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Logic ModelsRon Hale
Office of Health Promotion & Community Health ImprovementApril 7, 2008
Las Vegas, NM
A logic model is:
• A picture of how a program is expected to work.
• A systematic and visual way to present relationships among resources, activities, outputs or products, and intended outcomes or changes.
• A theory of change, of expected causal relationships
Logic Models:
• Provide a common framework for understanding a program or set of activities
• Show what goes into a program, what the program does, and what the results are
• Are at the core of both planning and evaluation
• Are often required by funders
Components of a Logic Model:
• Inputs/Resources– Money– People– Facilities– Knowledge/research
• Activities• Outputs
– Products– Services provided– Numbers of people served
• Outcomes– Short-term– Intermediate– Long-term
• Indicators/Measures
Types of outcomes or changes that can be tracked:
1. Process outcomes: Organizational or coalition functioning
2. Service or program outcomes: Changes in knowledge, behavior, or condition of program participants
3. System outcomes: Community-level changes in organizational relationships, policies, funding patterns, networks, neighborhoods, etc.
4. Health status outcomes: Changes in population health measures
United Way/Urban Institute Logic Model
Inputs/
Resources
Activities Outputs Short-term Outcomes
Inter-mediate
Outcomes
Long-Term Outcomes
Indicators/
Measures
Family Members
Budget
Car
Camping Equipment
Drive to state park
Set up camp
Cook, play, talk, laugh, hike
Family members learn about each
other; family bonds; family has
a good time
Example: Every day logic model –
Family Vacation
Staff
Money
Partners
Develop parent ed curriculum
Deliver series of interactivesessions
Parents increase knowledge of child dev
Parents better understanding their own parenting style Parents use
effective parenting practices
Improved child-parent relations
Research
INPUTS OUTPUTS OUTCOMES
Facilitate support groups
Parents gain skills in effective parenting practices
Example: Parenting Education & Support Program
Parents identify appropriate actions to take
Strong families
Situation:
Targetedparentsattend
During a county needs assessment, majority of parents reported that they were having difficulty parenting and felt stressed as a result
Strategies Activities/Outputs Outcomes Indicators/Measures
1. Provide one-on-one counseling and case management services to high- risk families of infants from birth to age five.
2. Provide parent education and support groups for high-risk families with infants.
3. Provide consultation and clinical supervision to program staff working with high-risk families.
4. Provide psychiatric consultation as needed.
1. Family counseling & case management provided to 50 families at three program sites, with approximately 6 sessions per family.
2. Parent/child support & education groups provided to 30 families at three program sites, with minimum of 5 sessions per group.
3. Reflective supervision provided to program staff by appropriately licensed clinical supervisors.
4. 65 hours of psychiatric consultation provided.
a. Reduced levels of parental stress.
b. Improved infant social and emotional development.
c. Enhanced parental awareness of infant cues and needs.
d. Improved family functioning.
e. Parental satisfaction with services.
a. Parental Stress Index (PSI) administered at intake, at 6-month intervals, and at exit.
b. Ages & Stages Questionnaire/Social-Emotional (ASQ/SE) administered at intake, at 6-month intervals, and at exit.
c. Clinician progress notes; parent self-assessment survey administered at intake and at exit.
d. NCFAS administered at intake, at 6-month intervals, & at exit.
e. Parent satisfaction survey administered at exit.
f. Treatment plan review (all outcomes)
Los Mocosos Community Services, Inc.Child/Parent Mental Health ProgramProgram Logic Model
GOAL 1 - Direct Services: Provide mental health interventions and family support services to families with infants and small children who are at risk of social or emotional problems.
Long-term aim: To reduce the likelihood of child abuse and neglect and of future behavioral health problems as children grow into adolescence and adulthood.
27
HEALTH COUNCILS AND THE COMMUNITY HEALTH IMPROVEMENT PROCESS
Community Building/Council
Development
Community Assessment
Council /community
Actions
DEVELOPMENT ACTION CAPACITY SYSTEMS
Resources
County
Health
Councils
Council Functions
Prioritizing and Planning Actions
Organizational Capacity
External Capacity
Align with DOH plan
Community and Systems Changes
Community Health Status
Changes
CONTEXT: Council/DOH relationship; Community history; Political will; Political changes; Resources ($) =; Barriers/Facilitators (interpersonal and structural)
Targets of
Change
8/20/07, Glenn Wieringa8/20/07, Glenn Wieringa
Health Promotion Contributions to Reducing DWI Statewide, 1987- 2007
Systems Outcomes (policies) + Population Based Outcomes (behaviors) = Health Status Outcomes
Health Status Outcomes
Health Promotion ActivitiesHP Strategies (ES #3- 5) Systems Outcomes
Coordinate 6 key state agencies to support Gallup “March for Jovita” to Santa Fe,
1988
Co-founded Alcohol Issues Consortium (AIC) to provide statewide advocacy/policy strategies in 1998. Met 150 times since.
Provide TA, coordinate media advocacy & testify 6 times at Leg. hearings to close-
drive-ups
Coordinate12 key stakeholders in/out of government to undertake legislative
action double State’s Liquor Excise Tax, 1992.
Health Educators provide 50 hours of technical assistance/training to BHSD/SPF-
SIG, 2002 for Environmental Strategy Development.
TA and policy coordination to toughen Liquor Control Act (LCA) Rules/Regs.,
effecting 2300 licensees, 2007
3. Inform/educate/empower about DWI /Alcohol
Problems
4. Mobilize for action to solve problems
5. Develop State/Local Policies & Plans
•Legislation passed for McKinley Co. for Local
Liquor Excise Tax Ref., .08 BAC, nuisance bars closed
bars, 1989
•DOH/PHD Districts hire DWI Health Educators, late
1980s.
•Liquor Excise Tax doubled to 37 million; 33 County DWI Planning Councils
formed, 1993
•Drive-ups closed, 1998.
•NM First Lady joins national Leadership to Keep Children Alcohol
Free, 1999
•DWI Strategic Plan Developed, 2003; DWI
Czar hired, 2004
•NM receives 5-year, multi-million dollar federal CSAP
grant, 2005
•NM increases penalties for providing alcohol to
underage youth, toughest law in USA, 2005
•Tougher LCA Rules/Regs. Enacted, 2007.
•Reduced alcohol-related stats: DWI fatalities, homicides, etc. decrease in McKinley County during the 1990s.
•One year after drive-up closings, statewide DWI fatalities down 22%.
•NM DWI Fatality Rank falls from 1st
(worst) to 6th, 1990-2004. Approx. 2,100 lives saved.
•DWI numbers continue to improve. Alcohol -related fatalities at all time low (43%).
Systems Thinking Tree Diagram (after K. Kinney)
Strategies Indicators Major Activities
Aim
Outcome Measure:
Process Benchmarks
(Things the program will do or provide)
WHAT IS THE BEST WAY TO CHANGE THE SYSTEM FOR BETTER OUTCOMES?
Systems Change Outcomes
(Outcomes you expect by the end of the grant period.)
IF WE ARE SUCCESSFUL, WHAT SYSTEMS CHANGE(S) WILL WE SEE OVER THE COURSE OF THE PROJECT?
Longer-term Outcomes
(Changes for the target population beyond the term of the grant)
WHAT IS THE ULTIMATE GOAL OF OUR WORK?
1. 1. 1.
2. 2. 2.
3. 3. 3.
Con Alma Health Foundation Evaluation Logic Model