Sustainability of prevention

Project IMPACT: A Report on Barriers and Facilitators to Sustainability

“…The findings point to four key determinants of program sustainability: demonstration of positive clinical outcomes, institutional support, trained staff, and continued funding sources. These findings are consistent with prior studies of factors that facilitate the integration of demonstration or research programs into community and organizational settings (Flynn, 1995;Goodson et al, 2001;Hoelscher et al, 2004;O'Loughlin et al, 1998;Scheideman-Miller et al, 2002;Swisher, 2000;Wandersman et al, 2000). The adaptations of the IMPACT model across the sustained sites also is an important finding and provides further support for prior research which suggests that organizations that modify and adapt an intervention to the context of their organizational setting are more likely to become committed to its sustainability (O'Loughlin et al, 1998).…”

“…Considerable literature exists on program sustainability in community-based public health and social services programs aimed at violence prevention (Rog et al, 2004), schoolbased health (Brindis et al, 2003;Hoelscher et al, 2004), substance abuse prevention (Johnson, Hays, Center, & Daley, 2004;Swisher, 2000;Wandersman, Imm, Chinman, & Kaftarian, 2000), health promotion (Flynn, 1995;Goodman, Steckler, Hoover, & Schwartz, 1993;O'Loughlin, Renaud, Richard, Gomez, & Paradis, 1998;Pluye, Potvin, & Dennis, 2004), and substance abuse treatment (Porowski, Burgdorf, & Herrell, 2004). There has been some research on sustainability of clinical care models in health care institutional settings (Goodson, Smith, Evans, Meyer, & Gottlieb, 2001;Lee & Fletcher, 2002;Scheideman-Miller et al, 2002).…”

“…Scheideman-Miller et al (2002) studied the implementation, applications, and sustainability of a telerehabilitation model in health care organizations. Overall, the literature suggests that there are a number of factors that facilitate program sustainability, including positive outcomes, funding, organizational support, the presence of a program champion, integration within existing programs and services, and trained staff (Flynn, 1995;Goodson et al, 2001;Hoelscher et al, 2004;O'Loughlin et al, 1998;ScheidemanMiller et al, 2002;Swisher, 2000;Wandersman et al, 2000). For programs to achieve broad impact, factors that facilitate or inhibit program sustainability must be considered.…”

Sustainability of Community Coalitions: An Evaluation of Communities That Care

“…Research suggests coalition efforts need to be maintained over an extended period to allow for positive effects in population-level changes (Swisher, 2000;Steckler & Goodman, 1989). Sustainability here is defined as the extent to which the structure and initiatives of community coalitions continue past the 3-year state-supported funding period and thus bridge this major hurdle of local management and funding (Goodman, McLeroy, Steckler, & Hoyle, 1993;Paine-Andrews, Fisher, Campuzano, Fawcett, & Berkley-Patton, 2000).…”

“…From the model, indicators of sustainability include the continued presence of a functioning CTC coalition board in the community (Bracht, Finnegan, Rissel, Weisbrod, Gleason, Corbett, & VeblenMortenson, 1994;McLeroy, Kegler, Steckler, Burdine, & Wisocky, 1994), continued funding for prevention activities following initial funding (Foster-Fishman, Berkowitz, Lounsbury, Jacobson, & Allen, 2001;Paine-Andrews et al, 2000;Swisher, 2000), and ongoing efforts to assess risk factors in the community (Harachi, Ayers, Hawkins, Catalano, & Cushing, 1996;Hawkins, Arthur, & Olson, 1997;Pollard, Hawkins, & Arthur, 1999). In a conceptual model of coalition processes (described in Feinberg, Greenberg, Osgood, Anderson, & Babinski, 2002), factors hypothesized to lead to sustainability include community readiness, knowledge of prevention and the CTC model, training and technical assistance, effective internal and external board functioning, and the perceived efficacy of the coalition.…”