Table 1.

Sustainment Blueprint (Reproduced From Lewis et al., 2018)

Strategy category	Sustainment strategy
Develop stakeholder interrelationships	Engage implementation team
Develop stakeholder interrelationships	Hold cross-staff clinical meetings
Use evaluative and iterative strategies	Develop and implement for quality monitoring––must monitor fidelity through observation regularly and randomly
Train and educate stakeholders	Conduct educational meetings––hold regularly for new staff and as refreshers
Train and educate stakeholders	Use train-the-trainer strategies––only those certified in CBT
Provide interactive assistance	Centralize technical assistance––create standard operating procedure for training and use of CBT at each staff level
Utilize financial strategies	Alter incentives––provide raise earlier based on competency
Use evaluative and iterative strategies	Obtain and use consumer feedback with PQI data collection
Train and educate stakeholders	Shadow other experts––elongate period for new staff
Train and educate stakeholders	Develop learning collaborative
Use evaluative and iterative strategies	Stage implementation scale-up to generate plan across site
Engage consumers	Use mass media––get press release out with data from implementation

Note. CBT = cognitive-behavioral therapy; PQI = Prevention Quality Indicators.