top of page

Implementation Stages for Addressing Stigma

Implementing a new part of an initiative, like adressing stigma toward opiate use and OUD, involves multiple choices, actions, and adjustments along the way to accomplishing change to the structures, beliefs, and policies where stigma is present. To accomplish change, COP-RCORP is undertaking a series of research-backed Implementation Stages: Exploration, Installation, Initial Implementation, Full Implementation. These stages are interactive and can co-occur; it is not as if one stage ends and another clearly begins. Instead, it is often necessary to go back to previous stages when circumstances change (e.g., change in staff/leadership, data identifies an area where changes are required) or when certain decisions have been made




  • Developing a diverse team

  • Determining which approach is the best fit

  • Examining needs and assets



  • Develop the knowledge and skills of staff and leaders Outlining a plan for data collection

  • Training

  • Coaching &

  • Data Systems


Initial Implementation

  • Supporting diverse teams

  • Staff begin the plans from installation

  • Data and feedback used to strengthen implementation


Full Implementation

  • Implementing the planned data collection

  • Outcomes are being measured

  • Procedures in place to continue plan


Data Use for Continous Improvement

COP RCORP presentation from RCORP Region 5 Meeting: Addressing Stigma in Your RCORP Service Area


During this session, speakers from Ohio University/Pacific Institute for Research and Evaluation (PIRE) RCORP-Implementation discuss their efforts in addressing stigma in their service areas using an implementation stages approach.

For More Information on Implementation Stages

This video from State Implementation and Scaling up of Evidence-Based Practices (SISEP) provides an overview of Implementation Stages.

bottom of page