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MCH LCRN Life Course Intervention Survey

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* 1. Name of program

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* 2. Please describe this program, including how/where/by whom it is administered, the types of services being provided, and the outcomes these services are intended to achieve.

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* 3. Please describe the target population in as much detail as possible (e.g., number served, geographic information, race/ethnicity, age, health status, income, educational attainment)

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* 4. Please explain what it is about this program that makes it life course-focused (e.g., is the program based explicitly on life course theory and research? Is the program intended to improve long-term outcomes among participants?)

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* 5. Please describe the history of this program’s development and implementation. Be sure to mention any individuals or agencies/departments at the local, state and federal levels who were involved, any challenges encountered along the way and how they were overcome, and any lessons learned. Also, please let us know if this program has been explicitly life course-focused from the beginning, or if this is a new focus that arose out of recent interest in this issue. If the latter, please explain the reason for the shift.

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* 6. How/by whom is this program funded?

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* 7. What is the annual operating budget?

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* 8. How sustainable is current funding for this program, and how adequate is the budget relative to the goals of the program and the size/needs of the target population?

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* 9. Are there any data currently available that demonstrate the results of this program?

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