title: Development of a model and measure of process-oriented quality of care for substance abuse treatment.
abstract: The development of a detailed model of substance-abuse treatment (SAT) staff performance is described. The model describes the key behaviors of SAT staff. Specifically, researchers used the critical incident technique to develop the model, which includes a total of 15 dimensions, nested under four meta-dimensions: providing clinical services, employee citizenship behaviors, providing clinical support, and managerial behavior. Development and validation of a measure based on the model are also described. More than 600 SAT staff members in 51 SAT agencies completed the new measure. Factor analyses supported the measure's hypothesized dimensional structure; high internal consistency reliabilities were observed for all scales; and interrater agreement metrics indicated an acceptable level of within-agency agreement. Moreover, the measure correlated in expected and theoretically consistent ways with measures of job satisfaction and other job-related opinions.
authors.affiliation: Mael Consulting and Coaching, Baltimore, MD 21215, USA. fm@maelconsulting.com
authors.forename: Fred A
authors.initials: FA
authors.lastname: Mael
authors.forename: Patrick Gavan
authors.initials: PG
authors.lastname: O'Shea
authors.forename: Mark Alan
authors.initials: MA
authors.lastname: Smith
authors.forename: Andrea Seidner
authors.initials: AS
authors.lastname: Burling
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Carman
authors.forename: Amie
authors.initials: A
authors.lastname: Haas
authors.forename: Kelly S
authors.initials: KS
authors.lastname: Rogers
mesh_terms: D000704:Analysis of Variance; D017598:Efficiency, Organizational; D005163:Factor Analysis, Statistical; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D017146:Models, Organizational; D017064:Process Assessment, Health Care; D016730:Program Development; D015397:Program Evaluation; D011787:Quality of Health Care; D016320:Substance Abuse Treatment Centers; D017749:Total Quality Management; D017132:Workplace