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This Web site is a component of the SAMHSA Health Information Network |
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This Web site is a component of the SAMHSA Health Information Network. |
Keeping It All Together:
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| Charles G. Curie, M.A., A.C.S.W. Administrator Substance Abuse and Mental Health Services Administration |
Gail Hutchings, M.P.A. Acting Director Center for Mental Health Services Substance Abuse and Mental Health Services Administration |
A few years ago, a school-based Head Start program wanted to implement a drug prevention project for parents of preschoolers. Consultants were called in to design the project. The consultants asked if the parents/caregivers had been asked if they wanted such a program and, if so, what they wanted to know. The administrators replied that they had done a brief survey and that parents were “worried about drugs.” The consultants, not completely satisfied with that answer, said they wanted to talk directly with parents and find out from them why they would (and would not) want to attend such a program and what they would want to learn. Six parents from the target community met with the consultants and explained to them why they would not want to be involved in such a program. The primary reason? “You’ll get us involved, and then you’ll leave, and we’ll have nothing.”
Sadly, this story is not uncommon in human services. Interventions are funded. People in resource-poor communities with many residents at high risk become the focus for interventions. Communities gladly accept and welcome the program, and then funding runs out. People feel betrayed. Funding often is used to document program effectiveness, not to assure program continuity. Although not all organizations and programs should continue in perpetuity, they should be sustained as long as they serve a vital community purpose.
Sustainability has been described as a way of characterizing a process of evolutionary continuation, such as a neighborhood taking ownership of an intervention. The term also implies that the entity can respond to changes in circumstances. This crucial capability supports both evolution and continuation.
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