Sobriety Treatment and Recovery Teams (START)
Pre-Implementation Materials
There are pre-implementation materials to measure organizational or provider readiness for Sobriety Treatment and Recovery Teams (START) as listed below:
Prospective START Affiliates engage in readiness and feasibility planning with members from the National START Training and Technical Assistance Program. All exploration stage activities are designed to evaluate organizational capacity for implementation of the National START Model.
Formal Support for Implementation
There is formal support available for implementation of Sobriety Treatment and Recovery Teams (START) as listed below:
START is a complex, collaborative model that requires a commitment to a multiyear, cross-system dedicated effort. Affiliates negotiate and enter training and technical assistance (TA) contracting agreements (with detailed scope of work deliverables) to support state and/or local implementation of the National START Model. Programmatic and evaluation implementation supports for leadership, evaluation, and frontline staff may vary but generally fall into four categories: 1) virtual, phone, and email-based technical assistance; 2) on-site training, technical assistance, and leadership meetings; 3) virtual training; and 4) reporting, project management, and other activities. Formal fidelity reviews are provided approximately halfway through TA. On average, START Affiliates receive 2-4 years of training and TA prior to achieving full implementation and certification readiness. Affiliates may contract with the National START TTA Program for program evaluation services or may conduct their own evaluation with TA support.
A cost worksheet is available from the purveyor for those wishing to calculate the cost of model components.
Fidelity Measures
There are fidelity measures for Sobriety Treatment and Recovery Teams (START) as listed below:
The National START TTA Program conducts fidelity reviews approximately halfway through TA using self-report and aggregate data supplied by the affiliate. States contracting to become certified state infrastructure affiliates are trained on the fidelity review process and provided with the tool which is not available to the public.
Implementation Guides or Manuals
There are implementation guides or manuals for Sobriety Treatment and Recovery Teams (START) as listed below:
Access to the full START Model Implementation Manual (totaling 10 chapters) is only available through formalized training and technical assistance. However, chapter one is available in the public domain and can be accessed/downloaded here: https://www.cffutures.org/files/START/START_Chapter_1.pdf
Willauer, T., Posze, L., & Huebner, R. A. (Eds.). (2018). The Sobriety Treatment and Recovery Teams (START) Model: Implementation manual. Children and Family Futures.
Research on How to Implement the Program
Research has been conducted on how to implement Sobriety Treatment and Recovery Teams (START) as listed below:
Hall, M. T, Wilfong, J., Huebner, R. A., Posze, L., & Willauer, T. (2016). Medication-assisted treatment improves child permanency outcomes for opioid-using families in the child welfare system. Journal of Substance Abuse Treatment, 71, 63–67. https://doi.org/10.1016/j.jsat.2016.09.006
Huebner, R. A., Hall, M. T., Smead, E., Willauer, T., & Posze, L. (2018). Peer mentoring services, opportunities, and outcomes for child welfare families with substance use disorders. Children and Youth Services Review, 84, 239–246. https://doi.org/10.1016/j.childyouth.2017.12.005
Huebner, R. A., Posze, L., Willauer, T. M., & Hall, M. T. (2015). Sobriety Treatment and Recovery Teams: Implementation fidelity and related outcomes. Substance Use & Misuse, 50(10), 1341–1350. https://doi.org/10.3109/10826084.2015.1013131
Huebner, R. A., Young, N. K., Hall, M. T., Posze, L., & Willauer, T. (2017). Serving families with child maltreatment and substance use disorders: A decade of learning. Journal of Family Social Work, 20(4), 288–305. https://doi.org/10.1080/10522158.2017.1348110