# Presentation: 815793

## Sample Project Logic Model

**Worksheet #1:  ULTIMATE PROJECT GOALS**

**Program Goal for Grantee X:  Refine in-hospital paternity affidavit program in four areas of state to use non-RN staff and have notary presence at all hours; referrals to free genetic testing and mediation; referrals to marriage education**

**Funding, Legislative Goals**

**Grantee and Collaborating Organizations’ Goals**

**Project Goals**

- OCSE 1115 Grant Priority Area 1: Reducing use of
- adversarial or formal proceedings while increasing the financial security for children born out of wedlock.
- NOTE: While this set of Logic Model worksheets maps a project which responded to a Federal grant opportunity, the worksheets and the Guidelines may be used to design and monitor any project to improve program operations.

- Goal of the state
- child support agency
- is to promote the financial well-being of children of non-married parents by establishing  paternity, establishing and modifying orders, enforcing orders, and processing and distributing child support payments.

- Strengthen delivery
- of state paternity affidavit program
- Expand the scope of
- services associated with paternity affidavit program

## Worksheet #2:  UNDERLYING ASSUMPTIONS 

**Worksheet #2:  UNDERLYING ASSUMPTIONS **

**Program:  **_** GRANTEE X**__**	**__**   **_

**Problem Being Addressed **
**(Source of this Knowledge)**

**Client Characteristics**
** ****(Source of this Knowledge)**

**Client Needs **
**(Source of this Knowledge)**

**Why Proposed Approach Will Work (Source of this Knowledge)**

- Paternity affidavit results have improved statewide but lag in certain areas; establishing paternity through courts is expensive and time consuming
- (Source: State administrative data)

- Ability to speak to someone at the hospital regarding paternity
- Some need genetic testing
- Parents need to know benefits to child of paternity establishment
- Parents need to understand options available to help obtain parenting plan or consider marriage
- (Source: Child support staff)

- Unmarried parents
- Lots of demands on their time
- Fathers open to signing affidavit if services available at hospital or open to exploring genetic testing
- (Source: Child support staff)

- Past in-hospital program works so should improve if expanded
- It focuses on increasing number and type of staff involved in program.  More staff can reach more fathers
- It will extend notary services so available at all hours, thus could serve more fathers.
- (Source: Previous program experience; staff feedback)

## Worksheet #3:  PROJECT CONTEXT

**Worksheet #3:  PROJECT CONTEXT**

- Intervention will operate in four areas with different client bases (income, ethnicity, non-marital birth rates)
- Areas also differ in terms of prosecutor agreement with establishing paternity via affidavit
- Hospitals have flexibility in how they operate affidavit program
- Non-RN staff have more time to devote to paternity establishment
- Existing marriage education programs in some communities
- Genetic testing labs available in target communities
- Mediators in all target communities

- Hospitals differ by patient loads, staffing, presence of notaries; short hospital stays limit time fathers on site; varying availability of other services, such as marriage education

- State child support office operates regional offices that have discretion in program operations; different regions will manage project

- Informal understandings with local dispute resolution centers in some areas, not all; state’s genetic testing partner agreed to participate

- Grantee has healthy marriage initiative in one of the areas operating the program

- Prosecuting attorney’s staff *
- TANF offices*
- Pre- and post-natal pediatric clinics^
- County vital records offices*
- Native American tribe liaisons*
**Denotes existing relationship*
*^Denotes new partnership needs to be established*

**Program:  **_** GRANTEE X**__**	**__**   **_

## Worksheet #4:  INPUTS TO INTERVENTIONS

**Worksheet #4:  INPUTS TO INTERVENTIONS**

- Child support staff (project manager and budget/contractors at central office, field office staff)
- Written and visual materials
- Toll-free phone line
- Staff to train hospital staff
- Staff to enlist support from other organizations, partners (including marriage ed)

- Hospital staff (medical records, birth clerks, social service)
- Dispute resolution center mediators
- Notaries public
- Genetic testing labs
- Marriage education courses from community providers

**Building Capacity**
- Enlist hospital administration support
- Enlist non-RN staff
- Train additional hospital notaries
- Enhance child support materials
- Establish contract with dispute resolution centers
- Establish Memorandum of Understanding with genetic testing labs
- Identify marriage education providers
- Create referral system for other services (e.g., mediation, marriage education)
- Develop system to capture participant data
- Develop reimbursement system to pay partners
**Provide Services for Unmarried Parents**
- Talk with fathers about paternity
- Offer genetic testing
- Offer mediation/parenting plan
- Offer referrals to marriage education

**Program:  **_** GRANTEE X**__**	**__**   **_

## Worksheet #5:  INTERVENTIONS TO EXPECTED OUTPUTS

**Worksheet #5:  INTERVENTIONS TO EXPECTED OUTPUTS**

**Building Capacity**
- Enlist hospital administration support
- Enlist non-RN staff
- Train additional hospital notaries
- Enhance child support materials
- Establish contract with dispute resolution centers (DRCs)
- Establish Memorandum of Understanding with genetic testing labs
- Create referral system for other services (e.g., mediation, marriage education)
- Develop system to capture participant data
- Develop reimbursement system to pay partners
**Provide and Expand Services for Unmarried Parents**
- More convenient in-hospital paternity process
- Materials on free genetic testing available
- Materials on mediation/parenting plans
- Materials on marriage education

**Building Capacity**
- Hospitals develop model to use non-RN staff by 3/1/06 and implement by 4/15/06
- All hospitals have at least one notary available 24 hours per day, 7 days per week by 4/15/06
- Child support develops new booklet and enhances current video by 3/1/06
- Child support obtains signed contracts from DRCs by 2/1/06; DRCs begin providing services by 4/15/06
- All hospitals agree to participate by 2/1/06
- Genetic testing lab MOU in place by 2/1/06
- Marriage ed providers identified by 2/1/06
- Referral system in place by 2/1/06
- Data system in place by 2/1/06
- Reimbursement system in place by 2/1/06
**Provide and Expand Services for Unmarried Parents**
- Beginning mid-April and monthly thereafter:
- Increase contacts with fathers in hospitals by non-RN staff
- Increase in presumptive fathers requesting genetic testing
- Increase in couples requesting mediation
- Increase in couples requesting marriage education

**Program:  **_** GRANTEE X**__**	**__**   **_

## Worksheet #6:  EXPECTED OUTPUTS TO EXPECTED OUTCOMES

**Worksheet #6:  EXPECTED OUTPUTS TO EXPECTED OUTCOMES**

**Expected Outputs**
**(For Whom? By When?)**

**Expected *****Immediate *****Outcomes**
**(For Whom? By When?)**

**Expected *****Subsequent *****Outcomes**
**(For Whom? By When?)**

- Implement model  by 4/15/06
- Notary available 24/7 by 4/15/06
- New booklet and enhanced video by 3/1/06
- Contracts with DRCs by 2/1/06
- Genetic testing lab MOU by 2/1/06
- Referral system by 2/1/06
- Data system by 2/1/06
- Reimbursement system by 2/1/06
- Increase contacts with fathers in hospitals by non-RN staff
- Increase in presumptive fathers requesting genetic testing
- Increase in couples requesting mediation
- Increase in couples requesting marriage education

**Within 3 months of starting services**
- Number of signed affidavits increases 10 percentage points
- 20 fathers have genetic test; 75%  voluntarily sign paternity affidavit
- 20 parent couples obtain mediation services; 75% agree to parenting plan
- 10 couples enroll in marriage education class; 80% complete

**Within 9 month**s:
- 10 percentage point increase in orders established in four parts of the state where initiative operating
**By end of 2 year grant**:
- Number of signed paternity affidavits increases 20 percentage points
- 100 fathers have genetic tests; 75% voluntarily sign paternity affidavit
- 90 couples obtain medication services; 75% agree to parenting plan
- 64 couples enroll in marriage education class; 80% complete
- 20 percentage point increase in orders established in four parts of state where initiative operates

**Program:  **_** GRANTEE X**__**	**__**   **_

## Worksheet #7: MEASURING OUTCOMES

**Worksheet #7: MEASURING OUTCOMES**

**Program:  **_** GRANTEE X**__**	**__**   **_

| Outcomes
Immediate and Subsequent | Indicator/Measure | Evidence of Change 
(How Do You Assess Success?) |
| --- | --- | --- |
| Increase in in-hospital paternity establishment affidavits signed | Number of signed affidavits increases 10 pct points in 3 months, 20 pct points over entire project | Compare the number of signed affidavits to same period previous year |
| Increase in voluntarily signed paternity affidavits following genetic testing | 75% of participating fathers sign affidavit voluntarily (of an est. 20 fathers participate in first 3 months and 100 over course of project) | Compare the number of signed affidavits to same period previous year
 |
| Increase in couples receiving mediation services | 75% of participating parents sign parenting plan (of an est. 20 in first 3 months, 90 over entire project) | Compare number of signed parenting plans to same period previous year |
| Increase in couples enrolling in marriage education classes | 80% complete (of an est. 10 in first 3 months and 64 over entire project) based on provider attendance records | No baseline available; instead, over course of project, are targets met? |
| Increase child support orders established | 10 pct point increase in orders after 9 months; 20 pct point increase over entire project | Compare number of orders established to same period previous year |

## Worksheet #8:  BARRIERS TO IMPLEMENTATION

**Potential Barriers**

**To Recruiting Clients**
- Parents not interested in services
- Parents cannot afford to file parenting plan
- Services not in convenient area to parents

**To Service Delivery**

**Possible Solutions**

**Re. Recruiting Clients**
- Re-evaluate program materials, discuss with hospitals
- reasons for barriers, try phone calling of parents,
- revise materials if necessary
- Re-evaluate and consider paying costs; would
- serve fewer parents but would help ensure plan
- is legal and effectual
- Explore offering transportation assistance (e.g.,
- gas vouchers)

**Re. Service Delivery**
- Enlist intervention of state Department of Health;
- face-to-face discussions with administrators;
- stress benefits of program to children and minimal
- time commitment
- Show best practices results from other hospitals that
- use non-RN staff; offer training and follow-up
- Start services in counties in which company can
- provider testing; work to add new sites in yrs 2&3

- Hospitals will not add notaries
- Hospitals insist on using RN staff
- Hospital administrator will not participate
- Genetic testing company may not serve all sites

**Program:  **_** GRANTEE X**__**	**__**   **_

## Worksheet #9:  USING OUTPUT INFORMATION TO REFINE INTERVENTION

**Intervention #1: Build Capacity**
- 1. Notary available 24/7
- 2. Non-RN staff trained
- 3. Child support materials revised
**Intervention #2: Provide and Expand Services Available to Unmarried Parents**
- 1. Provide materials on genetic testing to fathers
- 2. Provide mediation information to couples
- 3. Provide marriage education materials to couples

**Intervention # 1: Build Capacity**
- 1. Notary available 6 days/week
- 2. Combination of RN and non-RN staff provide services
- 3. Materials revised on schedule
**Intervention # 2: Provide and Expand Services Available to Unmarried Parents**
- 1. Provided information to small number of fathers
- 2. Provided information to many couples
- 3. Provided limited information to couples

- Option #1: Work with hospital administrator to identify additional notaries and non-RN staff
- Option #2: Revise recruitment presentation to non-RN staff to stress benefits to clients
- Option #3: Meet with non-RN staff to discuss what works/doesn’t work in approaching fathers/parents about genetic testing, mediation, marriage education

***Expected *****Outputs (Indicator? Time Frame?)**

**Refinement of Intervention?**

**Worksheet #9:  USING OUTPUT INFORMATION TO REFINE INTERVENTION**

***Actual *****Outputs (Indicator? Time Frame?)**

**Program:  **_** GRANTEE X**__**	**__**   **_

## Worksheet #10:  USING OUTCOME INFORMATION TO REFINE INTERVENTION

**Intervention #1: Build Service Capacity**
- 1. Signed paternity affidavits increase by 10 percentage points within three months
- 2. Child support order establishment in offices with paternity initiative increases 10 percentage points within 9 months
**Intervention #2: Provide and Expand Services to Unmarried Parents**
- 1. 20 fathers have genetic test; 75% voluntarily sign paternity affidavit
- 2. 20 couples obtain mediation; 75% agree to parenting plan
- 3. 10 couples enroll in marriage education class; 80% complete

**Intervention #1: Build Service Capacity**
- 1. Signed paternity affidavits increased by 5 percentage points
- 2. No change in order establishment rates
**Intervention #2: Provide and Expand Services to Unmarried Parents**
- 1. 30 fathers have test; 50% voluntarily sign affidavit
- 2. 20 couples attain mediation; 80% sign parenting plan
- 3. No couples enroll in marriage education

- Option #1: Meet with staff who interface with fathers/parents—is there a better way to approach fathers regarding paternity or couples regarding marriage?  Develop reader friendly brochures?
- Option #2: Talk to genetic testers—why are fathers not signing affidavits? Misinformation? Provide talking points to staff who work with fathers at hospital/lab?

**Expected *****Outcomes***** (Indicator? Time Frame?)**

**Actual *****Outcomes***** (Indicator? Time Frame?)**

**Refinement of Intervention?**

**Worksheet #10:  USING OUTCOME INFORMATION TO REFINE INTERVENTION**

**Program:  **_** GRANTEE X**__**	**__**   **_

## Logic Model for Grantee X