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The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the November 2000 election, invests Arkansas' share of the tobacco Master Settlement Agreement funds in seven health-related programs. RAND was contracted to evaluate the progress of the seven programs in fulfilling their missions. This report discusses the Arkansas Tobacco Settlement Commission's activities and its responses to recommendations by RAND in the earlier evaluation reports. It documents continued activity and progress by the commission and the seven funded programs through December 2007. The report assesses the progress of each of the funded programs in achieving its long-range goals and tracks the programs' process indicators. It also updates trends in outcome measures developed to monitor effects of the funded programs on smoking and other health-related outcomes. Finally, it provides program-specific and across-program recommendations for future activities, including managing transitions and change, ongoing strategic planning, developing evaluation measures, collaboration with other programs, and sustaining funding and growth.

Table of Contents

  • Chapter One

    Introduction and Background

  • Chapter Two

    The ATSC Policy Context in 2006–2007

  • Chapter Three

    Tobacco Prevention and Cessation Program

  • Chapter Four

    Fay W. Boozman College of Public Health

  • Chapter Five

    Delta AHEC

  • Chapter Six

    Arkansas Aging Initiative

  • Chapter Seven

    Minority Health Initiative

  • Chapter Eight

    Arkansas Biosciences Institute

  • Chapter Nine

    Medicaid Expansion Program

  • Chapter Ten

    Evaluation of Smoking-Related Outcomes

  • Chapter Eleven

    Evaluation of Non-Smoking Outcomes

  • Chapter Twelve

    Synthesis and Recommendations

  • Appendix A

    Initiated Act 1 of 2000: The Tobacco Settlement Proceeds Act

  • Appendix B

    RAND Evaluation of the Arkansas Tobacco Settlement Program Evaluation Methods

The research described in this report was sponsored by the Arkansas Tobacco Settlement Commission. The research was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

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