Journal ArticleDOI
The staff workplace and the quality and outcome of substance abuse treatment.
Rudolf H. Moos,Bernice S. Moos +1 more
Reads0
Chats0
TLDR
The study examined the connection between the staff work environment and staff members' beliefs about treatment, the quality of the treatment environment, patients' involvement in treatment and self-help activities, and patients' improvement during treatment.Abstract:
Objective: The study examined the connection between the staff work environment and staff members' beliefs about treatment, the quality of the treatment environment, patients' involvement in treatment and self-help activities, and patients' improvement during treatment. Method: Patient care staff (N = 329) in 15 substance abuse treatment programs reported on the characteristics of their work environment and on their beliefs and treatment orientations about substance abuse. Patients in these programs (N = 3,228) reported on the treatment environment, their participation in treatment and self-help activities, and their treatment goals, confidence in achieving these goals, and coping skills at intake to and discharge from treatment. Results: Staff in supportive and goal-directed work environments were more likely to espouse disease model beliefs and a 12-step orientation toward substance abuse treatment. These work environments were associated with more supportive and goal-directed treatment environments. Pa...read more
Citations
More filters
Special article Influence of organizational functioning on client engagement in treatment B
TL;DR: In this paper, the authors focused on the relationship between organizational functioning factors measured in a staff survey using the Texas Christian University (TCU) Organizational Readiness for Change assessment and client-level engagement measured by the TCU Client Evaluation of Self and Treatment in drug treatment programs.
Special article Program structure, staff perceptions, and client engagement in treatment B
TL;DR: This study explored client and program differences in engagement ratings using data from a nationwide set of 94 outpatient drug-free treatment programs in a hierarchical linear model analysis, showing elements of program context, including structural features and staff’s perceptions of personal efficacy, organizational climate, and communal workplace practices relate to better overall client engagement.
Coordination of Care in Substance Abuse Treatment: An Interorganizational Perspective
TL;DR: In this article, the authors examined the problem of detox readmissions from an interorganizational network perspective and determined the extent to which detox patients transferred to rehabilitation within 14 days of discharge from a detox service, and evaluated the utility of patient transfer rates as a county-level performance measure for detox.
References
More filters
Journal ArticleDOI
The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome.
TL;DR: An 18-item version of the Client Satisfaction Questionnaire (CSQ-18) was included in an experimental study of the effects of pretherapy orientation on psychotherapy outcome and demonstrated that a subset of items from the scale performed as well as the CSQ-8 and often better.
Journal ArticleDOI
Measuring processes of change: applications to the cessation of smoking.
TL;DR: The analysis both confirmed the 10-process model and revealed two secondary factors, Experiential and Behavioral, which were composed of 5 processeseach and reflected hou.
Journal ArticleDOI
The performance of intensive care units: does good management make a difference?
Stephen M. Shortell,Jack E. Zimmerman,Denise M. Rousseau,Robin R. Gillies,Douglas P. Wagner,Elizabeth A. Draper,William A. Knaus,Joanne Duffy +7 more
TL;DR: In this paper, the authors examined the factors associated with risk-adjusted mortality, risk adjusted average length of stay, nurse turnover, evaluated technical quality of care, and evaluated ability to meet family member needs.
Journal Article
Assessing the impact of continuous quality improvement/total quality management: concept versus implementation.
Stephen M. Shortell,J. L. O'Brien,James M. Carman,R. W. Foster,Edward F. X. Hughes,H. Boerstler,Edward J. O'Connor +6 more
TL;DR: A participative, flexible, risk-taking organizational culture was significantly related to quality improvement implementation and was positively associated with greater perceived patient outcomes and human resource development.
Book
Alcoholism Treatment: Context, Process, and Outcome
TL;DR: Evaluating and improving alcoholism treatment programsObjectives, methods, and assessment of treatment implementation Short-term outcome and patient prognosis Gender and marital status in treatment and outcome.