title: Quality indicators for family support services and their relationship to organizational social context.
abstract: Quality measurement is an important component of healthcare reform. The relationship of quality indicators (QIs) for parent-delivered family support services to organizational social contexts known to improve quality is unexamined. This study employs data collected from 21 child mental health programs that deliver team-based family support services. Performance on two levels of QIs-those targeting the program and staff-were significantly associated with organizational social context profiles and dimensions. High quality program policies are associated with positive organizational cultures and engaging climates. Inappropriate staff practices are associated with resistant cultures. Implications for organizational strategies to improve service quality are discussed.
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University, One Park Avenue, 7th Floor, New York, NY, 10016, USA, serene.olin@nyumc.org.
authors.forename: S Serene
authors.initials: SS
authors.lastname: Olin
authors.forename: Nate
authors.initials: N
authors.lastname: Williams
authors.forename: Michele
authors.initials: M
authors.lastname: Pollock
authors.forename: Kelsey
authors.initials: K
authors.lastname: Armusewicz
authors.forename: Krista
authors.initials: K
authors.lastname: Kutash
authors.forename: Charles
authors.initials: C
authors.lastname: Glisson
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Hoagwood
mesh_terms: D000293:Adolescent; D000342:Affective Symptoms / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D004505:Education, Nonprofessional / Q000458:organization & administration; D005196:Family Therapy / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D001523:Mental Disorders / Q000628:therapy*; D009518:New York; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D010379:Peer Group; D058996:Quality Improvement / Q000458:organization & administration; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012944:Social Support