Introducing evidence-based practices into substance abuse treatment using organization development methods.
BACKGROUND
Dissemination of evidence-based practices (EBPs) in addiction settings is a national priority. We tested Organization Development (OD) methods for dissemination.


METHODS
Using OD in two addiction treatment programs we developed an organization-specific treatment plan using employee work teams with the goals of changes in organizational policies and procedures and improvement in practitioner skills.


RESULTS
OD was effectively applied, but EBPs were premature for these addiction programs because they first needed to address more fundamental aspects of client-clinician interaction and agency treatment philosophy.


CONCLUSIONS
The OD approach in addiction treatment is complementary to other technology transfer efforts by being: (a) "organization-centered," engaging practitioners at all levels; (b) "needs-focused," addressing concerns of the particular organization; (c) flexible in its responsiveness to readiness for change; and (d) relatively affordable. However, before absorbing EBPs, substance abuse treatment organizations must develop strengths in delivering fundamental aspects of care.
Amodeo
Maryann
M
Boston University School of Social Work, Boston, Massachusetts 02115, USA. mamodeo@bu.edu
Ellis
Michael A
MA
Samet
Jeffrey H
JH
D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006801:Humans; D010347:Patient Care Planning; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000534:rehabilitation*