April 2, 2020 Update on the Evaluation of Home and Community-Based Support Services for Older American Indians, Alaskan Natives, and Native Hawaiians (Title VI Programs) In 2016 ACL contracted ICF International to conduct a participatory evaluation of the Title VI Grant Program, which provides home and community-based supportive services for older American Indian, Alaskan Native, and Native Hawaiian populations. The evaluation seeks to answer the following questions: - How do tribes/organizations operate their Title VI Programs? -  What is the impact of Title VI programs on elders in the community? Are there differences nationally or by tribe/organization? - Do Title VI programs that are sole-sourced funded have a different impact than programs that are funded through multiple sources? During Year 1, they released its Evaluation of the ACL Title VI Programs: Year 1 Interim Report outlining the approach to and the design of the evaluation. In Year 2, the evaluation team focused on understanding the Title VI Programs from the perspective of program staff and elders. Emerging themes included elders’ met and unmet needs, social connectedness, and independence and quality of life. Further, the evaluation uncovered how important the nutritional, social, and cultural aspects of the Title VI program are for Native elders. View the Evaluation of the ACL Title VI Programs: Year 2 Interim Report. Year 3 materials have just been released focused on understanding the Title VI Part C, Native American Caregiver Support Program, from the perspective of caregivers. Multiple data sources were analyzed, including interviews and focus groups with informal (unpaid) caregivers, in order to understand the implementation and impact of the Pact C Caregiver Support Program. Emerging themes from this year’s findings were that caregiving is a rewarding yet challenging experience, that caregivers do not always see themselves as caregivers, but that the services received through Title VI Part C provide important support to improve caregiver’s overall quality of life.   Download the Year 3 Materials: - Title VI Evaluation Year 3 Interim Report - Title VI Evaluation Appendix A – Medicine Wheel - Title VI Evaluation Appendix B – Methods - Title VI Evaluation Appendix C – In Their Own Words: Caregiver Quotes - Title VI Evaluation Appendix D – Focus Group Summary