“Creative Financing”: Funding Evidence-Based Interventions in Human Service Systems

Jaramillo, Elise Trott; Willging, Cathleen E.; Green, Amy E.; Gunderson, Lara M.; Fettes, Danielle L.; Aarons, Gregory A.

doi:10.1007/s11414-018-9644-5

Cited by 33Health Policy Implementation ScienceEvaluation and Performance AssessmentHealth Sciences Research and Education

“Creative Financing”: Funding Evidence-Based Interventions in Human Service Systems

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Jaramillo, Elise Trott, Willging, Cathleen E., Green, Amy E., Gunderson, Lara M., Fettes, Danielle L., Aarons, Gregory A.·2019·The Journal of Behavioral Health Services & Research

DOI 10.1007/s11414-018-9644-5PMC PMC6816239

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Abstract

Implementation and sustainment of evidence-based interventions (EBIs) is influenced by outer (e.g., broader environments in which organizations operate) and inner (e.g., organizations, their administrators, and staff) contexts. One important outer-context element that shapes the inner context is funding, which is complex and unpredictable. There is a dearth of knowledge on how funding arrangements affect sustainment of EBIs in human service systems and the organizations delivering them, including child welfare and behavioral health agencies. This study uses qualitative interview and focus group data with stakeholders at the system, organizational, and provider levels from 11 human service systems in two states to examine how stakeholders strategically negotiate diverse and shifting funding arrangements over time. Study findings indicate that, while diverse funding streams may contribute to flexibility of organizations and possible transformations in the human service delivery environment, a dedicated funding source for EBIs is crucial to their successful implementation and sustainment.

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Most organizations have limited control over the financing strategies available to them, though they may engage in strategic decisions or negotiations about which they use.
“Most organizations have limited control over the financing strategies available to them, though they may engage in strategic decisions or negotiations about which they use [75, 76].”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [76]

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Authors: Jaramillo, E. T., Willging, C. E., Green, A. E., Gunderson, L. M., Fettes, D. L., & Aarons, G. A.
Affiliations: University of New Mexico (US)
University of California San Diego (US)
Corresponding author: Jaramillo, Elise Trott
ORCID: Jaramillo, Elise Trott
Willging, Cathleen E.
Green, Amy E.
Gunderson, Lara M.
Fettes, Danielle L.
Aarons, Gregory A.
Venue: The Journal of Behavioral Health Services & Research
Publisher: Springer Science and Business Media LLC
Published: 2018-12-10
Volume: 46
Issue: 3
Pages: 366-383
ISSN: 1094-3412 (ISSN-L)
1556-3308
DOI: 10.1007/s11414-018-9644-5
PMC: PMC6816239
OpenAlex: W2904942747
Cited by: 33
References: 60
Citations by year: 2026: 5 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 2
FWCI: 4.20
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: The Journal of Behavioral Health Services & Research (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH072961, R01MH092950)
National Institute on Drug Abuse (R01DA038466)
Centers for Disease Control and Prevention (R01CE001556)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords: evidence-based interventions, creative financing, funding arrangements, intervention sustainability, implementation, child protection services, stakeholder negotiation, organizational context
MeSH terms: Stakeholder Participation, Capital Financing, Child, Child Welfare, Child, Preschool, Community Mental Health Services, Humans, United States, Focus Groups, Evidence-Based Practice

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“Creative Financing”: Funding Evidence-Based Interventions in Human Service Systems

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