ABSTRACT
The Government Performance and Results Act (GPRA, 1993; P.L. 103-62) is the legislative framework that requires federally funded programs to define and report performance objectives. The intent of the GPRA is to improve federal management of multi-program systems, like those treating co-occurring substance and mental health disorders. This paper is designed to promote an understanding as to how GPRA was developed and implemented.
Subject(s)
Government Programs/standards , Health Policy , Outcome Assessment, Health Care , Substance-Related Disorders/rehabilitation , Diagnosis, Dual (Psychiatry) , Federal Government , Financing, Government , HIV Infections , Health Policy/economics , Health Policy/legislation & jurisprudence , Humans , Mental Disorders/therapy , Organizational Objectives , Outcome Assessment, Health Care/methods , Outcome Assessment, Health Care/standards , Program Evaluation , Severity of Illness Index , Substance Abuse Treatment Centers/economics , Substance Abuse Treatment Centers/standards , Substance-Related Disorders/diagnosis , Substance-Related Disorders/psychology , United States , United States Dept. of Health and Human Services/legislation & jurisprudence , United States Substance Abuse and Mental Health Services AdministrationABSTRACT
In the year 2000, the Latino(1) population in the United States became the nation's largest ethnic and racial minority group. In Philadelphia, Latinos comprised 8.5% of the population with 71% identifying as Puerto Ricans. Ethnic and racial minorities are disproportionately affected by HIV infection. In 2002, HIV/AIDS was one of the top five causes of death among Latinos aged 35 to 44. In addition, the Latino population is at high risk for contracting HIV secondary to risky behaviors, such as substance abuse or unprotected sex. This article presents the findings from a project designed to decrease the risk for HIV infection among Latino substance abusers.
Subject(s)
Community Mental Health Services/methods , Hispanic or Latino/psychology , Substance-Related Disorders/rehabilitation , Adult , Female , HIV Infections/prevention & control , Hispanic or Latino/statistics & numerical data , Humans , Interviews as Topic , Male , Middle Aged , Outcome Assessment, Health Care , Philadelphia/epidemiology , Prisoners , Risk-Taking , Sexual Behavior , Substance-Related Disorders/epidemiology , Substance-Related Disorders/psychologyABSTRACT
As we began to review articles for this special issue, we realized that we knew very little about the interaction between program implementation and program evaluation on the Federal Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services grants. Although it seemed obvious to us that the relationship between program directors and evaluators is important for the collaborative success of the Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services grant-funded projects, we felt that further information was needed to help identify the strengths and limitations of the various structural arrangements that guide these relationships. This article presents the results of a survey of Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services program directors and evaluators that explored the working relationship between the directors and evaluators in the implementation of Targeted Capacity Expansion Program for Substance Abuse Treatment and HIV/AIDS Services grant-funded projects.
