Cover: Getting To Outcomes™ 2004

Getting To Outcomes™ 2004

Promoting Accountability Through Methods and Tools for Planning, Implementation, and Evaluation

by Matthew Chinman, Pamela Imm, Abraham Wandersman

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Abstract

Substance abuse prevention can improve community health, but only when implemented well. Good implementation is difficult given the significant amount of knowledge and skills required, the large number of steps that need to be addressed (e.g., needs assessment, setting of priorities, planning and delivering programs, monitoring, and evaluation), and the wide variety of contexts in which prevention programs need to be implemented. These challenges have resulted in a large gap between the positive outcomes often achieved by prevention science and the lack of these outcomes by prevention practice at the local level. Common mechanisms within the United States to address this gap are available (e.g., Internet and training), but these mechanisms lack outcomes. A new model, emphasizing collaboration between science and practice is needed. Incorporating traditional evaluation, empowerment evaluation, results-based accountability, and continuous quality improvement, this manual’s ten-step process enhances practitioners’ prevention skills while empowering them to plan, implement, and evaluate their own programs. The manual’s text and worksheets address needs and resources assessment; goals and objectives; choosing programs; ensuring program “fit”; capacity, planning, process, and outcome evaluation; continuous quality improvement; and sustainability. The model presented in the manual is meant to be a best practice process — prescriptive, yet flexible enough to facilitate any prevention program.

The trademarks “GTO” and “Getting to Outcomes” are owned by the University of South Carolina. These marks are used by RAND only with permission from the University of South Carolina.

Getting to Outcomes was awarded the American Evaluation Association’s Outstanding Publication Award for 2008. This award is presented for a publication that has been, or has strong potential to be, instrumental to the development of theory or practice in the field of evaluation.

Table of Contents

  • Chapter One

    Question #1: What Are the Underlying Needs and Conditions in the Community? (Needs/Resources)

  • Chapter Two

    Question #2: What Are the Goals, Target Populations, and Objectives (i.e., Desired Outcomes)? (Goals)

  • Chapter Three

    Question #3: Which Evidence-Based Programs Can Be Used to Reach Your Goal? (Best Practice)

  • Chapter Four

    Question #4: What Actions Need to Be Taken So That the Selected Program “Fits” the Community Context?

  • Chapter Five

    Question #5: What Organizational Capacities Are Needed to Implement the Program? (Capacities)

  • Chapter Six

    Question #6: What Is the Plan for this Program? (Plan)

  • Chapter Seven

    Question #7: How Will the Quality of Program and/or Initiative Implementation Be Assessed? (Process)

  • Chapter Eight

    Question #8: How Well Did the Program Work? (Outcomes)

  • Chapter Nine

    Question #9: How Will Continuous Quality Improvement Strategies Be Incorporated? (CQI)

  • Chapter Ten

    Question #10: If the Program Is Successful, How Will It Be Sustained? (Sustain)

Research conducted by

The research described in this report was sponsored by the U.S. Government's Centers for Disease Control and Prevention, under the auspices of the U.S. Department of Health and Human Services. The research was conducted in RAND Health.

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