title: Constructive conflict and staff consensus in substance abuse treatment.
abstract: Previous studies demonstrated the relationship between consensus among both staff and clients with client engagement in treatment and between client consensus and 1-year treatment outcomes. The present article explores the correlates of staff consensus, defined as the level of agreement among staff as to the importance of treatment activities in their program, using a national sample of 80 residential substance abuse treatment programs. Constructive conflict resolution had the largest effect on consensus. Low client-to-staff ratios, staff education, and staff experience in substance abuse treatment were also significantly related to consensus. Frequency of training, an expected correlate of consensus, was negatively associated with consensus, whereas frequency of supervision was not a significant correlate. The implications of the findings for future research and program improvement are discussed.
authors.affiliation: Center for the Integration of Research and Practice, National Development and Research Institutes, Inc., New York, NY 10010, USA. melnick@ndri.org
authors.forename: Gerald
authors.initials: G
authors.lastname: Melnick
authors.forename: Harry K
authors.initials: HK
authors.lastname: Wexler
authors.forename: Michael
authors.initials: M
authors.lastname: Chaple
authors.forename: Charles M
authors.initials: CM
authors.lastname: Cleland
mesh_terms: D000488:Allied Health Personnel / Q000193:education / Q000523:psychology / Q000600:supply & distribution; D003142:Communication; D003220:Conflict, Psychological; D032921:Consensus; D003625:Data Collection; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D016896:Treatment Outcome