Table 3 Example key cost considerations for different interested parties, adapted from clinical contexts, Eisman et al. [44]
Interested party perspective | Key priorities | Example of pre-implementation costs | Example of implementation costs | Example sustainability costs |
|---|---|---|---|---|
State agencies | Maximize public health impact, est. effective practices | Costs for MMH updates, review, formatting, promotion | Developing and executing health coord trainings | Review and revisions, updating assessments, committee meetings |
System (i.e., regional service agency) | Stay within budget; align with the mission (education) | Capital expenses; technology upgrades, | Time costs for logistics, dissemination, training, facilitation | Time costs for updating priorities, alignment with state policies |
Organization (i.e., school) | Stay within budget; meet benchmarks (education) | Substitute teacher costs, time, and space costs for updated training | Opportunity costs of time spent deploying RAPD | Costs to maintain quality implementation |
Provider team: administrative staff | Effective allocation of staff/resources, meet youth/family needs | Costs of promotion and onboarding | Opportunity costs of time spent on RAPD versus other initiatives | Retraining costs; cost audit and feedback |
Provider team: teachers, professionals | Improve workflow; competing demands; relative benefit | Opportunity costs for training, logistics, and implementation prep | Time required to review, incorporate updates into lessons | Opportunity costs for ongoing activities, training |