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Table 4 Descriptive statistics for organizations that implemented A-CRA through organization-focused and state-focused grants

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

Domain

Variable

Descriptive statistics (M and SD) by grant type

Organization-focused

(n = 82 in 27 statesa)

State-focused

(n = 82 in 18 statesa)

A-CRA provider-level reach rates

(i.e., percentage certified)

Any certification

72% (21%)

n = 82

36% (33%)

n = 82

First-level certification

62% (20%)

n = 82

36% (33%)

n = 82

Full certification

29% (25%)

n = 82

30% (33%)

n = 82

Supervisor certification

66% (34%)

n = 81

40% (41%)

n = 68

TAY first-level certification

100% (0%)

n = 7

43% (43%)

n = 27

TAY full certification

100% (0%)

n = 2

41% (43%)

n = 27

Covariates (for full sample)

# of providers trained (clinicians, supervisors)

6.9 (3.9)

5.1 (4.3)

# of supervisors who pursued certification

2.2 (1.3)

1.7 (1.5)

Turnover rate

46% (25)

32% (32)

Grant end date (in quarters since 2000)

50.3 (5.3)

(approx. 2012)

74.7 (5.5)

(approx. 2018)

Length of grant funding (in quarters)

13.8 (5.0)

(3.45 years)

17.6 (5.4)

(4.40 years)

# of organizations that trained under both grant types

11

(13.4% of sample)

N/Ab

# of demonstration sites

N/A

43

(52% of sample)

Moderators

PSAT funding stabilityc

3.4 (1.3)

n = 68

3.4 (1.5)

n = 60

PSAT organizational capacityc

5.1 (1.3)

n = 68

3.9 (1.4)

n = 60

Certification process—clinician

Fidelity scored

3.8 (0.14)

n = 58

4.1 (0.14)

n = 52

Number of first-level sessions rated

21.1 (6.0)

n = 81

19.2 (5.4)

n = 55

Number of full sessions rated

33.2 (8.4)

n = 58

24.3 (5.6)

n = 52

Time to first-level certification (in weeks)

32.7 (9.9)

n = 81

50.2 (22.4)

n = 55

Time to full certification

(in weeks)

61.3 (23.0)

n = 58

62.9 (22.9)

n = 52

Certification process—supervisor

Fidelity scored

3.8 (0.36)

n = 72

3.5 (0.35)

n = 38

Number of sessions rated

3.2 (1.7)

n = 72

2.5 (1.7)

n = 38

Time to supervisor certification (in weeks)

32 (16)

n = 72

54 (33)

n = 38

  1. A-CRA Adolescent Community Reinforcement Approach, TAY transition-age youth, PSAT Program Sustainability Assessment Tool
  2. aThere were 10 states that were represented in both the organization- and state-focused samples, 17 states only represented in the organization-focused sample, and 8 states only represented in the state-focused sample, for a total of 35 states represented
  3. bWhen organizations trained providers under both grant types, we included the first (organization-focused) observation in the primary analysis. See Additional file 3: Table S1 for the sensitivity analyses that handled these observations differently
  4. cPSAT scores range from 1 to 7, with higher scores indicating higher sustainment capacity
  5. dFidelity scores range from 1 to 5, with scores ≥ 3 indicating competency in A-CRA
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Implementation Science

ISSN: 1748-5908