Table 2.

Implementation Evaluation: Key Findings

Implementation Evaluation Area	Key Findings
CBO-MHP Relationships	Partnerships encountered initial cultural differences and communications challenges, but developed working relationships over time.
Activities to build familiarity within partnerships, such as MHPs sustaining a presence on-site at CBOs, paid dividends in bridging divides.
Training	More than 1,200 staff and supervisors were trained in at least one core C2C skill, which surpassed targets for the end of year 2.
MHPs delivered the bulk of training, especially in year 1.
About one year into implementation, more than two-thirds of staff were satisfied with the trainings they had received.
Coaching and Supervision	In the 2017 staff survey, about half of staff reported receiving coaching or supervision only once or twice; a small number (6 percent) received it more than ten times.
The C2C Collaborative updated its guidance to CBOs on these activities in May 2017 to help CBOs and MHPs develop robust ongoing coaching and supervision structures.
Most of the 2,110 coaching hours reported between March 2016 and March 2018 were logged in year 2 of implementation.
Staff Readiness	About half of staff surveys indicated high confidence in using a given mental health skill with a client.
One year into implementation, trained individuals reported feeling more comfortable delivering MHFA and MI than screening or psychoeducation.
Approximately three-quarters of staff respondents felt they had the right resources and support to deliver C2C skills and refer clients to intensive treatment when needed.
C2C Delivery	Core C2C skills were delivered to 16,701 unique clients in the first two years, which is 98 percent of the new client target for that stage of the program.
By the end of year 2, staff members had delivered services to an average of 70 percent of clients across CBOs.
As of March 2018, CBOs referred 2,254 clients for mental health treatment; 60 percent of referrals resulted in at least one visit to a mental health provider (the C2C Collaborative set a goal of 70 percent of referrals resulting in at least one visit).
Early Perceptions of Impact	Interviews indicated that staff and CBO leadership perceived a positive effect of C2C on mental health issues for clients and themselves.
Client and staff interviewees noted changes in the way they perceive, discuss, and approach mental health issues.