The flexibility federal block grants provide recipients poses challenges for evaluation. These challenges include aggregating data on wide-ranging activities grant recipients implement and the outcomes they achieve. In 2014, we began designing an evaluation to address the challenges of assessing outcomes and to improve outcome accountability for…

Early Intervention (EI) aims to lessen the effects of developmental delay by providing services to infants and young children. Newborn screening (NBS) is a public health program that identifies infants with treatable conditions, although many conditions put children at risk of developmental delay even after medical intervention. The purpose of…

University-based living labs serve as open innovation platforms that foster collaborative research and experimentation across various disciplines. These labs bring together academics, citizens, community organisations, companies, and other entities to collectively address complex contemporary issues. The labs' managers are expected to adopt…

The Survey of Head Start Grantees on Training and Technical Assistance (T/TA) was conducted in program year 2019-2020 with a nationally representative sample of Head Start program directors and Head Start managers/coordinators to understand how Head Start grantees use T/TA of all types and from all sources. Head Start program directors completed…

Approximately 1.3 million K-12 public school students across the United States were identified as experiencing homelessness in 2019-20. In all cases, the stress, instability, trauma, and school mobility created by homelessness increase risks to physical, social, and emotional health and to educational engagement and achievement. Districts play an…

The Bureau of Prisons (BOP) is responsible for managing the care and custody of approximately 175,000 federal inmates--an estimated 20 percent of whom have been diagnosed with a substance use disorder. The Government Accountability Office (GAO) was asked to review BOP's efforts to provide drug treatment to federal inmates. This report (1)…

The ability to think in terms of a system is critical to achieving common direction, alignment, and commitment in highly distributed health systems. In Canada, provincial and territorial ministries of health provide leadership on the direction of health reform while leadership to align system levels is determined by a far more distributed group of…

The Mother and Infant Home Visiting Program Evaluation-Strong Start (MIHOPE-Strong Start) is the largest random assignment study to date to examine the effectiveness of home visiting services on improving birth outcomes and infant and maternal health care use for expectant mothers. The study includes local home visiting programs that use one of…

The aging of the population has created increased opportunities for health administrators in long-term care. This study consisted of a cross-sectional survey of 68 undergraduate health services administration students to explore factors related to interest in a career in long-term care administration. One third expressed interest working in the…

Members of the Health Services Management class conducted a descriptive study of the perceived health problems of the people of Santa Clara Pueblo and the management processes involved in the delivery of health services to them. Data were obtained from personal interviews with 38 Tribal members, 9 officals, 6 employees working primarily in the…

In 1981, administration and planning of drug abuse prevention and treatment programs shifted from federal state authorities through the enhancement of the Alcohol, Drug Abuse and Mental Health Services Block Grants. Reviews the funding status of drug prevention under this programmatic change relevant to prevention service programs and prevention…

This 10-year followup to an S. M. Davidson and others (1984) study surveyed all 50 states and the District of Columbia to determine the composition and role of state Medicare program Medical Care Advisory Committees (MCACs). Recommendations are given to enable MCACs to be more useful in policy development. (SLD)

Examines the adoption of programing innovations at 118 rural mental health centers in 12 Midwestern grainbelt states. Concludes that directors' failure to innovate in response to the 1980s' rural crisis was due to scarce resources and a mentality giving precedence to existing programs, regardless of need. Contains 40 references. (SV)

The organization and functioning of Sweden's government controlled public health and health personnel educational systems are detailed in the report. The functions of the organizations involved in health care delivery are described. The delivery of health care is carried out at the county level. Regional hospitals provide more specialized…

The mission of this study was to describe the current and future roles of professional administrators, medical directors, and governing bodies of fee for service and prepay medical group practices of various sizes in such a way as to be potentially useful to health care delivery educators in curriculum evaluation and design. The position was taken…