*This section contains some descriptions of HIV research projects. Some of the information includes HIV prevention messages.*


Health Status, Chronic Conditions and Access to Care

Community Health Data Base
Contact: Francine Axler
Email: francine@phmc.org

The Community Health Data Base is an ongoing data collection and dissemination effort. The Data Base was initiated in 1983 in response to a recognized need for health data on the regional population. Local, community data are collected through the Southeastern Pennsylvania Household Health Survey, a five-county survey on the health status, use of health services, and access to health care of area residents. Additional data that are collected include demographic and socioeconomic data and Vital Statistics.
Health and social services organizations in the region use these local-level, community-based data to support program planning, needs assessment, marketing, and development efforts. These data are often used to direct attention to the needs of underserved populations -- particularly those who are at-risk for fair or poor health because of age, race, gender, insurance status, or poverty.
To find out more about the Community Health Data Base please visit the CHDB website at www.phmc.org/chdb

Brandywine Health and Wellness Foundation ED Injury Study
Contact: Kristin Minot
Email: kristin@phmc.org

With funding from the Brandywine Health and Wellness Foundation, PHMC is studying the reasons for emergency department admissions (ED) to two Chester County hospitals for injuries related to falls, automobile and bicycle accidents, overexertion and sports-related injuries. The study will involve review of selected de-identified ED data from the participating hospitals, key informant interviews with ED personnel and an anonymous mail survey of former ED patients. The results of the study will provide the basis for injury prevention strategies to reduce injuries and the need for ED treatment for these types of injuries.

Student Health Provision and Promotion at the University of Pennsylvania
Contact: Michelle Henry
Email: mhenry@phmc.org

The University of Pennsylvania's Office of Health Education (OHE), Counseling and Psychological Services (CAPS) and the Student Health Services (SHS) are jointly sponsoring a qualitative research project to better understand unmet student health and wellness needs. PHMC is conducting focus groups with University undergraduate, graduate, and professional students, as well as key informant interviews with student affairs administrators to assess priority health promotion needs of the student population; further understand the issue of stress as connected to students' academic work; examine the role of the institution in responding or contributing to stress; look at perceptions of quality of care and access to care provided by SHS; find out how often administrators deal with students with emotional, psychological or personal issues; examine referral patterns to CAPS; and to assess perceptions of unmet needs.

Community Asthma Prevention Project Collaborative Evaluation
Contact: Kathleen Coughey
Email: kathleen@phmc.org

Through the Centers for Disease Control and Prevention, The Community Asthma Prevention Project Collaborative was awarded a grant to implement the CAPP program in North Philadelphia. CAPP is an asthma prevention program that includes community-based asthma education classes, a home visiting program, asthma education to primary care providers, and a school component. PHMC is involved in the process and outcome evaluation of this program. R&E are using a street survey to measure community awareness about asthma and are overseeing the entire evaluation process.


Nutrition Education Program/ Food for Life Evaluation

Contact: Lisa Kleiner
Email: lisa@phmc.org

PHMC provides technical assistance to the Health Promotion Council's Food for Life Nutrition Education Project. PHMC collects and analyzes data from adults who participated in the Project’s nutrition workshops at City of Philadelphia District Health Centers, Community Mental Health Centers, and senior centers on changes in knowledge, behavior and attitudes. This information is used in a state wide evaluation conducted by the project’s funders.


Philadelphia Allies Against Asthma Evaluation
Contact: Kathleen Coughey, Ph.D.
Email: kathleen@phmc.org

The Philadelphia Allies Against Asthma (PAAA) Coalition, funded by the Robert Wood Johnson Foundation, is a service integration model intervention designed to reduce pediatric asthma-related morbidity in West and North Philadelphia. PHMC is evaluating the operations of the coalition and the impact of the intervention. PHMC collects and analyzes data gathered from schools in the School District of Philadelphia, and Medicaid Managed Care Organizations. PHMC also monitors and analyzes the Link Line data. Key informant interviews and focus groups are conducted with Coalition members and service providers connected with the Child Asthma Link Line called CALL.


Steps To A Healthier Philadelphia Evaluation
Contact: Kathleen Coughey, Ph.D.
Email: kathleen@phmc.org

Steps to a Healthier Philadelphia (STEPS), a program of the Philadelphia Department of Public Health, was funded by the Centers for Disease Control and Prevention (CDC) to reduce morbidity related to asthma, diabetes and obesity. PHMC is conducting the STEPS process evaluation and assisting with the outcome evaluation. PHMC’s evaluation activities include: meeting observations and documentation of Consortium, Leadership, Pillar, Sustainability, Neighborhood and Faith-based Coalition meetings, annual surveys of the membership, key informant interviews and focus groups.

HIV/AIDS

Black Men’s Health Survey
Contact: Jennifer Lauby, Ph.D.
Email: jennifer@phmc.org

PHMC is participating in a multi-site research project funded by the Centers for Disease Control and Prevention to study factors related to HIV risk among African American men who have sex with men. The four-year study will collect qualitative and quantitative information from African American men who have sex with men in order to assess cultural, community and psychological factors related to HIV risk behaviors. PHMC is collaborating with BEBASHI (Blacks Educating Blacks about Sexual Health Issues) to develop culturally appropriate measures, to locate and recruit participants, and to conduct interviews and HIV counseling and testing with all participants. To help inform the design of the study, the Philadelphia project has formed a Community Advisory Board (CAB) consisting of service providers and members of the target population. The CAB has monthly meetings to help identify topics and questions to be included in the study, as well as to design appropriate data collection procedures. This is the first large-scale survey of African American MSM in Philadelphia and will yield important insights into prevention of HIV infection in this very high-risk population.


CDC Barriers to HIV Testing Project

Contact: Jennifer Lauby, Ph.D.
Email: jennifer@phmc.org

The Barriers to HIV Testing Project is a study funded by the Centers for Disease Control and Prevention to examine factors that may deter persons who are at risk for HIV from ever getting tested or from getting repeated tests. PHMC staff examines demographic and socio-economic factors, attitudes and beliefs about HIV testing, and community-level factors such as the availability of testing sites and exposure to HIV prevention messages. PHMC has interviewed 1643 men and women in the 8 ZIP codes in Philadelphia with the highest number of AIDS cases. Study results will be used to identify segments of the target population who are not getting tested and to determine attitudinal and structural barriers that could be addressed to increase testing.


Factors Associated With Counseling And Testing Study

Contact: Jennifer Lauby, Ph.D.
Email: jennifer@phmc.org

The FACT study examines factors related to taking an HIV test including their HIV testing history, their risk behaviors, and individual/community factors related to testing. This project was a three-year grant from the National Institute of Mental Health. Building on results from PHMC’s CDC-funded Barriers to Testing Study, project staff interviewed a broad range of persons at heightened risk for HIV throughout the city, including interviews with over 450 men who have sex with men (MSM) and over 1200 heterosexual men and women. The information collected in these interviews will be used in planning HIV testing services and prevention interventions in Philadelphia and other urban areas.

New Pathways Project
Contact: Lisa Bond, Ph.D.
Email: LisaB@PHMC.org

The New Pathways Project is an HIV prevention project funded by the Center for Substance Abuse Treatment (CSAT). The project is a collaborative effort between PHMC and Blacks Educating Blacks About Sexual Health Issues (BEBASHI). The primary goal of the project is to assist substance abusing African American and Latino adult men and women to increase their readiness for, and access to, substance abuse treatment services as a primary means of helping them to reduce their risk of becoming infected with HIV and/or of transmitting the disease to others. A secondary and related goal of the project is to assist those men and women who are not ready to enter treatment to reduce their risk of infection/transmission by providing them with culturally-tailored behavioral risk reduction counseling, and access to health care, mental health and supportive social services. The New Pathways intervention is best described as a brief pre-treatment counseling model. Clients, most who are first identified through street outreach, participate in four consecutive counseling sessions. The evaluation of the New Pathways Project involves a longitudinal assessment of client outcomes based on data collected at three points in time: intake or baseline, 6 months post-baseline, and 12 months post-baseline. All data are collected through personal interviews. In addition to the client-centered intervention, a peer-based network called Pathfinders, comprised of former project clients and community residents, is instrumental in diffusing prevention messages to the broader community.


PALMS Evaluation: An Innovative Theater-Based Intervention For Minority Adolescents
Contact: Jennifer Lauby, Ph.D.
Email: jennifer@phmc.org

PHMC was awarded a two-year grant from the CDC to evaluate an on-going theater related HIV prevention program at PHMC called PALMS (Preventing AIDS Through Live Movement and Sound). PALMS provides a three-session, theater-based, group-level intervention to predominantly African American and Latino incarcerated/adjudicated and drug treatment-based adolescents in Philadelphia. The aims of the intervention are to increase knowledge about HIV/AIDS, increase HIV testing, and reduce risky sexual behavior through increasing self-efficacy to practice safer sex behaviors. The evaluation will use a repeated measures comparison group design to assess short-term and long-term effects on sexual risk behavior and HIV testing, as well as on HIV knowledge, attitudes, peer norms and self-efficacy.

Commonwealth of Pennsylvania
Contact: Lisa Bond, Ph.D.
Email: lisab@phmc.org

The Pennsylvania Department of Health has awarded PHMC a one-year grant to conduct secondary analysis aimed at identifying the predictors of high-risk sexual practices in a multi-ethnic sample of men who have sex with me (MSM) in the Philadelphia region. This research grant will utilize existing data that was originally gathered from 451 MSM as part of a large study of the barriers to HIV testing. PHMC will conduct the secondary data analysis.


Infants, Children and Adolescents

Evaluation of the CHOP Center for Pediatric Traumatic Stress
Contact: Jennifer Lauby, Ph.D.
Email: jennifer@phmc.org

PHMC is conducting an evaluation of the Center for Pediatric Traumatic Stress at the Children’s Hospital of Philadelphia (CHOP). The center, funded by a three-year grant from SAMHSA’s Center for Mental Health Services, is developing interventions for preventing and treating traumatic stress related to pediatric illness and injury, and is establishing a resource center for training and dissemination of state-of-the-art information on pediatric traumatic stress. PHMC is assessing the implementation of the pilot prevention and intervention projects and evaluating how the Center is disseminating information to providers and families to inform appropriate healthcare delivery.


Child Welfare Early Childhood Initiative Evaluation, Children’s Hospital of Philadelphia

Contact: Jennifer Lauby, Ph.D.
Email: jennifer@phmc.org

PHMC is conducting the evaluation of a newly funded initiative at Children’s Hospital of Philadelphia called the Child Welfare Early Childhood Initiative Evaluation. This program is focused on providing developmental evaluations to all children in foster care to ensure that problems are detected early and that they receive appropriate services to address developmental delays. The initiative will focus on training case managers who work with foster families, as well as making lawyers and judges in the family court system aware of the services that are available. PHMC's evaluation will provide baseline measurements, document the provision of services and training, and document the effects of the project on clients and service providers.


CHOP/Early Head Start Needs Assessment
Contact: Lisa Kleiner
Email: lisa@phmc.org

The Early Head Start program provides home visiting and child care to pregnant women and children ages 0-3 living in poverty in certain West Philadelphia zip codes. PHMC is conducting an assessment of the needs of families who are eligible for Early Head Start in West and Southwest Philadelphia. The needs assessment includes an analysis of quantitative data on the characteristics of eligible families, a resource inventory, two focus groups of Early Head Start parents, and informational interviews with individuals in the community who are knowledgeable about the needs of families in poverty.

Crozer Keystone Pediatric Residency Community Medicine Evaluation
Contact: Michelle Henry
Email: mhenry@phmc.org

PHMC is conducting an evaluation of the HRSA-funded Pediatric Residency Community Medicine Program of the Crozer Keystone Health System. The evaluation consists of a mail survey to graduates of the residency program from the Classes of 2001 to 2005 to assess their post-graduate participation in community pediatrics; an exit survey to current pediatric residents to be administered just prior to graduation to address the residents’ evaluation of the Community Medicine curriculum, faculty and community experiences; and an analysis of resident essays regarding their experiences with the Community Medicine Program. The results of the surveys and analyses will be used to inform changes in the program.


Children's Hospital Of Philadelphia Residency Training Initiative
Contact: Kristin Minot
Email: kristin@phmc.org


The Community Pediatrics and Advocacy Program (CPAP) at Children’s Hospital of Philadelphia (CHOP) is one of the 10 pediatric residency training programs nationwide to receive funding from the Dyson Foundation to enhance the child advocacy skills and commitment of its’ pediatric residents. PHMC is conducting the evaluation of this project through administering surveys to new interns focusing on knowledge and attitudes toward child advocacy in pediatrics. A second survey is administered to all graduating residents and is focused on the residents’ evaluation of CPAP curriculum, faculty and community experiences. Finally, graduates of the residency program complete a mail survey approximately 18 months after they complete their residency at CHOP. This survey focuses on their advocacy experiences since residency and their perceptions of how well the residency program prepared them to be child advocates in their pediatric practice. The results of past surveys have informed changes in the program.


Children’s Crisis Treatment Center Evaluation
Contact: Kathleen Coughey, Ph.D.
Email: kathleen@phmc.org

The goal of this program is to implement a community model treatment intervention with services focused on Philadelphia’s West African Community children. PHMC provides consultation services to the program regarding data collection, data management and data analysis. PHMC has assisted with the development of survey instruments and developed data entry packages for all the process and outcome data. PHMC also gathers qualitative data through key informant interviews and focus groups with program participants and school personnel.


Crozer-Keystone Healthy Start Evaluation

Contact: Kristin Minot
Email: kristin@phmc.org

PHMC is responsible for the local evaluation of the Crozer-Keystone Healthy Start program (formerly Chester Healthy Start) since its inception in 1997. PHMC staff work closely with Healthy Start staff to design performance measures and data collection procedures that provide an accurate assessment of program effectiveness without compromising service delivery. PHMC staff also assisted in the design of a project database that provides information for program management and evaluation.


Evaluation of the Girls Scouts of Southeastern Pennsylvania’s WINGS To The Future program
Contact: Mary Harkins-Schwarz
Email: maryh@phmc.org

The Girl Scouts of Southeastern Pennsylvania’s WINGS To The Future program an in-school and after-school program for Philadelphia girls held at selected Philadelphia middle schools, high schools and recreation centers. The WINGS to the Future program teaches girls about decision making, responding to peer pressure, conflict resolution, life skills, goal setting, and encourages future aspirations. PHMC is conducting the evaluation of this program by assessing changes in knowledge, behavior and attitude among participants.


HOPE worldwide, ltd. Evaluation
Contact: Mary Harkins-Schwarz
Email: maryh@phmc.org

HOPE worldwide, ltd. (HWW) Saturday Community School Programs (SCSP), which operates in seven cities across the United States, provides academic support and cultural enrichment activities for children living in high-risk communities. PHMC is conducting the evaluation which consists of developing the evaluation instruments, conducting key informant interviews, and overseeing the collection of data from parents and staff.


The Philadelphia Interdisciplinary Youth Fatality Review Team
Contact: Mary Harkins-Schwarz
Email: maryh@phmc.org

Philadelphia Interdisciplinary Youth Fatality Review Team (PIYFRT) is an interdisciplinary team whose mission is to reduce the number of preventable child deaths and related violence by review of individual deaths, analysis of aggregate data, and subsequent initiation of corrective actions. The Team consists of representatives from the criminal justice, health and social service systems. PHMC serves as the project manager, provides information management and data analysis support, tracks team participation and progress, and serves as the liaison to team member agencies. The team holds monthly homicide and non-homicide case review meetings and quarterly policy meetings. PHMC produces annual demographic reports describing findings from the Team, presents findings to local organizations, and shares aggregate data with local organizations to assist with program planning.


Southeast PA EC-FAST Family Strengthening Program Evaluation
Contact: Robert D. Ketterlinus, Ph.D.
Email: robertk@phmc.org

The purpose of ECFAST is to increase parenting skills and social support among families with children in Head Start and other preschool programs. The goal of the project is to change behaviors of young children and their families in order to prevent or decrease school failure, criminal activity and substance abuse. The project, funded by SAMHSA, Center for Substance Abuse Prevention, is part of a national initiative of approximately 30 family strengthening and mentoring research projects. PHMC is evaluating the EC-FAST program in Philadelphia and 4 suburban Philadelphia counties and will prepare a replication manual.


Youth Violence Interventions in Emergency Departments-Manuscript (National Institutes of Health, Library of Medicine)
Contact: Robert D. Ketterlinus, Ph.D.
Email: robertk@phmc.org

This manuscript entitled: “Youth Violence: Interventions in Emergency Departments”, is designed to fill a gap in the literature on youth violence prevention, specifically a description of emergency department (ED)-based interventions. The publication will contain the information for building a strong foundation for an ED-initiated youth violence prevention intervention, based on programs developed as part of the Healthcare Collaborative: Youth Violence Prevention funded by the William Penn Foundation, as well as programs in other cities.


Substance Abuse and Tobacco

Statewide Evaluation of Pennsylvania’s Tobacco Control Program
Contact: Kristin Minot
Email: Kristin@phmc.org

The Philadelphia Health Management Corporation (PHMC) is the lead organization for the comprehensive evaluation of Pennsylvania’s Tobacco Control Program working in concert with Branch Associates, Inc. (BAI). The Pennsylvania Department of Health administers the program, which receives a portion of the funds from the Master Settlement Agreement and a grant from CDC. This program supports over 50 local (generally county-level) programs and several statewide initiatives. The retrospective evaluation (in progress) assesses the strengths and weaknesses of local evaluation, performance measurement activities and outcomes during the first three years of the Program (2002-2005). Findings from the retrospective evaluation will inform the prospective evaluation and the creation of a standardized data collection and reporting system for all programs. The overall evaluation methodology incorporates qualitative and quantitative analysis of data from primary and secondary sources to assess the impact of statewide tobacco control programming. The evaluation is assisted by a technical working group of experts in many aspects of tobacco control and will also address potential influencing factors outside the scope of the program by comparing data to other states.

Evaluation findings will be analyzed at regional and statewide levels and disseminated to local programs for use in planning and evaluation. The evaluation team will participate in the Pennsylvania Tobacco Control Program’s strategic planning process and will provide recommendations for strengthening program activities, services and performance measurement.

Delaware Division of Human Services, Division of Substance Abuse and Mental Health - Consumer/Client Satisfaction Survey
Contact: Lisa Kleiner
Email: lisa@phmc.org

On this project, PHMC assists in designing and analyzing information collected from a sample of 2,200 consumers and clients served by Delaware DSAMH. PHMC advised DSAMH on the selection of the sample and trained the interviewers.


Evaluation And Related Technical Assistance To Tobacco Control Programs In Bucks, Chester And Montgomery Counties
Contact: Kristin Minot
Email: kristin@phmc.org

The Comprehensive Tobacco Control Programs is part of a statewide tobacco control initiative with funds from the Tobacco Master Settlement Agreement. PHMC assists the primary contractors and service providers at each site to: develop outcome measurement strategies, analyze program data and use the results for program improvement and demonstrate program accomplishments. PHMC also works with the primary contractors in each county to design and implement special studies including surveys and key informant interviews.


Violence

Coordination and Evaluation of the Violence Prevention Initiative
Contact: Robert D. Ketterlinus, Ph.D.
Email: robertk@phmc.org

Since 1997, PHMC has managed, coordinated and guided the Youth Violence Prevention Initiative, funded by the William Penn Foundation. The initiative included 24 collaborations in Philadelphia, PA and Camden, NJ implementing community-based interventions for youth violence. PHMC is conducting an analysis of the data collected by concerning youth violence interventions in 4 university-based hospital emergency departments. PHMC will prepare a report summarizing the results.


Youth Violence Interventions in Emergency Departments-Manuscript (National Institutes of Health, Library of Medicine)
Contact: Robert D. Ketterlinus, Ph.D.
Email: robertk@phmc.org

This manuscript entitled: “Youth Violence: Interventions in Emergency Departments”, is designed to fill a gap in the literature on youth violence prevention, specifically a description of emergency department (ED)-based interventions. The publication will contain the information for building a strong foundation for an ED-initiated youth violence prevention intervention, based on programs developed as part of the Healthcare Collaborative: Youth Violence Prevention funded by the William Penn Foundation, as well as programs in other cities.


Women

The Philadelphia Women’s Death Review Team
Contact: Jennifer Dickson Keith
Email: jkeith@phmc

The Philadelphia Women’s Death Review Team (PWDRT) is the first multi-agency and multi-disciplinary effort in Philadelphia County designed to prevent future violence-related deaths to Philadelphia women between the ages of 15 and 60. The goals of the team are to track the incidence and prevalence of violence in the lives of women who die, document the system’s response, and track the number of children affected by these deaths. The PWDRT uses the data and the experience of its members to formulate key policy and practice recommendations with the long-term goal of improving the systems that serve and protect women and their children. PWDRT’s subcommittee, Philadelphia Sex Worker Health and Safety Task force, also hosts roundtable discussions on transgender individuals and sex work. PHMC is responsible for overall project management, as well as all data collection, analysis and reporting activities of the Team.


Community Assessment, Technical Assistance, and Special Projects

Camden, NJ Asset Building Coalition Evaluation
Contact: Lisa Kleiner
Email: lisa@phmc.org

The NJ Asset Building Coalition Evaluation is a program that provides technical assistance to Family Self-Sufficiency activities that are being funded through the Annie E. Casey Foundation in Camden, NJ. PHMC evaluates the program by analyzing data from tax returns prepared by volunteers and compiling a report on the impact of the free tax preparation program for the Foundation. The report provides information on the amount refunds returned to Camden taxpayers as a result of the project as well as other information on the characteristics of taxpayers who used the free tax preparation sites.

Joseph J. Peters Institute Outcomes Project
Contact: Robert D. Ketterlinus, Ph.D
Email: Robertk@phmc.org
Phone: 215-885-4094

Staff are addressing the need for a systematic approach for ongoing identification, collection, compilation and reporting of JJPI program performance and individual outcome data (existing and to be developed) and identification of a long-term research program. The project involves four major tasks: Creation of logic models for all JJPI clinical programs; a comprehensive data inventory/audit; identification of gaps in JJPI program and client data; and the development of a process for ongoing data collection and reporting through integration with PHMC’s Automated Client Registry System.

Partners for Sacred Places Evaluation of New Dollars /New Partners Training Initiative
Contact: Kristin Minot
Email: kristin@phmc.org

PHMC conducts an evaluation of a training program developed by Partners for Sacred Places with funding from the William Penn Foundation. The purpose of the training is to provide representatives from congregations in Northwest and West Philadelphia with information and support to help them identify new sources of funding to expand their services and maintain and repair their buildings. The evaluation focuses on measuring specific outcomes and assessing participant experiences with the training and technical assistance provided by Partners’ staff.


Philadelphia Corporation for Aging
Contact: Lisa R. Kleiner
Email: lisa@phmc.org

The Philadelphia Corporation for Aging contracted with PHMC to conduct twelve focus discussion groups of Philadelphia adults aged 50 and over. The purpose of the focus groups was to provide in-depth information on this population's need for aging and related services now and in the near future. The information will be included in PCA's report on the future of the elderly in Philadelphia in the next ten years.


Regional Community Health Information System (RCHIS) Evaluation/College of Physicians
Contact: Lisa Kleiner
Email: lisa@phmc.org

The Regional Community Health Info System is a pilot study of a Community Health Information portal on the Internet established by the Philadelphia College of Physicians with funding from the Langeloth Foundation. PHMC is evaluating the project by examining the success of the implementation of the Regional Community Health Information System. This evaluation involves a follow-up survey of users of the Internet portal site to determine satisfaction levels and use patterns, process interviews with project staff, a focus group of volunteers and informational interviews with individuals involved in project administration.

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