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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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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Using an innovative approach to shorten coaching and assessment time when applying the Baldrige Health Care Criteria for Performance Excellence in a substance abuse treatment setting
TL;DR: In this paper, an innovative pilot project that implemented the Baldrige Health Care Criteria for Performance Excellence in a substance abuse treatment program, with the immediate goal of producing a Baldridge Feedback Report, and identifying ten specific high-priority Opportunities For Improvement (OFI) action items from among the criteria categories.
Journal ArticleDOI
Validity and reliability of the German version of the short understanding of substance abuse scale.
TL;DR: The German version of the Short Understanding of Substance Abuse Scale (SUSS), the Verständnis von Störungen durch Substanzkonsum (VSS), is presented, and its psychometric properties are evaluated.
Journal ArticleDOI
Latent practice profiles of substance abuse treatment counselors: do evidence-based techniques displace traditional techniques?
Brenda D. Smith,Junqing Liu +1 more
TL;DR: The emergent practice profiles illustrate that practitioners vary most in the use of traditional techniques, and suggest that practitioners with less experience, more education, and less traditional beliefs about treatment and substance abuse are least likely to mix traditional techniques with cognitive-behavioral techniques.
Journal ArticleDOI
What we are like when we are at our best: Appreciative stories of staff in a community mental health center.
TL;DR: An emergent, consensus-based analysis was used to understand the stories and exemplary work of community mental health staff and discuss in light of self-determination theory that people are at their best with a sense of mastery, connection, and autonomy.
References
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Journal ArticleDOI
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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.