Evidence map›Paper›PMID 33148283›Full record

ArticleSubstance abuse treatment, prevention, and policy2020

The prospects for sustaining evidence-based responses to the US opioid epidemic: state leadership perspectives.

Lauren Caton, Mina Yuan, Dexter Louie, Carlos Gallo, Karen Abram, Lawrence Palinkas, C Hendricks Brown, Mark McGovern

Abstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lauren CatonCenter for Behavioral Health Services and Implementation Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Mina YuanCenter for Behavioral Health Services and Implementation Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Dexter LouieCenter for Behavioral Health Services and Implementation Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Carlos GalloFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Karen AbramFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Lawrence PalinkasDepartment of Children, Youth and Families, Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
C Hendricks BrownFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Mark McGovernCenter for Behavioral Health Services and Implementation Research, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA. mpmcg@stanford.edu.ORCID 0000-0002-9736-573X

Funding

INNOVATIVE IMPLEMENTATION RESEARCH METHODS COREP30DA027828 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BROWN, C. HENDRICKS, MUSTANSKI, BRIAN · 2011 to 2020
$11.4M
Using NIATx Strategies to Implement Integrated Services in Routine CareR01DA037222 · NIDA · STANFORD UNIVERSITY · PI FORD, JAMES H, MCGOVERN, MARK P · 2015 to 2019
$2.9M
NIDA NIH HHS P30 DA027828NIDA NIH HHS R01 DA037222
6 · The paper itself

Abstract

backgroundThe 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.

methodsUsing 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.

resultsFinancing 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.

conclusionsUnderstanding the strategies that leaders have successfully used to sustain programs in the past can inform how to continue future time-limited, grant-funded initiatives.

Indexed as

LeadershipOpioid EpidemicState GovernmentAdultCooperative BehaviorDelivery of Health CareFemaleFinancing, GovernmentHealth WorkforceHumansInsurance, Health, ReimbursementInterinstitutional RelationsInterviews as TopicMaleMiddle AgedQualitative ResearchBarriers and facilitatorsGrant fundingHealth policyOpioid use disorderOpioid use disorder treatmentSustainabilitySustainment

Identifiers

PMID33148283
PMCPMC7640430

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.