Some of the clinical, social, and administrative issues raised by the Department of Health and Social Security's (DHSS) policy for developing a community psychiatric service are discussed. Questions and answers about policy implementation are also covered, as well as evaluative research findings that bear upon relevant aspects of community…

This monograph addresses issues of concern to primary health care practitioners, policy makers, and evaluators wishing to broaden access to quality substance abuse prevention services for Pacific Islanders. It is devoted exclusively to health issues affecting Pacific Islanders, who often lack access to comprehensive health care because of…

The School Breakfast Program provides breakfast to millions of children from low-income families who otherwise might go hungry in the morning and be less ready to learn. This report is the eleventh from the Food Research and Action Center (FRAC) to examine the program, its benefits, and the performance of the nation and of each state in reaching…

The School Breakfast Program provides breakfast to millions of children from low-income families who otherwise might go hungry in the morning and be less ready to learn. This report is the thirteenth from the Food Research and Action Center (FRAC) to examine the program, its benefits, and the performance of the nation and of each state in reaching…

Presented here is a quantitative summary of some of the costs and benefits of a program designed to involve students directly in the delivery of campus health services. (Author)

Literature review indicates general lack of success of mental health efforts due, in part, to formalized approach, bureaucratic procedures, excessive expectations. Success possible with small team supported by medical center and working closely with school. (CJ)

Student health aide programs for college students have been instrumental in nutrition improvement, medication compliance, general preventive medicine, and in aiding in the mental health delivery system. In this study, headaches and upper respiratory infections constituted a significant percentage of the total visits to the health aide. (JN)

The evaluation strategy adopted by a rural Ontario (Canada) community health center is described, focusing on problems caused by multiple programs, variable and culturally diverse client base, and nontraditional approaches to health and wellness. The evaluation attempted to give a broad picture of the center's dynamics, processes, and efficacy.…

A formative evaluation model is proposed for use by administrators of large health services research grant programs. The model assists in assessing the purpose, methodology, and level of analysis of funded research. It is illustrated through a discussion of HIV/AIDS care. (SLD)

The phenomenon of empowerment in evaluation is examined by hypothesizing possible benefits and harms that may accrue from the program development process and the impact both may have on the evaluation. The evaluation of the Health Care Intervention Service of New York State offers an example. (SLD)

Quality improvement (QI) activities, designed to enhance program evaluation efforts and to improve quality of care, have become increasingly important in children's services research. QI activities examine outcomes and provide accountability data that can be very useful for telling the story of the development, implementation, and effectiveness of…

A life cycle metaphor characterizes the evolving relationship between the evaluator and program staff. This framework suggests that common developmental dynamics occur in roughly the same order across groups and settings. There are stage-specific dynamics that begin with Pre-History, which characterize the relationship between the grantees and…

Each year, substance abuse treatment programs in the United States record approximately 150,000 admissions of youths under the age of 18. Nevertheless, little is known about the effectiveness of the types of community-based services typically available to youths and their families. Recognizing the need for better information on the effectiveness…

The Healthy Learners Asthma Initiative (HLAI) involved collaboration between Minneapolis Public Schools (MPS), local health care providers/payors, parents, and other partners. The intervention included development of enhanced asthma care in school health offices and clinic performance improvement projects to foster adoption of National Institutes…

Background: Schools are in a unique position not only to identify mental health problems among children and adolescents but also to provide links to appropriate services. This article describes the characteristics of school mental health and social services in the United States, including state- and district-level policies and school practices.…