Abstract
Sustaining important public or grant-funded services after initial funding is terminated is a major public health challenge. We investigated whether tobacco treatment services previously funded within a statewide tobacco control initiative could be sustained after state funding was terminated abruptly. We found that 2 key strategies-redefining the scope of services being offered and creative use of resources-were factors that determined whether some community agencies were able to sustain services at a much higher level than others after funding was discontinued. Understanding these strategies and developing them at a time when program funding is not being threatened is likely to increase program sustainability.
Publication types
-
Research Support, N.I.H., Extramural
MeSH terms
-
Community Health Centers / economics*
-
Community Health Centers / organization & administration
-
Community Health Centers / trends
-
Community Mental Health Centers / economics
-
Community Mental Health Centers / organization & administration
-
Community Mental Health Centers / trends
-
Financing, Government / trends*
-
Health Resources / supply & distribution*
-
Health Services Research
-
Humans
-
Interviews as Topic
-
Massachusetts
-
Organizational Objectives
-
Personnel Staffing and Scheduling
-
Planning Techniques
-
Program Evaluation
-
Public Health Administration / economics*
-
Public Health Administration / trends
-
Public Policy*
-
Qualitative Research
-
Smoking Cessation / economics*
-
Substance Abuse Treatment Centers / economics
-
Substance Abuse Treatment Centers / organization & administration
-
Substance Abuse Treatment Centers / trends