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Updated: Jul 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Improving quality at the point of service
Charles Smith1, Tom Akiva, Dominique Arrieux
1High/Scope Educational Research Foundation, USA.
Abstract:
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.
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