| Aphasia is a language disorder that commonly occurs from a stroke. Intensive ComprehensiveAphasia Programs (ICAPs) align with the World Health Organization’s International Classification of Functioning, Disability and Health recommendations by providing intensive therapy in individual and group settings for a cohort of individuals with aphasia. While ICAPs are effective, there are chal lenges to implementing and sustaining an ICAP. This study sought to understand the characteristics of sustained ICAPs from the perspective of international physiologists involved in an ICAP. Interviews were coded and analyzed for common themes and subthemes. Three major themes related to supports for sustainability emerged; operationalizing program procedures, making continual intentional programmatic improvements, and the need for passion and commitment to the ICAP model. Four major barrier themes to sustainability emerged; limitations in the research base, resource restrictions, issues of program accessibility, and programmatic funding challenges and economics of healthcare. These major themes and subthemes are discussed. Keywords: Aphasia; Intensive Comprehensive Aphasia Program (ICAP); Sustainability |