Performance Improvement 1999. Office of Public Health and Science



TITLE: Study of the Implementation of the OMH Bilingual/Bicultural Service Demonstration Grant Program, FY 1993-1995

ABSTRACT: This evaluation was a two-stage review of the effectiveness and efficacy of the OMH's bilingual/bicultural service demonstration grant program, a community-focused grants program aimed at increasing access to services for limited English-proficiency (LEP) populations. The evaluation examined FY 1993 and 1994 one-year project grants and three-year grants made in FY 1995. Projects were diverse and representative of racial/ethnic and language groups. Forty-three languages were spoken by the recipients of services provided under these grants. Eight evaluation questions were addressed including: Did the program build capacity? Did it increase health professionals' skills to address cultural and linguistic barriers? Did the program increase knowledge of health care systems and access to care for LEP minorities? The study found that these community projects achieved notable impacts. For example, capacity building was shown in that more than one-half of the projects were continued beyond OMH funding. Organizational policies such as required staff training and integration of cultural competency were adopted in many cases and many projects demonstrated success in moving LEP individuals into health care through provision of enabling services such as interpreter and case management services. More than 5,000 health providers participated in training which documented changes in attitudes and knowledge about specific cultural circumstances (e.g., refugee experiences). Increased awareness of prevention and knowledge of the health care system were identified as one of the strongest impact areas. Barriers to project implementation and successful strategies to address these problems were presented.

AGENCY SPONSOR: Office of Minority Health


PHONE NUMBER: 301-443-9923

PIC ID: 6247

PERFORMER ORGANIZATION: Development Services Group, Inc., Bethesda, MD


TITLE: Retrospective Study of the Preventive Health Practices of Former Title X Clients

ABSTRACT: This purpose of this study was to evaluate the impact Title X health education and counseling on the preventive health care practices of former Title X clients who no longer receive their care in Title X-funded clinics. Strategies that promote or hinder retention of health care messages were also identified. These clients received services until 1995 and the Title X clinic was their primary point of access to organized health care. Specifically, the study examined whether former clients of Title X clinics currently seek periodic health care screenings or practice health prevention and if those practices were influenced by the education they received when they used Title X clinic services. In general, the women who participated in the study had high praise for the Title X personnel, the providers, the clinics and the services. Many of the educational messages were retained, and some participants continued to rely on the clinic for advice and education rather than their private physicians. Many said the quality and amount of information received was superior to that of other providers. Although the education influenced some women to change or institute health measures, such as regular Pap smears, this was not universal. Other factors influencing preventive health care practices were money, insurance companies, TV, reading, the experience of friends, family and religious beliefs, personal medical history and current medical symptoms. Belief in personal risk had a strong effect on preventive health practice.

AGENCY SPONSOR: Office of Public Health and Science, Region VIII


PHONE NUMBER: 303-844-6163

PIC ID: 6685

PERFORMER ORGANIZATION: University of Colorado Health Sciences Center, Denver, CO