Build the smallest truthful version, then earn expansion.
Use this page as a controlled working guide. Adapt language and activities to the population, verify local resources, assign ownership, and preserve the clinical and life-safety boundaries described throughout the model.
The controlled 90-day activation plan
The first 90 days are a governed pilot. The program should begin with a bounded population, a realistic schedule, a trained team, verified referral pathways, and weekly review. Growth follows demonstrated readiness, not appetite alone.
Days 1–30: Listen, define, and control
Governance
Approve program owner, executive sponsor, clinical advisor, population, setting, authority, safety boundary, and document control.
Assessment
Complete readiness review, local data scan, resident and participant listening, asset map, referral verification, and equity review.
Design
Select one population pathway, define dosage and schedule, choose initial modules, and build the six-strategy portfolio.
Safety
Confirm emergency, crisis, mandated-reporting, medication, transportation, youth, privacy, and incident workflows.
Days 31–60: Train, rehearse, and test
Workforce
Complete orientation, role-specific training, observation, simulation, documentation practice, and readiness sign-off.
Tools
Release controlled attendance, session, concern, handoff, action-plan, participant, evaluation, incident, and dashboard tools.
Partnerships
Obtain written partner commitments, confirm contacts and capacity, and test at least one referral pathway end to end.
Dry run
Rehearse arrival, session delivery, difficult disclosure, behavioral escalation, emergency response, caregiver communication, and checkout.
Days 61–90: Launch, observe, and correct
Controlled cohort
Begin with a manageable number and protect staff-to-participant ratios, schedule fidelity, and supervision.
Weekly governance
Review attendance, participant voice, safety, disclosures, referrals, fidelity, staffing, and barriers every week.
Rapid correction
Assign corrective action with owner, due date, evidence, and effectiveness review. Do not let a temporary workaround become the program.
Day-90 gate
Decide whether to continue, redesign, expand, pause, or close based on evidence, not enthusiasm.