Community Assessment & Intervention Flashcards

A needs assessment reveals high rates of substance use disorder in a rural county. Which intervention framework explicitly addresses the continuum from prevention to treatment to recovery support?

Answer: The Institute of Medicine prevention spectrum (universal, selective, indicated)

The IOM prevention spectrum organizes interventions across the full continuum—universal (whole population), selective (at-risk groups), and indicated (symptomatic individuals).

Which method involves asking community members to identify and photograph assets and concerns in their neighborhood as part of the assessment process?

Answer: Photovoice

Photovoice is a participatory visual method where community members use photography to document their environment and then discuss images to generate collective knowledge and advocacy.

In the context of community intervention, 'dosage' refers to:

Answer: The intensity and duration of program exposure needed to produce desired outcomes

Program dosage refers to the amount of intervention—frequency, duration, and intensity—required to achieve measurable outcomes, a key fidelity consideration.

A practitioner is conducting a social network analysis of community organizations. This method is MOST useful for understanding:

Answer: Patterns of collaboration, information flow, and power relationships among organizations

Social network analysis maps relational ties—who collaborates with whom, who is central or isolated—revealing the structural dynamics of inter-organizational community systems.

The 'logic model' used in community program planning connects which sequence of elements?

Answer: Inputs → activities → outputs → outcomes → impact

A logic model traces the causal pathway from resources (inputs) through program actions (activities) and products (outputs) to short- and long-term changes (outcomes → impact).

A community intervention targeting childhood obesity is failing to recruit Latino families. Root cause analysis reveals language barriers and distrust of institutions. The MOST effective corrective action is:

Answer: Partner with trusted Latino community organizations and hire bilingual outreach staff

Partnering with trusted community organizations and hiring culturally concordant staff addresses both the trust deficit and language barriers more effectively than materials translation alone.

In community intervention evaluation, 'process evaluation' is distinct from 'outcome evaluation' because it focuses on:

Answer: How the program was implemented, who was served, and whether it was delivered as planned

Process evaluation examines implementation fidelity, reach, and service delivery quality—answering 'was the program delivered as intended?' rather than 'did it work?'