A 50-cent-per-pack tax on cigarettes and other tobacco products has been endorsed by California voters to fund early childhood services under Proposition 10, California Children and Families First Act of 1998. In compliance with the legislative requirement of Result-Based Accountability (RBA) on revenue spending, this report delineates evaluation…

The prevalence of mental health and emotional well-being difficulties in children is increasing, and schools play a key role in addressing this. Whole-school approaches have been suggested as an effective way of supporting children's mental health and well-being; however, there appears to be no consistent approach to their evaluation, and…

Asthma imposes tremendous burden on children, families, and society. Successful management requires coordinated care among children, families, health providers, and schools. Building Bridges for Asthma Care Program, a school-centered program to coordinate care for successful asthma management, was developed, implemented, and evaluated. The program…

Parents' health and children's health are closely intertwined--healthier parents have healthier children, and vice versa. Genetics accounts for some of this relationship, but much of it can be traced to environment and behavior, and the environmental and behavioral risk factors for poor health disproportionately affect families living in…

Since 1998, early childhood education and support services were funded by 50-cents-per-pack tobacco tax through Proposition 10 funding in California. In November, 2016, another proposal was endorsed by voters to add $2.00-per-pack tobacco tax for purposes unrelated to early childhood services, yet the decline of cigarette consumption will…

Proposition 10, also known as the California Children and Families Act of 1998, is the legislation for creating Kern County Children and Families Commission (First 5 Kern). Over the past 15 years, First 5 Kern administered a trust fund from a $.50 per pack tax on cigarettes or equivalent tobacco products to support children ages 0-5 and their…

Scientific discoveries indicated the importance of brain growth during the first 5 years of child life. To support early childhood development, California voter passed Proposition 10 in 1998 to collect a 50 cent per pack tax on cigarettes and other tobacco products. Kern County Children and Families Commission (First 5 Kern) receives funding from…

The Safe Schools/Healthy Students (SS/HS) Initiative offers a unique opportunity to conduct large-scale, multisite, multilevel program evaluation in the context of a federal environment that places many requirements and constraints on how the grants are conducted and managed. Federal programs stress performance-based outcomes, valid and reliable…

Kern County Children and Families Commission (First 5 Kern) is funded by the Proposition 10 ballot initiative to support services for children prenatal to age five in California. The state revenue comes from an extra 50-cent tax on tobacco products, and is distributed according to the proportion of live births in each county. Following a…

This dissertation evaluates the impact of elementary school policies on child health behaviors and obesity in the United States. Two chapters address nutrition policies, two chapters address physical activity policies, and a final chapter estimates the health care cost savings associated with a decline in childhood obesity prevalence. The use of…

Given today's climate of economic uncertainty and fiscal restraint, organizations providing child and youth mental health services are required to do so with limited resources. Within this context, service providers face added pressure to deliver evidence-based programs and demonstrate program effectiveness. The Ontario Centre of Excellence for…

This brief presents highlights from rigorous, independent evaluations of the Healthy Kids programs in three California counties: Los Angeles, San Mateo, and Santa Clara. Launched by Children's Health Initiatives (CHIs) in these counties between 2001 and 2003, the three Healthy Kids programs provide children with comprehensive health insurance…

In the past three decades, program evaluation has sought to more fully engage stakeholders in the evaluative process. But little information has been gathered from stakeholders about how they share in evaluation tasks and whether role sharing leads to confusion or tensions between the evaluator and the stakeholders. This article reports findings…

Background: Although models such as the coordinated school health program (CSHP) are widely available to address student health needs, school professionals have been unconvinced that scarce resources should be allocated to improving student health. Concern that attention may be diverted from meeting academic accountability goals is often seen as a…

This article focuses on the formal evaluation of large-scale preventive interventions promoting positive mental health in children and adolescents, using examples of conduct problems. The state of the art in program evaluation is discussed based on quantitative evaluations of mental illness prevention programs. The article reviews current thinking…