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
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Influence of Organizational Characteristics on Success in Implementing Process Improvement Goals in Correctional Treatment Settings.
Michael Prendergast,Wayne N. Welsh,Lynda A. R. Stein,Wayne E. K. Lehman,Gerald Melnick,Umme S. Warda,Michael S. Shafer,Wendy R. Ulaszek,Eleni Rodis,Sami Abdel-Salam,Jamieson L. Duvall +10 more
TL;DR: Agencies with fewer program needs, good communication, adequate staffing levels, good supervision, positive attitude toward rehabilitation, and higher institutional capacity for change were better able to implement planned changes in assessment and case-planning procedures.
Journal ArticleDOI
Lessons from the evaluation of a public out-patient substance abuse treatment programme in the western cape
TL;DR: The most common primary drug of abuse in the Western Cape amongst patients admitted to treatment programmes is methamphetamine, and this prevalence of poly-substance abuse needs to be taken into account in the planning of services.
The Dance in Contexts: Exploring the Complexity of the Helping/Healing Process with a Focus on Client Satisfaction
TL;DR: In this article, the authors explore and describe the complexity of the helping/healing process in a community-based counseling centre and explore client and worker participants' perspectives in an exploration of whether and / or how the client as an individual, the worker both as a individual and as a staff member, the therapeutic relationship, and the organizational setting impacted client satisfaction.
Journal ArticleDOI
New horizons in AOD workforce development
TL;DR: The papers in this series are presented by Australia’s National Research Centre on Workforce development, or as it is formally known as the National Centre for Education and Training on Addiction (NCETA), at Flinders University in Australia.
Journal ArticleDOI
Lessons from the front line: working with offenders with learning disability and personality disorder in a high secure therapeutic community
Jon Taylor,Sarah Trout +1 more
TL;DR: An overview of the experiences of nursing staff providing a residential treatment programme for high risk offenders with an intellectual disability and personality disorder is provided.
References
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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.