title: Influence of organizational functioning on client engagement in treatment.
abstract: This study focused on the relationship between organizational functioning factors measured in a staff survey using the Texas Christian University (TCU) Organizational Readiness for Change assessment and client-level engagement measured by the TCU Client Evaluation of Self and Treatment in drug treatment programs. The sample consisted of 531 clinical and counseling staff and 3,475 clients from 163 substance abuse treatment programs located in nine states from three regional Addiction Technology Transfer Centers. Measures of client engagement in treatment (rapport, satisfaction, and participation) were shown to be higher in programs with more positive staff ratings of organizational functioning. In particular, these programs had fewer agency needs and more favorable ratings for their resources, staff attributes, and climate. These findings help establish the importance of addressing organizational factors as part of an overall strategy for improving treatment effectiveness.
authors: Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA. j.greener@tcu.edu
authors: Jack M
authors: JM
authors: Greener
authors: George W
authors: GW
authors: Joe
authors: D Dwayne
authors: DD
authors: Simpson
authors: Grace A
authors: GA
authors: Rowan-Szal
authors: Wayne E K
authors: WE
authors: Lehman
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration; D003376:Counseling; D006301:Health Services Needs and Demand; D006801:Humans; D008605:Mental Health Services; D010358:Patient Participation / Q000523:psychology*; D011369:Professional-Patient Relations; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D018581:Technology Transfer; D016896:Treatment Outcome