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
N1 - Funding Information:
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
Funding Information:
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.
Publisher Copyright:
© 2020, The Author(s).
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
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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 -
