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Her concluding chapter examines social work as a force for change at an individual and structural level. To sustain school improvements, however, schools need to address reform at a deeper, structural level that addresses both organizational and cultural aspects: develop facility readiness to embrace school change; develop a cohesive vision of reform throughout the school; and foster distributed leadership (accountability) within the school. This type of complex and multitiered HIV prevention program, which integrates prevention efforts at individual, small group, community, and structural levels, has been developed in some countries other than the United States. |
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