Table 3.

Implementation challenges and recommendations

Challenge	Recommendation
Difficult to marshal community support, and transform university and community agency policies, to facilitate work.	Explore projects where organizational and policy change are the primary goal of the research collaboration.
Difficult to sustain mutual trust between academic and community partners and with funders of services programs and research.	Utilize community expertise to identify and prioritize problems for quality improvement; utilize academic partners for expertise on available treatments and services.
Difficult to find sufficient time and effort for the partnership, given effort often not fully compensated by funding or available resources.	Help community members and researchers see importance of investing time; be respectful of the demands for time; develop awareness of time demands in community; academic and policy circles and among funders