During the Sustainment Phase, the intervention is engrained in the organization, including stable funding and ongoing monitoring and/or quality assurance processes.

the outer context of sustainment

Sociopolitical

• Leadership

• Policies

  • Federal initiatives

  • State initiatives

  • Local service system

  • Consent decrees

Funding

• Fit with existing service funds

• Cost absorptive capacity

• Workforce stability impacts

Public-academic collaboration

• Ongoing positive relationships

• Valuing multiple perspectives

the inner context of sustainment

Organizational characteristics

• Leadership

• Embedded EBP culture

• Critical mass of EBP provision

• Social network support

Fidelity monitoring/support

• EBP Role clarity

• Fidelity support system

• Supportive coaching

Staffing

• Staff selection criteria

• Validated selection procedures

Resources