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