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Organizational Barriers to Adopting an Alcohol Screening and Brief Intervention in Community-Based Mental Health
David A Patterson1, Silver Wolf Adelv Unegv Waya1, Catherine N Dulmus1
1David A. Patterson, Silver Wolf (Adelv unegv Waya), PhD, is assistant professor and director of the Native American Center for Wellness Research at the University at Buffalo, State University of New York. Catherine N. Dulmus, PhD, is associate dean for research and director of the Buffalo Center for Social Research at the School of Social Work, University at Buffalo, State University of New York.
Abstract:
This paper examines two factors related to successfully implementing a brief alcohol screening throughout all community-based mental health organizations. The first issue is related to an organization's internal structures, such as culture and climate that can impede evidenced-based practice implementation. There is literature suggesting that organizational culture and climate affect decisions about whether evidence-based practices are adopted and implemented within health care agencies. Following this literature review on organizational barriers, the history and successes of adopting an alcohol screening and brief intervention are reviewed. Studying, identifying, and understanding the organizational factors associated with the successful dissemination and implementation of best practices throughout community-based mental health organizations would contribute to increasing the likelihood that an alcohol screening and brief intervention are implemented throughout mental health organizations.
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