Service Review Criteria

Program Name: ______________________________   Location: ________________________

1. Nomination Process (check all that apply)

____ Internal Nomination	____ OFA (Fed Proj. Officer)	____ OFA (Regional Office)
____ Field (Agency)	____ Field (Other: __________ )	____ Lit review

2. Framework Placement

____ Work Attachment	____ Work Retention	____ Transitional Services

3. Evidence Assessment

____ Promising Practice (3) - has outcome evaluation(s) with positive results

____ Common Practice (2) - widespread approach in the field (at least 5 cities) with practice evidence (e.g., reduced caseload)

____ Innovative Practice (1) - a new/novel program that suggests success based upon theory or practice experience

____ Other evidence of success: _______________________________________________________________________

 

4. Service Information - key program features (not all programs will/should have all features; N/A is not applicable)

a) Does the practice lead to an increase in the work participation rate?	Yes (1)	No (0)	Unknown	N/A
b) Are clients connected to jobs?	Yes (1)	No (0)	Unknown	N/A
c) Are clients afforded on-the-job training?	Yes (1)	No (0)	Unknown	N/A
d) Are clients provided with skills upgrade training?	Yes (1)	No (0)	Unknown	N/A
e) Are clients given support in their job (e.g., EAP, job coaching)?	Yes (1)	No (0)	Unknown	N/A
f) Is eligibility for TANF cash assistance re-assessed?	Yes (1)	No (0)	Unknown	N/A
g) Is employability reassessed?	Yes (1)	No (0)	Unknown	N/A
h) Is eligibility for other services re-assessed?	Yes (1)	No (0)	Unknown	N/A
i) Are clients referred to additional government services (e.g., transportation)?	Yes (1)	No (0)	Unknown	N/A
j) Do clients obtain access to these services?	Yes (1)	No (0)	Unknown	N/A
k) Are clients given support in accessing these services (e.g., contact information or application forms)?	Yes (1)	No (0)	Unknown	N/A
l) Are clients connected to community- or faith-based services?	Yes (1)	No (0)	Unknown	N/A
m) Are post-TANF services (e.g., one-time emergency cash assistance, clothing) provided?	Yes (1)	No (0)	Unknown	N/A
n) Are services provided in a culturally competent fashion?	Yes (1)	No (0)	Unknown	N/A
o) Are services responsive to the needs of the clients?	Yes (1)	No (0)	Unknown	N/A
p) Is the personal responsibility of the client emphasized (e.g., self-sufficiency form)?	Yes (1)	No (0)	Unknown	N/A
Additional Features: ______________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________
TOTAL POINTS: _________   POSSIBLE POINTS: _________   PERCENTAGE: _________

5. Recommendation

____ Spotlight on Success (case study)	____ Program Highlights (program blurb)	____ Do not highlight

6. Notes

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