Journal ArticleDOI
The staff workplace and the quality and outcome of substance abuse treatment.
Rudolf H. Moos,Bernice S. Moos +1 more
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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
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"Burnout" and substance user treatment: the phenomenon and the administrator-clinician's experience.
TL;DR: “Burnout” adversely effects substance user treatment and other human service interventions, with increased absenteeism and job turnover, and it appears to be helped with a variety of methods, including diversity of supports and interests.
Journal ArticleDOI
The Dynamics of a Prison-Based Therapeutic Community for Women Offenders: Retention, Completion, and Outcomes
Clayton Mosher,Dretha Phillips +1 more
TL;DR: Research has demonstrated that there is a strong relationship between substance abuse and various forms of criminal activity and that drug treatment is effective in reducing crime among substance abuse users as mentioned in this paper, and drug treatment has been shown to reduce crime among drug users.
Journal ArticleDOI
Relating counselor attributes to client engagement in England
TL;DR: Standardized assessments of treatment structure, process, and performance used across therapeutic settings and national boundaries show there is generalizability in the pattern of clinical dynamics, including the relationships between organizational functioning and quality of services.
Journal ArticleDOI
The Impact of Work Resources on Job Stress among Correctional Treatment Staff.
TL;DR: In an exploratory study of the relationship between resources in the work environment and job stress, correctional treatment staff members reporting quality personal relationships in work environment also experienced fewer stressors at work as discussed by the authors.
Journal ArticleDOI
Measurement-based management of mental health quality and access in VHA: SAIL mental health domain.
Sonne Lemke,Matthew Tyler Boden,Lisa K. Kearney,Dean D. Krahn,Matthew J Neuman,Eric M. Schmidt,Jodie A. Trafton +6 more
TL;DR: The development of a Mental Health Domain to track accessibility and quality of mental health care in the United States Veterans Health Administration as part of a broad-based performance measurement system is outlined.
References
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Journal ArticleDOI
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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.