Table 4.

Organizational and external environmental strategies supporting sustainability.

			Agency
			1	2	3	4	5	6	7	8	9	10	11	12	13	14
Organizational level strategies
	Strong leadership support and engagement		√	√			√	√	√					√	√	√
	Staff engagement
		Implement reminders related to A-CHESS use for staff	√
		Provide and communicate information through regular review of reports on client usage	√				√		√						√
		Offer training to new staff and ongoing training to all staff including face-to-face meetings to promote staff mentoring opportunities		√		√		√
		Require new staff to be excited and familiar with technology											√
		Produce A-CHESS booklets with screenshots customized to the treatment location or organization specific A-CHESS program guides				√			√
		Establish a web link for A-CHESS demonstrations and video tutorials				√
		Identify staff interest in working with A-CHESS					√		√						√
		Incorporate discussion of A-CHESS into weekly staff meetings					√	√	√						√
		Involve peers in training							√
	Ongoing client engagement
		Use feedback reports to identify clients not using the system and have staff follow-up	√				√		√						√
		Establish guidelines and contracts related to use of A-CHESS or discharge protocols about how to use A-CHESS	√				√		√
		Use peer counselors or clients to provide training on how to use A-CHESS or share their experiences							√						√
		Adopt A-CHESS materials for specific client needs		√
		Encourage client use of A-CHESS features such as discussion group				√
		Establish task force or internal work group of internal champions including clients to engaged clients in A-CHESS					√		√						√
		Create training sessions for clients including developing user manuals						√	√
		Engage clients early on by showing them how to use the phone							√
		Establish targeted marketing for selected clients		√	√				√					√
	General or generic
		Increase public relations by going to community based gatherings		√
		Used in the agency to augment or replace existing therapeutic approaches				√
		Provide resource supports such as office space and staffing support					√								√
		Work to establish or increase stakeholder awareness of A-CHESS and its benefits				√			√						√
External environment financial business model
		Leverage billing codes to support reimbursement for A-CHESS													√
		Seek out other sources of funding (eg, donations, mini-grants, etc)			√		√		√						√
		Communicate with insurance carriers or other external agencies to drive support and seek funding													√
		Work with phone carriers to see if lower rates can be secured													√
		Developed a business case for A-CHESS service line					√		√