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Table 2 Characteristics of organization-focused and state-focused grant strategies

From: Comparing organization-focused and state-focused financing strategies on provider-level reach of a youth substance use treatment model: a mixed-method study

Characteristic

Grant type

Organization-focused

State-focused

SAMHSA grant initiatives included

Assertive Adolescent Family Treatment (AAFT), Juvenile Drug Court (JDC), Juvenile Drug Treatment Court (JDTC), Offender Re-entry Program (ORP), Targeted Capacity Expansion (TCE)

State Adolescent Treatment Enhancement and Dissemination (SAT-ED), State Youth Treatment (SYT), State Youth Treatment-Implementation (SYT-I), Youth Treatment-Implementation (YT-I), State Targeted Response (STR)

Grant recipient

Treatment organizations delivering substance use services, which applied directly for funding

State substance use agencies (sometimes referred to as departments) and treatment organizations designated by the state agency to receive funding

A-CRA training and certification purveyor

Chestnut Health Systems (contracted by SAMHSA)

Chestnut Health Systems and/or certified A-CRA supervisors acting as statewide trainers (contracted by state agencies)

Funding awarded to state agency

Not applicable

~ $3–4 million USD over 3–6 years

Funding awarded to treatment organization

~ $900,000 USD over 3 years

Similar to organization-focused grantees for demonstration site treatment organizations; provided by the state agency

Requirements to develop A-CRA infrastructure (e.g., funding, training)

Not applicable

Up to one-third of grant funds could be used for this purpose; expected activities varied by grant mechanism

EPIS domains and phases targeted

Inner context

Implementation

Inner and outer Contexts, bridging

Implementation and sustainment

  1. A-CRA Adolescent Community Reinforcement Approach, EPIS Exploration, Preparation, Implementation, and Sustainment framework, SAMHSA US Substance Abuse and Mental Health Services Administration