The prospects for sustaining evidence-based responses to the US opioid epidemic: state leadership perspectives

Lauren Caton; Mina Yuan; Dexter Louie; Carlos Gallo; Karen Abram; Lawrence Palinkas; C. Hendricks Brown; Mark McGovern

doi:10.1186/s13011-020-00326-x

The prospects for sustaining evidence-based responses to the US opioid epidemic: state leadership perspectives

Lauren Caton, Mina Yuan, Dexter Louie, Carlos Gallo, Karen Abram, Lawrence Palinkas, C. Hendricks Brown, Mark McGovern^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Background: The US 21st Century Cures Act provided $7.5 billion in grant funding to states and territories for evidence-based responses to the opioid epidemic. Currently, little is known about optimal strategies for sustaining these programs beyond this start-up funding. Methods: Using an inductive, conventional content analysis, we conducted key informant interviews with former and current state leaders (n = 16) about barriers/facilitators to sustainment and strategies for sustaining time-limited grants. Results: Financing and reimbursement, service integration, and workforce capacity were the most cited barriers to sustainment. Status in state government structure, public support, and spending flexibility were noted as key facilitators. Effective levers to increase chances for sustainment included strong partnerships with other state agencies, workforce and credentialing changes, and marshalling advocacy through public awareness campaigns. Conclusions: Understanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.

Original language	English (US)
Article number	84
Journal	Substance Abuse: Treatment, Prevention, and Policy
Volume	15
Issue number	1
DOIs	https://doi.org/10.1186/s13011-020-00326-x
State	Published - Dec 1 2020

Funding

This paper was supported by National Institute on Drug Abuse (NIH/NIDA) grants (R01DA037222 and R01DA037222-05S1, McGovern PI, and P30DA027828, P30DA027828-10S1, Brown PI). Acknowledgements We thank the 16 former and current state leaders for their public service and for their participation in this study. We also acknowledge Barbara Cimaglio, Rick Harwood, and Melanie Whitter and others who extended their expertise in the development of interview guides and participant recruitment. We are grateful to our colleagues Drs. Helene Chokron Garneau and Mehret Assefa for their support in manuscript preparation. The content of this article is solely the responsibility of the authors.

Keywords

Barriers and facilitators
Grant funding
Health policy
Opioid use disorder
Opioid use disorder treatment
Sustainability
Sustainment

ASJC Scopus subject areas

Health Policy
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1186/s13011-020-00326-x

Cite this

@article{cc5f3c5644c34955b7b25520d9af428b,

title = "The prospects for sustaining evidence-based responses to the US opioid epidemic: state leadership perspectives",

abstract = "Background: The US 21st Century Cures Act provided $7.5 billion in grant funding to states and territories for evidence-based responses to the opioid epidemic. Currently, little is known about optimal strategies for sustaining these programs beyond this start-up funding. Methods: Using an inductive, conventional content analysis, we conducted key informant interviews with former and current state leaders (n = 16) about barriers/facilitators to sustainment and strategies for sustaining time-limited grants. Results: Financing and reimbursement, service integration, and workforce capacity were the most cited barriers to sustainment. Status in state government structure, public support, and spending flexibility were noted as key facilitators. Effective levers to increase chances for sustainment included strong partnerships with other state agencies, workforce and credentialing changes, and marshalling advocacy through public awareness campaigns. Conclusions: Understanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.",

keywords = "Barriers and facilitators, Grant funding, Health policy, Opioid use disorder, Opioid use disorder treatment, Sustainability, Sustainment",

author = "Lauren Caton and Mina Yuan and Dexter Louie and Carlos Gallo and Karen Abram and Lawrence Palinkas and Brown, {C. Hendricks} and Mark McGovern",

note = "Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2020",

month = dec,

day = "1",

doi = "10.1186/s13011-020-00326-x",

language = "English (US)",

volume = "15",

journal = "Substance Abuse: Treatment, Prevention, and Policy",

issn = "1747-597X",

publisher = "BioMed Central",

number = "1",

}

TY - JOUR

T1 - The prospects for sustaining evidence-based responses to the US opioid epidemic

T2 - state leadership perspectives

AU - Caton, Lauren

AU - Yuan, Mina

AU - Louie, Dexter

AU - Gallo, Carlos

AU - Abram, Karen

AU - Palinkas, Lawrence

AU - Brown, C. Hendricks

AU - McGovern, Mark

PY - 2020/12/1

Y1 - 2020/12/1

N2 - Background: The US 21st Century Cures Act provided $7.5 billion in grant funding to states and territories for evidence-based responses to the opioid epidemic. Currently, little is known about optimal strategies for sustaining these programs beyond this start-up funding. Methods: Using an inductive, conventional content analysis, we conducted key informant interviews with former and current state leaders (n = 16) about barriers/facilitators to sustainment and strategies for sustaining time-limited grants. Results: Financing and reimbursement, service integration, and workforce capacity were the most cited barriers to sustainment. Status in state government structure, public support, and spending flexibility were noted as key facilitators. Effective levers to increase chances for sustainment included strong partnerships with other state agencies, workforce and credentialing changes, and marshalling advocacy through public awareness campaigns. Conclusions: Understanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.

AB - Background: The US 21st Century Cures Act provided $7.5 billion in grant funding to states and territories for evidence-based responses to the opioid epidemic. Currently, little is known about optimal strategies for sustaining these programs beyond this start-up funding. Methods: Using an inductive, conventional content analysis, we conducted key informant interviews with former and current state leaders (n = 16) about barriers/facilitators to sustainment and strategies for sustaining time-limited grants. Results: Financing and reimbursement, service integration, and workforce capacity were the most cited barriers to sustainment. Status in state government structure, public support, and spending flexibility were noted as key facilitators. Effective levers to increase chances for sustainment included strong partnerships with other state agencies, workforce and credentialing changes, and marshalling advocacy through public awareness campaigns. Conclusions: Understanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.

KW - Barriers and facilitators

KW - Grant funding

KW - Health policy

KW - Opioid use disorder

KW - Opioid use disorder treatment

KW - Sustainability

KW - Sustainment

UR - http://www.scopus.com/inward/record.url?scp=85094962357&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85094962357&partnerID=8YFLogxK

U2 - 10.1186/s13011-020-00326-x

DO - 10.1186/s13011-020-00326-x

M3 - Article

C2 - 33148283

AN - SCOPUS:85094962357

SN - 1747-597X

VL - 15

JO - Substance Abuse: Treatment, Prevention, and Policy

JF - Substance Abuse: Treatment, Prevention, and Policy

IS - 1

M1 - 84

ER -

The prospects for sustaining evidence-based responses to the US opioid epidemic: state leadership perspectives

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this