Table 1.

Operational definitions for implementation/sustainability factor domains

Domain	Definition
Financial	Agency finances, agency resources, state or national budgetary policies, reimbursement mechanisms, or general economic trends promote/inhibit spread of evidence-based practice (EBP)
Leadership	Leader actions promote/inhibit novel and productive solutions to challenges; ensuring practitioner have necessary resources to provide services; expressing enthusiastic support for EBP
Prioritisation	Support for EBP from staff, clinical team, agency leadership, or state/city/county mental health agencies promote/inhibit EBP
Quality improvement	Systematic monitoring of program fidelity and client outcomes and use of data are/are not provided via financial incentives and penalties, administrative rules and regulations, ongoing supervision and feedback on practices
Workflow	Work flow is/is not structured so that routine procedures enable EBP (e.g., integration of services, documentation burden, physical environment, or non-financial policies)
Workforce	Appropriately credentialed practitioners and supervisory staff with necessary mastery and training are/are not available for team to function with fidelity to the model
Training and technical assistance	Training, technical assistance and resource material specific to the EBP are/are not available on an ongoing basis through a technical assistance centre, which provides training to new employees, ongoing onsite training, consultation and a regular schedule of workshops to ensure a well-educated work force