• Define “value” for community-based, non-clinical prevention policy and wellness strategies;
  • Analyze current frameworks used to assess the value of community-based, non-clinical prevention policies and wellness strategies, including
    • the methodologies and measures used and
    • the short- and long-term impacts of such prevention policy and wellness strategies on communities, including health care spending and public health; and
  • If warranted, propose a new framework or frameworks that capture the breadth and complexity of community-based, non-clinical prevention policies and wellness strategies, including interventions that target specific behaviors and health outcomes.

The framework should

  • consider the sources of data that are needed and available;
  • consider the concepts of generalization, scaling up, and sustainability of programs; and
  • address national and state policy implications associated with implementing the framework.

The committee assembled to respond to the charge from the sponsors was composed of experts spanning different disciplines ranging from economics and program evaluation to community-based providers. Over the course of this 20-month study the committee met six times in person, participated in many conference calls, and held three information-gathering workshops. During the workshops, committee members heard from members of the prevention community as well as experts in the field of valuing different types of interventions, including interventions in the fields of education and housing.


The committee’s charge directs it to define “community-based, nonclinical prevention policy and wellness strategies” and also to define “value” for these policies and strategies. Through the course of its work the committee also used several other terms that may require clarification; in such cases definitions have been given in both the text of the report and in the glossary in Appendix A.

The phrase “community-based, non-clinical prevention policy and wellness strategies” appears in the Statement of Task. This phrase has been shortened for the purposes of this report to community-based prevention.

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