The Stages of Implementation Completion (SIC) Coaching project has two distinct but interrelated primary objectives. First, this project aims to extend the original 8-staged SIC into the sustainment phase of implementation. Specifically, in partnership with Treatment Foster Care Oregon (TFCO) and Multidimensional Family Therapy (MDFT), the SIC team will define the organizational activities that are needed to sustain the adoption of evidence-based programs that address adolescent substance abuse and other high-risk behaviors. Second, the project will evaluate whether the integration of implementation fidelity (fidelity to the implementation process) with intervention fidelity (fidelity to the clinical intervention) can increase the probability that a new organizational site not only successfully adopts a program but develops the infrastructure to ensure it can sustain. The project will test the impact of the empirically derived SIC Coaching Strategy (SIC-CS) on the implementation of TFCO and MDFT through a randomized evaluation of SIC-CS.
Patterns of cost and resource allocation will be examined using the Cost of Implementing New Strategies (COINS) cost mapping tool, an adjunct to the SIC, to assess how resource use impacts program sustainability. SIC-CS utilizes a web-based SIC and COINS tool that provides feedback about a site’s implementation behavior relative to other successful sites. Purveyors will be trained to integrate SIC coaching into their existing coaching activities with newly adopting sites randomized to receive the SIC-CS. SIC data and feedback will be withheld from sites randomized to Standard Consultation. It is hypothesized that sites that receive integrated implementation and intervention fidelity feedback as part of their technical assistance will be more likely to develop sustainable programs than sites that receive standard support. These innovative methods have the potential for a highly significant public health impact by reducing wasted resources on failed implementation attempts and increasing the availability of quality evidence-based services for vulnerable and costly populations.Year Project Began: 2018
Funder: National Institute on Drug Abuse
Lisa Saldana, Ph.D.
Oregon Social Learning Center
Active Research Projects
Primary Research and Clinical Interests
Lisa joined OSLC in 2007. She received her doctorate in clinical psychology from the University of Missouri-Columbia in 2003 with a research and clinical emphasis in child maltreatment and evidence-based practice (EBP). She has been active in the development, evaluation, and implementation of EBPs, with a particular emphasis in services for child welfare populations.
Lisa currently is the PI of a number of federally funded projects related to implementation in child serving systems. Building on her previous work with the Stages of Implementation Completion (SIC), she and the SIC team are extending the SIC into the Sustainment Phase of the implementation process. Moreover, they are conducting a randomized trial of the SIC-Coaching strategy as a method for integrating implementation fidelity with intervention fidelity to increase rates of successful implementation among adolescent substance use treatment EBPs. Lisa and the SIC team have collaborated with a number of EBP developers in different service sectors, serving different populations to operationalize and monitor real-world implementation efforts. Similarly, the SIC team has developed the Cost of Implementing New Strategies (COINS) tool for assessing implementation costs across the three phases of implementation. Lisa also is the PI of a real-world evaluation of the implementation of the R3 Supervisor Strategy in four regions in the Tennessee child welfare system. R3 is a workforce practice model aimed at improving family-system relationships and subsequent family and system-level outcomes.
Lisa is the developer of the Families Actively Improving Relationships (FAIR) model, an integrative intervention for families referred to the child welfare system for parental substance abuse. She currently is conducting an efficacy trial of FAIR when delivered under a Medicaid billable environment. FAIR integrates evidence-based techniques targeting four key treatment components including parental substance use, maladaptive parenting, and mental health symptoms as well as their correlated contextual problems such as housing and employment. Families referred to FAIR receive services in their natural environments (e.g., home, school, court) and receive incentives related to healthy households for meeting individualized treatment goals. Lisa oversees FAIR services provided to Lane County residents through the ODI Clinic; for more information, visit odiclinic.org/fair.
Lisa also is a Co-Investigator on the NIDA-funded Translational Drug Abuse Prevention Center at OSLC, as well as a number of other non-OSLC led projects.