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Report on the Evaluation of Home and Community-Based Support Services for Older American Indians, Alaskan Natives, and Native Hawaiians

March 19, 2018

In 2016, ACL's Administration on Aging contracted ICF International (ICF) to conduct a participatory evaluation of the Title VI Grant Program, which provides home and community-based supportive services for older American Indian, Alaskan Native, and Native Hawaiian populations.

The evaluation seeks to answer the following questions:

- How do tribes/organizations operate their Title VI Programs?

- What is the impact of Title VI programs on elders in the community? Are there differences nationally or by tribe/organization?

- Do Title VI programs that are sole-sourced funded have a different impact than programs that are funded through multiple sources?

The evaluation, still ongoing, has released its Evaluation of the ACL Title VI Programs: Year 1 Interim Report outlining the approach to and the design of the evaluation. In addition, the report provides information on the evaluation participants, timeline of the project, and initial findings.


Updated: March 14, 2019

In the second full year of the Title VI Evaluation, the ICF evaluation team focused on understanding the Title VI Programs from the perspective of program staff and elders. The evaluation uses mixed methods, including quantitative (primary and secondary) and qualitative (primary) data sources to understand the context and the impact of the Title VI Program through an implementation and outcomes study. The evaluation team analyzed multiple data sources to present a first look at the Title VI Programs. Emerging themes include elders’ met and unmet needs, social connectedness, and independence and quality of life. The evaluation found that Title VI Evaluation grantees were representative of the overall population of Title VI grantees across several components including elders’ health characteristics, health and nutrition status, and level of services they receive. Further, the evaluation uncovered how important the nutritional, social, and cultural aspects of the Title VI program are for Native elders. View the Evaluation of the ACL Title VI Programs: Year 2 Interim Report.

Last modified on 05/11/2020

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