Table 5 Sustainability Planning Phase: Innovative Implementation Activities and Strategies for Project EBPs*

State Infrastructure Building and Commitment

• Commitment to state-wide rollout no matter resources needed

• State and sites committed to rollout of EBP together

• Goal assess fidelity before rolling out EBP

• Goal to re-examine EBP and retrofit rollout because of nature of EBP

• Goal to examine difference between EBP rollouts because of difference between EBPs and paradigm shifts required to implement

• Goal to determine system-level adaptations perceived to be required for sustained uptake

• State applying for governmental grants to build system infrastructure

• Plan to implement a state institute to support EBPs

• Issues for systematic implementation of EBP identified

• Develop infrastructure and mechanisms for integrating EBPs into larger state agenda and dissemination of EBP information across states

• To continue state supported research on EBPs

Stakeholder Relationship Building and Communication

• Need to develop engagement process to involve non-Toolkit agencies in EBPS more

• Increase family involvement in planning and monitoring community based programs

• Continue to create champions at all levels of system

• Continue regular consumer and stakeholder meetings

• Continued guidance on consensus building

• Develop language about EBPs that consumers can better understand and use

Financing

• Need to better align incentives and rules to encourage desired practices, behaviors and system change

• To work on funding base for full roll out

• To explore regulating EBPs

• To develop new contract language for EBPS using administrative rule

• To explore developing private insurance program to pay for EBP

• To explore increasing tax on alcohol and tobacco to fund EBP

• To explore expanding ACT to share financing with other EBPs

• To consider higher reimbursement rates

• To explore restructuring Medicaid plan to cover services

• To add EBP to Medicaid Rehab Option

• To explore solid payment mechanisms

• Determine how to shorten timeframes to transfer funds from the state to sites

Continuous Quality Management

• To work on credentialing and licensing issues with locals

• Considering strategies to penetrate EBP in all licensed programs

• Considering deeming EBP training part of certification process

Service Delivery Practices and Training

• State working with Schools of Social Work to develop EBP training curriculum for students

• State to use private donation to create educative training center for EBPs

• To address ongoing skills training

• To explore appropriate outcome measurement of EBP

• To implement Train the Trainer Program

• State to set aside monies for training activities

• To explore strategies that achieve broader penetration of training and use of learning collaboratives

• To increase access to transportation to receive EBP