Table 2.

Inner Setting Factors Influencing Implementation of SHARE, by EPIS Phase and Setting

Setting	Summary Factor	Contributing Codes	E/P	I	S
All	Partners recognized that incarcerated women need therapy for SVV sequelae.	1. Recognition of need for SVV therapy	+	+	+
All	Partners had compatible availability.	1. Evening availability	+	+	+
All	Partners were linked to other agencies.	N/A – fully described by summary factor	+	+
NWACCC and UAF	Email communication is common.	N/A – fully described by summary factor	+	+	+/−
NWACCC	Many residents have SVV exposure.	N/A – fully described by summary factor	+	+	+
NWACCC	Facility is rehabilitation-focused, but internal treatment staff lacks expertise needed to provide therapy for SVV themselves.	1. Rehabilitation focused 3. Counselors lack expertise in trauma-focused therapy 4. Counselor limitations	+	+	+
NWACCC	Relies on volunteers for programming and has been very successful in formalizing operations to support a robust volunteer program.	1. Relies on volunteers for programming 2. Treatment Supervisor championed implementation of SHARE 3. Had a process for onboarding volunteers 4. Had a system for scheduling and resident selection/enrollment 5. Had a process for approving materials 6. Able to designate physical space for programs	+	+	+
NWACCC	Leadership support for SHARE was strong.	1. Supportive leadership 2. Stable leadership 3. Center supervisor was female and had a mental health background* 4. Willing to make changes to support SHARE	+	+	+
NWACCC	Although rehabilitation-focused, NWACCC is still a prison and shares characteristics with more traditional prisons.	1. Prisons have rules 2. Security is a competing priority for staff 3. Culture emphasizes accountability 4. Coercive environment 5. Residents have limited privacy 6. Need for staff sensitivity but no training 7. Resident population is fluid** 8. Unpredictable room conditions	−	−	−
NWACCC	Prisons are residential settings that have distinct advantages for recruitment/enrollment.	1. Residential setting (parent code)   a. Can identify residents who need SHARE   b. Strong peer-to-peer networks   c. Staff able to see that SHARE helps. 2. Facility-wide meetings held twice per day	+	+	+
NWACCC	Competing programming exists, both internally- and externally-facilitated.	1. Competing programming exists 2. Competing programs offered in nearby rooms may be loud and/or disruptive 3. Residents have competing priorities	−	−	−
UAF	Presence of a student champion with strong interpersonal skills.	1. Student champion 2. Willingness to do tasks outside group time 3. Strong interpersonal skills and professionalism	+	+	+/−
UAF	Presence of a faculty supervisor whose skills and approach were well-matched to SHARE implementation.	1. Faculty champion 2. Weekly supervision available   a. Willingness to supervise community sites   b. Had provided therapy in prison before 2. Openness to pilot innovative programming 3. Ability to align SHARE with job expectations   a. Valued research/program evaluation   b. Obtained research grant	+	+	+
UAF	Continuous availability of professional and engaging clinically-trained students to lead SHARE.	1. Students need clinical hours/experiences 2. UAF often admits students with interests relevant to SHARE 2. Students enjoy leading SHARE 3. Peer networks help with recruiting new leaders 3. Long training duration allows students to commit to long-term practicum sites 4. Research skills, interests, and needs	+	+	+
UAF	UAF is a relatively resource-rich, research- intensive academic environment.	1. University had funding/resources 2. Faculty have autonomy in community outreach	+	+	+
PAH	Organization views outreach as part of its mission.	1. Staff facilitated domestic violence information groups at NWACCC 2. Staff member co-led SHARE 3. SHARE hours were allowed to count toward required PAH practicum hours	+	+	+/o
PAH	Staff had experience working with interpersonal violence survivors but not providing psychotherapy for SVV.	1. Staff not prepared to provide trauma-focused therapy, including therapy for SVV sequelae	+

Phase Notes. EPIS: E/P = Exploration/Preparation, I = Implementation, S = Sustainment

Other Notes.

⁺indicates factor is a facilitator;

⁻indicates factor is a barrier;

^+/−indicates factor is both facilitator and barrier;

^+/oindicates that a factor was a facilitator in early sustainment but was absent in later sustainment;

SHARE = Survivors Healing from Abuse: Recovery through Exposure

^*True through early sustainment. Center supervisor in later sustainment did not have a mental health background and was male.

^**This individual factor is both +/− as population shifts influence SHARE enrollment both positively and negatively.