RESUMO
The Strategic Prevention Framework State Incentive Grant (SPF SIG) program is a national public health initiative sponsored by the U.S. Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention to prevent substance abuse and its consequences. State grantees used a data-driven planning model to allocate resources to 450 communities, which in turn launched over 2,200 intervention strategies to target prevention priorities in their respective populations. An additional goal was to build prevention capacity and infrastructure at the state and community levels. This paper addresses whether the state infrastructure goal was achieved, and what contextual and implementation factors were associated with success. The findings are consistent with claims that, overall, the SPF SIG program met its goal of increasing prevention capacity and infrastructure across multiple infrastructure domains, though the mediating effects of implementation were evident only in the evaluation/monitoring domain. The results also show that an initiative like the SPF SIG, which could easily have been compartmentalized within the states, has the potential to permeate more broadly throughout state prevention systems.
Assuntos
Implementação de Plano de Saúde/organização & administração , Serviços Preventivos de Saúde/organização & administração , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Competência Cultural , Prática Clínica Baseada em Evidências , Financiamento Governamental , Implementação de Plano de Saúde/economia , Implementação de Plano de Saúde/normas , Humanos , Modelos Organizacionais , Avaliação das Necessidades , Serviços Preventivos de Saúde/economia , Serviços Preventivos de Saúde/normas , Desenvolvimento de Programas/economia , Desenvolvimento de Programas/métodos , Desenvolvimento de Programas/normas , Avaliação de Programas e Projetos de Saúde , Transtornos Relacionados ao Uso de Substâncias/economia , Estados UnidosRESUMO
Supervisors play an important role in determining whether employees use work-family programs. Yet little research has examined the factors that relate to supervisor perceptions of and behaviors surrounding work-family programs. This study builds on past research, the theory of reasoned action, and expectancy theory to explore factors that contribute to supervisors' decisions to refer subordinates to work-family programs. Usable surveys assessing perceptions of work-family programs were completed and returned by 1972 managers in a large government agency. Results revealed that program awareness and instrumentality perceptions both contributed uniquely to predicting the frequency of supervisors' referrals to work-family programs. Supportive attitudes also predicted referrals, but only through their shared relationship with instrumentality perceptions.