University of North Carolina at Chapel Hill School of Social Work Course: SOWO 810, Evaluation of Social Interventions Fall 2008, Tuesdays 9:00 – 11:50 A.M. Professor: Gary S. Cuddeback, Ph.D., M.S.W., M.P.H. Assistant Professor, School of Social Work Faculty Research Fellow, Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill CB#3550, 321 Pittsboro Street, Office #422B Chapel Hill, NC 27599-7590 Phone: SOWO (919) 962-4363, SHEPS (919) 966-0995 gcuddeba@email.unc.edu or cuddeback@mail.schsr.unc.edu Office Hours: Before and after class, by appointment Teaching Assistant Jilan Liu Course Description and Objectives: Students will develop knowledge of the purposes of research and evaluation and the approaches and methodologies necessary to evaluate social work interventions. Upon completion of this course students will be able to demonstrate: 1. Skill in developing and implementing social intervention evaluations that promote evidence-based social work practice and policy; 2. Skill in evaluating social intervention research and applying findings to social work practice and policy; 3. Skill in qualitative and quantitative evaluation design, measurement, data analysis, and knowledge dissemination; 4. Knowledge of the practical, political, and economic issues related to the evaluation of social interventions; 5. Skill in designing social intervention research that is sensitive to racial, gender, social, economic, and other issues of difference; and 6. Ability to apply social work ethics and values to the evaluation of social interventions. Expanded Course Description: Social workers, whether they are front-line practitioners, program managers, administrators or policymakers, routinely face complex human situations involving consumers or constituents who come from diverse backgrounds. The social interventions social workers have at their disposal vary in their degree of effectiveness with any given individual, family, group, organization or community. In order to provide the most effective social work policies and interventions, social workers must be able to determine if what they are doing is beneficial to the individuals, families, groups, organizations, or communities they serve. To this end, and building on the knowledge gained in the foundation course SOWO 510 (102), Introduction to Research Methodology, this course provides a results-based accountability framework so students may gain: (a) skills in accessing and assessing public databases and research literature as a foundation for evidencebased practice, (b) knowledge of evaluation methodologies available to implement results-based evaluation, and (c) the ability to work within a results-based accountability framework in their social work practice. Required Texts: Hatry, H., van Houten, T., Plantz, M. C., & Greenway, M. T. (1996) Measuring Program Outcomes: A Practical Approach. Alexandria, VA: United Way of America. SOWO 810 – Spring 2008 - Cuddeback Royse, D., Thyer, B. A., Padgett, D. K., & Logan, T. K. (2006). Program Evaluation: An Introduction (4th ed.). Belmont, CA: Brooks-Cole. The required texts are available in the Health Sciences bookstore. Supplemental readings are available in a course folder located in the SOSW library on the 5th floor and/or on-line (noted below). Articles noted to be online are available through the UNC Library electronic databases. Policy on Incomplete or Late Assignments: Students must notify the instructor at least 24 hours before an assignment is due if an assignment is going to be turned in late. Extensions may be given at the instructor’s discretion for extenuating circumstances. Students will lose five points (i.e., from an 85 to an 80) for each 24hour period beyond the due date and time (including weekends) for unexcused late assignments. Policy on Academic Dishonesty: Academic dishonesty is contrary to the ethics of the social work profession, unfair to other students, and will not be tolerated in any form. All written assignments should include the following signed pledge: “I have neither given nor received unauthorized aid in preparing this written work.” Policy on Accommodations for Students with Disabilities: Accommodations will be made for students with disabilities affecting their participation in this course. Course Requirements Quizzes: Each week at the beginning of class a short quiz covering material from the previous week will be given. Each quiz will be discussed after its completion and returned after grades are recorded. Quiz grades will be averaged and this final quiz grade will count for 20% of the total grade. The lowest quiz grade will be dropped. These quizzes will provide ongoing feedback concerning knowledge acquisition and will provide the information necessary to take corrective measures, by both the professor and students, to ensure that adequate learning has occurred. Midterm and Final Exams: The midterm and final exams will be worth 20% each and will mainly cover the information contained in the weekly quizzes. The final exam will not be cumulative. Exams will consist of true/false, multiple choice, short answer, and essay questions. Project: An evaluation project related to each student’s field placement or specific interests will be the primary written assignment for this course. Students can choose one of two options: (1) students can conduct a real evaluation in the field (i.e., design an evaluation and collect real data), or (2) students can design a fictitious evaluation and analyze fictitious data. Students who elect to conduct evaluations in the field should meet with their professor as soon as possible. The project will be completed in five parts: (1) Introduction; (2) Literature Review and Research Question(s); (3) Methods; (4) Results; and (5) Discussion and Conclusion. See the course outline below for due dates for each of these sections. Abstract (1 page) – A summary that will include portions of all sections described below. Introduction (~ 2 pages) – The introduction should include a statement of the problem to be addressed by a social intervention (i.e., something germane to the student’s field placement or interests) and information concerning the prevalence (i.e., the number of people in a population who have the problem) and incidence (i.e., the number of new cases over a period of time) and costs of the problem. This section should conclude with a discussion of why the problem is important to the field of social work. More information about this section will be provided in a separate handout. Literature Review (~ 2 – 3 pages) – Empirical research pertaining to relevant interventions, programs or policies and their outcomes specific to the student’s population and problem should be reviewed concisely and critically. Students are encouraged to start their literature reviews early and consult with their 2 SOWO 810 – Spring 2008 - Cuddeback professor as needed. Also, in one or two sentences the student’s plan for addressing the problem will be presented. This section should conclude with a research question or hypothesis. More information will be provided in a separate handout. Methods (~ 2 - 3 pages) – This section will present the plan for how the research question or hypothesis will be addressed. Please provide separate subheadings for each of the following: (1) Design, (2) Sample, (3) Measures, and (4) Data Analysis. More information will be provided in a separate handout. Results (~ 1 - 2 pages) – This section will present the results of your evaluation. Discussion and Conclusion (~ 2 pages) – This section should include: (1) a summary of findings; (2) implications of the findings for social work practice, policy and research; (3) a discussion of the limitations of the evaluation and any plausible alternative explanations for the findings; (4) recommendations for other practitioners; and (5) suggestions for further evaluation in the context of the limitations of the current evaluation. References – Provide an accurate list of all cited sources in APA format. This will be turned in with the Literature Review. Appendix – Provide a copy of the SPSS output related to any and all inferential test statistics that were created for your project. This will be turned in with your Results portion. Each part of the project can be resubmitted for re-grading one time. In addition, drafts of all written assignments can be submitted for feedback as early and often as needed. Each piece will be graded according to the following criteria and a number grade from 0 – 100 will be assigned: • • • • • Mechanics (grammar, spelling, style, typing) Organization Logic Content Ability to summarize and draw conclusions Format for Written Work: APA format should be used for all written assignments. Students should refer to the Publication Manual of the American Psychological Association (5th ed.) for information on APA format. In addition, students should refer to the School of Social Work Style Guide, pages 26 – 32, for guidelines on how to cite work properly and avoid plagiarism. Evaluation and Grading: Evaluation Project (Part I) Evaluation Project (Part II) Midterm Exam Quiz Average Final Exam 20% 20% 20% 20% 20% 100% Points 94 – 100 80 – 93 70 – 79 < 69 Grade H P L F Course Outline and Readings January 14 Course Overview and Syllabus Evaluation of Social Interventions Ethics Royse et al. Chapter 2 Supplemental Readings: 3 SOWO 810 – Spring 2008 - Cuddeback Collins, P., Kayser, K., & Tourse, R. C. (1994). Bridging the gaps: an interdependent model for educating accountable practitioners. Journal of Social Work Education, 30(2), 241-251. [course folder - SOSW library] Gambrill, E. (2001). Social work: an authority-based profession. Research on Social Work Practice, 11(2), 166-175. [course folder - SOSW library] Mancini, J. A., Marek, L. I., Byrne, R. A. W., & Huebner, A. J. (2004). Community-based program research: context, program readiness, and evaluation usefulness. Journal of Community Practice, 12(1/2), 7 – 21. [on line] Martin, J. I., & Knox, J. (2000). Methodological and ethical issues in research on lesbians and gay men. Social Work Research, 24(1), 51-59. [course folder - SOSW library] Miller, W. R., Sorenson, J. L., Selzer, J. A., & Brigham, G. S. (2006). Disseminating evidence-based practices in substance abuse treatment: a review with suggestions. Journal of Substance Abuse Treatment, 31, 25 – 39. [on line] Millstein, K. H., Dare-Winters, K., & Sullivan, S. (1994). The power of silence: ethical dilemmas of informed consent in practice evaluation. Clinical Social Work Journal, 22, 317-329. [course folder SOSW library] Molin, R., & Palmer, S. (2005). Consent and participation: ethical issues in the treatment of children in out-of-home care. American Journal of Orthopsychiatry, 75(1), 152-157. [on line AND course folder SOSW library] Rosen, A. (2003). Evidence-based social work practice: challenges and promise. Social Work Research, 27(4), 197-208. [on line AND course folder – SOSW library] Schoenwald, S. K., Letourneau, E. J., & Halliday-Boykins, C. (2005). Predicting therapist adherence to a transported family-based treatment for youth. Journal of Clinical Child and Adolescent Psychology, 34(4), 658 – 670. [on line] Staudt, M. (1997). Pseudoissues in practice evaluation: impediments to responsible practice. Social Work, 42(1), 99-106. [course folder - SOSW library] Wakefield, J. C., & Kirk, S. A. (1996). Unscientific thinking about scientific practice: evaluating the scientist-practitioner model. Social Work Research, 20(2), 83-95. [course folder - SOSW library] January 21 Martin Luther King, Jr. Day – No Class January 28 Foundations for Accountable Practice Hatry et al. pp. 1-9 Royse et al. Chapter 1 Supplemental Readings: Chronis, A. M., Jones, H. A., & Raggi, V. L. (2006). Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Clinical Psychology Review, 26, 486502. [on line] Cuddeback, G. S. (2004). Kinship family foster care: a methodological and substantive synthesis of research. Children and Youth Services Review, 26, 623-639. [on line AND course folder - SOSW library] Hahn, R. A., Bilukha, O., Lowy, J., Crosby, A., Fullilove, M. T., Liberman, A., Moscicki, E., Snyder, S., Tuma, F., Corso, P., & Schofield, A. (2005). The effectiveness of therapeutic foster care for the prevention of violence: a systematic review. American Journal of Preventive Medicine, 28(2S1), 7290. [on line AND course folder - SOSW library] National Association of Public Child Welfare Administrators (2005). Guide for child welfare administrators on evidence-based practice. http://www.aphas.org. Racusin, R., Maerlender, A. C., Sengupta, A., Isquith, P. K., & Strauss, M. B. (2005). Psychosocial treatment of children in foster care: a review. Community Mental Health Journal, 41(2), 199 – 221. [on line] Wiehe, S. E., Garrison, M. M., Christakis, D. A., Ebel, B. E., & Rivara, F. P. (2005). A systematic review of school-based smoking prevention trials with long-term follow-up. Journal of Adolescent Health, 36, 162-169. [on line AND course folder - SOSW library] Wiesz, J. R., & Jensen, P. S. (1999). Efficacy and effectiveness of child and adolescent psychotherapy and pharmacotherapy. Mental Health Services Research, 1(3), 125-157. [on line AND course folder SOSW library] Wiesz, J. R., & Jensen, P. S. (2001). Child and adolescent psychotherapy in research and practice contexts: review of the evidence and suggestions for improving the field. European Child & Adolescent Psychiatry, 10, 1/12-1/18. [on line AND course folder - SOSW library] 4 SOWO 810 – Spring 2008 - Cuddeback February 4 Quiz 1 Identifying Outcomes Baseline Assessments of Needs and Problems Developing Research Questions and Hypotheses Hatry et al. pp. 11-80 Royse et al. Chapter 3 Supplemental Readings: Chen, H., & Marks, M. (1998). Assessing the needs of inner city youth: beyond needs identification and prioritization. Children and Youth Services Review, 20(9/10), 819-838. [course folder - SOSW library] Savaya, R., & Waysman, M. (2005). The logic model: a tool for incorporating theory in development and evaluation of programs. Administration in Social Work, 29(2), 85 – 103. [on line] Stewart, D., Law, M., Russell, D., & Hanna, S. (2004). Evaluating children’s rehabilitation services: an application of a programme logic model. Child: Care, Health & Development, 30(5), 453-462. [on line AND course folder - SOSW library] February 11 Quiz 2 Measurement Instruments for Evaluation Hatry et al. pp. 81-112, 147-163 Royse et al. Chapters 11, 12 Supplemental Readings: Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43, 309 – 322. [on line AND SOSW library] Cuddeback, G. S., Buehler, C., Orme, J. G., & Le Prohn, N. (2007). Measuring foster parent potential: the psychometric properties of the Casey Foster Applicant Inventory – Worker Version (CFAI-W). Research in Social Work Practice, 17(1), 93-109. [on line] Gerkensmeyer, J. E., & Austin, J. K. (2005). Development and testing of a scale measuring parent satisfaction with staff interactions. Journal of Behavioral Health Services & Research, 32(1), 61-73. [on line AND course folder - SOSW library] Orme, J. G., Cuddeback, G. S., Buehler, C., & Le Prohn, N. S. (2007). Measuring foster parent potential: Casey Foster Parent Inventory – Applicant Version (CFAI-A). Research in Social Work Practice, 17(1), 77-92. [on line] Rowley, A. A., Roesch, S. C., Jurica, B. J., & Vaughn, A. A. (2005). Developing and validating a stress appraisal measure for minority adolescents. Journal of Adolescence, 28, 547-557. [on line AND course folder - SOSW library] February 18 Quiz 3 Sampling Internal and External Validity Royse et al. pp. 184-185, pp. 254-258 February 25 Quiz 4 Client Satisfaction Surveys Qualitative Research Royse et al. Chapters 4, 8 Supplemental Readings: Altshuler, S. J. (1999). Children in kinship foster care speak out: “We think we’re doing fine.” Child and Adolescent Social Work Journal, 16(3), 215-235. [course folder - SOSW library] Buehler, C., Cox, M. E., & Cuddeback, G. (2003). Foster parent’s perceptions of factors that promote or inhibit successful fostering. Qualitative Social Work: Research and Practice, 2(1), 61-84. [course folder – SOSW library] Coakley, T. M., Cuddeback, G. S., Buehler, C., & Cox, M. E. (2007). Kinship foster parents' perceptions of factors that promote or inhibit successful fostering. Children and Youth Services Review, 29(1), 92-109. [on line] 5 SOWO 810 – Spring 2008 - Cuddeback Shamai, M. (2003). Therapeutic effects of qualitative research: reconstructing the experience of treatment as a by-product of qualitative evaluation. Social Service Review, 77(3), 455 – 467. [on line] March 3 Quiz 5 - Midterm Exam and Part I Papers Due March 10 Spring Break – No Class March 17 Research and Evaluation Designs Royse et al. Chapters 6, 9 Supplemental Readings: Bernstein, G. A., Layne, A. E., Egan, E. A., & Tennison, D. M. (2005). School-based interventions for anxious children. Journal of the American Academy of Child and Adolescent Psychiatry, 44(11), 1118 – 1127. [on line] Broner, N., Lattimore, P. K., Cowell, A. J., & Schlenger, W. E. (2004). Effects on diversion on adults with co-occurring mental illness and substance use: outcomes from a national multi-site study. Behavioral Sciences and the Law, 22, 519-541. [on line AND course folder - SOSW library] Clarke, G. N., Herinckx, H. A., Kinney, R. F., Paulson, R. I., Cutler, D. L., Lewis, K., & Oxman, E. (2000). Psychiatric hospitalizations, arrests, emergency room visits, and homelessness of clients with serious and persistent mental illness: findings from a randomized controlled trail of two ACT programs vs. usual care. Mental Health Services Research, 2(3), 155-164. [on line AND in course folder - SOSW library] Finkelstein, N., Rechberger, E., Russell, L. A., VanDeMark, N. R., Noether, C. D., O’Keefe, M. O., Gould, K., Mockus, S., & Rael, M. Building resilience in children of mothers who have co-occurring disorders and histories of violence. Journal of Behavioral Health Services & Research, 32(2), 141-254. [on line AND course folder - SOSW library] Randall, E. (2001). Existential therapy of panic disorder: a single-system study. Clinical Social Work Journal, 29(3), 259-267. [on-line AND course folder - SOSW library] Temple, S., & Ho, B. (2005). Cognitive therapy for persistent psychosis in schizophrenia: a casecontrolled clinical trial. Schizophrenia Research, 75, 195-199. [on line AND course folder - SOSW library] Ventura, L. A., Cassell, C. A., Jacoby, J. E., & Huang, B. (1998). Case management and recidivism of mentally ill persons released from jail. Psychiatric Services, 49(10), 1330-1337. [on line AND course folder - SOSW library] Zetlin, A. G., Weinberg, L. A., & Kimm, C. (2005). Helping social workers address the educational needs of foster children. Child Abuse & Neglect, 29, 811-823. [on line AND course folder - SOSW library] March 24 Quiz 6 Data Analysis Hatry et al. pp. 113-124 Royse et al. Chapter 13 Supplemental Readings: Barrett, M. D., & Wolfer, T. A. (2001). Reducing anxiety through a structured writing intervention: a singlesystem evaluation. Families in Society: The Journal of Contemporary Human Services, 82(4), 355362. [course folder - SOSW library] Cather, C., Penn, D., Otto, M. W., Yovel, I., Mueser, K. T., & Goff, D. C. (2005). A pilot study of functional Cognitive Behavioral Therapy (fCBT) for schizophrenia. Schizophrenia Research, 74, 201-209. [on line AND course folder - SOSW library] Cohen, J. A., Mannarino, A. P., & Knudsen, K. (2005). Treating sexually abused children: 1 year followup of a randomized controlled trial. Child Abuse & Neglect, 29, 135-145. [on line AND course folder SOSW library] Electronic Statistics Textbook: http://www.statsoft.com/textbook/stathome.html Ferguson, K. L., & Rodway, M. R. (1994). Cognitive behavioral treatment of perfectionism: initial evaluation studies. Research on Social Work Practice, 4(3), 283-308. [course folder - SOSW library] Hourihan, F., & Hoban, D. (2004). Learning, enjoying, growing, support model: an innovative collaborative approach to the prevention of conduct disorder in preschoolers in hard to reach rural families. Australian Journal of Rural Health, 12, 269-276. [on line AND course folder – SOSW library] Reed, V. A., Jernstedt, G. C., Hawley, J. K., Reber, E. S., & DuBois, C. A. (2005). Effects of a smallscale, very short-term service-learning experience on college students. Journal of Adolescence, 28, 6 SOWO 810 – Spring 2008 - Cuddeback 359-368. [on line AND course folder - SOSW library] Secret, M., & Bloom, M. (1994). Evaluating a self-help approach to helping a phobic child: a profile analysis. Research on Social Work Practice, 4(3), 338-348. [course folder - SOSW library] Slonim-Nevo, V., & Vosler, N. R. (1991). The use of single-system design with systemic brief problemsolving therapy. Families in Society: The Journal of Contemporary Human Services, 72(1), 38-44. [course folder - SOSW library] Statistical Computing: <http://www.ats.ucla.edu/stat/> March 31 Quiz 7 Research and Evaluation Designs and Data Analysis - revisited April 7 Quiz 8 Research and Evaluation Designs and Data Analysis - revisited April 14 Quantitative Data Analysis – Lab Exercise (Quizzes 9-10) April 21 Formative Evaluation Process Evaluation Cost Analysis and Cost Effectiveness Designs Royse et al.,: Chapters 5, 10 Supplemental Readings: Barth, R. P., Lee, C. K., Wildfire, J., & Guo, S. (2006). A comparison of the governmental costs of longterm foster care and adoption. Social Service Review, 80(1), 127-158. [on line] DeSena, A. D., Murphy, R. A., Douglas-Palumberi, H., Blau, G., Kelly, B., Horwitz, S. M., & Kaufman, J. (2005). SAFE Homes: is it worth the cost: an evaluation of a group home permanency planning program for children who first enter out-of-home care. Child Abuse & Neglect, 29, 627 – 643. [on line] Ettner, S. L., Huang, D., Evans, E., Ash, D. R., Hardy, H., Jourabchi, M., & Hser, Y-I. (2005). Benefit-cost in the California treatment outcome project: does substance abuse treatment “Pay for Itself”? Health Services Research, 41(1) 192 – 213. [on line] Foster, E. M., & Holden, E. W. (2002). Benefit-cost analyses of the child welfare demonstration projects: understanding the resource implications of the IV-E waivers. Children and Youth Services Review, 24(6/7), 431-453. [on line] Helitzer, D., Yoon, S., Wallerstein, N., & Garcia-Velarde, L. (2000). The role of process evaluation in the training of facilitators for an adolescent health education program. Journal of School Health, 70(4), 141 – 147. [on line] Henggeler, S. W., Pickrel, S. G., & Brondino, M. J. (1999). Multisystemic treatment of substance abusing and dependent delinquents: outcomes, treatment fidelity and transportability. Mental Health Services Research, 1(3), 171-184. [on line AND course folder - SOSW library] McHugo, G. J., Drake, R. E., Teague, G. B., & Xie, H. (1999). Fidelity to assertive community treatment and client outcomes in the New Hampshire Dual Disorders Study. Psychiatric Services, 50(6), 818824. [on line] Rosenheck, R. (2000). Cost-effectiveness of service for mentally ill homeless people: the application of research to policy and practice. American Journal of Psychiatry, 157(10), 1563 – 1570. [on line] Schweinhart, L. J. (2003). Benefits, costs, and explanation of the High/Scope Perry Preschool program. Paper presented at the Meeting of the Society for Research in Child Development, Tampa, Florida http://www.highscope.org/research/PerryProject/Perry-SRCD-2003.pdf. [View slides using PowerPoint: http://www.highscope.org/research/PerryProject/perrymain.htm] Story, M., Lytle, L. A., Birnbau, A. S., & Perry, C. L. (2002). Peer-led, school-based nutrition education for young adolescents: feasibility and process evaluation of the TEENS Study. Journal of School Health, 72(3), 121 – 127. [on line] Valois, R. F., & Hoyle, T. B. (2000). Formative evaluation results from the Mariner Project: a coordinated school health pilot program. Journal of School Health, 70(3), 95 – 103. [on line] May 5 Final Exam / Final Projects Due / All Assignments Due 7