title: Addiction treatment provider attitudes on staff capacity and evidence-based clinical training: results from a national study.
abstract: This national study of addiction-treatment organizations' implementation of evidence-based practices examines: (1) organizational/leadership factors associated with director (n = 212) attitudes regarding staff resistance to organizational change, and (2) organizational/staff factors associated with staff (n = 312) attitudes regarding evidence-based clinical training. Linear regression analyses, controlling for type of treatment unit, leadership/staff characteristics and organizational readiness to change, identified that directors who perceived their organization needed more guidance and had less staff cohesion and autonomy rated staff resistance to organizational change significantly higher. Staff with higher levels of education and greater agreement that their organization supported change had greater preference for evidence-based trainings. Federal addiction treatment policy should both promote education and training of treatment staff and organizational development of treatment CBOs.
authors.affiliation: Center for Addictions Research and Services, Boston University, School of Social Work, 264 Bay State Road, Boston, MA 02215, USA.
authors.forename: Lena
authors.initials: L
authors.lastname: Lundgren
authors.forename: Maryann
authors.initials: M
authors.lastname: Amodeo
authors.forename: Ivy
authors.initials: I
authors.lastname: Krull
authors.forename: Deborah
authors.initials: D
authors.lastname: Chassler
authors.forename: Rachel
authors.initials: R
authors.lastname: Weidenfeld
authors.forename: Lisa
authors.initials: L
authors.lastname: de Saxe Zerden
authors.forename: Rebekah
authors.initials: R
authors.lastname: Gowler
authors.forename: Jaime
authors.initials: J
authors.lastname: Lederer
authors.forename: Alexander
authors.initials: A
authors.lastname: Cohen
authors.forename: Clelia
authors.initials: C
authors.lastname: Beltrame
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004517:Education, Professional / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine / Q000193:education*; D005260:Female; D019538:Health Care Surveys / Q000379:methods* / Q000706:statistics & numerical data; D006270:Health Facility Administrators / Q000523:psychology*; D006282:Health Personnel / Q000193:education / Q000523:psychology*; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009936:Organizational Innovation; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration / Q000706:statistics & numerical data*