Purpose: The quality of voluntary sector-led community health programmes is an important concern for service users, providers and commissioners. Research on the fidelity of programme implementation offers a basis for assessing and further enhancing practice. The purpose of this paper is to report on the fidelity assessment of Living Well Taking…

International studies have shown poor uptake of public health initiatives by people with learning disabilities. In addition, studies have shown that people with learning disabilities experience poor access to public health services. The contribution of community learning disability nurses in meeting the public health needs of people with learning…

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…

Examines how community mental health practitioners are likely to implement services for improving community-based care of the chronically mentally disabled. Describes a scale for administrators to assess practitioner orientations and thereby anticipate compliance problems. Suggests ways administrators may alleviate these problems. (Author)

Challenges faced in the evaluation of programs for the disabled are discussed, focusing on values orientation, key stakeholders, program structure, and measurement issues. Workers in the field are presently witnessing a fundamental change in the philosophy that underlies programs for persons with disabilities. Evaluators must be sensitive to the…

Findings are presented from a site visit to a Raleigh, North Carolina, program that provides in-home support to children and adults with severe disabilities and their families. The program, the Wake County Community Alternatives Program for Persons with Mental Retardation/Developmental Disabilities, is administered by the North Carolina Department…

This document contains a preliminary report on the implementation of Wisconsin's Community Options Program (COP), a program designed both to divert persons from entering nursing homes and to deinstitutionalize current nursing home residents who can be effectively served by community-based alternatives. The introduction of this report provides a…

This paper presents a model for rural social service outreach programs, based upon the following: (1) an explanation of various resource systems and how they are related to outreach services; (2) current economic and social conditions of rural areas; (3) rural client systems; (4) the relationship of the agricultural extension model to rural…

Analysis of 12 interagency collaboration projects conducted by the Hispanic Program of the Worcester (Massachusetts) Youth Guidance Center reveals how this unorthodox method of service delivery can increase resources to U.S. Hispanic populations and identifies factors which hinder or facilitate the success of such projects. (SB)

Of potential interest to small towns in rural areas, this report describes England's first attempt at applying to a rural area the concept of a multi-agency information and advice center based on a library. The comprehensive review covers all phases of the project: (1) identification of a community's information and advice needs; (2) consultation…

This monograph, developed as a guide for companies interested in establishing drug abuse programs, begins with a brief summary of studies assessing the extent and costs of employee drug use. The next section addresses some practical and conceptual issues about establishing a drug abuse program. Suggestions for implementing a drug abuse program are…

Case management as implemented in programs for the elderly, has focused on interactions between the client and case manager in the areas of assessment, care planning, service plan implementation, and follow-up. Variation in these case management tasks suggests that no single model can be implemented in all local delivery systems. This emphasis on…

CenteringPregnancy Smiles[TM] (CPS) is a partnership between the University of Kentucky, Trover Health System, and Hopkins County Health Department. The purpose of the partnership is to: (1) establish an infrastructure to address health problems requiring research-based solutions, (2) develop a model for community partnership formation, and (3)…

This paper describes a collaborative effort aimed at province-wide dissemination and implementation of pivotal response treatment (PRT) for young children with autism spectrum disorder (ASD) in Nova Scotia, Canada. Three critical components of the associated training model are described: (1) direct training of treatment teams (parents, one-to-one…

Healthy Families America is a national, voluntary, home visiting program model designed to help expectant and new parents get their children off to a safe and healthy start. Since 1992, it has been successfully replicated in over 440 communities in the U.S. and Canada. This article describes the program's reflective, relationship-based model and…