title: Organizational capacity for service integration in community-based addiction health services.
abstract: OBJECTIVE
  We examined factors associated with readiness to coordinate mental health, public health, and HIV testing among community-based addiction health services programs.
  
  
  METHODS
  We analyzed client and program data collected in 2011 from publicly funded addiction health services treatment programs in Los Angeles County, California. We analyzed a sample of 14 379 clients nested in 104 programs by using logistic regressions examining odds of service coordination with mental health and public health providers. We conducted a separate analysis to examine the percentage of clients receiving HIV testing in each program.
  
  
  RESULTS
  Motivational readiness and organizational climate for change were associated with higher odds of coordination with mental health and public health services. Programs with professional accreditation had higher odds of coordinating with mental health services, whereas programs receiving public funding and methadone and residential programs (compared with outpatient) had a higher percentage of clients receiving coordinated HIV testing.
  
  
  CONCLUSIONS
  These findings provide an evidentiary base for the role of motivational readiness, organizational climate, and external regulation and funding in improving the capacity of addiction health services programs to develop integrated care.
authors: Erick G. Guerrero and Lawrence A. Palinkas are with the School of Social Work, University of Southern California, Los Angeles. Gregory A. Aarons is with the Department of Psychiatry, University of California, San Diego.
authors: Erick G
authors: EG
authors: Guerrero
authors: Gregory A
authors: GA
authors: Aarons
authors: Lawrence A
authors: LA
authors: Palinkas
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods; D003156:Community Mental Health Services / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D006801:Humans; D015141:Los Angeles; D011635:Public Health Administration; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000628:therapy