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Evaluation Findings - SAMHSA Store - Substance Abuse and Mental ...

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To What Extent Do Systems of<br />

Care Implement Strategies to<br />

Sustain Their Services Beyond<br />

the Federally Funded Grant<br />

Period<br />

The intent of the CMHI is that the systems<br />

of care receiving Federal funds will be<br />

maintained <strong>and</strong> will continue to provide<br />

services beyond the grant-funded period.<br />

Systems of care have used a variety of<br />

strategies to sustain their systems of care<br />

over time, including a range of general<br />

strategies <strong>and</strong> a range of financing strategies<br />

as shown in Table 7. The use of these<br />

strategies is assessed during the sixth year of<br />

the Federal funding cycle. Five years after<br />

Federal program funding ends, the<br />

communities included in this report will be<br />

assessed to determine the extent to which<br />

the key components of their systems of care<br />

have been maintained, as well as the<br />

perceived effectiveness of the strategies that<br />

they have employed for sustaining their<br />

systems of care over time.<br />

Communities Implemented Strategies<br />

for the Long-Term Maintenance of<br />

their Systems of Care<br />

Systems of care used a wide variety of<br />

approaches <strong>and</strong> financing strategies to<br />

sustain their infrastructure <strong>and</strong> services<br />

<strong>and</strong> supports beyond the grant-funded<br />

period.<br />

Sustainability Strategies<br />

General Strategies<br />

1) Established an Ongoing Locus of Accountability<br />

Created viable, ongoing focal points for system of care management at the local level (e.g.,<br />

agency, office, staff) to support <strong>and</strong> manage sustaining systems of care<br />

Created a viable, ongoing focal point for system of care management at the State level (e.g.,<br />

agency, office, staff) to support <strong>and</strong> manage sustaining <strong>and</strong> statewide development of systems of<br />

care<br />

2) Established a Strong Family Organization <strong>and</strong> Advocacy Base<br />

Established a strong family organization to advocate, support, <strong>and</strong> be involved in sustaining<br />

systems of care (e.g., through funding, involvement at the system <strong>and</strong> policy levels, contracting<br />

for training <strong>and</strong> specific services, etc.)<br />

Cultivated partnerships with key stakeholders using social marketing <strong>and</strong> other approaches to<br />

create support for sustaining systems of care (e.g., families, youth, providers, managed care<br />

organization leaders, State <strong>and</strong> community leaders, etc.)<br />

Created an effective advocacy base among key constituencies <strong>and</strong> audiences to advocate<br />

sustaining systems of care through social marketing approaches<br />

Identified key audiences <strong>and</strong> developed ―messages‖ for these audiences on the need <strong>and</strong><br />

urgency of focusing on children‘s mental health to generate underst<strong>and</strong>ing <strong>and</strong> support for<br />

sustaining systems of care<br />

The Comprehensive Community <strong>Mental</strong> Health Services for Children <strong>and</strong> Their Families Program <strong>Evaluation</strong> <strong>Findings</strong><br />

2006–2008 Annual Report to Congress ● Page 33

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