This paper documents the experiences of a group of parents who came together to form a human service cooperative in their local community to address the needs of their adult children with intellectual and developmental disabilities. Each parent felt that their child's needs were not (or could not be) met by existing providers. Parent leaders who…

With Washington trapped in budget battles and partisan gridlock, cities have emerged as the best source of government innovation. Nowhere is this more visible than in New York City. Since taking office in 2002, Mayor Bloomberg has introduced a steady stream of innovative policies, from a competition to recruit a new applied sciences campus and a…

Conducted survey of 107 federally-funded independent living centers to obtain information about services provided to people with mental retardation, mental illness, traumatic head injury, and cognitive disabilities associated with aging. Found that most centers provided services to at least one of four groups; a substantial number of centers did…

There is increasing awareness that domestic violence (DV) and child maltreatment often overlap and that there are significant negative consequences to women and children who are victims in the same families. The present study contains data from a participatory evaluation of a multisite national demonstration project on family violence (the…

This article features Crisis Skylight, a learning and activity centre, which opened in Spitalfields, East London, in 2002. Crisis Skylight was developed by Crisis, a national charity for single homeless people. It gives homeless people a chance to learn alongside other, non-homeless, members of their communities. Skylight's remit was…

Proposes a framework for the evaluation of health and human services programs in community settings. Applies this framework to the discussions in this special issue to see how well the chapters advance community-based program evaluation. Concludes that the chapters are valuable for those interested in improving the evaluation of community-based…

The importance of the junior high school in a total community education program is in meeting needs of communities as opposed to a single community. (Author/MF)

Argues for maintaining a discovery capacity (both qualitative and quantitative) in evaluations of community-based health and human service programs. Discovery capacity is defined as a mechanism to detect new insights and developments in programs. Cites reasons this capacity is especially important in community-based programs. (SLD)

Flexible service dollars can help in tailoring services to meet the unique needs of rural children with serious emotional disturbance and their families. This paper discusses terminology, programmatic components, and uses of flexible service dollars in North Idaho and upstate New York, to highlight such family needs as economic supports,…

This paper contrasts the rhetoric of quality assurance with the realities of poor quality in today's Intermediate Care Facilities for the Mentally Retarded (ICF/MR). The ICF/MR operational model is described as paper oriented, failure based, and insensitive to the effects of its own practices. Recommendations include the establishment of local…

This paper describes the development of the National Skill Standards for Community Based Human Service Practitioners and reports on a survey of states' training and certification requirements. The standards are grouped into 12 broad competency areas: (1) participant empowerment; (2) communication; (3) assessment; (4) community and service…

The effectiveness of the community board in the mental health system specifically and in human service systems generally depends, to a large extent, on how the board's role and scope are defined and how its organizational structure and staffing procedures are developed. The development of community boards should be based upon the premises that (1)…

The rapid expansion of community mental health programs calls for exploring the primary task, the nature of inputs and outputs, environmental conditions, and subsystem interactions as they affect a community mental health program. The differences between programs organized according to a medical practice model and a human services model are also…

Discusses establishment of a community program designed to provide intervention services, support and education for the dying, their families, and the community. Included is a brief history, the nature of the program, problems related to community acceptance, and the current status and future of the program. (Author/JAC)