Evaluating Community Outreach Efforts: A Framework and Approach Based on a National Mental Health Demonstration Project
Main Article Content
Abstract
Background: Community health efforts often include outreach activities designed to increase awareness and ensure uptake of services or programs. Yet, few comprehensive outreach evaluations exist, particularly those designed to improve access to and use of mental health services.
Purpose: This article summarizes the use of two established evaluation frameworks and details an approach to assessing outreach that may have broad appeal to administrators, social workers, health educators, community organizers, and others interested in exploring the results of their efforts.
Setting: Multi-site national study conducted in five states
Intervention: Community outreach
Research Design: Two existing published frameworks are applied to assess community outreach. The evaluation design included three components: 1) process, 2) outcomes and 3) context.
Data Collection and Analysis: Qualitative data were based on focus groups and key informant interviews. Quantitative data were gathered through evaluation surveys, tracking forms and other outreach protocols. The findings focus on lessons learned that may have applicability to others interested in evaluating community outreach efforts in areas beyond mental health.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and Permissions
Authors retain full copyright for articles published in JMDE. JMDE publishes under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY - NC 4.0). Users are allowed to copy, distribute, and transmit the work in any medium or format for noncommercial purposes, provided that the original authors and source are credited accurately and appropriately. Only the original authors may distribute the article for commercial or compensatory purposes. To view a copy of this license, visit creativecommons.org
References
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Balcazar, H., Alvarado, M., Hollen, M.L., Gonzalez-Cruz, Y., & Pedregon, V. (2005). Evaluation of Salud Para Su Corazon (Health for your Heart)--National Council of La Raza Promotora Outreach Program. Preventing Chronic Disease, 2(3), 1-9.
Centers for Disease Control and Prevention. (1999). Framework for program evaluation in public health. Morbidity and Mortality Weekly Report, 48(RR-11), 1-58.
Dorabjee, J., Touze, G., Badrieva, L., Grund, P.C., Kumar, M.S., Migro, L., Manning, G., & Latkin, C. (2004). Effectiveness of community-based outreach in preventing HIV/AIDS among injecting drug users. Geneva: World Health Organization.
Findley, S.E., Irigoyen, M., Sanchez, M., Stockwell, M.S., Mejia, M., Guzman, L. et al. (2008). Effectiveness of a community coalition for improving child vaccination rates in New York City. American Journal of Public Health, 98(11), 1959-1962. https://doi.org/10.2105/AJPH.2007.121046 DOI: https://doi.org/10.2105/AJPH.2007.121046
Grigg-Saito, D., Och S., Liang S., Toof, R., & Silka L. (2008). Building on the strengths of a Cambodian refugee community through community-based outreach. Health Promotion Practice, 9(4), 415-425. https://doi.org/10.1177/1524839906292176 DOI: https://doi.org/10.1177/1524839906292176
Leviton, L.C., & Schuh, R.G. (1991). Evaluation of outreach as a project element. Evaluation Review, 15, 420-439. https://doi.org/10.1177/0193841X9101500402 DOI: https://doi.org/10.1177/0193841X9101500402
McGovern, R.J., Lee, M.M., Johnson, J.C., & Morton, B. (2008). ElderLynk: A community outreach model for the integrated treatment of mental health problems in the rural elderly. Ageing International, 32(1), 43-53. https://doi.org/10.1007/s12126-008-9004-5 DOI: https://doi.org/10.1007/s12126-008-9004-5
Meade, C.D., Menard, J., Martinez, D., & Calva, A. (2007). Impacting health disparities through community outreach: Utilizing the CLEAN look (Culture, Literacy, Education, Assessment, and Networking). Cancer Control, 14(1), 70-76. https://doi.org/10.1177/107327480701400110 DOI: https://doi.org/10.1177/107327480701400110
Mitra, A.K., Khoury, A.J., Carothers, C., & Foretich, C. (2003). Evaluation of a comprehensive loving support program among state Women, Infants, and Children (WIC) program breast-feeding coordinators. Southern Medical Journal, 96(2), 168-71. https://doi.org/10.1097/01.SMJ.0000053675.41623.15 DOI: https://doi.org/10.1097/01.SMJ.0000053675.41623.15
Ottoson, J.M., & Green, L.W. (2005). Community outreach: From measuring the difference to making a difference with health information. Journal of the Medical Library Association, 93(4 Supplement), S49-56.
Primomo, J., Johnston, S., DiBiase, F., Nodolf, J., & Noren, L. (2006). Evaluation of a community-based outreach worker program for children with asthma. Public Health Nursing, 23(3), 234-241. https://doi.org/10.1111/j.1525-1446.2006.230306.x DOI: https://doi.org/10.1111/j.1525-1446.2006.230306.x
Richard, A.J., Bell, D.C., Elwood, W.N., Dayton-Shotts, C. (1996). Outreach and program evaluation: Some measurement issues. American Journal of Evaluation, 17(3), 237-250 https://doi.org/10.1016/S0886-1633(96)90004-5 DOI: https://doi.org/10.1016/S0886-1633(96)90004-5
Ruff, A et al. (unpublished). A community outreach and education model for early identification of mental illness in young people.
Saegert, S., Benitez, L., Eizenberg, E., Hsieh, T., & Lamb, M. (2004). Participatory evaluation: How it can enhance effectiveness and credibility of nonprofit work. The Nonprofit Quarterly, 11(1), 54-9. Shadish, W.R., Cook, T.D., & Leviton, L.C. (1991). Foundations of program evaluation: Theories of practice. Thousand Oaks, CA: Sage Publications.
W.K. Kellogg Foundation. (2006). Evaluation handbook. [Online]. http://www.wkkf.org/knowledge-center/resources/2010/W-K-Kellogg-Foundation-Evaluation-Handbook.aspx. [Accessed 2010, December].
Zin, M.N., Meng, K.S., Rajeev, K.R., Fones, C.C., & Pin, T. (2009). Improving treatment access and primary care referrals for depression in a national community-based outreach programme for the elderly. International Journal of Geriatric Psychiatry, 24(11), 1267-1276. https://doi.org/10.1002/gps.2256 DOI: https://doi.org/10.1002/gps.2256