Studies of program implementation in many areas have identified many risks to program sustainment, including resource constraints that force the closure of good programs; “drifting” away from careful program delivery so that over time a program morphs into something different than originally intended; and staff turnover or changes in leadership that remove the program’s “champion,” meaning no one is there to ensure continued quality and performance (see Lane et al., 2019, for a review).
cite page 100 Ch 13: Sustaining and Improving BTAM Programs over Time