1. 1 Marian K. Scheinholtz, MS, OT/L Center for Mental Health Services Community Support Programs Branch Administration on Aging Grantee meeting Washington, DC June 13, 2011 Sustainability Factors For Older Adult Grant Funded Programs

3. Sustainability Definition (Rabin et al) – Extent to which an evidence-based intervention can deliver its intended benefits over an extended period of time after external support from donor agency is terminated. Measures (Scheirer) – Continued program activities – Continued measured benefits or outcomes for new clients – Maintained community support

4. Sustainability Framework Community Factors 1.Community / state support of the programs 2.Availability of resources 3.Political legitimacy

5. Sustainability Framework Organizational Factors 1.Program champions 2.Leadership by CEO 3.Managerial and systems support 4.Integration in organization 5.Organization stability and flexibility 6.Sustainability plan and action

6. Sustainability Framework Program Factors 1.Demonstrated effectiveness 2.Designed for results 3.Fit with organization mission 4.Readily perceived benefits 5.Financial resources and financing strategies 6.Articulated theory of change 7.Flexibility 8.Human resources, leadership and training

7. Findings of NCOA - SAMHSA Study Project No one funding source was sufficient for sustaining services – Braided funding important – “ Quilting funding” – Sources varied: medical, mental health, aging Services sustained were often billable including: – care management, depression care management, psychotherapy and psychiatry Embedding services into ongoing systems useful – Example: depression care embedded to enhance case management

9. Recovery is possible and so is Sustainability!

10. Alixe McNeill and Emily Watson from the NCOA conducted the Older Adult Mental Health Grant Sustainability Project with SAMHSA in 2010. The slides in this presentation were based on presentation they gave at the SAMHSA Older Adult Behavioral Health TCE Grantee Meeting in May, 2011