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Worksheet 2.1: Program Goals and Objectives.
Responses Correspond to Column C.
|
What are the program goals? |
How are these goals operationalized? List objectives
for each goal. |
What are the immediate outcomes? What do "successful"
clients/communities look like at this stage? |
What are the long-term outcomes?
What do "successful" clients/communities look like at the proximal
stage? The distal stage? |
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Adapted from Stovell
(1998)
Worksheets 2.2: Program Activities.
Responses Correspond to Column B.
|
List all program activities |
Activities at the beginning |
Program activities. (Specify length of service.) |
Activities upon program completion |
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Adapted from Stovell
(1998)
Worksheet 2.3: Specify Details of Program Services
|
List program activities |
Who provides this service? |
When is service provided?
(timing) |
How often is this service provided? (intensity) |
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Adapted from Stovell
(1998)
Worksheet 2.4: Linkages Between Program Activities and Program Outcomes
|
Client/community problems |
Program activities to address those problems |
Rationale
for program activities and how they address problems (cite specific references
and/or clinical anecdotes). |
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| Client/community strengths |
Program activities to enhance those strengths |
Rationale for program activities and how they enhance strengths (cite specific
references and/or clinical anecdotes). |
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Adapted from Stovell
(1998)
Worksheet 2.5a: Target Population.
Responses Correspond to Column A.
|
Who are the clients you serve? Specify by gender, age, marital status,
ethnicity, living situation, problem, service history, neighborhood and
resources. |
What makes a client eligible for your program? |
Rationale for
eligibility criteria. List specific references and/or clinical anecdotes. |
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Adapted from Stovell
(1998)
Worksheet 2.5b: Target Communities.
Responses Correspond to Column A.
|
What are the characteristics of the communities you serve? Specify by
geographical location, socioeconomic status, population density, and
neighborhood resources. |
What are the specific eligibility requirements for a
community to receive services (e.g., within 15 miles of the site)? How did you
identify the particular community you have targeted? |
Rationale for eligibility
criteria. List specific references and/or clinical anecdotes. |
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Adapted from Stovell
(1998)
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