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Implementation issues in addictions day treatment.

H L Batten, S Bachman, R Higgins

    Hospital & Health Services Administration
    |March 5, 1990
    PubMed
    Summary
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    Successful hospital implementation of innovative addiction treatment programs requires leadership buy-in. Shared leadership facilitated overcoming resistance and building consensus for a new Addictions Day Treatment (ADT) program.

    Area of Science:

    • Healthcare Management
    • Addiction Treatment
    • Hospital Administration

    Background:

    • Innovative treatment programs require leadership for successful hospital implementation.
    • Addictions Day Treatment (ADT) programs offer a novel approach for alcohol and substance abuse treatment.
    • Understanding implementation challenges is crucial for healthcare innovation.

    Purpose of the Study:

    • To report the implementation of an innovative Addictions Day Treatment (ADT) program in a community hospital.
    • To identify and analyze implementation issues faced by key hospital personnel.
    • To demonstrate how shared leadership can overcome resistance and foster program acceptance.

    Main Methods:

    • Case study of an Addictions Day Treatment (ADT) program implementation in a 156-bed community hospital.

    Related Experiment Videos

  • Analysis of implementation factors influencing participation of psychiatrists, psychologists, psychiatric nurses, and administrators.
  • Qualitative assessment of provider perceptions, including treatment ideology, perceived patient threat, time demands, reimbursement, and provider-patient interaction changes.

    • Main Results:

    • Key actors' participation in the ADT program was contingent upon treatment ideology, perceived patient threat, time commitment, reimbursement, and changes in provider-patient interaction.
    • Resistance to the innovative program was encountered among hospital staff.
    • Shared responsibility among hospital and unit leaders was instrumental in overcoming resistance.

    Conclusions:

    • Effective leadership and shared responsibility are critical for the successful implementation of innovative hospital-based treatment programs.
    • Addressing the concerns of key healthcare professionals is essential for program acceptance and consensus-building.
    • The ADT program's implementation demonstrates a viable model for addressing alcohol and substance abuse within a community hospital setting.