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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Journal ArticleDOI
Ward atmosphere and psychiatric nurses' job satisfaction.
TL;DR: As would be expected, System Maintenance factors were important to the nurses but so too were Therapeutic and Communication dimensions reflecting a balanced view of nursing care.
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Individual, group and agency strategies for coping with job stressors in residential child care programmes
TL;DR: In this article, the authors describe job stressors experienced by workers in residential child care programs, and coping strategies undertaken by individual workers, their co-workers and their organizations, and examine the associations of stressors and problem-focused and emotion-focused coping strategies at each level with four measures of job attitudes and distress.
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Job satisfaction and perception of social climate in a mental health facility
TL;DR: 21 members of a staff process group at a mental health treatment and research center were administered the Job Descriptive Index and the Work Environment Scale once a month for a 3-mo.
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Three therapeutic communities for drug abusers: differences in treatment environments.
TL;DR: Three therapeutic communities for drug abusers were compared using the Community Oriented Program Environments Scale to determine whether the same principles of treatment could produce similar social environments, and all three facilities were found to have similarly shaped profiles.
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The impact of a staff support group on the work environment of a specialty unit.
TL;DR: Clinical observations showed a decrease in staff conflict and improvement in interpersonal communication, and Statistically significant changes were found on the dimensions of clarity and control.