Using community-based participatory approaches to mobilize communities for policy change.

The Racial and Ethnic Approaches to Community Health (REACH) Alabama Breast and Cervical Cancer Coalition used community-based participatory research principles to address breast and cervical cancer disparities among Alabama's most vulnerable African American communities. With funding from the Centers for Disease Control and Prevention, the Alabama Breast and Cervical Cancer Coalition implemented a multilevel action plan, which entailed disseminating evidence-based strategies to community organizations interested in addressing cancer and other health disparities. Based on the Alabama Breast and Cervical Cancer Coalition's technical assistance on advocacy, an independent, community-led coalition was formed. This article uses a case study approach to document the steps taken by this empowered coalition to mobilize their community to impact cancer disparities using community-based participatory research principles as a tool to change tobacco and breast and cervical cancer legislation.

Improving quality at the point of service.

The authors provide a research-based construct of youth program quality that differentiates safety, support, interaction, and engagement, four important issues for practitioners working with youth in the middle years. They describe two tools that have helped direct staff to be intentional about creating offerings that are appropriate for early adolescents: the focusing idea of point-of-service quality and the technology of observational assessment. They describe how these tools can be used to create cultures of accountability and intentionality that extend across program levels.