An innovative new evaluation unit in the U.S. Department of Health and Human Services is detailed. This unit, the Office of Service Delivery Assessment (SDA), regularly briefs the Secretary on the services delivered to clients at the local level. The process of the SDA is described and conclusions are offered. (Author/GK)

This document presents witnesses' testimonies and prepared statements from the Congressional hearing called to review the United States Department of Health and Human Services' response to mental illness, focusing on the delivery of services for the severely mentally ill, and the leadership role of the National Institute of Mental Health in…

The report analyzes the impact of the change from a categorical definition of developmental disabilities to one which emphasizes functional limitations and the accompanying need for services as mandated by the 1978 Developmental Disabilities Assistance and Bill of Rights Act (P.L. 95-602, Section 502). Part I is an introduction with sections on…

The General Accounting Office (GAO) was asked to determine who is being served by the Food Stamp Employment and Training Program (FSE&T program), what services are being provided through the program, and what is known about the program's outcomes and effectiveness. The U.S. Department of Agriculture (USDA) does not collect nationwide data on…

Presents three articles on housing policies for the elderly. Topics include the need for housing assistance and targeting aid to the disabled, the practicality of delivering support services to impaired elderly in current housing, and potential future directions of federal housing policy. (NRB)

This monograph is intended to help the operators and planners of employment and training programs, particularly those sponsored under the Comprehensive Employment and Training Act (CETA), in developing and providing supportive services to improve client employability. The first section, presenting the purpose of this publication, is followed by a…

Data from the Job Training Partnership Act's Title II-A program indicate that training outcomes, training costs, and per capita availability of funding are better in rural than urban areas. Despite limitations in technical infrastructure, rural programs have the advantages of less "difficult" clientele and lower program salaries.…

Three panels appearing before the Senate Special Committee on Aging discuss the sensitivity of the Administration on Aging to Native Americans, coordination of services between Title II and Title VI of the Older Americans Act, and availability of services under the act. Witnesses recommend language be included in the reauthorization of the Older…

In response to the problems caused by categorical funding for services to children and families, the National Commission on Children recommended a series of changes in the organization, administration, and implementation of programs at all levels of government, to encourage a more collaborative and comprehensive service delivery system, including…

This report is a response to a congressional mandate to study racial and ethnic discrimination in federally-assisted programs for older persons. The two-phase study includes a case study analysis of selected cities to assess whether minorities are employed in federal programs for older persons and the extent to which older minorities receive…

Written as a practical manual for human service providers at the local level, this guide discusses the interpersonal nature of coordination, gives historical background on the problems of program coordination at the federal level, and provides a detailed checklist for implementing coordination efforts among local agencies. Proposed techniques are…

Disability research and program evaluation have generally been viewed with suspicion in Indian country because research designs, procedures, instruments, and interpretation and dissemination of outcomes have often ignored potential cultural conflicts. This paper explores a national evaluation in eight tribal communities that established systems of…

Communications can play an important role in rural development. Especially promising are programs to reduce the cost of transportation and to extend services to dispersed rural populations, especially education, health, and entertainment services. There is a strong presumptive case that broadband communications can do a great deal to promote rural…

This paper briefly summarizes differences reported in the service delivery provided by the State-Federal Vocational Rehabilitation (VR) service to minorities including Asian Americans, African Americans, Hispanics, and Native Americans. Unresolved issues which appear to influence the development and provision of culturally sensitive services are…

This is the final report on the first phase of a two phase comprehensive study of the delivery of Department of Health, Education and Welfare (DHEW) services to ethnic minorities. Phase one of the study was concerned with the extent to which services were delivered to Asian Americans, American Indians, and Spanish speaking people. The study sample…