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HSEES Model Intervention Format

    Historical Document

    This document is provided by the Agency for Toxic Substances and Disease Registry (ATSDR) ONLY as an historical reference for the public health community. It is no longer being maintained and the data it contains may no longer be current and/or accurate.

    The purpose is to provide assistance to the states who are working with the HSEES Prevention Outreach Plan. A model intervention format was created to assist the states in sharing knowledge and resources, assessing the effectiveness of various approaches, setting priorities for allocating resources, and addressing problems that were identified.

    The Logic Model is a new method that is currently being utilized by CDC/ATSDR to aid in evaluation, program planning, and processes. Its role as an aid to program planning is most helpful to a prevention outreach plan. In program planning, the Logic Model will be helpful in elaborating on the relationship between activities, targets, and effects. The Logic Model is a tool that helps to describe the program, which is a necessary part of both planning and evaluation, by laying out a map of goals and a chain of events. The Logic Model also relates program activities to their effects, which help to keep stakeholders focused on achieving outcomes, while remaining flexible and open to finding the best means for accomplishing the work.

    What we might learn from Logic Models:

    • The program is too ambitious
    • The program is not ambitious enough
    • The program is too diffuse; need to define a "critical path"
    • The causation is not well defined
    • Some activities lead nowhere
    • Some desired effects have no activities

    Program Plan Steps: (from Logic Model) Evaluation Framework Steps:
    1. Define the "end state" effects or goals
    2. List targets
    3. Brainstorm intermediate effects
    4. Brainstorm activities to produce effects
    5. Organize into time sequence
    6. Refine
    1. Engage Stakeholders
    2. Describe the program
    3. Focus the Evaluation
    4. Gather Credible Evidence
    5. Justify Conclusions
    6. Ensure Use and Share Lessons Learned

    Three questions that should be asked when preparing intervention proposals:

    1. Are there Activities proposed with no Effects and/or Outcomes?
    2. Are there Effects or Outcomes without Activities to accomplish them?
    3. Have Primary and Secondary activities been specified?

    *Note-It may be helpful to refer to the listings of Activities and Stakeholders that were compiled from past HSEES states' prevention outreach proposals.


    To develop effective activities for:

    1. Primary prevention of acute releases of hazardous substances
    2. Secondary prevention of injuries from acute releases of hazardous substances.
    3. Long-term goal-reduction in morbidity and mortality resulting from acute releases of hazardous substances.

    States' Interventions/Activities: (As identified by HSEES states)

    1. Fact Sheets
    2. Signs in work sectors
    3. Presentations of data analyses
    4. Developing recommendations for changes and/or additions
    5. Oral or poster presentations
    6. Newsletters
    7. Newspapers & Magazine articles
    8. Distribute reports to officials
    9. Website
    10. Conferences
    11. Training sessions
    12. Collaborations/Advisory Boards
    13. Propose more HAZMAT Teams
    14. Regional Outreach to Emergency Responders
    15. Power Point outreach presentations
    16. HSEES Five-year report presentation

    Target Groups/Stakeholders: (As identified by HSEES states)

    1. Industry
    2. School nurses
    3. Pesticide applicators
    4. First responders
    5. Local emergency planning committees
    6. Teachers
    7. School administrators
    8. Public Health officials
    9. Planners
    10. General Public
    11. Police & Firemen
    12. Government regulatory agencies
    13. Special populations (e.g.-Hospital Patients & Prisoners)

    Logic Model

    Purpose: To illustrate the relationships between activities, targets, and effects.

    I. Introductory Paragraph

    1. Context
    2. Identify problems
    3. Conditions (including data analyses)

    II. Terminology:

    1. Problem
    2. Stakeholders
      1. Targets
    3. Activities (justified by data)
      1. Interventions
      2. Processes
    4. Effects (Specific goals, objectives, and criteria for success)
      1. Short-term
      2. Mid-term
      3. Long-term

    III. Illustration of the Logic Model

    1. Forward logic driven by "If-Then" thinking or Reverse logic driven by "But How?"
    2. When utilizing the Logic Model, we are focusing on the critical paths that lead from the Problem that was identified to the stated Goal(s).
    flow chart of logic model processd

    Example Logic Model Illustration of Intervention Activities

    Problem Identification :
    1. (Brief discussion of HSEES data analysis and the problems that were identified)
    2. Based on the data analyses, we have identified the top spilling industry, the top spilling county, the top spilled chemical, and an increased need for awareness in our state. In order to reduce the occurrence of acute releases of hazardous substances, and to prevent injuries from acute releases of hazardous substances, (at least) two primary and two secondary strategies have been developed to accomplish the long-term goal of reduced morbidity and mortality.
    Note: There is a graphic flow chart available. Please call Maureen Orr, MS at 404-498-0559 to request a copy.

    References and Resources:
    1. Milstein, B. and Kreuter, M. (July 2000).A Summary Outline of Logic Models: What Are They and What Can They Do for Planning and Evaluation?. CDC Evaluation Working Group.
    2. "An Evaluation Framework for Community Health Programs".
    3. atsdr website