Development of a model and measure of process-oriented quality of care for substance abuse treatment.
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.
Mael
Fred A
FA
Mael Consulting and Coaching, Baltimore, MD 21215, USA. fm@maelconsulting.com
O'Shea
Patrick Gavan
PG
Smith
Mark Alan
MA
Burling
Andrea Seidner
AS
Carman
Kristin L
KL
Haas
Amie
A
Rogers
Kelly S
KS
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