PATENT ABSTRACT
Disclosed is a computerized decision support system and method for a) tracking participation within programs, b) capturing participant&#39;s participation activity and assessment information in a format that can be easily analyzed and c) distilling the participation and assessment data into useful management and evaluation information. The repository of longitudinal data can be analyzed and reported for case-management and program-evaluation purposes. An assessment module enables analyzable assessment instruments to be custom-defined by the system user, e.g. a program manager. The customized assessment instrument is used to provide answer-restricted questions during an assessment interview, enabling virtually any data item to be tracked historically. The system captures date/time-stamped participation information at various levels of detail and stores this information in a way that can be easily retrieved and analyzed for program and participant-focused analysis. A set of industry-standard participation events can be tracked, with supporting detail, as well as less-data-intensive ad hoc user-defined activities. The data model underlying the system, and the implementation of this model within a relational database system, provides a great degree of flexibility, adaptability and efficient navigation through the database for analysis and reporting. Though numerous program-evaluation reports are provided, a set of intermediary aggregations of data is also available for efficient evaluation of additional program outcome measures.

PATENT DESCRIPTION
RELATED APPLICATIONS  
       [0001]    This application claims priority from U.S. Provisional Patent Application Serial No. 60/323,008 entitled “PROGRAM PARTICIPATION TRACKING, ASSESSMENT, AND EVALUATION SYSTEM” filed Sep. 18, 2001, incorporated herein by reference in its entirety. 
     
    
     
       TECHNICAL FIELD  
         [0002]    The present invention relates generally to the field of database management and more specifically to tracking and assessing human subjects as they progress through a variety of programs.  
         BACKGROUND OF THE INVENTION  
         [0003]    The need for the invention was first raised in a Juvenile Justice setting. Juvenile courts, unlike their adult counterparts, focus on rehabilitation of the offender (vs. punishment). As a result, these agencies need to provide programs, services, and interventions that address the assessment and rehabilitation of these young offenders. Some programs are offered directly by the court (e.g. probation services), but most are provided by outside agencies.  
           [0004]    The goal is for offenders to be assessed and then referred to programs that hold promise of impacting the youth in a positive way. It is important that the referrals direct the youth to appropriate programs for his/her needs (and risk). Assessments are conducted to determine the characteristics of the subject (e.g. demographic information such as sex, race, age, socioeconomic situation, but also behavioral, physical, psychiatric needs, risks, strengths, weakness, etc.). The candidate programs, on the other hand, have characteristics (i.e. mission, goals, expertise, target audience, capability, capacity, cost, eligibility requirements, etc.) In an ideal world, some exceptionally skilled and informed case worker or court official would match the youth, having documented characteristics, to the best program(s), having documented characteristics. Making this “matching” decision would also take into account the information “what intervention works best for what kind of youth? And are these intervention services offered by the available programs?” These are among the criteria used to measure how “good” a candidate match might promise to be.  
           [0005]    Answering these questions is a very complex and data intensive task, especially with thousands of youth and scores of different programs from which to choose. Methods of assessing and characterizing the youth and programs, documenting the level of participation and the interventions used, and capturing the outcomes of historical matches are needed. And, importantly, information technology in the form of data-collection, database and analysis tools are needed to enable the methodology.  
           [0006]    Static information about the youth as well as longitudinal and dynamic information about the youth&#39;s needs, behaviors, attitudes, etc., together with longitudinal intervention information related to his/her participation in multiple programs, program service-delivery information and goals, must be captured. Furthermore, this information needs to be captured in a format that can accommodate very different kinds of data coming from many different sources. The data-collection method and tool need to be flexible yet robust.  
           [0007]    The problem of maintaining youth assessment information alone is a daunting task. Assessment instruments (e.g. questionnaires, survey forms, etc.) vary from program to program. And often there are multiple assessment instruments used within the same program. Frequently, questions are shared by multiple instruments. Similar questions are expressed inconsistently across instruments (e.g. one expression of the question might be in a multiple-choice format, while another might be free format.) The assessment instrument itself is often dynamic, having questions added, changed, or deleted over time. The sheer number of instruments and information elements is overwhelming, and maintaining such instruments within an information system could require major and ongoing programming effort to “program them into and then maintain them” within the application.  
           [0008]    There is a growing universal and pressing need for methods and tools to assist in program outcome measurement, and, more generally, to program evaluation. This impetus has arisen partially due to the presence of more and more human service programs and the rise in non-profit initiatives. Also, funders of such programs are demanding accountability and are expecting to see how their contributions are being used. United Way has recently mandated that its member agencies implement Program Outcomes Measurement programs and methods, and is actively training these agencies in this practice.  
         SUMMARY OF THE INVENTION  
         [0009]    Determining how youth are impacted as a result of program interventions is an important question. While the present invention will be described in the juvenile justice environment, the present invention need not be confined to youth subjects or to a juvenile justice setting. The data model underlying the invention was developed to track any participants in any programs within a robust database structure that could support numerous multi-dimensional and parametric program outcome measurement objectives. The ease in navigating through the database to measure various program outcome indicators is demonstrated in the accompanying invention description.  
           [0010]    According to a preferred embodiment of the present invention, an aggregate assessment of a group of subjects is performed given subject-specific assessments. The assessments are conducted using assessment instruments and data-validation rules. A means of representing a set of questions, answer restrictions, and question-answer-validation rules is provided within an assessment-instrument data structure. A means of representing a plurality of assessment instruments is provided within the assessment-instrument data structure and for each assessment instrument an assessment-instrument key and a plurality of links to associated questions is stored. A means of representing a plurality of subjects is provided and for each subject a subject key and a plurality of subject attributes are stored within a subject data structure. A means of representing a plurality of assessment events is provided within an assessment-event data structure, and for each assessment event, an associated assessment-event key, subject key and assessment-instrument keys, and a reference to a point in time are stored in the assessment-event data structure. Within the assessment-event data structure, the assessment results including of a plurality of validated answers to a plurality of associated said questions for each assessment event are stored for a subject group by aggregating the assessment results from subjects within the group and utilizing linked data within the data structures.  
           [0011]    According to an embodiment of the present invention, program participation is tracked within programs that provide services to program participants. The participation experience includes service events and said assessment events and the assessment data has been stored in assessment-instrument and assessment-event data structures. A means of representing a plurality of programs having varying program components and services is provided and a unique program key and a plurality of program attributes are stored in a program-definition data structure. A means of representing a plurality of program-participation experiences is provided and for each said program-participation experience a unique program-participation key, an associated program key, an associated program-participant key, and a reference to a participation time period is stored within a program-participation data structure. A plurality of program-participation activities and events for a given program-participation experience is represented within the program-participation data structure including assessment events and each event is linked to the experience by the program-participation key.  
           [0012]    According to another embodiment of the present invention the effectiveness of programs that provide services to program participants can be assessed given assessment questions that have been stored in an assessment-instrument data structure and validated assessment results for program participants that have been stored as assessment events in an assessment-event data structure and analyzed, in aggregate, relative to program-participation experiences. A means of representing a plurality of programs having varying program components and services is provided and a unique program key and a plurality of program attributes are stored in a program-definition data structure. A means of representing a plurality of program-participation experiences is provided and for each program-participation experience, a unique program-participation key, an associated program key, an associated program-participant key, and a reference to a participation time period are stored within a program-participation data structure. For a given program-participation experience, a plurality of program-participation activities and events, including said assessment events representing, are stored within the program-participation data structure and each event is linked to the experience by the program-participation key. For any program having outcome indicators represented in the assessment instruments, the set of said assessment events associated with the instrument(s) is selected with the program&#39;s participants, and program-level assessment results are derived by aggregating the assessment results of the assessment events.  
           [0013]    The program participation tracking, assessment, and evaluation system of the present invention is an integrated decision support tool that provides support for case workers, program managers and administrators in delivery of appropriate and beneficial program services to program participants.  
           [0014]    The tracking, assessment, and evaluation system of the present invention is able to use assessment instruments to capture varied and analyzable longitudinal information about youth within the juvenile justice system. According to an embodiment, the system maintains information about programs, services, providers, funding, etc. The system measures the level of participation of the youth within a program—the delivery methods and workers involved, the interventions used, the services received, the contacts that were made, incidences that occurred etc. According to an embodiment, the system facilitates analysis of the information for case management and program evaluation purposes.  
           [0015]    The program tracking, assessment, and evaluation system of the present invention enables case workers working with program participants to track participation activity and assessment information about those participants, and to be able to measure the effectiveness of the program and of program services. It provides a user-friendly interface to capture critical participation and assessment information.  
           [0016]    According to a feature of the invention, program managers can document program characteristics and services, monitor the operation of the programs, and evaluate program effectiveness. Information can be used to identify problems and opportunities, and support decisions related to poorly used or unnecessary services, problem providers, need for new or changed services, etc.  
           [0017]    The present invention, embodied as a relational database application, stores the participation and assessment information in such a manner as to facilitate the analysis of the captured data for program evaluation as well as case management purposes. The underlying data model provides a general and flexible framework for adapting to virtually any program-participation scenario. The user interface that supports the definition, capturing and reporting of assessment information do not involve instrument-specific tables. Rather they rely on instrument-specific rows. Thus, the assessment instrument is defined by the data rather than by the table structures.  
           [0018]    An important byproduct of the flexible data structures is in the ease and flexibility of analysis and reporting. Importantly, assessment, participation activity and demographics can be easily combined. Basic reports, designed around user-supplied parameters, can be developed to accommodate numerous reporting requirements.  
           [0019]    An exemplary embodiment of the present invention includes an assessment module that permits customization of assessment instruments without the aid of a professional software developer. The user-customized assessment instruments can then be used to provide questions to be answered in an assessment session or interview. Further, these questions may or may not have associated coded answer choices or answer restrictions. The answer restrictions enhance the question&#39;s or instrument&#39;s ability to be analyzed. Standard industry classification codes (e.g. diagnosis, treatment, or criminal codes, etc.) can be imported into the database to provide answer constraints. Other answer choices may be maintained, through the systems&#39; assessment user interface, in a central repository of “permissible answers.” 
           [0020]    The present invention provides a flexible method of tracking fundamental program activities. According to a feature of an embodiment of the present invention, each activity is captured with a date, and possibly time, along with relevant supporting data. Participant-specific reports such as an activity summary and assessment summary can be viewed to provide valuable information about the participant&#39;s level of participation and about the impact of the participation in changing the participant&#39;s attitudes, behaviors, skills, etc. In other words, it provides information for measuring a participant&#39;s progress relative to targeted program outcomes. These fundamental program activities (events) include assessments, worker associations, contacts, services received, etc. In addition, miscellaneous activities can be tracked as well. Additional activity categories can be added by the user, and then tracked.  
           [0021]    Detailed participant-specific activity and assessment data can be aggregated and analyzed at the program, provider, or other aggregate level. The longitudinal data can be analyzed to compare before and after measures, or used to evaluate program outcomes vis-a-vis other programs&#39; outcomes.  
           [0022]    In an embodiment, selected assessment-instrument questions can be used as outcome indicators. Analyzing these indicator-type questions is tantamount to analyzing the associated indicators. Values for these indicators, rolled up across multiple assessments, can provide “program-focused” indicator data that can be combined with other indicator data to assess program effectiveness.  
           [0023]    An aggregate-score assessment instrument, i.e. an instrument whose questions are numeric, and can be combined or aggregated into an instrument-level score, can be designated as an indicator as well. Scores for these aggregate-score instrument indicators can also be used as input into program outcome measurement.  
           [0024]    In an embodiment, the assessment information can be analyzed in combination with participant demographic and participation activity information (e.g. services received, workers associated, contacts made, etc.). The present invention contains many reports that analyze demographic, participation-activity and assessment information. Each report is based upon queries which accept parameters that specify, for example, the question or instrument to be analyzed, the type of output, the level of detail of the output, the type of evaluation, etc. It can be contemplated that additional parametric reports can be added to the set currently defined.  
           [0025]    The present invention also creates intermediary tables (partially aggregated) that streamline analysis and evaluation of additional program outcome measures.  
           [0026]    The extract files generated by the present invention can be imported into more sophisticated statistical analysis programs (e.g. SAS or SPSS) for multivariate or other advanced analysis purposes. 
       
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS  
       [0027]    [0027]FIG. 1 is a block diagram of a network configuration for practice of an embodiment of the present invention;  
         [0028]    [0028]FIG. 2 is a context diagram for an embodiment of the present invention;  
         [0029]    [0029]FIG. 3 a  is a data flow diagram for an assessment instrument definition module according to an embodiment of the present invention;  
         [0030]    [0030]FIG. 3 b  is a data flow diagram for a program information module according to an embodiment of the present invention;  
         [0031]    [0031]FIG. 3 c  is a data flow diagram for a participant information module according to an embodiment of the present invention;  
         [0032]    [0032]FIG. 3 d  is a data flow diagram for a participation recordation module according to an embodiment of the present invention;  
         [0033]    [0033]FIG. 3 e  is a data flow diagram for a report preparation module according to an embodiment of the present invention;  
         [0034]    [0034]FIG. 4 is a data flow diagram for a program information module according to an embodiment of the present invention;  
         [0035]    [0035]FIG. 5 is a data model of some basic elements of an embodiment of the present invention;  
         [0036]    [0036]FIG. 6 is a data model of participant information as structured according to an embodiment of the present invention;  
         [0037]    [0037]FIG. 7 is a data model of program offering information as structured according to an embodiment of the present invention;  
         [0038]    [0038]FIG. 8 is a data model of individual participation information as structured according to an embodiment of the present invention;  
         [0039]    [0039]FIG. 9 is a data model of individual assessment information as structured according to an embodiment of the present invention;  
         [0040]    [0040]FIG. 10 is a data model of program evaluation information as structured according to an embodiment of the present invention;  
         [0041]    [0041]FIG. 11 is a data model for program evaluation information as structured according to an embodiment of the present invention;  
         [0042]    [0042]FIG. 12 is a data flow diagram for a program assessment module according to an embodiment of the present invention;  
         [0043]    [0043]FIG. 13 is a data flow diagram for an assessment aggregation module according to an embodiment of the present invention;  
         [0044]    [0044]FIG. 14 is a data flow diagram for assessment retrieval module according to an embodiment of the present invention;  
         [0045]    [0045]FIG. 15 is a data flow diagram for an answer retrieval module according to an embodiment of the present invention;  
         [0046]    [0046]FIG. 16 is a data flow diagram for score and interpretation retrieval module according to an embodiment of the present invention;  
         [0047]    [0047]FIG. 17 is a data flow diagram for an assessment to answer joining module according to an embodiment of the present invention;  
         [0048]    [0048]FIG. 18 is a data flow diagram for assessment to demographic profile joining module according to an embodiment of the present invention;  
         [0049]    [0049]FIG. 19 is a data model for a navigational path based on program offering parameters according to an embodiment of the present invention;  
         [0050]    [0050]FIG. 20 is a data model for a navigational path based on question parameters according to an embodiment of the present invention;  
         [0051]    [0051]FIG. 21 is a data model for a navigational path based on instrument parameters according to an embodiment of the present invention;  
         [0052]    [0052]FIG. 22 is a data model for a navigational path based on instrument/program offering parameters according to an embodiment of the present invention;  
         [0053]    [0053]FIG. 23 is a data model for a navigational path based on program offering/ instrument parameters according to an embodiment of the present invention;  
         [0054]    [0054]FIG. 24 is a data model for a navigational path based on program offering/question parameters according to an embodiment of the present invention;  
         [0055]    FIGS.  25 - 46  are examples of user interface screens for populating data structures of an embodiment of the present invention;  
         [0056]    [0056]FIG. 47 is an illustration of a form representing an aggregate-score instrument according to an embodiment of the present invention;  
         [0057]    FIGS.  48 - 51  are examples of SQL queries for generating program evaluation information according to an embodiment of the present invention; and  
         [0058]    FIGS.  52 - 57  are examples of reports that can be generating utilizing an embodiment of the present invention. 
     
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS  
       [0059]    As illustrated in FIG. 1, a preferred embodiment of the invention, a Program Participation Tracking, Assessment, and Evaluation system, is in the form of a Microsoft Access 2000® database application, running on a Windows NT® local area network. The system is implemented in two files, a User Interface  10  (named PPTAEUserIF.mdb), and a Database  12  (named PPTAEData.mdb). Workstations in the network should be running Windows NT Workstation®\or Windows 98® operating systems. MS Access 2000® must be installed on each workstation running the application, as well as on the NT server. Optionally, a PC-based statistical analysis program (e.g. SPSS) can be used to perform advanced analysis on data exported from the Assessment and Program Evaluation database application. Finally, MS Graph 2000® is required to display graphical reports.  
         [0060]    Subsequent figures provide detail about the User Interface  10  and Database  12  components of the system. FIGS. 2 through 4 and  12  through  18  focus on the User Interface  10  processes, where FIGS. 5 through 11 focus on the Database  12  data models. The User Interface  10  is composed of 5 major processes, as illustrated in FIG. 2. Each of the 5 processes is decomposed in FIGS. 3 a  through  3   e . The complete hierarchical decomposition is as follows:  
                                                       Context Diagram                 Diagram 1                 Diagram 2                 Diagram 3                 Diagram 4                 Diagram 5                   Diagram 5.2                     Diagram 5.2.1                       Diagram 5.2.1.1                         Diagram 5.2.1.1.1                         Diagram 5.2.1.1.2                         Diagram 5.2.1.1.3                         Diagram 5.2.1.1.4                         Diagram 5.2.1.1.5                          
 
         [0061]    User Interface Process Overview  
         [0062]    The processes embodied in the present invention will be described in five basic modules, outlined in FIG. 2, as follows:  
         [0063]    Assessment-Instrument Maintenance Module  
         [0064]    The first process, Maintain Assessment-Instrument Definition Information  210 , is the system module where the assessment instruments are maintained. An Assessment Instrument  870  (FIG. 8) is an electronic version of a questionnaire or form containing questions that are to be answered by, in this case, a program participant, or by someone interviewing the participant and acting on his/her behalf. A case worker might be the most likely respondent. The user interface relative to this process is exemplified in the screens displayed in FIGS. 25 through 31.  
         [0065]    Program Maintenance Module  
         [0066]    The second process, Maintain Program Information  220 , is manifest in the system module where information defining the program is maintained. Various screens collect information about the program. Such information includes the program&#39;s missions, goals and eligibility requirements to the provider, workers and services provided. This module permits the program configuration that must occur before any program participant can be tracked.  
         [0067]    Participant Maintenance Module  
         [0068]    A third process, Maintain Participant Information  230 , is the system module where information about the participant is maintained. See FIG. 32 for a sample screen. For the purposes of this description, it is assumed here that the information is primarily static demographic information as opposed to the more dynamic participation information that is maintained in the fourth process, Record Participation Information,  240 . It may happen that much of this information is already stored in some other electronic medium, i.e. another computer system. In that case, a “refresh” interface can be developed to synchronize the Program Participation Tracking, Assessment and Evaluation system with participant attributes found in both systems. In fact, the preferred embodiment of the invention does include a module to refresh its system with demographic, address, criminal history, etc. maintained in a main information system.  
         [0069]    Record Participation Module  
         [0070]    The fourth process, Record Participation Information  240 , represents the system module where the bulk of the day-to-day entry of information takes place. This user interface provides screens which capture a great amount of information relating to a participant&#39;s participation in a program. FIGS. 33 through 46 show examples of this interface.  
         [0071]    Program Evaluation Module  
         [0072]    A fifth process, Prepare and Output Reports  250 , represents the system module that compiles information located within the database that meets user specified requirements and presents the retrieved information to the user in a user specified manner. Assess/Evaluate Program Effectiveness  410  (FIG. 4), a sub-process of Prepare and Output Reports  250 , represents the compilation, aggregation, analysis and presentation of participation and related data into useful management and evaluation information. Examples of how the database is navigated to derive program-evaluation information is discussed in subsequent figures.  
         [0073]    The Assessment-Instrument Maintenance Module  
         [0074]    [0074]FIG. 3 a  is a decomposition of the Maintain Assessment-Instrument Definition Information process  210 . The sub-processes represented by  311 ,  312  and  313  describe a user interface that maintains answers, questions, and instruments, respectively.  
         [0075]    Though the focus of this section is on the process Maintain Assessment-Instrument Definition Information  210 , it is useful to refer to the corresponding section of the data model (FIG. 9) that focuses on Individual Assessments (as opposed to Program Assessments). Frequent reference will be made to objects in FIG. 9.  
         [0076]    The purpose of the Maintain Answers  311  interface is to provide a means of maintaining Permissible Answers  950  (FIG. 9) in a generic “answer repository.” The answers in the answer repository will ultimately be used to constrain assessment-instrument multiple-choice questions. FIG. 25 shows the screen in the preferred embodiment where the generic answer repository is maintained. Note that the set of answers contain industry-neutral answers such as “Yes” and “No”; “Satisfactory” and “Unsatisfactory”; “Increase”, “Decrease” or “NoChange”, as well as industry-specific ones. Since this repository is user-maintained, it can contain answers that satisfy the assessment needs of target programs. For example, “K”, “1 st ”, “2 nd ”, etc. might be answers used by programs catering to youth, when, for example, an assessment needs to document the current school grade.  
         [0077]    This repository of manually added answers is one of two types of answer domains, the other type being imported industry-standard codes. Diagnostic, treatment, or criminal codes are typical examples. The DSM-IV diagnostic codes, if imported into the system, could be used to constrain diagnostic-related questions. Assume, for purposes of illustration, that the system has imported a table containing health diagnostic codes and called it domDSMIV (the “dom” prefix standing for “Domain”). For example, domDSMIV could look like the following:  
                                                                         Diag ID   Diag Code   Diag Description                                        1   291.8   Alcohol-Induced Anxiety Disorder           2   303.90   Alcohol Dependence           3   308.3   Acute Stress Diorder                      
 
         [0078]    Sub-process Maintain Questions  312  is the part of the Assessment Instrument Maintenance Module where the Questions  930  (FIG. 9) are maintained. A “question repository” is maintained in much the same way that an answer repository was maintained by Maintain Answers  311 .  
         [0079]    It is presumed that an effort precedes the implementation of the present invention that analyzes the numerous in-use instruments and culls from these instruments a core set of non- or minimally overlapping questions. When multiple similarly worded questions can be re-phrased into a normalized standard, the opportunity to perform analysis is improved. The same question may show up in multiple instruments, and can be analyzed, if desired, independently of the assessment instrument in which it appears. Question-based analysis is covered later when the process Assess/Evaluate Program Effectiveness  410  (FIG. 4) is discussed.  
         [0080]    Questions  930  (FIG. 9) are characterized into different types according to the restrictions placed on their answers. These types are shown in FIG. 9 as: MultiChoice  935 , Date  945 , Freeform  955 , Inherited  965 , and Numeric Range  975 .  
         [0081]    Some of these categories are further subdivided. MultiChoice questions may draw their answers from the generic answer repository or from one of the imported code tables (e.g. “domDSMIV” mentioned above). Multiple-choice questions may also have associated weights, if desired.  
         [0082]    Date-type questions can have different levels of precision: MMDDYYYY, MMYYYY, or YYYY. A “date of birth” question would hope to have an MMDDYYYY answer, where a “year of divorce” question only needs a YYYY answer.  
         [0083]    Inherited questions are those which are, usually, some static data elements such as sex, address, race, etc. which are maintained in the individual&#39;s “master file”. If an assessment instrument has, for example, the “address” question, it can be inherited from the master file, eliminating the need to re-key it into the database. Inherited questions may or may not be editable. Editable questions can be overridden, whereas non-editable questions cannot.  
         [0084]    Freeform questions are those questions which permit any information to be entered. There are no answer restrictions in this case. These questions are usually used for names or descriptions of things that will not be readily analyzed at an aggregate level.  
         [0085]    Each question that is defined contains a prompt that is to be displayed on the Assessment Answer Screen (FIGS. 36 b ,  36   c  and  37   c ) when the target question is presented for answering. A question can be designated as requiring an answer or not.  
         [0086]    [0086]FIG. 26 shows the initial Question Maintenance screen. This screen displays a summary of questions currently in the question repository. It also shows the question type. A new question may be added to the repository by depressing the Add button, or an existing question may be edited by pressing the Edit button.  
         [0087]    If the Add button is depressed, a Question/Answer Maintenance Screen (FIG. 27) is displayed. The Question text box  2701  permits typing in a new question. The Question Type combo box  2702  allows selection of one of the question types. Depending upon the chosen question type, the Question/Answer Maintenance Screen (FIG. 27) displays additional controls which further define the answer choices. In all cases, the question answer prompt, Description of Choices  2703 , is designed to capture a user-intended prompt.  
         [0088]    [0088]FIGS. 28 a ,  28   b , and  28   c  show the Question/Answer Maintenance Screen as it appears after the Question Type combo box  2702  has selected question types of: Multiple Choice Answers in Answer List  2704 , Multiple Choice Answers in Table  2705 , and Range (answer must lie within boundaries)  2706 , respectively.  
         [0089]    [0089]FIG. 28 a  shows an Answer List subform where answers can be chosen from the answer repository using the answer-selection combo box  2801 . FIG. 28 b  shows the Select Code Table combo box  2822  where one of the imported code tables can be selected: FIG. 28 c  shows From text box  2833  and To text box  2834  where the (inclusive) lower and upper bounds to the range-type (numeric) question are inputted.  
         [0090]    Sub-process Maintain Assessment Instruments  313  is the part of the Assessment Instrument Maintenance Module where the Assessment Instruments  870  (FIG. 8) are maintained.  
         [0091]    An assessment instrument, as defined earlier, is a form or questionnaire which contains questions. Some of the questions are independent of one another, and some are related to other questions. To accommodate this question-dependency, the concept of Instrument Question Group  910  (FIG. 9) is introduced. An Instrument Question Group  910  contains questions which are related, and the “relatedness” is important in the analysis of the answers. For example, a question group might be “History of Psych Evaluations”. It contains a set of 4 questions: Date of assessment, diagnosis, treatment required? (Y/N), and date treatment completed. These questions are all related to a historical event, a “psychiatric evaluation.” See FIG. 29 a  to see the screen where this question group is defined. The highlighted question group  2911  (top section of screen  2910 ) has the associated questions (bottom section of screen  2920 ). This is an example of a multi-question (or multi-part) question group.  
         [0092]    Most question groups contain a single question, and are thus single-part (single-question) question groups. Most instruments contain single-part question groups.  
         [0093]    To define an assessment instrument using the screen displayed in FIG. 29 a , simply depress the Add Instrument  2901  button. Next, add question groups using the Add Instrument-Question Group  2912  button. A screen depicted in FIG. 30 a  asks whether the new question group is a Single-Part  3001  or Multi-Part  3002  question group. Also requested are the group Sequence #  3003  and a Multiple-Responses Allowed? flag  3004 .  
         [0094]    If multi-part question group is chosen, a subform appears as seen in FIG. 30 b  which requests a Description of the multi-part question group  3005  and the Selection of up to 5 questions  3006 . Each question is to be selected from the set of questions in the question repostory maintained in Maintain Questions  312 . The limit of 5 questions per group is purely an interface issue and is not otherwise restricted by the database design. It can be contemplated that unlimited-question question groups can as easily be defined and maintained with some slight adjustment to the relevant screens.  
         [0095]    Once the question group is saved, the Instrument Maintenance screen (FIG. 29 a ) returns. At this point, additional question groups may be added (Add Instrument-Question Group  2912 ) or deleted (Delete Instrument-Question Group  2913 ). Question groups can also be edited by adding (Add Instrument Question  2922 ) or deleting (Delete Instrument Question  2923 ) questions in the lower part of the Instrument Maintenance screen  2920 . If Add Instrument Question  2922  is depressed, a new form appears as seen in FIG. 30 c.    
         [0096]    Another attribute of an Assessment Instrument  870  (FIG. 8) is whether or not it is an aggregate-score instrument (see Aggregate Score? checkbox  2902  in FIG. 29 a ). Such an instrument must have only single-part question groups containing only questions that are of Range  2706  (FIG. 28 c ) question type. Since each Range-type question can only have numeric answers, and each question group has only one question, then each question group inherits the numeric “score” from its only “child” question. The assessment instrument, then, can have a cumulative or aggregate score which is the sum of the scores of its question groups.  
         [0097]    See FIG. 31 a . If an Assessment Instrument  870  (FIG. 8) qualifies according to the above criteria and is designated as an aggregate-score instrument, then it can have interpretations associated with its aggregate scores. If the Aggregate Score? check box  3102  is selected, a Score Intervals button  310  becomes visible. Depressing this button brings up the dialog box  3110  (FIG. 31 b ). This dialog box permits entry of score intervals {Minimum Value  3111 , Maximum Value  3112 }, with associated Interpretation Text  3115 . This screen effectively allows the aggregate score to be interpreted. This will be important when viewing assessment summary information in process Record Participation Information  240  (FIG. 3 d  and  35 ) and in process Collect and Aggregate Assessment Information  1210  (FIG. 12). The score intervals shown in FIG. 31 b  correspond to those defined in the sample Assessment Instrument  870  of FIG. 47 c.    
         [0098]    Once an Assessment Instrument  870  (FIG. 8) is defined in the Assessment-Instrument Maintenance Module, it may then be used to conduct an assessment (FIG. 35 c  shows a dialog box requesting the selection of a pre-defined Assessment Instrument  870 ). The process of conducting an assessment is described as sub-process Conduct Assessment  342  (FIG. 3 d ) of the process Record Participation Information  240  (FIG. 2) and will be discussed at length later.  
         [0099]    The Program Maintenance Module  
         [0100]    [0100]FIG. 3 b  is a decomposition of the Maintain Program Information process  220 . The seven sub-processes represented by  321  through  327  describe a user interface that maintains program information. The corresponding data model focusing on Program Offerings  520  is shown in FIG. 7. These processes are thus briefly summarized below.  
         [0101]    The purpose of the Maintain Program Attributes  321  interface is to provide a means of maintaining basic program information such as the program name, its mission, objectives, etc. Agencies play several roles relative to the operation of programs. The two primary roles are those of providers and funders. A particular agency may provide both of these roles simultaneously. Defining the basic attributes (e.g. name, address, employees, contacts, etc.) of any agency involved with programs is the object of Maintain Agency Information  322  process. If the agency is a provider, the Maintain Agency Provider Information  323  process is where this designation is defined. Programs that the agency provides could be defined in this process, but the preferred embodiment has chosen to maintain the many-to-many Agency Provider-to-Program relationship through the Maintain Program Offering Information  325  process.  
         [0102]    Maintain Individual Provider Information  324  is where information about individuals who work in some capacity in a program&#39;s operation (also known as “workers”) is captured. Name and contact information, service role, employing agency, etc. is defined.  
         [0103]    Maintain Program Offering Information  325  is a sub-process of Maintain Program Information  220  process. One of the main business rules embodied in the present invention is: agency providers can provide many programs, and a program can be provided by many agency providers. The many-to-many relationship between agency providers and programs creates the need for a relationship (or entity) to decompose the many-to-many relationship into two one-to-many relationships. This new entity is referred to as Program Offering  520  (FIG. 5). A Program  510  (FIG. 5) can have one or more Program Offerings  520 . A Program Offering  520  has one Program  510  and one Agency Provider  540  (FIG. 5). An Agency Provider  540  can have one or more Program Offerings  520 . See FIGS. 5 and 7 for additional detail.  
         [0104]    Most “program” attributes are associated with Program Offering  520  instead of Program  510 , because they can vary by offering. Some of these important attributes (aside from the associated Program and Agency Provider) are: dates of operation, contract info, budget info, funding info, workers, eligibility requirements, referral and other procedures, services offered, location of program offering. These are all maintained in the Maintain Program Offering Information  325  process.  
         [0105]    Maintain Funding Information  326  is where funding information is maintained. This includes funds, funding accounts, associated funders, funding requirements and designations, funding amounts and purpose, etc.  
         [0106]    A number of “domain”-type data items are needed to support the program offering and program definition. These include repositories of: program components (also known as services; interventions are considered program components as well), termination reasons, accounting codes, worker service roles, etc. The maintenance of this domain information is the object of process Maintain Other Program-related Information  327 .  
         [0107]    The seven sub-processes contribute to what is conceptually defined as data store Program Information  320  in FIG. 3 b . This information is physically stored however, in the “Youth” implementation of the preferred embodiment (see FIG. 11), in many tables (e.g. tblProgram, tblAgency, tblProvider, tblProgramOffering, tblFund, domPgmComponents, domTermReasons, etc.) These tables align, not surprisingly, with the entities described in the Program Offering  520  data model of FIG. 7.  
         [0108]    The Participant Maintenance Module  
         [0109]    [0109]FIG. 3 c  is a slightly more detailed description of the Maintain Participant Information process  230 . Like the Maintain Program Information process  220 , it is an insignificant component of the present invention. The data model Individual Participant/Household (FIG. 6), contains the assumed business rules related to Individuals  630 , Individual Participants  530 , and their Living Situation  670 . The user interface describing how this participant information is maintained is not significant to this invention.  
         [0110]    The information maintained by this process is reflected conceptually in a single data store Participant Information  330 , but, in the “Youth” implementation of the preferred embodiment, several tables are used to contain this information: tblYouth (the participant), tblFamMem, tblFamMemName, tblAddress, domLivingSituation, domParentalStatus, etc.  
         [0111]    It can be contemplated that any number of tables could be used to represent Participant Information  330 . For the purposes of this illustration, only two are used: tblYouth and tblFamMem, and assume that a single name, single address, and otherwise stable individual attributes reside in one of these two tables. See FIGS. 10 and 11 to see these relationships.  
         [0112]    Note: The tblAddress and tblFamMemName were used to store multiples addresses and names, respectively, because the program environment was one in which the history of the individual&#39;s address (and alias names) was important in tracking the individual&#39;s participation. The choice to use these “hard-coded” additional tables could have been circumvented by using an assessment instrument with questions of: “addresses” and “names.” 
         [0113]    In general, assessment instruments are useful for capturing multiple longitudinal snapshots of any needed information. Any historical data can be easily maintained through the assessment activity. For example, a single- (or few-) question assessment instrument (e.g. “Address”) could be developed to capture one or more data items (e.g. “Street Address”, “City”, “State”).  
         [0114]    In general, a good rule of thumb might be that the static characteristics of an individual (Sex, Race, DOB, SSN) or somewhat static characteristics which are fundamental (Name, Address) yet have no need of being tracked historically, can be attributes of the Individual Participant  530 . Otherwise, it is useful to capture Individual Participant&#39;s characteristics via an Answered Question  925  during an Individual Assessment Conducted  570  (snapshot).  
         [0115]    Record Participation Module  
         [0116]    Though the focus of the Record Participation Module is on the process Record Participation Information  240 , as depicted in FIG. 3 d , it is helpful to refer to the corresponding section of the data model (FIG. 8, shown generally by numeral  800 ) that focuses on Individual Participation Activity  560 . Frequent reference will be made to objects in FIG. 8.  
         [0117]    [0117]FIG. 3 d , shown generally by numeral  240 , is a decomposition of the Record Participation Information process  240  into eight sub-processes  341  through  348 . These are: Initiate Program Participation  341 , Conduct Assessment  342 , Log Worker Assignment Information  343 , Contact Information  344 , Log Service Receipt/Completion Information  345 , Log Log Incident Information  346 , Log Other Activity/Event Information  347 , and Terminate Program Participation  348 , respectively.  
         [0118]    These processes maintain information in the data store Participation Information  340  (a subset of data store Database  12 ); information which relates to an Individual Participant&#39;s  530  Participation  550  in a Program Offering  520 .  
         [0119]    Note that data stores Program Information  320  and Participant Information  330  are used as input to all of the eight sub-processes. The data store Assessment-Instrument Definition Information  310 , however, is used only for the particular sub-process Conduct Assessment  342 . The information in the data store Assessment-Instrument Definition Information  310  provides the questions to be asked during the Conduct Assessment process  342 .  
         [0120]    In the specific implementation of the preferred embodiment, as documented in FIGS.  11  (and higher), the Individual Participant  530  referred to in FIG. 10 (and lower) is specifically referred to as “Youth.” FIG. 11 uses specific table and field names to implement the general entities and attributes, respectively, that are found in FIG. 10. For example, Individual Participant  530  of FIG. 10 corresponds to tblYouth  530 ′ of FIG. 11. And Participation  550  of FIG. 10 corresponds to tblYouthPgmPartic  550 ′ of FIG. 11. Note the convention of using the “prime” notation to designate the embodiment of a general entity as a physical implementation of that entity, in this case, a “table.” 
         [0121]    In the preferred embodiment, the process of creating a Participation relationship  550  between an Individual Participant  530  and a Program Offering  520  is created from the Individual Participant&#39;s  530  side, i.e. from the “Youth&#39;s” side, vs. the Program Offering&#39;s  520  side.  
         [0122]    For example, the Youth maintenance screen depicted in FIG. 32 and shown generally by numeral  3200 , contains a Program Participation button  3201 . Depressing this button enables Participations  550  to be created/edited/terminated for the particular youth whose record is displayed on the Youth maintenance screen  3200 .  
         [0123]    It can be contemplated that the Participation  550  records could be created/edited or deleted, as well, from the Program Offering&#39;s  520  side. In fact, many “program roster” type reports present this “view” of the many-to-many relationship Participation  550  that exists between Individual Participant  530  and Program Offering  520 .  
         [0124]    In the “Youth” implementation of the preferred embodiment, as described above, the Program Participation button  3201  on the Youth maintenance screen  3200  is the gateway to the Record Participation Information process  240 , i.e. the means of initiating each of the eight processes ( 341  through  348 ) shown in FIG. 3 d.    
         [0125]    Each of the eight processes is a user-interface that maintains information in the data store Participation Information  340 . Associated exemplary screens drawn from the “Youth” implementation of the preferred embodiment will be used to describe these eight processes. The sample screens are invoked from the Youth Program Participation screen displayed in FIG. 33 a , shown generally by numeral  3300 . And the Youth Program Participation screen  3300  is invoked from the Program Participation button  3201  of the Youth maintenance screen  3200 .  
         [0126]    Youth Program Participation Screen  
         [0127]    The Youth Program Participation screen  3300  shows a summary listing of all of the Program Offerings  320  in which the target youth, whose name is shown in the Name text boxes  3310 , is currently participating or has participated. This list of Participations  550  is shown in the Participation Summary subform  3320 . The left-most boxes of the Participation  550  records, referred to as Participation Record Selectors  3325 , are used to select a particular Participation  550 . The bottom left section of the screen, the Program Participation Activity section  3340 , contains a number of buttons— 3342  through  3348 —which invoke the processes  342  through  348 , respectively, shown in FIG. 3 d . For example, the Workers button  3343  invokes the Log Worker Assignment Information process  343 . And the Log Worker Assignment Information process  343  is responsible for capturing the Worker Associated activity  820  (FIG. 8).  
         [0128]    In the upper right-hand corner of the Youth Program Participation screen  3300  is another button, Program Initiation/Activity  3341  . This button invokes the Initiate Program Participation process  341  of FIG. 3 d . Finally, two buttons in the Reports section of the screen, Pgm Activity Summary  3350  and Assessment Summary  3360 , invoke two summary reports.  
         [0129]    Initiate Program Participation Process  
         [0130]    The New Program Activity screen, depicted in FIG. 34 a  and shown generally by numeral  3400 , is the user interface associated with the process Initiate Program Participation  341 . Depressing the Program Initiation/Activity button  3341  on the Youth Program Participation screen  3300  opens this New Program Activity screen  3400 .  
         [0131]    The New Program Activity screen  3400  permits the selection of a Program Offering  520  via the Select Program Offering combo box  3401 . New Activity Type  3402  combo box provides the means to select a particular Activity Type  580 . In this preferred embodiment, an assumption is made that only pre-initiation- and initiation Activity Types  580  are available for selection. Pre-initiation activities include activities like “was referred to”, “was accepted into” and “was denied acceptance into.” The initiation Activity Type  580  “PARTICIPATION BEGAN” creates a new Participation  550  record (i.e. a new record in the tblYouthPgmPartic table  550 ′). Multiple pre-initiation activities may be logged, each having an activity date. An Activity list box  3405  displays these pre-initiation activities. Importantly, the date of the activity must be entered into the Date of Activity text box  3404 .  
         [0132]    Once the initiation activity (i.e. Activity Type  580 =“PARTICIPATION BEGAN”) is posted (i.e. the OK button is depressed), control returns to the Youth Program Participation screen  3450  shown in FIG. 34 b . This screen  3450  differs from  3300  in that it contains a new Participation  550  record  3460  in its Participation Summary subform  3470 .  
         [0133]    Once a Participation  550  is created by the Initiate Program Participation process  341 , an Individual Participation Activity  560  can be associated with that Participation  550 .  
         [0134]    Individual Participation Activities  
         [0135]    To log Individual Participation Activities  560 , first, select the appropriate Participation  550  record using the Participation Summary Record Selector  3320  on the Youth Program Participation screen  3300 . Then depress one of the buttons in the Program Participation Activity section  3340 . In the specific implementation of the preferred embodiment, there are five Major Activity  860  (also known as Major Event) buttons—Assessments  3342 , Workers  3343 , Contacts  3344 , Components  3345 , and Incidents  3346 —and a Miscellaneous Activity button  3347  to log Minor Activities  850 .  
         [0136]    [0136]FIG. 8 depicts the five Major Activities  860 —Individual Assessment Conducted  570 , Worker Associated  820 , Contact Made  875 , Service Received  810  and Incident Occurred  845 —corresponding to the five Major Activity  860  buttons:  3342  through  3346  on the Youth Program Participation screen  3300 , respectively. These five Major Activities  860  are those requested by the client for whom the “Youth” implementation of the preferred embodiment was developed. It is contemplated that other Major Activities  860  could be readily defined as well. Some examples of additional Major Activities  860  are shown in FIG. 8 as: Service Plan Developed  830 , Referral Made  840 , Award Received  855  and Goods Received  865 .  
         [0137]    The difference between Major Activities  860  and Minor Activities  850  relates to the number and quality of activity-specific attributes that need to be stored and reported on, and thus the need for activity-specific database structures to hold those data items. Each Major Activity  860  has a special table (e.g. tblYouthPgmParticAsst, tblYouthPgmParticWorker, tblYouthPgmParticContact, etc.) to hold data items which further qualify the activity (beyond Activity Type  580  and date of activity). Expanding/extending the set of five Major Activities  860  beyond those found in the “Youth” implementation of the preferred embodiment would require only minor database and functional modifications.  
         [0138]    Minor Activities  850  can be defined by the user in a Miscellaneous-Data interface in the “Youth” implementation of the preferred embodiment. In that system, Activity Types  580  are stored in the table domActivityType. Once an activity type is recorded in the domActivityType table, it can then be selected as a Minor Activity  850 . The procedure for logging Minor Activities  850  will be discussed after the processes for logging Major Activities  860  are described.  
         [0139]    Logging Major Activities  
         [0140]    The most complex Major Activity  860  type is that of Individual Assessment Conducted  570  (in FIG. 3 d ). Thus the process for logging this Activity Type  580 , Conduct Assessment  342  is discussed first.  
         [0141]    Conducting an Assessment  
         [0142]    The process Conduct Assessment  342  is invoked from the Youth Program Participation screen  3300  by, first, selecting the target Participation  550  (using the Participation Record Selector  3325  in FIG. 33 a ) and then, pressing the Assessment button  3342 . The resulting Youth Program Participation-Assessments screen, depicted in FIG. 35 a  and shown generally as numeral  3500 , will open.  
         [0143]    This Youth Program Participation-Assessments screen  3500  shows all of the Individual Assessments Conducted  570  for the target Participation  550  in an Assessment Summary list box  3530 . For each Individual Assessment Conducted  570 , the following data items are shown: Interview Date  3531 , Assessment Instrument name  3532 , Caseworker in charge of the interview/assessment  3533 , and, if relevant, an Aggregate Score  3534 , with corresponding Score Interpretation  3535 . An Assessment Summary report  3545 , invoked by the Assessment Summary button  3540 , is shown in FIG. 35 b.    
         [0144]    The Add  3550 , View/Edit  3560 , and Delete  3570  buttons on screen  3500  are used to add, view/edit, or delete an Individual Assessments Conducted  570  activity, respectively. Depressing the Add button  3550 , opens the Add New Assessment screen depicted in FIG. 35 c  and shown generally as numeral  3555 . Screen  3555  contains an Instrument combo box  3556 , from which an Assessment Instrument  870  must be selected. Also requested are the caseworker and interview date (i.e. date of assessment). Posting the information creates an Individual Assessment Conducted  570  activity, implemented in the “Youth” implementation of the preferred embodiment, as a new record in tblYouthPgmParticAsst  570 ′ (in FIG. 11). Also, as with all Individual Participation Activities  560 , a new record is also added to tblYouthPgmActivity  560 ′ (FIG. 11). The Youth Program Participation-Assessments screen  3500  is again displayed, now showing a new Assessment record in the Assessment Summary list box  3530 .  
         [0145]    Answering Assessment Questions  
         [0146]    The View/Edit  3560  button is used to open the Conduct Assessment Interview screen found in FIG. 36 a  and shown generally as numeral  3600 . Beneath the header section, which contains the name of the Assessment Instrument  870 , the Youth  530 ′ name, the interview date and the caseworker name, there are three additional sections: a Question Group section  3610 , a Question section  3620 , and an Answer section  3630 .  
         [0147]    Sections Question Group  3610  and Question  3620  are linked in that, for the selected Instrument Question Group  910  (FIG. 9) in the Question Group section  3610  (noted by the presence of a triangle in the Question Group Record Selector  3611 ), the associated Instrument Question(s)  920  is (are) displayed in the Question section  3620 . This association between an Instrument Question Group  910  and Instrument Questions  920  was defined in Maintain Assessment Instrument process  313  (FIG. 3 a ) described earlier. This relationship is also depicted in FIG. 9.  
         [0148]    In the Question Group section  3610 , there are two buttons to the right of the list of Instrument Question Groups  910 —an Add Answer button  3612  and a Delete Answer button  3613 . These buttons are visible only when relevant—e.g. the Delete Answer button  3613  is not visible if there is no answer yet supplied.  
         [0149]    In the Question section  3620 , there is an Answer/Edit Question button  3622  on the right-hand side of the screen. This button provides the means to define Answer Sets  3639 . For a given Instrument Question Group  910  having a set of associated Instrument Questions  920 , a single-response set of answers for each of those questions is called an Answer Set.  
         [0150]    In the preferred embodiment, the relationship between the Question section  3620  and the Answer section  3630  is somewhat different than the relationship between the Question Group section  3610  and the Question section  3620 . For each Instrument Question  920  (with index #&#39;s from 1 up to 5, determined from the relative Instrument Question  920  sequence #), there is a hard-programmed column in the Answer section  3630  which corresponds to the target Instrument Question  920  (as selected by the Instrument Question Record Selector  3621 ). For example, the Instrument Question  920  which has an index # of 3 (i.e. is the 3 rd  Instrument Question  920  corresponding to the target Instrument Question Group  910 ), will have its corresponding Answer  960  in the 3 rd  position in the Answer Set  3639  of the Answer section  3630 .  
         [0151]    Each row in the Answer section  3630  corresponds to an Answer Set  3639 . The presence of multiple rows implies that there are multiple Answer Sets  3639  associated with the target Instrument Question Group  910  (i.e. as selected by the Question Group Record Selector  3611 ). An Instrument Question Group  910  is eligible to have multiple Answer Sets if its Multi-Response checkbox  3614  is checked. Otherwise, the Instrument Question Group  910  can only have a single Answer Set  3639  (i.e. a single row of answers)..  
         [0152]    The particular interface was designed to record multiple instances of multi-part answers to multi-part questions in a manner that was intuitive to a user, that would require as few keystrokes as possible, and would display an appropriate amount of data on a single screen. It is contemplated that improved interfaces can be readily developed that would implement the flexible assessment data model, yet be more user-friendly. The development of multiple interfaces (e.g. one for single-response/single-part instruments, another for single-response/multi-part instruments etc.) may be an attractive approach.  
         [0153]    The Conduct Assessment process  342  will be illustrated by two examples using exemplary screens from the “Youth” implementation of the preferred embodiment. The first example, (I), assumes an Assessment Instrument  870  which is NOT an Aggregate-Score instrument and contains at least one Multi-Response Instrument Question Group  910 . It is illustrated by the screens shown in FIGS. 36 a, b, c  and  d . This example is further divided into two scenarios: a) a multi-response and multi-part scenario, and b) a single-response and single-part scenario. The second example,(II), assumes an Assessment Instrument  870  which is an Aggregate Score instrument containing no Multi-Response Instrument Question Groups  910 . Furthermore, each Instrument Question Group  910  is a Single-Part (i.e. has only one associated Instrument Question  920 .) This example is reflected in screens shown in FIGS. 37 a  and  b.    
       EXAMPLE I  
     Non-Aggregate-Score Assessment Instrument  
       [0154]    a) Multi-Response/Multi-Part Instrument Question Group “History of Psych Eval Assessments” 
         [0155]    1) Refer to screen  3600  in FIG. 36 a . In the Question Group section  3610 , select the Instrument Question Group  910  named “History of Psych Eval Assessments” (Note that this Instrument Question Group&#39;s  910  Multi-Response checkbox  3614  is checked. It can thus have multiple responses, i.e. multiple Answer Sets  3639 . This Instrument Question Group  910  is also associated with multiple Instrument Questions  920 , shown in the Question section  3620 .  
         [0156]    2) Depress the Add Answer button  3612  (to add the first “empty” Answer Set  3639 ).  
         [0157]    3) Next, in the Question section  3620 , select the desired Instrument Question  920  to be answered.  
         [0158]    4) Select, for example, the “History of Psych Eval Assessments-Diagnosis”, the 2 nd  Instrument Question  920 , as defined by its relative sequence #.  
         [0159]    5) Now depress the Answer/Edit Question button  3622 . This action will open the Answer Question dialog box illustrated in FIG. 36 b  and shown generally by numeral  3650 .  
         [0160]    6) The Answer control  3652  in the AnswerQuestion dialog box  3650  is customized to handle the Question Type  931  associated with the selected Instrument Question  920 . In this example, the Answer control  3652  is a combo box whose record source is the table whose name, “domDSMIV”, was pre-specified in the Maintain Questions process  312 , as the “domain” of answers for the Instrument Question  920 =“History of Psych Eval Assessments-Diagnosis.” 
         [0161]    7) In addition to the Answer control  3652 , the dialog box  3650  also contains three read-only text boxes whose values have been pre-defined (in the Maintain Question process  312  described earlier.) The first, labeled Question  3651 , contains the question description “History of Psych Eval Assessments-Diagnosis.” The second read-only text box, labeled Choices  3653 , displays the question prompt “DSM-IV code.” (This too, was pre-defined in the Maintain Question process  312 .) Finally, the last read-only text box, shown in the lower part of the dialog box and numbered  3654 , displays the Question Type  931 . In this example, the Question Type  931  is “Multiple Choice Answers in Table.” (See FIG. 27 b , the screen that assigned this Question Type  931  to the Question  930 =“History of Psych Eval Assessments-Diagnosis.” 
         [0162]    8) After selecting a particular diagnosis code, in this example, “Acute Stress Disorder”, depress the OK button to save the answer as the 2 nd  component of the 4-component Answer Set  3639 . In particular, the “Acute Stress Disorder” is saved in the control  3632 .  
         [0163]    9) Repeat the “answer question” process for each of the four Instrument Questions  920  associated with the “History of Psych Eval Assessments” Instrument Question Group  910 .  
         [0164]    10) To add a second response to this multi-response Instrument Question Group  910 , depress the Add Answer button  3612  a second time. This will add a second “empty” Answer Set  3639 . Answer each of the four Instrument Questions  920 .  
         [0165]    11) The Conduct Assessment Interview screen displayed in FIG. 36 c  and shown generally by numeral  3660 , shows the resulting answers to the “History of Psych Eval Assessments” Instrument Question Group  910 .  
         [0166]    b) Single-Response/Single-Part Instrument Question Group “Current School Attendance . . . ” 
         [0167]    1) Refer to screen  3670  in FIG. 36 d . In the Question Group section  3671 , select the Instrument Question Group  910  named “Current School Attendance Status . . . ” (Note that this Instrument Question Group&#39;s  910  Multi-Response checkbox  3674  is NOT checked. It can thus have one response, i.e. one Answer Set  3679 . This Instrument Question Group  910  is associated with a single Instrument Question  920  having the same name as the Instrument Question Group  910  designated by  3675 , i.e. “Current School Attendance . . . ”)  
         [0168]    2) Depress the Add Answer button  3672  (to add an “empty” Answer Set  3679 ). Next, in the Question section  3677 , select the desired Instrument Question  920  to be answered. Since this is a Single-Part Instrument Question Group  910 , there is no need to select an Instrument Question  920 . There is only one question, and it is “Current School Attendance Status (less than 10 is Satisfactory).” By default, it is “selected.”  
         [0169]    3) Depress the Answer/Edit Question button  3672 . This action will open the Answer Question dialog box illustrated in FIG. 36 e , and shown generally by numeral  3680 .  
         [0170]    4) The Answer control  3682  in the AnswerQuestion dialog box  3680  is customized to handle the particular Question Type  931  associated with the selected Instrument Question  920 . In this example, the Answer control  3682  is a combo box whose record source is the set of answers (i.e. the Answer Repository) pre-defined in the Maintain Questions process  312 .  
         [0171]    5) In addition to the Answer control  3682 , the dialog box  3680  also contains three read-only text boxes whose values have been pre-defined (in the Maintain Question  312  process described earlier.) The first, labeled Question  3681 , contains the question description, in this case “Current School Attendance Status (less than 10 is Satisfactory).” The second read-only text box, labeled Choices  3683 , displays the question prompt, in this case: “Satisfactory/Unsatisfactory/Non Applicable (i.e. not in school).” (This too, was pre-defined in the Maintain Question  312  process.) Finally, the last read-only text box, shown in the lower part of the dialog box and numbered  3684 , displays the Question Type  931 . In this example, the Question Type  931  is “Multiple Choice Answers in Answer List.” (See FIG. 27 a , the screen that assigned this Question Type  931  to the Question  930 =“Current School Attendance . . . ” 
       EXAMPLE II  
     Aggregate-Score Assessment Instrument with Single-Response/Single-Part Instrument Question Groups  
       [0172]    Refer to screen  3700  in FIG. 37 a.    
         [0173]    1) In the Question Group section  3710 , select the Instrument Question Group  910  named “LOSI . . . Substance Abuse” This Instrument Question Group  910  is associated with a single Instrument Question  920  having the same name as the selected Instrument Question Group  910 , i.e. “LOSI Substance Abuse”.  
         [0174]    2) Depress the Add Answer button  3712  (to add an “empty” Answer Set  3739 ). Next, in the Question section  3720 , select the desired Instrument Question  920  to be answered (identified by the Instrument Question Record Selector  3765 ). Since this is a Single-Part Instrument Question Group  910 , there is no need to select an Instrument Question  920 . There is only one Instrument Question  920 , and it is “LOSI Substance Abuse”, with a Question Type  931 =“Range (answer must lie within range boundaries)”. By default, it is “selected.” 
         [0175]    3) Depress the Answer/Edit Question button  3722 . This action will open the Answer Question dialog box illustrated in FIG. 37 b , and shown generally by numeral  3750 . The Answer control  3752  in the Answer Question dialog box  3750  is customized to handle the particular Question Type  931  associated with the selected Instrument Question  920 . In this example, the Answer control  3752  is a text box having validation procedures which ensure that the numeric answer supplied does indeed fall between the two range boundaries, inclusive.  
         [0176]    4) In addition to the Answer control  3752 , the dialog box  3750  also contains three read-only text boxes whose values have been pre-defined (in the Maintain Question process  312  described earlier.) The first, labeled Question  3751 , contains the question description, in this case “LOSI Substance Abuse.” The second read-only text box, labeled Choices  3753 , displays the question prompt “From 0 to 5 (Low=0; Moderate=1 to 2; High=3 to 5)” (This, too, was pre-defined in the Maintain Question process  312 .) Finally, the last read-only text box, shown in the lower part of the dialog box and numbered  3754 , displays the Question Type  931 . In this example, the Question Type  931 =“Range (answer must lie within range boundaries)”. (See FIG. 27 c , the screen that assigned this Question Type  931  to the “LOCI Substance Abuse” Question  930 .  
         [0177]    Deleting Assessment Answers  
         [0178]    Deleting the answers for an Instrument Question Group  910  is accomplished from the Conduct Assessment Interview screen  3600  by, first, selecting the Instrument Question Group  3611 , and then depressing the Delete Answer button  3613 . This will delete all Answer Sets in the Answer section  3630  for the selected Instrument Question Group  910 .  
         [0179]    When the Assessment Interview is completed, depress the exit button to return to Youth Program Participation-Assessments screen  3500 . An Assessment record for the Assessment just conducted should be visible in the Assessment Summary subform  3550 .  
         [0180]    Logging Other Major Activities  
         [0181]    The second Major Activity of Record Participation Information  240  is that of Log Worker Assignment Information  343 . The user interface for this process is shown by the exemplary Youth Program Participation-Workers screen displayed in FIG. 38 a , and generally shown by numeral  3800 . This screen is invoked from the Youth Program Participation screen  3300 , by, first selecting a particular Participation  550 , and then, by pressing the Workers button  3343 . This screen shows, for the Participation  550  selected from screen  3300 , the set of associated workers. These workers are listed, one per record, in the Worker List section  3810  of screen  3800 , and correspond to Worker Association  820  activities. For each Worker Associated  820 , a record shows the worker name, start date, end date, service role, termination, phone number and notes. It can be contemplated that additional worker-specific attributes could be added to those listed above.  
         [0182]    To add a new Worker Association  820  activity, it is necessary to depress the Add button  3820 . This will add new records to the generic tblYouthPgmActivity  560 ′ table and to the activity-specific tblYouthPgmParticWorker table  820 ′.  
         [0183]    A second View/Edit Program Workers screen, depicted by FIG. 38 b  and shown generally by numeral  3850 , displays some additional detail about the selected worker and provides a better interface for entry of notes. This screen is invoked from the Youth Program Participation-Workers screen  3800 , by, first selecting a particular Worker Association record  820  from the Worker List section  3810 , and then depressing the View/Edit button  3830 . Though there is little additional information on screen  3850  than that shown in screen  3800 , it can be contemplated that, when more Worker Association  820  attributes are required, the need to have a second “detailed” screen such as screen  3850  may be greater.  
         [0184]    Depending upon the business rules required, the set of workers from which to choose when establishing a Worker Association  820 , may, or may not be filtered by, say, a rule requiring the worker to be employed by the Agency which is the Agency Provider of the Program of the Program Offering  520  of the Participation  550 .  
         [0185]    The third Major Activity of Record Participation Information  240  is that of Log Contact Information  345 . The user interface for this process is shown by the exemplary Youth Program Participation-Contacts screen displayed in FIG. 39 a , and generally shown by numeral  3900 . This screen is invoked from the Youth Program Participation screen  3300 , by first selecting a particular Participation  550 , and then, by pressing the Contacts button  3344 . This screen shows, for the Participation  550  selected from screen  3300 , the set of contacts made.  
         [0186]    The general functioning of the Log Contact Information process  344  is similar to that described for the Log Worker Information process  343  above. There are two screens, a summary-listing-level screen, in this case, screen  3900 , and a detailed single-record screen, in this case, screen  3950  (shown in FIG. 39 b ).  
         [0187]    The fourth Major Activity of Record Participation Information  240  is that of Log Service Receipt/Completion Information  345 . The general functioning of the Log Service Receipt/Completion Information process  345  is similar to that described for the Log Worker Information process  343  above. There are two screens, a summary-listing-level screen, in this case, screen  4000 , and a detailed single-record screen, in this case is not shown.  
         [0188]    One important note to make about the Program Component selection combo box is that the record source of the combo box contains only those records (i.e. program components) which have previously been defined as “offered” by the Program Offering  820  in the Maintain Program Information process.  
         [0189]    The fifth Major Activity of Record Participation Information  240  is that of Log Incident Information  346 . The general functioning of the Log Incident Information process  346  is similar to that described for the Log Worker Information process  343  above. There are two screens, a summary-listing-level screen, in this case, screen  4100 , and a detailed single-record screen, in this case,  4150 .  
         [0190]    Minor Activities  
         [0191]    Minor Activities  850  are logged by depressing the Miscellaneous Activity button  3349  on the Youth Program Participation screen  3300 . The Program Activity screen illustrated in FIG. 42 a  and generally shown as numeral  4200  appears. It shows a summary of all activity logged to date (Activity Summary list box  4201 ) for the Youth  530 ′ whose name appears in the upper right hand corner of the screen  4202  relative to the Participation  550  in the Program Offering  520  shown in the read-only Program Name text box  4203 . It also provides the opportunity to log additional Individual Participation Activity  560  using the New Activity Type combo box  4204  and the Date of Activity text box  4205 . Activity Notes  4206  can be captured as well. The Program Activity screen  4200  is very similar to the New Program Activity screen  3400 .  
         [0192]    A report-version of the activity-summary information found on the Program Activity screen  4200  is shown in FIG. 42 b , generally shown by numeral  4250 . It is invoked from the PgmActivity Summary button  3320  of the Youth Program Participation screen  3300 .  
         [0193]    Program Participation Termination  
         [0194]    Refer again to the Youth Program Participation screen  3300 . When a Participation  550  is to be terminated, it must first be selected by clicking the record selector to the left of the appropriate non-terminated Participation  550  record. (Note: Non-terminated Participation  550  records are those with neither an End Date nor Termination Reason.)  
         [0195]    Depressing the Program Termination/Transfer button  3348  brings up the Program Termination/Transfer Activity screen of FIG. 43, generally shown by numeral  4300 . In the “Youth” implementation of the preferred embodiment, the option to transfer from one Program Offering  520  to another was accomplished through the Transfer/Terminate buttons  4301 , thus abbreviating the process of ending one Program Offering  520  and beginning another. The termination date and termination reason are required input to the Date of Termination  4301  text box and the Termination Reason  4302  combo box. These “boundary” attributes of the Participation  550  are critical for program-evaluation purposes. This will be illustrated in the Program Evaluation Module which follows.  
         [0196]    Program Evaluation Module  
         [0197]    [0197]FIG. 3 e , shown generally by numeral  250 , shows a decomposition of the Prepare and Output Reports process  250  of FIG. 2 into two sub-processes, Prepare &amp; Output Participant Information  351  and Prepare &amp; Output Program Information  352 . A sub-process of the latter, namely the Assess/Evaluate Program Effectiveness process  410 , is shown in FIG. 4 and is of relevance to the present invention. While the Assess/Evaluate Program Effectiveness process is described in conjunction with the other four modules above, it is contemplated that this module can be employed to assess programs based on assessment information collected using processes other than those described above. FIG. 4, shown generally by numeral  400 , shows the input data stores to the process Assess/Evaluate Program Effectiveness  410 : Assessment-Instrument Definition Information  310 , Program Information  320 , Participant Information  330  and Participation Information  340 . The two most relevant data stores to the present invention are the Assessment-Instrument Definition Information  310  and the Participation Information  340 .  
         [0198]    Though the focus of the Program Evaluation Module is on the process Assess/Evaluate Program Effectiveness  410 , depicted in FIG. 4, and its sub-processes, shown in FIGS. 12 through 18, it is helpful to refer to the corresponding sections of the data model. FIGS. 10 and 11, shown generally by numerals  1000  and  1100 , respectively. These segments of the overall data model focus on how assessments and program participation activity can be used to evaluate program effectiveness.  
         [0199]    [0199]FIG. 10 shows the conceptual entities, relationships and attributes most directly involved in generating program-evaluation information from Participation  550 , Individual Participation Activity  560 , and Individual Assessments Conducted  570 . This data model clearly shows how the database might be navigated to search for basic program evaluation information. Notice the path between the Program Evaluation Conducted  590  and the Individual Assessment Conducted  570 . Entities  550 ,  560 ,  860 ,  570 ,  915  and  925  are classified as belonging to the data store Participation Information  340 . Entities  870 ,  970 ,  920  and  930  would belong to the data store Assessment-Instrument Definition Information  310 .  
         [0200]    [0200]FIG. 11 mirrors FIG. 10, but uses specific objects in the “Youth” implementation (namely tables and fields) instead of the more abstract objects of FIG. 10. The data model segments in FIGS. 19 through 24, shown generally by numerals  1900  through  2400 , respectively, describe how queries might navigate through the data model to measure several exemplary program outcome indicators.  
         [0201]    In addition to the stored information from the four data stores, it is assumed that a user directing the Assess/Evaluation Program Effectiveness  410  may want to specify parameters qualifying the analysis. For example, the user may want to specify which Program  510  or Program Offering  520  is to be analyzed. The evaluation period should also be specified by the user. Other parameters might be the type of evaluation (e.g. “compare first and last assessments”, “use only the last assessment”, “use only assessments conducted 6 months after beginning program”, “use only the last assessments conducted after completion of program”, etc.), Individual Participant  530  attributes (e.g. race, sex, etc.) or other factors, Assessment parameters (Assessment Instrument  870  to use, Instrument Question(s)  920  to use, outcome indicators, targets, type of comparison, etc.), and type of output (e.g. report, file, graphic format, summary/detail, etc.) FIGS. 44 through 46, shown generally by numeral  4400  through  4600 , respectively, show sample screens that solicit these parameters and invoke some “reports.”  
         [0202]    Program Evaluation Example  
         [0203]    For the purpose of illustrating how the present embodiment could support program evaluation, the following scenario is presented. The scenario is set in the context of the “Youth” implementation of the preferred embodiment. It assumes that the database is that depicted in data model  1100  of FIG. 11. (Specific table names from FIG. 11 will be referenced in the sub-process of Assess/Evaluate Program Effectiveness process  410  as they are described in FIGS. 12 through 18.)  
         [0204]    The following evaluation assumptions apply. Assume that a particular Program Offering  920  is to be evaluated. In the sample, the Program Name is “Intensive Probation”, and the Program Provider is “Lorain County Domestic Relations Court”. Two program outcome indicators are to be used.  
         [0205]    Assume the first indicator is the youth&#39;s school attendance. In the context of the present invention, this indicator can be measured by examining answers to the Instrument Question  920  whose description is “Current School Attendance Status (less than 10 is Satisfactory)”.  
         [0206]    The second indicator is a surrogate measure of youth needs and risk based upon eight questions. The sample Assessment Instrument  870  shown in FIGS.  47  ( a, b , and  c ) shows precisely the questions, as well as the aggregate-score interpretations. The name of this Assessment Instrument is “LOSI Assessment of Risks and Needs.” 
         [0207]    For youth participating in the Program Offering  920 , consider only those youth which were assessed twice: once at the beginning of the Participation  550  and once later on. Assume that the date of the second assessment is not relevant except that it must be conducted after the first. Assume also that the second assessment need not occur while the youth was participating in the Program Offering  920 ; it could have been conducted after the Participation  550  ended.  
       First Indicator  
     Instrument Question-based—“School Attendance” 
       [0208]    For all youth participating in the program, document the first-assessment question answer relative to the last-assessment question answer. Present the results in each of the following output formats:  
         [0209]    1. Look at the “before and after” answers, including demographic information, in tabular form. (See FIG. 44:  4430  and  4440 )  
         [0210]    2. Look at the “before and after” answers, including demographic information, in extract file output form. . (See FIG. 44:  4430  and  4450 ) The purpose of have the extract-file format is to be able to utilize more sophisticated analysis tools such as SPSS or SAS. The extract file would be used as input into the analysis tool.  
         [0211]    3. Look only at the most recent answers by race, in pie-chart form. (See FIG. 45:  4530  and  4560 )  
       Second Indicator  
     Assessment Instrument-Based—“LOSI” Surrogate Score  
       [0212]    For all youth participating in the program, analyze the first-assessment scores relative to the last-assessment scores to determine how those scores changed.  
         [0213]    Present the results in each of the following output formats:  
         [0214]    1. Look at the “before and after” scores, including demographic information, in tabular form. (See FIG. 46:  4630  and  4640 )  
         [0215]    2. Look at the “before and after” scores, including demographic information, in extract file output form. (See FIG. 46:  4630  and  4650 )  
         [0216]    3. Look at the change in scores between the first and last assessments. Show in bar-chart form. (See FIG. 46:  4630  and  4690 )  
         [0217]    Assess/Evaluate Program Effectiveness Process Decomposition  
         [0218]    [0218]FIG. 12, shown generally by numeral  1200 , decomposes the Assess/Evaluate Program Effectiveness into two sub-processes: Collect and Aggregate Assessment Information  1210  and Present Program Evaluation Information  1220 . There are three parameters shown: PgmOffer ID  1201 , QuestID  1202  and InstID  1203 . In addition, four specific tables are shown as intermediary tables: tblEvalFirstLastAssts  1211 , tblEvalAsstAnswers  1212 , tblEvalFirstLastAsstsWithAnwersScores  1213  and tblEvalDemogFirstLastAsstsWithAnswersScores  1214 . The fields within these tables are shown in FIGS. 14 through 19—process decompositions of the Collect and Aggregate Assessment Information  1210 .  
         [0219]    [0219]FIG. 13, shown generally by numeral  1300 , decomposes the Collect and Aggregate Assessment Information  1210  from FIG. 12 into five sub-processes. However, process  1320  and  1330  are mutually exclusive. Depending upon whether the indicator is Question-based or Indicator-based, one of the two Step  2  processes will be used. So, for each type of indicator measurement (i.e. Question-based or Instrument-based), the entire Collect and Aggregate Assessment Information process  1210  requires four steps. FIGS. 48 through 51 show specific queries that could be used to carry out the 4-step Collect and Aggregate Assessment Information process  1210  in the “Youth” implementation of the preferred embodiment.  
         [0220]    If a Question-based indicator is to be measured, Step  2 _Quest Get Answers  1320  is used. If an Instrument-based indicator is used, the Step  2 _Inst Get Scores and Interpretation  1330  is used. The remaining three processes ( 1310 ,  1340  and  1350 ) are used in measuring both types of indicators.  
         [0221]    For example, for the first indicator, a Question-based indicator, the four processes: Step  1  Get Paired Assessments  1310 , Step  2 _Quest Get Answers  1320 , Step  3  Join Assessments to Answers and Scores  1340  and Step  4  Join Answered/Scored Assessments to Demographic Profile Info  1350  are used.  
         [0222]    For the second indicator, an Instrument-based indicator, the four relevant processes are:  1310 ,  1330 ,  1340  and  1350 . It can be contemplated that alternative processes (alternate queries or stored procedures) could be used to navigate through the database to measure the specified indicators. This is one example.  
         [0223]    Measuring the First Indicator (Instrument Question-based—School Attendance)  
         [0224]    The first step is depicted in FIG. 14. The data flow diagram shows the specific fields within the data stores (tables), that are input to and output from the process Step  1  Get Paired Assessments  1310 . It also shows the parameter PgmOfferID  1201  as an input. The object of this process is to find assessments that satisfy the date and pairing criteria expressed in the evaluation assumptions,—e.g. first and last assessments occurring after Participations  550  in the specified Program Offering  920  (i.e. Intensive Probation/Lorain County Domestic Relations Court) begin. This process does not care about the type of assessment instrument used, nor of the resulting answers or scores.  
         [0225]    To illustrate the navigation within the database corresponding to process Step  1  Get Paired Assessments  1310 , refer to the data model  1900  shown in FIG. 19.  
         [0226]    The second step, depicted in FIG. 15 and shown generally by numeral  1500 , describes the process Step  2 _Quest Get Answers  1320 . It relates only to the Question-based indicator. This process accepts, as a parameter, the specific question to be observed. In this case, the QuestID would point to the Instrument Question  920  whose description is “Current School Attendance Status (less than 10 is Satisfactory)”. This process searches through all assessments that contain answers to this particular Instrument Question  920 .  
         [0227]    To illustrate the navigation within the database corresponding to process Step  2 _Quest Get Answers  1320 , refer to the data model  2000  shown in FIG. 20.  
         [0228]    [0228]FIG. 16, applies to Instrument-based indicators, so is not relevant for this indicator type. The third step is illustrated by FIG. 17 and shown generally by numeral  1700 . This diagram provides an overview of the process Step  3  Join Assessments to Answers and Scores  1340 . Process  1340  joins the date-constrained assessment information, found in the interim table tblEvalFirstLastAssts  1211 , with the question-constrained answer information, found in tblEvalAsstAnswers  1212 , and stores the information in a third interim table, tblEvalFirstLastAsstsWithAnswersScores  1213 .  
         [0229]    The fourth step, shown in FIG. 18 and depicted by numeral  1800 , shows how the process Step  4  Join Answered/Scored Assessments to Demographic Profile Info  1350  joins the information in tblEvalFirstLastAsstsWithAnswersScores  1213  with demographic information associated with the youth who was the subject of the assessments. This information is stored in the table tblEvalDemogFirstLastAsstsWithAnswersScores  1214 .  
         [0230]    To illustrate the navigation within the database corresponding to process Step  4  Join Answered/Scored Assessments to Demographic Profile Info, refer to the data model  2400  shown in FIG. 24.  
         [0231]    Each of the three output samples are drawn from the final table tblEvalDemogFirstLastAsstsWithAnswersScores  1214 . See FIGS.  52  to  54 , shown generally by numerals  5200  to  5400 , respectively, to see examples of the three types of output. Also refer to FIGS. 44 and 45 to see examples of how these three types of output might be invoked. In this example,  5200  is invoked by  4440 ,  5300  by  4450 , and  5400  by  4560 .  
         [0232]    Measuring the Second Indicator—Assessment Instrument-based—“LOSI” Surrogate Score  
         [0233]    The first step, i.e. Step  1  Get Paired Assessments, is identical to that described in the Question-based indicator measurement above. The second step is described by FIG. 16, shown generally by numeral  1600 . It describes the process Step  2 _Inst Get Scores and Interpretation  1330 . It relates only to the Instrument-based indicator. This process accepts, as a parameter, the specific instrument to be observed. In this case, the InstID would point to the Assessment Instrument  870  whose description is “LOSI Assessment of Risks and Needs.” This process searches through all assessments that contain answers to this particular Assessment Instrument  870 .  
         [0234]    To illustrate the navigation within the database corresponding to process Step  2 _Inst Get Scores and Interpretation  1330 , refer to the data model  2100  shown in FIG. 21. The third step, i.e. Step  3  Join Assessments to Answers and Scores  1340 , is identical to that described in the Question-based indicator measurement above.  
         [0235]    To illustrate the navigation within the database corresponding to process Step  3  Join Assessments to Answers and Scores  1340 , for the Instrument-based indicator measurement, refer to the data model  2200  shown in FIG. 22.  
         [0236]    The fourth step, i.e. Step  4  Join Answered/Scored Assessments to Demographic Profile Info  1350 , is identical to that described in the Question-based indicator measurement above. To illustrate the navigation within the database corresponding to process Step  4  Join Answered/Scored Assessments to Demographic Profile Info  1350 , for the Instrument-based indicator measurement, refer to the data model  2300  shown in FIG. 23.  
         [0237]    Each of the three output samples are drawn from the final table tblEvalDemogFirstLastAsstsWithAnswersScores  1214 . See FIGS.  55  to  57 , shown generally by numerals  5500  to  5700 , respectively, to see examples of the three types of output. Also refer to FIG. 46 to see examples of how these three types of output might be invoked. In this example,  5500  is invoked by  4640 ,  5600  by  4650 , and  5700  by  4690 .  
         [0238]    The present invention permits more complicated indicator measurements and other types of analysis for the purpose of program evaluation. It can be contemplated that the following factors might also be taken into consideration in program evaluation: the individual providers associated; the program components, interventions and services received; the amount of funding; the participation termination reason; the number of contacts made; the socioeconomic characteristics of the participant; or the living situation of the individual participant.  
         [0239]    Other levels of aggregation are also available. Some examples are: analyses could be conducted by Program  510 , Agency  730 , or Fund  760 ; program periods might be more precisely specified; statistical samples might specify participants who received specific program, components, services or interventions; and control groups not receiving services could be compared with groups that did receive services. The data model described, collectively, in FIGS. 5 through 10 encompasses each of the above variations, and could easily accommodate more complex analysis specifications.  
         [0240]    While the exemplary embodiment of the invention has been described with a degree of particularity, it is the intent that the invention include all modifications and alterations from the disclosed design falling within the spirit or scope of the appended claims.