Does Implementation Support Work? Lessons from Two Decades of Getting To Outcomes Research

Matthew Chinman, PhD
RAND Corporation

ABSTRACT:
Does implementation support work? Using Getting To Outcomes (GTO), a 10-step planning, evaluation, and quality-improvement approach studied for two decades, Dr. Chinman reviews randomized trials in community prevention and Veterans Affairs homeless services, plus sustainment, cost, and mechanism findings. GTO improved program quality and fidelity, especially with more technical assistance and time, but participant outcomes, leadership support, and cost remain challenges. The talk closes with implications for addiction dissemination and implementation science.