||
|20|||
|21|||
|22|||
|23|||
|24|||
|25|||
|26|||
|27|||
|28|||
|29|||
|30|||
|31|||
|32|||
|33|||
|34|||
||_Total_||

# Family Day

Retention Schedule: Upon completion this form shall be maintained by the Statewide EBP Coordinator for two (2)
years.

SOP 214.04
Attachment 5

02/20/25
Page 4 of 4

|Date:|Col2|
|---|---|
|Family Day Goals/Accomplishments:||
|Family Day Goals/Accomplishments:||
|Family Day Goals/Accomplishments:||

# Disciplinary Referrals

Retention Schedule: Upon completion this form shall be maintained by the Statewide EBP Coordinator for two (2)
years.

Attachments (5)

  1. Participation Agreement (665 words)
  2. TCU CTSFORM – Criminal Thinking Scales: Scales and Item Scoring Guide (706 words)
  3. TCU CTS Form (Attachment 3) - Thinking Style and Criminal Thinking Patterns Assessment (602 words)
  4. EBP Elective Proposal (908 words)
  5. Evidence Based Program Weekly Report (345 words)
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