Table 5

Sustainability Planning Phase: Innovative Implementation Activities and Strategies for Project EBPs*
Innovations: Sustainability Planning
 ACT
 FPE
 IDDT
 IMR
 SE
State Infrastructure Building and Commitment




• Commitment to state-wide rollout no matter resources needed
 X
 X
 X
 X
 X
• State and sites committed to rollout of EBP together

X

• Goal assess fidelity before rolling out EBP
X
X
• Goal to re-examine EBP and retrofit rollout because of nature of EBP
 X
X
 X
• Goal to examine difference between EBP rollouts because of difference between EBPs and paradigm shifts required to implement

X
X
• Goal to determine system-level adaptations perceived to be required for sustained uptake

X

• State applying for governmental grants to build system infrastructure
 X



• Plan to implement a state institute to support EBPs
 X
X
 X
 X
• Issues for systematic implementation of EBP identified



X
• Develop infrastructure and mechanisms for integrating EBPs into larger state agenda and dissemination of EBP information across states
 X
 X
 X
 X
 X
• To continue state supported research on EBPs

X
 X
Stakeholder Relationship Building and Communication




• Need to develop engagement process to involve non-Toolkit agencies in EBPS more
 X
 X
 X
 X
 X
• Increase family involvement in planning and monitoring community based programs
X


• Continue to create champions at all levels of system
X


• Continue regular consumer and stakeholder meetings
 X
 X
 X
 X
 X
• Continued guidance on consensus building
 X
 X
 X
 X
 X
• Develop language about EBPs that consumers can better understand and use

X
 X
Financing




• Need to better align incentives and rules to encourage desired practices, behaviors and system change
 X
 X
 X
 X
 X
• To work on funding base for full roll out
 X
X
 X
 X
• To explore regulating EBPs

X

• To develop new contract language for EBPS using administrative rule

X

• To explore developing private insurance program to pay for EBP

X

• To explore increasing tax on alcohol and tobacco to fund EBP

X

• To explore expanding ACT to share financing with other EBPs

X

• To consider higher reimbursement rates

X
X
• To explore restructuring Medicaid plan to cover services

X

• To add EBP to Medicaid Rehab Option

X

• To explore solid payment mechanisms
X


• Determine how to shorten timeframes to transfer funds from the state to sites



X
Continuous Quality Management





• To work on credentialing and licensing issues with locals

X

• Considering strategies to penetrate EBP in all licensed programs


X
• Considering deeming EBP training part of certification process

X
 X
Service Delivery Practices and Training




• State working with Schools of Social Work to develop EBP training curriculum for students
 X

X
• State to use private donation to create educative training center for EBPs
 X
X

• To address ongoing skills training
 X
 X
 X
 X
 X
• To explore appropriate outcome measurement of EBP
X
X
• To implement Train the Trainer Program
 X
X
 X
• State to set aside monies for training activities
 X



• To explore strategies that achieve broader penetration of training and use of learning collaboratives
 X



• To increase access to transportation to receive EBP
X


* EBPs:

ACT = Assertive Community Treatment

FPE = Family Psychoeducation

IDDT = Integrated Dual Diagnosis Treatment

IMR = Illness Management and Recovery

SE = Supported Employment

Magnabosco Implementation Science 2006 1:13   doi:10.1186/1748-5908-1-13
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