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Our Projects

ETR can support your organization or project in numerous ways to best fulfill your goals. Whether you need short-term capacity-building assistance, customized trainings, program evaluations, full-scale research projects, technical assistance clearinghouses, or high-quality print and digital resources, we can help. Please review our core competencies to learn more about our areas of expertise.

ETR's multidisciplinary teams are committed to the highest standards of quality in their respective fields.

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Engaging School-Based Health Centers through ACEs Aware

Engaging School-Based Health Centers through ACEs Aware

California’s ACEs Aware initiative has the bold goal of reducing ACEs and toxic stress by half in one generation. The initiative focuses on prevention education, early identification of ACEs, and treatment of toxic stress through primary care settings.

HEARTS-e (Healthy Environments and Response to Trauma in Schools-Extended)

HEARTS-e (Healthy Environments and Response to Trauma in Schools-Extended)

HEARTS-Extended (HEARTS-E) is an adaptation of HEARTS that builds the capacity of key San Francisco Unified School District (SFUSD) Student, Family, and Community Support Services Department personnel to implement HEARTS district-wide and at select school sites.

HEARTS (Healthy Environments and Response to Trauma in Schools) Professional Learning Institute

HEARTS (Healthy Environments and Response to Trauma in Schools) Professional Learning Institute

The HEARTS Professional Learning Institute builds the capacity of school staff across the country to implement HEARTS principles and approaches for creating trauma-informed, safe, supportive, and equitable learning and teaching environments that foster resilience, wellness, and racial justice for everyone in the school community.

Adolescent Preventive Health Initiative (APHI)

Adolescent Preventive Health Initiative (APHI) is a CDPH-driven initiative that strives to improve access, utilization, and quality of adolescent preventive healthcare statewide. The collaborative framework that drives, guides, and sustains this initiative focuses on enhancing communications, coordination and collaboration across CDPH programs and with external stakeholders engaged in promoting adolescent health priorities in California. ETR’s YTHI is a key partner in this effort with the main task of developing the framework and building a communications platform to facilitate cross-sector and cross-program collaboration.

Evaluations of Promising Prevention Programs and Coordinated School Health Programs

Evaluations of Promising Prevention Programs and Coordinated School Health Programs

ETR provided rapid evaluation technical assistance to agencies funded by the CDC's Division of Adolescent and School Health to implement innovative health programs, including nutrition, physical activity and HIV prevention programs. Staff worked with selected sites to provide assistance in the development of evaluation plans, data collection, data analysis and synthesis, and dissemination of findings.

LYRIC Q Group Evaluation

LYRIC’s School-Based Initiative (SBI) Q Groups support middle and high school queer, transgender, gender nonconforming, and questioning youth in school settings through structured group programming that addresses issues such as identity, relationships, and queer sexual health.

Oakland Unified School District Evaluation Project

Oakland Unified School District Evaluation Project

ETR serves as evaluator on two federally-funded project operated by the Oakland Unified School District. First, ETR manages the administration of the CDC’s Youth Risk Behavior Survey in High Schools, coordinating survey appointment scheduling, providing trained survey proctors, monitoring overall survey completion, and assembling materials for delivery to the CDC. On the second project, ETR serves as evaluator to the Districts CDC-funded HIV Prevention Program to accomplish data collection and analysis requirements of the program.

SafeStart Evaluation Project

Children exposed to domestic violence are at increased risk for multiple negative outcomes. Exposure to domestic violence is correlated with a wide range of behavioral, social, psychological and school-related problems.

SAMHSA: Linking Adolescents at Risk to Mental Health Services & Supports

In September, 2005, ETR Associates received an “Adolescents at Risk” grant to study the methods used by the San Francisco Wellness Initiative Programs to identify and link high school students at risk of suicide to school- and/or community-based mental health services.

San Francisco Wellness Initiative Evaluation

San Francisco Wellness Initiative

Since 2002, ETR has served as the evaluation partner for the Wellness Initiative, a highly-regarded system of school-based health and behavioral health clinics in sixteen of San Francisco’s public high schools. ETR conducts process and outcome evaluation for the initiative, measuring the impact of the Wellness Centers’ array of wraparound services and support on student health, emotional well-being, attendance and academic achievement. We use a range of evaluation methods, including online service documentation systems that connect service provision and academic performance data, to monitor and evaluate the initiative.

San Francisco Unified School District Student, Family & Community Support Evaluation

San Francisco Unified School District Student, Family & Community Support Evaluation

The San Francisco Unified School District's (SFUSD) Student, Family, and Community Support Department (SFCSD) supports San Francisco youth and families through building school capacity to address students' health and wellness needs and working to achieve District-wide academic goals. Additionally, through its programs, services and curricula, SFCSD seeks to increase student achievement and pro-social student behaviors so all students can become high achieving and joyful learners.

SFUSD: California Healthy Kids Survey (CHKS)

California Health Kids Survey (CHKS) is the largest statewide student survey of resiliency, protective factors, risk behaviors, and school climate in the nation. This evaluation tool is used to help school districts meet Local Control Accountability Plan priorities to improve school climate, pupil engagement, parent involvement, and academic achievement. ETR coordinates CHKS survey administration with middle and high school students, analyzes survey responses, and disseminates results to key stakeholders to inform and improve program planning.

SFUSD: Foster Youth Services

The San Francisco Foster Youth Services Coordinating Program (FYSCP) recognizes the school as a community of support for youth in foster care and focuses on supporting placement stability and permanence as a means to strengthen the resolve and ability of youth to complete their elementary and secondary education, obtain a high school diploma, and develop post-secondary educational and/or vocational goals. FYSCP works collaboratively with youth in foster care, their caregivers, schools, placing agencies, and other service providers. Youth in foster care are likely to suffer interruptions and gaps in their education due to abuse, neglect and/or violence in the family of origin; frequent changes of home and school placement; and/or emotional and behavioral problems. Youth in foster care may also lose their support systems as a result of transitions between placements and school settings.

SFUSD: Nutrition Education Project (NEP)

SFUSD’s Nutrition Education Project (NEP) has two primary objectives: 1) to educate children about the benefits of eating <em>fruits and vegetables every day</em> and being <em>physically active for 60 minutes a day</em> and 2) to empower classroom teachers and after school staff to integrate nutrition education and physical activity into classroom culture and lessons. ETR’s role is to administer NEP pretest and posttest surveys with elementary school students, analyze survey responses, and disseminate results to SFUSD. ETR also conducts a staff survey to assess implementation of nutrition lessons and resource needs. This work helps SFUSD identify NEP program successes and challenges.

SFUSD: Public Education Enrichment Fund (PEEF)

In 2004, San Francisco voters approved the ballot initiative Proposition H, establishing the Public Education Enrichment Fund (PEEF) as law. The City of San Francisco contributes to this fund annually to support education programs for San Francisco's youth. One-third of the PEEF fund is allocated to the City of San Francisco's Office of Early Care and Education for preschool support. The remaining two-thirds of the PEEF fund is allocated to the San Francisco Unified School District, which serves approximately 55,600 students across 136 schools. This fund ensures that every student has access to a nurse and/or social worker (nearly two-thirds of nurses and social workers who serve students in grades K-8 are funded by PEEF). ETR supports social workers and nurses in SFUSD's K-8 schools by monitoring, evaluating, and reporting on their service data, including direct student services, student group session, student focused meeting, and school wide activities.

SFUSD: School-Based HIV Prevention

The purpose of Promoting Adolescent Health Through School-Based HIV Prevention Component 2 is to improve the health and well-being of our nation's youth by working with education and health agencies, and other organizations to reduce HIV, STD, teen pregnancy, and related risk behaviors among middle and high school students. ETR provides evaluation support to SFUSD who received funding for Component 2: School-Based HIV/STD Prevention, which includes evaluation of sexual health services, sexual health education, and safe and supportive environment indicators. ETR's evaluation activities include conducting pre/post-surveys of students before and after receiving a sexual health curriculum and youth development groups at school, pre/post-surveys of professional development events for educators, survey of sexual health education curriculum implementation, and tracking technical assistance provided to educators.

SFUSD: Wellness Policy

SFUSD's Wellness Policy provides all schools with a framework to actively promote the health and wellness of students, staff, and families. ETR supports SFUSD’s Wellness Policy program by evaluating student behavior data related to nutrition and physical activity. In addition, ETR collects and analyzes self-reported data on teacher modeling healthy eating and active living behaviors in the classroom. ETR also supports strategic planning to identify and drive equitable programming that will increase healthy eating and physical activity among students.

SFUSD Young Men's Health Project Evaluation

SFUSD Young Men's Health Project Evaluation

ETR serves as the program evaluation agency for the San Francisco Unified School District’s (SFUSD) Young Men’s Health Project, which pilots, implements, and evaluates programming for young men of color who have sex with men (YMSM). The goal of the SFUSD’s Young Men’s Health Project – funded by the CDC's Division of Adolescent and School Health – is to improve the health and safety of young men, increase student participation in comprehensive sexual health education, increase students’ access to and utilization of community based sexual health services, and decrease HIV/STD infections among young men. 

SFUSD: Youth Risk Behavior Survey

ETR serves as subcontractor for SFUSD to complete its CDC Grant Promoting Adolescent Health through School-Based HIV Prevention (CDC-RFA-PS18-1807) Component 1: School-based Surveillance Specific. The purpose of this funding is to improve youth health and well-being of by working with educators, health agencies, and other organizations to reduce HIV, STD, teen pregnancy, and related risk behaviors among middle and high school students. In this partnership, ETR coordinates Youth Risk Behavior Survey (YRBS) administration, conducts data analysis, and disseminates survey results to key stakeholders. In addition, ETR administers the School Health Profiles survey to principals and lead health educators at SFUSD middle and high schools to assess school health policies and practices.

Title IX Consultation, Training, and Evaluation Project

Title IX Consultation, Training, and Evaluation Project

The West Contra Costa Unified School District funds ETR to provide consulting, training, and evaluation services to the District’s Office of Educational Equity (OEE). The District is currently enhancing its capacity to eliminate, address, and prevent sexual and gender-based harassment. For this three year project, ETR is (1)providing expert consultation on improving district policies and procedures, (2) designing and implementing District-wide staff trainings, (3) evaluating the implementation of reforms and student outcomes, and (4) developing a unique online complaint management system.

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