Sometimes this occurs by desegregating or taking apart a program and then embedding parts of it into the fabric of the community in different ways, such as in new laws, policies or practices. There are many different factors that affect whether programs get institutionalized. One is the program has been run effectively and efficiently and achieved its goals. Interaction with the community is paramount. For example, if a program has been operated in isolation from other major organizations and forces in a community, it is not likely to be institutionalized, since it will be somewhat alien from the other parts of the community.
Programs usually gather around themselves a group of supporters whose interests are parallel.
Making a choice between continuing to seek common ground with many parties, resulting in no single party investing in the program, or aligning with one major institution or section of the community, which is more supportive. Community health initiatives and programs for the underserved need to show how they have achieved results. This is another aspect of finding parallel interests and communicating them in a way that creates understanding. Deciding how to allocate resources in the community. Getting others to buy into the program.