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Do organizational expectations influence workers' implementation perceptions?

David A Patterson Silver Wolf1, Alex T Ramsey2

  • 1Brown School of Social Work, Washington University in St. Louis.

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|August 10, 2016
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Summary
This summary is machine-generated.

Addiction treatment agencies should encourage empirically supported treatments (ESTs). Clear expectations from leadership correlate with increased EST use among clinicians, influencing treatment quality.

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Area of Science:

  • Addiction treatment
  • Clinical psychology
  • Healthcare management

Background:

  • Empirically supported treatments (ESTs) are crucial for effective addiction care.
  • Understanding factors influencing EST adoption among clinicians is vital for implementation.
  • Agency expectations and clinician attitudes may impact treatment modality choices.

Purpose of the Study:

  • To examine the relationship between perceived agency expectations, clinician attitudes, and the use of ESTs among addiction workers.
  • To identify factors associated with the adoption of ESTs in addiction services.

Main Methods:

  • A convenience sample of 120 frontline addiction workers from 4 St. Louis-based agencies was recruited.
  • Data were collected on reported use of ESTs, perceived agency expectations, and worker-level attitudes.
  • Regression analyses were used to explore the associations between these variables.

Main Results:

  • Agency expectations were positively associated with the reported use of ESTs by clinicians.
  • Clinician attitudes, specifically openness to ESTs, were linked to higher reported use of ESTs.
  • Favoring clinical experience was not significantly associated with the reported use of ESTs.

Conclusions:

  • Organizational leaders play a key role in promoting EST adoption through clear communication of expectations.
  • Fostering an environment that values and expects ESTs can enhance their utilization in clinical practice.
  • Interventions aimed at increasing EST use should consider both organizational messaging and clinician receptiveness.