The decision to implement a new program or treatment within an organization or community is influenced by a variety of factors including those involved in financial,political and organizational agendas(Rosenheck,2001).However with therecent advent of mandates related to grant accountability, the selection of community intervention programs is ever more influenced by factors that support the efficacy of the proposed ventures. Funders now require proposed projects to be based on solids cientific justification and strategi cplanning(Department of Health & Human Services,2007).Program evaluation,cost effectiveness,evidence-based practices and culturalcompetence have become essential components of any community health endeavor on both fiscal and practical grounds.Implementers must select interventions which will provide efficient results when employed in specific environments and within conscribed populations,while at the same time maintaining a reasonable level of financial expenditure. In addition to these practical and financial elements,the popularization of empirical research linking the use of specific practices to improved outcomes has underlined the ethical obligations of service providers to optimize program benefits for the community through these lection of appropriate practices.

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