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Predicting Program Start-Up Using the Stages of Implementation Measure

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Recent efforts to better understand the process of implementation have been hampered by a lack of tools available to define and measure implementation progress. The Stages of Implementation Completion (SIC) was developed as part of an implementation trial of MTFC in 53 sites, and identifies the duration of time spent on implementation activities and the proportion of activities completed. This article examines the ability of the first three stages of the SIC (Engagement, Consideration of Feasibility, Readiness Planning) to predict successful program start-up. Results suggest that completing SIC stages completely, yet relatively quickly, predicts the likelihood of successful implementation.

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This study and manuscript preparation was funded by NIMH R01MH076158; NIDA K23DA021603 and P30DA023920. The authors would like to thank all of the participating counties for their time and contribution to this study. Thank you to Michelle Baumann for her editorial assistance.


Chamberlain is a partner in Treatment Foster Care Consultants Inc., a company that provides consultation to systems and agencies wishing to implement MTFC.

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Correspondence to Lisa Saldana.

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Saldana, L., Chamberlain, P., Wang, W. et al. Predicting Program Start-Up Using the Stages of Implementation Measure. Adm Policy Ment Health 39, 419–425 (2012).

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