Dimension or Issue Key questions (ones in bold most important to consider) Probes and follow-up questions
When will your initiative need to be renewed?

What will happen over the long-term?

Consider for both Individual beneficiaries and Settings (e.g., support longer term benefits to children, employees, patients, students; ongoing infrastructure and policy)


Can organizations sustain the initiative over time and are there plans to leave trained staff in place?




What infrastructure supports will be needed to sustain the initiative?

Is there an infrastructure and funding that will remain?

How will this initiative align with current and future policies and reimbursement; revenue streams?


  How likely is your initiative to produce lasting effects for individual participants? How will individuals be delivered key program components over time? Will they stay in contact?
  How will you be able to follow your initiative for an extended period of time?

How will you continue to track success and provide ongoing feedback? “How’s it working for you?”


  How will you get the word out about your product and lessons learned?

What easy to understand materials can you produce to tell others about your lessons learned?


  What are likely modifications or adaptations that will need to be made to sustain the initiative over time (e.g. lower cost, different staff, reduced intensity, different settings)? How can you track the major changes made over time?

Tips to improve Maintenance

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