After a brief introduction indicating the value of the first Follow Through evaluation, this document offers ideas about how a new wave of Follow Through approaches should be evaluated. The discussion is based on the premise that the form of an evaluation must be derived from the questions for which answers are sought, the audience(s) to whom the results are directed, what is known about the treatment under investigation, and the size and shape of the treatment. It is asserted that local decisionmakers are the primary audience of interest, that their information needs justify the need to understand the process of implementation and change, and that such contextual information is relevant to federal program designers. Considerations pertinent to the design of a pilot intervention program are addressed. Subsequent discussion indicates limitations of experimental and ethnographic approaches in producing evaluation information and proposes a multiple case study approach as a way of minimizing weaknesses of traditional approaches. Specific attention is given to (1) building a conceptual framework that establishes the topics on which data will be collected and that presents the context in which data should be interpreted; (2) sample selection strategies; (3) the data collection strategy; and (4) stages of data analysis. In conclusion, recommendations are offered for the design of a pilot Follow Through program implementation and evaluation. (RH)