Table 3.

Summary of Lessons Learned

Phase 2 – Pilot Implementation (detoxification unit)
Importance of a “champion”
Importance of front line staff buy-in
Staff training could be successfully streamlined
The necessity of multiple levels of community and agency support
The majority of detoxification clients accepted the offer of testing and counseling
Need for on-going feedback to improve procedures and address emerging barriers Ensure transitional financing to conduct a pilot implementation program
Recognize that some staff time may not adequately be reimbursed by funding sources for activities such as adapting the intervention, start-up training, ongoing supervision and quality assurance, and for overhead costs
Phase 3-Full Implementation (detoxification unit and outpatient)
A strategy for integrating the offer of testing into routine clinical practice must be specific to the service area and patient flow for that area
Expectations of number of clients tested must be modified based on changing staff resources available for the project
Sharing staff across multiple projects may result in decreased emphasis on and efficiency of the on-site testing project
Quality assurance procedures are essential
A clear chain of command for supervision of a new program and staff is necessary