Barriers and Facilitators to Sustainment of an Evidence-Based Supported Employment Program
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Large-scale initiatives to expand evidence-based practices are often poorly implemented and rarely endure. The purpose of this study was to identify the perceived barriers and facilitators to sustainment of an evidence-based supported employment program, Individual Placement and Support (IPS). Within a 2-year prospective study of sustainment among 129 IPS programs in 13 states participating in a national learning community, we interviewed IPS team leaders and coded their responses to semi-structured interviews using a conceptual framework adapted from another large-scale implementation study. Leaders in 122 agencies (95%) that sustained their IPS programs identified funding, prioritization, and workforce characteristics as both key facilitators and barriers. Additional key factors were lack of local community supports as a barrier and leadership and structured workflow as facilitators. Within the IPS learning community, team leaders attributed the sustainment of their program to funding, prioritization, workforce, agency leadership, and structured workflow. The actions of the learning community’s leadership, state governments, and local programs together may have contributed to the high sustainment rate.
KeywordsSupported employment Sustainment Individual placement and support Barriers Facilitators
This study was funded by H133G110161 from the National Institute of Disability, Independent Living, and Rehabilitation Research. The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.
Compliance with Ethical Standards
Conflict of interest
Dr. Noel, Dr. Bond, Dr. Drake, Ms. Becker, Dr. McHugo, Ms. Swanson, Dr. Luciano, and Ms. Greene declares that they have no conflicts of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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