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RESEARCH AND EVALUATION PROJECTS
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Mental Health, United States 2010 and 2012. Cloudburst was awarded a task order to provide support to the Research Triangle Institute (RTI) in its work to develop and produce Mental Health, United States 2010 and 2012 for the Substance Abuse Mental Health Services Administration. Cloudburst is providing developmental and logistical support for the project’s Expert Panel Meeting, which brings together academic, research and field experts to make recommendations regarding the projected content of MHUS.
The Center for Mental Health Services collects, analyzes, and reports national statistical information on mental health services and the people served. Since 1983, the results of these activities have been made available every two years in a widely disseminated publication entitled Mental Health, United States. The 2008 edition saw a major change in the publication's structure and format, and represented an effort to broaden the perspective by including data from a wider range of sources, e.g., other federal agencies and professional organizations. This new format is patterned after Health, United States, a major publication that is issued annually by the Centers for Disease Control (CDC). The 2008 edition of Mental Health, United States is divided into three major areas: People (e.g., the number and characteristics of persons seeking mental health treatment); Providers (e.g., the number the number and types of mental health facilities in the U.S., the volume of services provided, and the number of specialty mental health practitioners and trainees in the U.S.); and Payers (e.g., estimates of public and private expenditures for MH/SA services over the past 10 years, as well as projections of expenditures for the next decade). For each of these areas, the publication includes: 1) an analytic introductory section describing recent overall trends in the field and summarizing research findings; 2) a chartbook section with figures, charts, graphs, and brief bullets highlighting selected topics; and 3) a section of trend tables drawn from a variety of relevant sources.
The 2010 edition of Mental Health, United States, will also include a new section of state-level data, for which the format has not yet been determined. This section may include information such as results from SAMHSA's National Outcome Measurement System (NOMS); rates of psychiatric disorders by state; rates of availability of non-specialty resources by State; descriptions of differences in Medicaid benefits by State; and data on coverage for evidence-based practices by State.
Expert Panelists were convened to provide reactions and recommendations regarding the projected content of MHUS, 2010, not only to ensure its comprehensiveness, but also to provide suggestions regarding particular areas of emphasis, additional topics and data sources that might be included, as well as ideas on alternative ways to present the data in order to maximize its utility and make it accessible to the widest possible audience.
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SAMHSA Co-occurring Disorders Initiative (CODI). Cloudburst (as a subcontractor to Westat) has been selected by HHS SAMHSA to increase the quality of and access to integrated services for people with co-occurring mental health and substance abuse disorders through provision of support to the Center for Substance Abuse Treatment and the Center for Mental Health Services. According to results from SAMHSA’s 2003 National Survey on Drug Use and Health more than seven million people who suffer from at least one mental disorder also have a substance use disorder. Cloudburst serves as the evaluation lead for this project, and will assess the impact of the innovative Learning Community model of knowledge transfer used in the contract, as well as assessing satisfaction with information products and more traditional TA events. Cloudburst is developing the Evaluation Plan (including the creation of instruments to assess impact and participant satisfaction with CODI activities), co-chairing the Evaluation Workgroup, and managing the evaluation of a large number of CODI and learning community activities. This requires coordination across a large number of Westat subcontractors as knowledge transfer activities are implemented. Cloudburst is also the evaluation lead for an innovative pilot of a learning community for federally qualified health centers (FQHCs) involving the participation of both SAMHSA and HRSA.
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OSHA Economic and Analytical Support. Cloudburst has been awarded a blanket purchase agreement (BPA) to provide economic and other analytical support to OSHA's Office of the Assistant Secretary for Administration and Management. Under the agreement, awarded under a competitive 8(a) process, Cloudburst will conduct regulatory impact analyses and economic analyses of proposed and final regulations and standards, of revisions to regulations and standards, and of regulatory and non-regulatory effects on small businesses and other small entities. Cloudburst is to provide the following services under this contract: (1) collect and analyze information and data that the Agency relies on for setting its rulemaking priorities and evaluating safety and health conditions in the workplace; (2) for proposed and final standards, determine levels of current compliance by industry and size of establishment with sufficient degrees of accuracy and disaggregation to fulfill the requirements of the regulatory process; (3) summarize, analyze, and appropriately utilize data and comments submitted by the public to the rulemaking record; (4) assess the technological and economic feasibility, compliance costs, and economic impacts of proposed health and safety regulations and their alternatives on all establishments and especially on small entities; (5) estimate benefits, relative cost-effectiveness, environmental impact, degree of risk, and potential for risk reduction associated with regulatory requirements and alternative approaches; (6) conduct research, analysis, and other work to fulfill Agency rulemaking requirements regarding small businesses and to provide support in other Agency matters related to small businesses; (7) prepare materials and systems to help employers comply in the most cost-effective manner with existing and new OSHA regulations; (8) conduct and review studies and evaluations of OSHA regulatory policy issues, causes of occupational risks and hazards, and opportunities and obstacles to risk reduction; and (9) conduct retrospective studies and evaluations of current OSHA programs.
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Analysis, Information Management and Communications – USAID Global Health Evaluation. Cloudburst was recently awarded a contract to evaluate analytical, communications, and knowledge management services provided to USAID's Global Health Bureau by another firm under a support contract. Cloudburst staff interviewed USAID Global Health and Regional Bureau staff and management as well as contractor staff, reviewed the documentary work product and systems developed for USAID under the contract, analyzed the data gathered, wrote a report of findings and recommendations for future directions for the activity, and briefed senior Global Health staff.
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OSHA Guidance and Docket Management. Cloudburst was recently awarded a contract with the Occupational Safety and Health Administration, a unit of the Department of Labor, to provide technical support for rulemaking activities and guidance. Under this contract Cloudburst will conduct research to develop quantitative risk assessments for health hazards such as chemicals, biological agents and physical hazards; coordinate peer reviews of agency scientific assessments; conduct research to analyze the feasibility of reductions in exposure to chemicals, biological agents and physical hazards; and preparing other written materials to support the rulemaking process. Specifically, Cloudburst supports OSHA in the following ways under the contract: Comparing observed health effects, injury and illness data, and industrial hygiene and safety practices among several industry sectors; Analyzing public comments received in response to Advance Notices of Proposed Rulemaking, Requests for Information and Proposed rules concerning the selection of permissible exposure limits and action levels, adoption of consensus standards, and other regulatory provisions such as provisions for hygiene facilities, medical surveillance, exposure assessment, training, hazard communications, compliance plans, fire protection, and electrical safety; Analyzing public comment on draft guidance documents to ensure that such documents accurately reflect the state-of-the-art in controlling various occupational hazards, ensuring that the language is appropriate for identified target audience(s); Developing and editing preambles, questions for comment, requests for information, text of appendices, and other information related to the regulations and guidance products; Providing the services of recognized experts in subjects relevant to OSHA standards and guidance products; Analyzing various recommended strategies for reducing risks, identifying the most effective strategies, and assessing the limitations of control methods; Conducting site visits and industry studies to collect information on current exposures and effective control strategies to estimate populations at risk and to assemble data on the potential affects of future standards and guidance products; Identifying methodologies for facilitating the development of standards and guidance; Developing information, strategies, research needs, issue papers, testing protocols, or regulatory and non-regulatory options in the areas related to standards and guidance; Appearing and testifying/presenting information at rulemaking hearings and other meetings regarding work that the Contractor has performed for OSHA under this contract; Assisting in the review of current regulations, consensus standards, or existing guidance materials including soliciting comments on existing standards and guidance, consolidating and analyzing comments, identifying appropriate changes and prioritizing revisions; Coordinating outside peer reviews of technical assessments and analyses critical to developing standards and guidance in conformance with OMB’s Final Information Quality Bulletin for Peer Review, including identifying and securing expert reviewers and evaluating potential conflicts of interest to ensure a balanced peer review reflecting diverse perspectives; Assisting in developing information and statements in support of DSG positions on interagency committee matters and in response to requests from Congress and OSHA partners inside and outside the regulated community; Estimating the benefits and relative cost effectiveness of a potential standard or guidance activity; Preparing exposure profiles of current employee exposures to various occupational hazards; Prepare industry profiles identifying processes where various occupational hazards are found and employment levels and financial characteristics of establishments potentially affected by OSHA standards and guidance products; Determining costs and impacts on small firms, including analyzing alternatives that can alleviate impacts on small firms, and preparing materials to help employers comply with/implement, in the most cost-effective manner, existing and new OSHA standards and guidance; Determining the economic and technological feasibility, compliance costs, and economic impacts of a proposed standard (and guidance when applicable) and its alternatives; Reviewing/evaluating/updating economic studies produced by other contractors or OSHA; Analyzing information requirements and develop improved methods for acquiring, indexing, and extracting needed information for the development of OSHA standards and guidance materials; Cross referencing available data by type of hazard and type of industry; Performing literature searches and data analyses to augment the existing reference material/literature in areas where deficiencies are perceived; Retrieving and providing copies of identified literature relevant to specific standards and guidance products; Summarizing literature on specific topics; Providing logistics support for advisory committee meetings; including assistance in arranging for accommodations and travel of committee members, preparing and distributing materials for the meetings; and assisting in preparing meeting announcements and meeting minutes; Evaluating commercially available computer software to be used in the development of an information retrieval system for docket submissions and provide training and information to regulatory DSG staff on the use of the software; and Providing assistance with abstracting and summarizing testimony and comments submitted to the docket.
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Children’s Legacy Study. Cloudburst was awarded a subcontract through CNA to provide support for their 8-1/2 year contract with the Centers for Disease Control and Prevention (CDC) to conduct the Legacy for Children Longitudinal Follow-up Study. CNA will evaluate the cognitive, social, and emotional development of children at ages 8, 10 and 12 from both intervention and comparison families. The study’s findings will inform public policies aimed at improving the success of disadvantaged children in school and in life. The Cloudburst Group will provide logistical support to CNA as it convenes and manages a panel of researchers to provide direction and support to the study.
The study, to be carried out under the leadership of Dr. Sarah Friedman, Associate Director of the CNA Health Research & Policy, will follow the development of children whose mothers participated in a parenting skills intervention effort aimed at improving children's developmental outcomes by fostering their mothers' sense of community, parenting self-efficacy, and parent-child positive interaction.
The Centers for Disease Control and Prevention has initiated Legacy for Children™, a set of longitudinal, randomized, controlled studies examining the potential for improving child developmental outcomes through parenting programs designed to promote self-efficacy and a sense of community. Parental self-efficacy helps parents understand that their behavior can positively influence the development of their children and give them the chance they truly deserve.
The primary research question for Legacy for Children™ is "do children in the parenting intervention groups achieve better developmental outcomes than do the children in the comparison groups?"
Legacy has both a pilot phase and a main study phase. There are 180 intervention and 120 comparison families in the main study phase and 60 of each in the pilot phase at each study site, Miami and Los Angeles. The 720 participating families are those whose children, on average, would be expected to fall below national norms on a range of developmental outcomes. Process, cost, and short- and long-term outcome data are being collected.
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Implementation and Monitoring Progress of Division of STD Prevention Strategic Plan. Cloudburst is providing management consultation services to assist CDC’s Division of STD Prevention in developing routine processes and structures to monitor the use of its strategic plan and to facilitate meetings and/or retreats to assist the division in developing activities that will provide ways of measuring progress on strategies and objectives.
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Implementation of Best Practices Evaluation for CDC’s Division of Heart Disease and Stroke. Cloudburst (as a subcontractor) is assisting with the implementation of an evaluation plan created by Cloudburst under another contract that was designed to determine the uptake, use and impact of the best practices initiatives undertaken by the Division for Heart Disease and Stroke Prevention (DHDSP). The Best Practices Evaluation Plan uses an innovative framework, combining the Interactive Systems Framework (ISF) with a logic model.
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CDC Preventive Health and Health Services Block Grant Health Communications and Marketing Project. Cloudburst was awarded a task order to provide support to the grantees of the Preventive Health and Health Services (PHHS) Block Grant Program in the developing and marketing of programmatic success stories, along with the development of communications projects, technical assistance, and consultation work. Cloudburst staff provide technical assistance to the grantees of the PHHS Block in the development and marketing of programmatic success stories through the use of the PHHS Block Grant Success Story tool. This includes developing a marketing and dissemination plan, providing training on communication for grantees, and developing marketing materials for the PHHS Block Grant Program.
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Translating the National Physical Activity Guidelines for Decision-makers and Practitioners in the Workplace Setting.
The National Physical Activity Guidelines for Americans are the first-ever comprehensive physical activity guidelines published by the Federal Government. The release of these guidelines provide information for the first time that specifically ties physical activity levels to the prevention, delay, and better management of chronic diseases. Because of this new information, there is an opportunity to impact healthcare costs by working with employers to create worksites that promote physical activity and provide opportunities to employees to be physically active. The purpose of this project is to support CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) Division of Nutrition and Physical Activity to: 1) conduct an environmental scan to identify promising practices and tools for promoting physical activity in the worksite; 2) work with key informants (CEO’s / high-level persons in the business community) to determine what employers need to create worksite cultures that promote physical activity among employees; 3) develop recommendations based on scan and key informant interviews for making the business case for physical activity to employers; and 4) enhance the translation and dissemination of the 2008 Physical Activity Guidelines for Americans and increase the effectiveness of these guidelines through development and evaluation of appropriate materials for employers. Carla Linkous will lead this two-year project as Project Manager, with support from our teaming partner, Strategic Health Concepts.
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Statistical Analysis. Cloudburst is under contract with the Substance Abuse and Mental Health Services Administration (SAMHSA), part of the U.S. Department of Health and Human Services, to provide support to SAMHSA statistical projects (IDIQ Domain 2S). This work will include Sampling Designs and Statistical Methods; Acquisition, Development, and Collection of Data Bases; Analyses of Large Scale Data Bases; Analyses of Complex Quantitative Data; Development, Implementation, and Testing of Quality Tools; and Information Technology (IT) Statistical Projects.
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Feasibility and Pilot Studies. In partnership with American Institutes for Research, Cloudburst will develop feasibility and pilot studies and develop tools to assist the Substance Abuse and Mental Health Services Administration (SAMHSA) to increase the fidelity of its successful program models. These studies will help to determine the efficacy of funded activities, and whether study results can be successfully replicated. The work will include sampling design, collecting qualitative and quantitative information, outcome reporting, and managing all logistical requirements.
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Evaluation Design for CDC. Cloudburst provides evaluation design services to CDC’s Division of Heart Disease and Stroke Prevention (DHDSP) for the Key Best Practices Initiative. In order to ensure that CDC will be able to analyze the impact of these interventions, and in keeping with DHDSP’s commitment to evidence-based public health policy, Cloudburst is designing a comprehensive evaluation plan, including the identification or development of indicators based on program logic and clear evaluation questions, and preparation of data collection tools.
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Evaluation Studies. In partnership with American Institutes for Research, Cloudburst will develop evaluation studies to measure program performance, including project- or program-level analyses; experimental or non-experimental designs; process and outcome assessments; and literature reviews. Products will include data collection instruments, data collection plans and data analysis plans using both qualitative and quantitative methodologies, OMB clearance packages, outcome reporting, and managing all logistical requirements.
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HIV/AIDS Evaluation and Research. In partnership with Constella Futures Group International, Cloudburst is working on Project SEARCH (Supporting Evaluation and Research to Combat HIV/AIDS), a USAID-funded project designed to carry out research and evaluation to improve the coverage, quality and effectiveness of HIV/AIDS prevention, care and treatment programs worldwide. In addition, the project focuses on strengthening local capacity in HIV/AIDS research and public health assessments. Additional Project SEARCH team partners include The Elisabeth Glaser Pediatric AIDS Foundation and the University of Washington.
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Sampling Design and Analytical Process for Fannie Mae and Freddie Mac. On behalf of HUD's Office of Government-Sponsored Entities to help determine that Fannie Mae and Freddie Mac - two housing Government-Sponsored Entities - are meeting their statutory affordable housing goals, Cloudburst was responsible for developing a sampling design and performing analytical data processing for single- and multi-family loan data. Cloudburst designed a stratified sampling design and calculated robust statistics for a data integrity review on data reported to HUD by the GSEs on their 2005 loan acquisitions. Cloudburst also contributed to the writing of the research plan, the intermediate and final research reports, and provided briefings to the HUD personnel in charge of GSE performance review and oversight, including the Deputy Assistant Secretary. This work was conducted under contract to Horizon Consulting, Inc.
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Health Research Outreach Program. For Health Education Enterprises, Cloudburst assisted in the development of an outreach program for researchers developing therapies for tinnitus. Surprisingly little advancement has occurred in the area of tinnitus, given its worldwide prevalence. The National Institute on Deafness and other Communication Disorders (NIDCD) and other organizations have identified tinnitus research as a particularly ripe area for coordination across disciplines (such as audiology, otolaryngology and neuropsychiatry). Cloudburst's work with the Tinnitus Research Initiative, a privately-funded research consortium, identified priority areas for networking, collaboration and research, and created a cohesive international community of researchers.
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Subject Recruitment for National Institute on Aging Alzheimer's Study. Cloudburst was assigned to help recruit subjects for a landmark Alzheimer's study conducted jointly by the National Institute of Aging and the University of California at San Diego. The study conducted at 60 research sites around the country was designed to find certain biochemical "markers" in the blood and spinal fluid. It is hoped that these markers will help to diagnose Alzheimer's in an individual before more overt symptoms of memory loss are evident. Cloudburst produced a video that was distributed via satellite to broadcast and cable outlets nationwide to an audience aged 55 and older. The video profiled a woman participating in the study whose mother has Alzheimer's. Cloudburst also helped design a distribution and pitching plan, focusing on the sixty major media markets which are the sites of the study centers. To ensure very broad viewing, the video material will be distributed by satellite and over the Internet, with wire service notification of the feeds to more than one thousand media outlets around the country, and placed on the ABC and CBS network affiliate feeds.
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Welfare to Work Voucher Program Evaluation. On behalf of HUD's Office of Policy, Development and Research, Cloudburst prepared analytical data files and performed a large-scale quantitative evaluation of impacts on family locational decisions resulting from the receipt of a Welfare to Work (WtW) Voucher. Cloudburst staff were involved in four consecutive task orders in this long-running social-experimental evaluation, which is tracking approximately 8,700 families. Preparation and use of analysis files involved collecting and processing data from the following sources: State unemployment (wage and benefit) records, state TANF and food stamps records, HUD Multi-family Tenant Characteristic System (MTCS) and Tenant Rental Assistance Certification (TRACs) records on public housing program participation, and Census Summary File 3 data at the tract level (to match to participants' address histories). Data were processed to create longitudinal panels of economic status and neighborhood quality at the participant level, in order to assess whether access to the WtW vouchers affected outcomes. This work was conducted under contract to Abt Associates, Inc.
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