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Introducing evidence-based practices into substance abuse treatment using organization development methods.

Maryann Amodeo1, Michael A Ellis, Jeffrey H Samet

  • 1Boston University School of Social Work, Boston, Massachusetts 02115, USA. mamodeo@bu.edu

The American Journal of Drug and Alcohol Abuse
|November 28, 2006
PubMed
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Organization Development (OD) methods were tested for disseminating evidence-based practices (EBPs) in addiction treatment. Results showed OD was effective, but EBPs were premature, requiring focus on foundational client-clinician interactions first.

Area of Science:

  • Addiction treatment research
  • Organizational psychology
  • Evidence-based practice dissemination

Background:

  • Disseminating evidence-based practices (EBPs) in addiction treatment settings is a key national objective.
  • This study evaluated the effectiveness of Organization Development (OD) methods for facilitating EBP implementation.

Purpose of the Study:

  • To assess the utility of OD methods in enhancing EBP adoption within addiction treatment programs.
  • To identify organizational prerequisites for successful EBP integration in substance abuse treatment.

Main Methods:

  • Employed OD strategies within two addiction treatment facilities.
  • Utilized employee work teams to create organization-specific treatment plans.
  • Aimed to modify organizational policies and procedures and enhance practitioner skills.

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Main Results:

  • OD principles were successfully implemented in the participating organizations.
  • Evidence-based practices (EBPs) were found to be premature for these programs.
  • Organizations needed to first strengthen fundamental aspects of client-clinician interaction and treatment philosophy.

Conclusions:

  • The OD approach is a valuable, complementary strategy for technology transfer in addiction treatment.
  • OD is organization-centered, needs-focused, flexible, and cost-effective.
  • Substance abuse organizations must build foundational care skills before adopting EBPs.