Once a site is moving fully operational, sustainability drivers must come into play for the successful survival of BSFT or FET. These drivers are:
- data-driven monitoring and decision-making for program needs and client outcomes,
- support system for therapists that provides job recognition, job satisfaction and opportunities for upgrading skill levels
- contracting w/ therapists and providing a positive organizational climate
- training in-house certified BSFT or FET supervisors and maintaining adherence monitoring as required for program success
- targeting and assuring continuous funding streams
There is no exaggerating the value of a properly funded organization that maintains skilled staff with effective managerial support. But like all matters in life, seasons pass and changes come.
“Skilled practitioners, funding streams, and program requirements change, and champions move on to other causes. Through it all the implementation site leaders and staff, together with the community, must be aware of the shifting ecology of influence factors and adjust without losing the functional components of the evidence-based program or dying due to a lack of essential financial and political support. The goal during this stage is the long-term survival and continued effectiveness of the implementation site in the context of a changing world.” 2 (Fixsen et al, 2005).