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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Assessing organizational readiness for change
TL;DR: Results indicate the ORC can contribute to the study of organizational change and technology transfer by identifying functional barriers involved and has acceptable psychometric properties.
Journal ArticleDOI
Building a model to understand youth service access: the gateway provider model.
TL;DR: Preliminary studies by the authors and other applicable studies show that providers' perception of need, and their knowledge of resources, and the environment are related to the decision to offer or refer to services, supporting key aspects of the Model.
The Effect of Health Care Working Conditions on Patient Safety: Summary
DH Hickam,Susan M Severance,A Feldstein,L Ray,Paul Gorman,S Schuldheis,WR Hersh,KP Krages,M Helfand +8 more
TL;DR: A model of patient safety is developed to help frame the key questions and provide a way to synthesize data reported in studies on the effects of health care working conditions on patient safety.
Journal ArticleDOI
Encouraging posttreatment self-help group involvement to reduce demand for continuing care services: two-year clinical and utilization outcomes.
Keith Humphreys,Rudolf H. Moos +1 more
TL;DR: In this article, a 2-year follow-up analysis of male substance-dependent patients who were treated in either 12-step-based (n=887 patients) or cognitive-behavioral (CB) treatment programs was conducted.
Journal ArticleDOI
Addictive Disorders in Context: Principles and Puzzles of Effective Treatment and Recovery
TL;DR: To consider key issues in understanding effective treatment and recovery, the author reviews selected principles and unresolved puzzles about the context of addictive disorders and the structure, process, and outcome of treatment.
References
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Book
Evaluating Treatment Environments: The Quality of Psychiatric and Substance Abuse Programs
TL;DR: Evaluating Treatment Environments describes how to assess the quality of psychiatric and substance abuse programs and how to use that information to monitor and improve these programs, and assesses program implementation.
Journal ArticleDOI
Therapists' conceptualizations of alcoholism: Measurement and implications for treatment decisions.
Journal ArticleDOI
Evaluating health care work settings: A holistic conceptual framework
TL;DR: The determinants and impacts of health care work climates and how staff morale and performance can influence the treatment milieu and quality of patient care are discussed and the role of personal factors in these relationships are reviewed.
Journal ArticleDOI
Nurse burnout: work related and demographic factors as culprits.
TL;DR: An examination of the combined ability of perceived work environment, demographic, and work-related variables to predict burnout among 314 nurses at a large metropolitan hospital found high work pressure and low work involvement and supervisor support predicted emotional exhaustion.
Journal ArticleDOI
Self-efficacy in alcoholics: Clinical validation of the situational confidence questionnaire☆
TL;DR: This study investigated the validity of the Situational Confidence Questionnaire (SCQ), a new instrument designed to measure self-efficacy expectations in purported high-risk drinking situations and indicated significantly higher self efficacy for LTS subjects than for STS subjects on total score and on 7 of the 8 subscales.