Planning for Sustainability of an Evidence‐Based Mental Health Promotion Program in Canadian Elementary Schools
Abstract
Substantial research illuminates many factors effecting the implementation of evidence‐based mental health promotion programs in schools; however, research on how schools plan for sustaining their investments in these programs is limited. In this qualitative study, we elicited descriptions of opportunities and challenges for sustainability. We interviewed 24 individuals from schools involved in a longitudinal, qualitative research project that followed uptake and implementation of the evidence‐based WITS Programs across 2 years (Leadbeater et al. 2012). WITS stands for Walk away, Ignore, Talk it out and Seek help and the online WITS Programs focus on preventing peer victimization (www.witsprograms.ca). Our findings suggest that sustainability planning in schools is not merely a next step following high quality implementation, but rather involves multiple ongoing processes that need to be anticipated and supported by school leadership and program champions and developers in order to realize investments in evidence‐based programs.
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Program evaluation has been consistently recognized in the literature as a key ingredient for program sustainment.
“Program evaluation has been consistently recognized in the literature as a key ingredient for program sustainment [18, 21, 56].”
Most prior sustainability studies included small, homogeneous samples and based conclusions mostly on qualitative retrospective assessments rather than statistical tests of association.
“However, this knowledge is greatly limited because most studies included small, homogeneous samples, and their conclusions were mostly based on qualitative retrospective assessments of individuals’ beliefs about what led to sustainment success or failure, rather than based on statistical tests of their association [17–22].”
Rather than testing comprehensive frameworks, many studies have examined individual factors or used qualitative research to identify stakeholder perspectives on sustainability.
“Rather than testing comprehensive frameworks, many studies have examined individual factors or have used qualitative research to identify stakeholder perspectives on sustainability (38, 70, 95).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [70]
Recent studies suggest that administrative support, consistent resources, and staff stability and buy-in are particularly important in the school context.
“This finding is consistent with recent studies that suggest that administrative support, consistent resources, and staff stability and buy-in are particularly important in the school context (70, 84, 90, 146).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [70]
Cites
(2006) · Cited by 18,730 · see citing works
Constructing Grounded Theory. A Practical Guide Through Qualitative Analysis
Boyle, C., & Barker, A. (2006) · QMiP Bulletin · doi:10.53841/bpsqmip.2006.1.2.36 · Cited by 11,842 · see citing works
Durlak, J. A., & DuPre, E. P. (2008) · American Journal of Community Psychology · doi:10.1007/s10464-008-9165-0 · Cited by 5,304 · see citing works
Dissemination and Implementation Research in HealthTranslating Science to Practice
Brownson, R. C., Colditz, G. A., & Proctor, E. K. (2012) · doi:10.1093/acprof:oso/9780199751877.001.0001 · Cited by 1,355 · see citing works
Standards of Evidence: Criteria for Efficacy, Effectiveness and Dissemination
Flay, B. R., Biglan, A., Boruch, R. F., Castro, F. G., Gottfredson, D., Kellam, S., Mościcki, E. K., Schinke, S., Valentine, J. C., & Ji, P. (2005) · Prevention Science · doi:10.1007/s11121-005-5553-y · Cited by 1,338 · see citing works
The Quality Implementation Framework: A Synthesis of Critical Steps in the Implementation Process
Meyers, D. C., Durlak, J. A., & Wandersman, A. (2012) · American Journal of Community Psychology · doi:10.1007/s10464-012-9522-x · Cited by 1,102 · see citing works
Diffusion of preventive innovations
Rogers, E. M. (2002) · Addictive Behaviors · doi:10.1016/s0306-4603(02)00300-3 · Cited by 1,046 · see citing works
The Prevention of Mental Disorders in School-Aged Children: Current State of the Field
Greenberg, M., Domitrovich, C., & Bumbarger, B. K. (2001) · Prevention & Treatment · doi:10.1037/1522-3736.4.1.41a · Cited by 886 · see citing works
An Agenda for Research on the Sustainability of Public Health Programs
Scheirer, M. A., & Dearing, J. W. (2011) · American Journal of Public Health · doi:10.2105/ajph.2011.300193 · Cited by 775 · see citing works
Sustainability of Teacher Implementation of School-Based Mental Health Programs
Han, S. S., & Weiss, B. (2005) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-005-7646-2 · Cited by 641 · see citing works
Social and Emotional Learning in Schools: From Programs to Strategies and commentaries
Jones, S. M., & Bouffard, S. M. (2012) · Child Policy Nexus · doi:10.1002/j.2379-3988.2012.tb00073.x · Cited by 601 · see citing works
Public health program capacity for sustainability: a new framework
Schell, S. F., Luke, D. A., Schooley, M. W., Elliott, M. B., Herbers, S. H., Mueller, N. B., & Bunger, A. C. (2013) · Implementation Science · doi:10.1186/1748-5908-8-15 · Cited by 563 · see citing works
Domitrovich, C. E., & Greenberg, M. T. (2000) · Journal of Educational and Psychological Consultation · doi:10.1207/s1532768xjepc1102_04 · Cited by 428 · see citing works
Ogden, T., & Fixsen, D. L. (2014) · Zeitschrift für Psychologie · doi:10.1027/2151-2604/a000160 · Cited by 304 · see citing works
King, D. K., Glasgow, R. E., & Leeman-Castillo, B. A. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.190959 · Cited by 209 · see citing works
A Framework for Understanding “Evidence” in Prevention Research and Programs
Kellam, S. G., & Langevin, D. J. (2003) · Prevention Science · doi:10.1023/a:1024693321963 · Cited by 157 · see citing works
Sustaining Evidence-Based Prevention Programs: Correlates in a Large-Scale Dissemination Initiative
Cooper, B. R., Bumbarger, B. K., & Moore, J. E. (2015) · Prevention Science · doi:10.1007/s11121-013-0427-1 · Cited by 117 · see citing works
Payne, A. A., & Eckert, R. (2009) · Prevention Science · doi:10.1007/s11121-009-0157-6 · Cited by 98 · see citing works
Tibbits, M. K., Bumbarger, B. K., Kyler, S. J., & Perkins, D. F. (2010) · Prevention Science · doi:10.1007/s11121-010-0170-9 · Cited by 86 · see citing works
Woodward, R. (2009) · Routledge eBooks · doi:10.4324/9780203875773-11 · Cited by 81 · see citing works
Leadbeater, B. J. R., & Sukhawathanakul, P. (2011) · Journal of Community Psychology · doi:10.1002/jcop.20447 · Cited by 63 · see citing works
Self-citationRhoades, B. L., Bumbarger, B. K., & Moore, J. E. (2012) · American Journal of Community Psychology · doi:10.1007/s10464-012-9502-1 · Cited by 62 · see citing works
Primary Prevention Mental Health Programs: The Future is Exciting
Durlak, J. A., & Wells, A. M. (1997) · American Journal of Community Psychology · doi:10.1023/a:1024674631189 · Cited by 55 · see citing works
Spoth, R. L., Guyll, M., Trudeau, L., & Lillehoj, C. J. (2002) · Journal of Community Psychology · doi:10.1002/jcop.10021 · Cited by 52 · see citing works
Planning Evaluation Through the Program Life Cycle
Scheirer, M. A. (2012) · American Journal of Evaluation · doi:10.1177/1098214011434609 · Cited by 47 · see citing works
Ozer, E. J., Wanis, M. G., & Bazell, N. (2009) · Prevention Science · doi:10.1007/s11121-009-0148-7 · Cited by 41 · see citing works
Bierman, K. L., DeRousie, R. M. S., Heinrichs, B. S., Domitrovich, C. E., Greenberg, M. T., & Gill, S. (2013) · Early Education and Development · doi:10.1080/10409289.2013.755457 · Cited by 31 · see citing works
Three-Year Trajectory of Teachers’ Fidelity to a Drug Prevention Curriculum
Ringwalt, C. L., Pankratz, M. M., Jackson‐Newsom, J., Gottfredson, N. C., Hansen, W. B., Giles, S. M., & Dusenbury, L. (2009) · Prevention Science · doi:10.1007/s11121-009-0150-0 · Cited by 31 · see citing works
Mental Health and Wellbeing through Schools
Wotherspoon, A., Slee, P. T., Bottroff, V., Martin, J., & Spears, B. A. (2016) · Routledge eBooks · doi:10.4324/9781315764696 · Cited by 31 · see citing works
Health Dissemination and Implementation within Schools
Lee, R., & Gortmaker, S. L. (2012) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199751877.003.0020 · Cited by 30 · see citing works
Chilenski, S. M., Olson, J. R., Schulte, J. A., Perkins, D. F., & Spoth, R. L. (2014) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2014.10.004 · Cited by 29 · see citing works
Spoth, R. L., Schainker, L. M., Redmond, C. R., Ralston, E. S., Yeh, H.-C., & Perkins, D. F. (2015) · American Journal of Community Psychology · doi:10.1007/s10464-015-9707-1 · Cited by 20 · see citing works
Implementation Science and the Effective Delivery of Evidence-Based Prevention
Sloboda, Z., Dusenbury, L., & Petras, H. (2014) · Springer eBooks · doi:10.1007/978-1-4899-7424-2_13 · Cited by 17 · see citing works
Leadbeater, B. J. R., Gladstone, E. J., Yeung, R. S., Sukhawathanakul, P., & Desjardins, T. (2012) · Advances in School Mental Health Promotion · doi:10.1080/1754730x.2012.736790 · Cited by 10 · see citing works
Self-citationLeadbeater, B. J. R., & Gladstone, E. J. (2016) · doi:10.4324/9781315764696-12 · Cited by 2 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040617-014731 · Cited by 806 · see citing works
Ouellette, R. R., Frazier, S. L., Shernoff, E. S., Cappella, E., Mehta, T. G., Maríñez-Lora, A., Cua, G., & Atkins, M. S. (2018) · Behavior Therapy · doi:10.1016/j.beth.2017.11.011 · Cited by 163 · see citing works
Leadbeater, B. J. R., Thompson, K., & Sukhawathanakul, P. (2016) · American Journal of Community Psychology · doi:10.1002/ajcp.12092 · Cited by 47 · see citing works
Self-citationLyon, A. R., Connors, E. H., Lawson, G. M., Nadeem, E., & Owens, J. S. (2024) · School Mental Health · doi:10.1007/s12310-024-09731-0 · Cited by 47 · see citing works
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Askell‐Williams, H., & Koh, G. A. (2020) · School Effectiveness and School Improvement · doi:10.1080/09243453.2020.1767657 · Cited by 47 · see citing works
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Herkama, S., Kontio, M., Sainio, M., Turunen, T., Poskiparta, E., & Salmivalli, C. (2022) · Prevention Science · doi:10.1007/s11121-022-01368-2 · Cited by 52 · see citing works
Sustainability of outdoor school ground smoking bans at secondary schools: a mixed-method study
Rozema, A. D., Mathijssen, J. J. P., Jansen, M. W. J., & OERS, H. A. M. V. (2017) · European Journal of Public Health · doi:10.1093/eurpub/ckx099 · Cited by 36 · see citing works
Sustainable antibullying program implementation: School profiles and predictors
Sainio, M., Herkama, S., Turunen, T., Rönkkö, M., Kontio, M., Poskiparta, E., & Salmivalli, C. (2018) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12487 · Cited by 32 · see citing works
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Camacho, D. A., Vera, E. M., Scardamalia, K. M., & Phalen, P. L. (2018) · Psychology in the Schools · doi:10.1002/pits.22176 · Cited by 30 · see citing works
Sadjadi, M., Blanchard, L., Brülle, R., & Bonell, C. P. (2021) · Health Education Research · doi:10.1093/her/cyab029 · Cited by 23 · see citing works
Implementation of school-based CPR training – A systematic review and mixed-methods meta-analysis
Sadjadi, M., Brülle, R., ONBAŞILAR, U., Booke, H., Strauß, C., von Groote, T., Aken, H. V., & Gottschalk, A. (2025) · Resuscitation Plus · doi:10.1016/j.resplu.2025.100955 · Cited by 11 · see citing works
Cooper, B. R., Hill, L. G., Parker, L., Jenkins, G. J., Shrestha, G., & Funaiole, A. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00303-4 · Cited by 7 · see citing works
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Moar, S., Burke, K., & Watson, M. (2024) · British Educational Research Journal · doi:10.1002/berj.4029 · Cited by 10 · see citing works
Kassab, H. D., Owens, J. S., Evans, S. W., Everly, E. L., & Mikami, A. Y. (2023) · School Mental Health · doi:10.1007/s12310-022-09555-w · Cited by 5 · see citing works
Leadbeater, B. J. R., Thompson, K., Sukhawathanakul, P., & Merrin, G. J. (2018) · Prevention Science · doi:10.1007/s11121-018-0948-8 · Cited by 5 · see citing works
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McLeod, B. D., Sutherland, K. S., Conroy, M. A., Lyon, A. R., Chapman, J. E., Granger, K. L., & Saldana, L. (2022) · Journal of Emotional and Behavioral Disorders · doi:10.1177/10634266221090160 · Cited by 4 · see citing works
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Badri, S. K. Z. (2020) · Journal of Public Mental Health · doi:10.1108/jpmh-06-2019-0069 · Cited by 4 · see citing works
Motamedi, M., Caldwell, L. L., Smith, E. A., Wegner, L., & Jacobs, J. J. (2020) · American Journal of Community Psychology · doi:10.1002/ajcp.12494 · Cited by 3 · see citing works
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Sainio, M., Herkama, S., Torppa, M., Aro, T. I., & Hämeenaho, P. (2024) · International Journal of Bullying Prevention · doi:10.1007/s42380-024-00271-4 · Cited by 2 · see citing works
Bowen, F., Morissette, É., Levasseur, C., Marion, É., Carpentier, G., Poirel, E., Beaumont, C., Leadbeater, B. J. R., Beaulieu, J., Ouellet‐Morin, I., et al. (2022) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2022-025 · Cited by 2 · see citing works
Self-citationWehner, S. K., Tjørnhøj‐Thomsen, T., Duus, K. S., Brautsch, L. A. S., Jørgensen, A., Bonnesen, C. T., & Krølner, R. F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910557
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SEOW, P. S. K., Xue, H., Hung, D. W. L., & Lee, K. C. (2024) · doi:10.31234/osf.io/fg98m
Leadbeater, B. J. R., Walker, M., Bowen, F., Barbic, S. P., Crooks, C. V., Mathias, S., Moretti, M. M., Sukhawathanakul, P., Pepler, D. J., Angelius, K., et al. (2023) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2023-031 · Cited by 1 · see citing works
Self-citationKobets, I. (2026) · Preschool Education Global Trends · doi:10.31470/2786-703x-2026-9-7-18
Rose, C., & Harvey, J. (2026) · Journal of Child and Family Studies · doi:10.1007/s10826-026-03378-y
- Authors
- Leadbeater, B. J., Gladstone, E. J., & Sukhawathanakul, P.
- Affiliations
- University of Victoria (CA)
- University of British Columbia (CA)
- Corresponding author
- Leadbeater, Bonnie J.
- Sukhawathanakul, Paweena
- Venue
- American Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2015-07-07
- Volume
- 56
- Issue
- 1-2
- Pages
- 120-133
- ISSN
- 0091-0562 (ISSN-L)
- 1573-2770
- OpenAlex
- W846666214
- Cited by
- 27
- References
- 35
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 3 · 2018: 4 · 2017: 2 · 2016: 1
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- American Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Public Health Agency of Canada (Innovation Strategy - Taking Action to Reduce Health Inequalities in Canada, Phase 2)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- program sustainability, mental health promotion, school programs, implementation, school leadership, program champions, elementary school, evidence-based programs
- MeSH terms
- British Columbia, Canada, Child, Health Promotion, Humans, Longitudinal Studies, Mental Health, School Health Services, Schools, Program Evaluation, Qualitative Research, Evidence-Based Practice, Bullying
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