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Using organizational assessment as a tool for program change.

Katherine Ortega Courtney1, George W Joe, Grace A Rowan-Szal

  • 1Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA.

Journal of Substance Abuse Treatment
|April 17, 2007
PubMed
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Substance abuse treatment programs with greater needs and fewer resources are more likely to adopt organizational changes. Staff consensus on organizational climate also predicts engagement in structured change processes for improved functioning.

Area of Science:

  • Organizational psychology
  • Healthcare management
  • Substance abuse treatment research

Background:

  • Effective organizational functioning is crucial for integrating research innovations into substance abuse treatment practices.
  • Successful implementation of new interventions depends on the operational capacity of treatment programs.
  • Understanding factors influencing organizational change is key to enhancing service delivery.

Purpose of the Study:

  • To examine the characteristics of substance abuse treatment programs that engage in structured processes for organizational change.
  • To identify attributes associated with program-level decisions to adopt new strategies for improving functioning.
  • To understand the drivers of change in community-based treatment settings.

Main Methods:

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  • Logistic regression analysis was employed to identify predictors of engaging in organizational change.
  • Data were collected from directors and clinical supervisors at 53 community-based treatment units in the Southwest.
  • Program characteristics, including needs, resources, staff attributes, and organizational climate, were assessed.

    • Main Results:

    • Programs facing higher needs and pressures were more likely to initiate change.
    • Organizations with limited institutional resources and poorer staff/climate ratings were more prone to change engagement.
    • Greater staff consensus on organizational climate significantly predicted a higher likelihood of engaging in change.

    Conclusions:

    • Organizational needs, resource limitations, and perceived climate influence the adoption of change strategies in substance abuse treatment.
    • Staff consensus is a critical factor for programs seeking to implement structured organizational improvements.
    • These findings highlight targets for interventions aimed at enhancing organizational capacity and research translation in the field.