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…

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)

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 institution-based model for providing services to individuals with disabilities has limitations in both developing and developed countries. The community-based rehabilitation model was positively evaluated by the World Health Organization as an alternative approach, but the evaluation is questioned on methodological and philosophical grounds.…

Current approaches to need assessment belong to one of three theoretical orientations: the rationalistic perspective in which need is predicated on the existence of some pathology or deviance from the rational ideal; (2) the empirical position where need is conceived as deviance from a normative or observed state of good health and well-being; and…

Evaluation research, if appropriately matched to a human service program's stage of development, can help inform the decision making at each step. The developmental stages of a program, questions to be answered at each stage, and kinds of research activities pertinent to such questions are discussed. (TJH)

This report provides an overview of neighborhood-based family-support programs and describes the development of the family-support movement. It includes sections on the definition of neighborhood-based family-support programs, the principles and theories on which they are based, a discussion of the problems they are designed to address, a…

This report provides brief descriptions of a variety of community and educational programs for children and families with special needs, especially at the early childhood level in Vermont. Part 1 describes six programs characterized as community/regional-state partnerships. Part 2 describes family-centered resources, supports, and services,…

This Child and Adolescent Service System Program (CASSP) project implemented by the Division of Children and Youth Services of the Mississippi Department of Mental Health aimed to develop a community-level program to increase knowledge about the effectiveness of different community strategies for the development of improved systems of care for…

The need to develop "family capital" (the attributes and skills that enable families to carry out their economic, social, and nurturing functions) in inner-city neighborhoods is the focus of this background briefing report. Part I of the report describes the characteristics and causes of distressed communities and their impact on families, and…

Children with serious emotional disorders receive inadequate and inappropriate services, rather than the comprehensive and coordinated system of care needed. To develop the knowledge needed to provide adequate and appropriate services, an alliance is needed among advocates, practitioners, and researchers. The Mental Health Services Program for…

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…

Four Native American communities in Manitoba (Canada) known as Hollow Water devised a healing system for sexual abuse--the Hollow Water First Nation Community Holistic Circle Healing (CHCH). While integrating elements of a number of federal and provincially funded services, the 13-step CHCH healing process is based on the seven Midewin teachings…

As described at a 1969 conference and summarized here, the training and use of nonprofessionals in the demonstration program (1962-68) of the Dona Ana Mental Health Services, New Mexico, represented a significant change in structure, manpower utilization, and delivery system for such services. The conference itself reviewed such aspects as…