The CALM evaluation has shown that school-based policy and practice changes can be brought about
through the work of schools, hospitals, and other community partners. Although school-based policy
changes were more likely to be enacted by schoolbased grantees, practice changes were equally likely to be brought about by school-based and hospitalbased grantees, and were also reportedly effected by grantees based in community and universitybased clinics as well as health departments. It is not surprising that school-based grantees were more likely to be successful at implementing school-based policy changes; it is surprising, however, that grantees based in non-school settings were also successful at bringing about policy changes in the school setting. As these grantees operated independently without the support of a formal community-based coalition, it is a testament to the relationships and linkages created within these programs that they were able to enact such sustainable change in the school setting.