Research at IHC

There are many ways to share the understanding of the Principles. Most people first think about providing classes, workshops, seminars, creating videos or writing books and articles. Rarely, however, does anyone think about research as a very powerful means to share the Principles but it is…

Researching workshops, seminars, trainings, and other programs is a means to extend the benefit of the workshop beyond the participants and beyond the workshop itself. It is like capturing the energy and insights in a bottle that can be shared over and over again.

Program Evaluation Services

Because IHC values research and program evaluation, part of our mission is to provide these services to other 3 Principles based programs. 

Perhaps you do not have the time or expertise to undertake a comprehensive evaluation of your program but you know it is important. In those cases IHC would be able to collaborate with you to do that. 

Likewise if someone has an interest in developing a research project, we would be available to work with you on that also.

Our Approach

At IHC we typically take a mix-methods approach which uses the rigor of quantitative methods and the breadth and depth provided by qualitative methods. Quantitative approaches use statistical numerical data to answer specific or narrow questions. The numeric data is analyzed to determine if there was a statistically significant change.  It may be the most cost-effective methodology to use with large numbers of participants. Qualitative methods use the information collected from participant narratives (oral and/or written), their stories.  This approach asks a broader question. Using word data from participants, we can then look for themes, patterns and meaning to gain a general sense of the phenomena and form giving us new theories and a advance broader understandings of what happened.  It can capture a broader spectrum of change. While a survey is limited to the questions being asked, qualitative analysis may reveal unanticipated benefits of the training.

Principle Evaluator

The principle evaluator at IHC is Linda Ramus, M.A., M.Ed. While program director for the 3 Principles Services Division, County of Santa Clara for over 12 years Linda developed and implemented numerous program evaluations and research projects on the 3 Principles.  Since retiring from the County in 2012, she has collaborated with colleagues in the UK to evaluate their programs and is currently conducting an evaluation of a 3 Principles program with parolees and probationers in a re-entry program.

If you are interested in program evaluation and research either for your program or to brain-storm ideas about evaluation and research, please contact Linda Ramus at IHC at


Stats and Stories – Proof and Truth

Completed research and evaluations

While there is a need to do more rigorous research and evaluations of Principles-based intervention, a listing of most of the work carried out to date can be found on the Three Principles Movies website at – click on “Resources”.  There you will find papers covering intervention in the following areas: community, education, business, mental health, substance abuse, youth and schools, adult and juvenile criminal justice, psychology/counseling, public health/hospitals, social services organizations, and nonprofit organizations.

Summary of research and program evaluations. Even though the number of evaluations and completed research projects are not numerous, the outcomes reported are consistently positive. In the many diverse areas in which the 3 Principles have been taught, people have reported profound changes in their lives.

*In education, a 75% reduction in school discipline referrals

*In juvenile justice, incarcerated youth showed less anger and anxiety and better decision-making.

*In business there was improved leadership and a significant increase in organization effectiveness.

*In substance abuse treatment there was a significant decline in drug use at follow-up.

*In a secured residential mental health treatment program patients showed significant increase in positive affect and significant decrease in anxiety and depression


Report and Studies

In addition, from this website, you may access the following reports and studies.

Step Up Programme

The Step-Up programme has been developed to assist offenders to develop the skills necessary to successfully utilize the education, training and other resources available to obtain employment and become more personally and economically stabile. The programme focused on helping participants improve their self-confidence, resilience and psychological well being which are seen as foundational to their moving into employment and self-sufficiency.

The Resilience Factor Training

From October 2014 through March 2015 thirty-six staff from Valley Medical Center, participated in a first of its kind training targeting well-being and resilience of nurse managers at Valley Medical Center. Twenty-nine completed the training. What made this training unique was the change agent. In this training gaining an understanding of the function of thought and the importance of states-of-mind was the change agent. An analysis of the pre/post test results for well-being and resilience found that training objectives were met – that the training significantly improved understanding of the function of thought and concurrently increased resilience and subjective well being of program participants. The evaluation also found that 100% of the participants would recommend this training be provided to their colleagues and that they themselves would like to receive additional training.

3 Principles at Juvenile Hall

This published research conducted by University of Santa Clara Professor Bret Solomon of girls at the County’s juvenile hall. This initial study concluded that the Health Realization program had a positive impact on the youths’ behavior and social judgment.

Camden Community School

For about four years, the County Department of Alcohol and Drug Services, provided 3 Principles training to students and staff a County alternative high school. Students at the school were deemed unable to function in mainstream schools and  many were from juvenile probation, foster care. Principal Baker’s overall goal was to help both staff and students live in a more enjoyable and productive state of mind. “I wanted to see a change in the culture of the school, both between the kids and between kids and staff. I wanted students to see more value in school. Among the staff, I was hoping for less ‘stuckness’ in individual views, easier problem solving and just having more fun together. After all, we spend a lot of time together.”

Poco Way Community Revitalization Project

In the fall of 2000 the San Jose eastside community of Poco Way was beginning to show signs of deterioration. The community of low-income residents operated by the Housing Authority of the County of Santa Clara had received a windfall of attention, support and funding during a massive rehabilitation campaign in the 1990’s. Unfortunately, crime was once again on the rise. Violence and drugs had staged a comeback creating fear and distrust that permeated the neighborhood and threatened to tear the community apart. After four years a program that started as 2 parenting classes evolved into a full-scale community project. Unlike interventions that focus on fixing problems, this intervention focuses on the wisdom and mental health inherent in every individual.

Alliance for Community Care

Participants were 89 adult clients who had a diagnosis of a serious mental illness and were receiving services from the Alliance for Community Care. Alliance for community care is a private, public benefit mental health agency based in the County of Santa Clara. The purpose of this research was to examine the magnitude of the treatment effect of HR training in a population of clients diagnosed with schizophrenia and major depression.

 Impact and Possibilities

The 3 Principles Services Division (formerly Health Realization Services Division) of the Department of Alcohol and Drug Services (DADS) of the County of Santa Clara contracted the services of Collaborative Solutions Consulting (CSC) to conduct a survey of current and past participants in its training and educational programs. The purpose of the survey was: a) to assess how current and past participants in principles-based programs have benefited from training in the Principles both in their personal and their professional lives and b) to develop ideas on ways to continue expanding the Principles-based services to reach more individuals and organizations in Santa Clara County.

The Three Principles at Mariposa Lodge

For some Principles-based counselors and facilitators, it was hard to connect to the importance of research because they see the miracles happening everyday in their classes. It just works. It just is – there is no need to prove anything, However, DADS, knowing you are only accepted in the field if you have published research, undertook the most scientifically rigorous research conducted to-date on the application of the Principles as a substance abuse treatment. It is a quantitative analysis of the impact of a rigorous course on the Principles provided to substance abusing individuals.

The Stories

There are stats and there are stories. While some may dismiss stories as not legitimate research, stories are the qualitative data that present a more comprehensive picture of the changes people have that stats do not.  It can provide the reader a better understanding of the Principles and the impact a simple understanding of these Principles can have.  It may be said that the stories put the meat on the bones of the stats and are able to capture the broader spectrum of change.      

          “So What Jack”

This is the story of a participant in a homeless shelter who attended classes on the 3 Principles taught by his counselor trained in the 3 Principles whose work with her clients was based on the Principles.