title: Motivational interviewing in permanent supportive housing: the role of organizational culture.
abstract: This study evaluated motivational interviewing (MI) in a permanent supportive housing agency. The agency's contradictory social service and business missions resulted in an incompatible organizational culture theorized to diminish MI's effectiveness. A combination of observational, interview, and archival data collected over 3 years were used to examine MI implementation within an incompatible supportive housing agency. Two major themes arose: how MI is used to categorize and change clients in permanent supportive housing and how worker-worker relationships affect MI implementation. The results suggest that within incompatible organizational environments, key elements of effective MI implementation are greatly weakened.
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, Post Box 8134, St. Louis, MO, 63110, USA, vandenbc@psychiatry.wustl.edu.
authors.forename: Carissa
authors.initials: C
authors.lastname: van den Berk-Clark
authors.forename: David A
authors.initials: DA
authors.lastname: Patterson Silver Wolf
authors.forename: Alex
authors.initials: A
authors.lastname: Ramsey
mesh_terms: D001291:Attitude of Health Personnel; D066296:Grounded Theory; D006703:Ill-Housed Persons; D006798:Housing; D006801:Humans; D062405:Motivational Interviewing; D015279:Organizational Culture; D036301:Qualitative Research; D012947:Social Work / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000534:rehabilitation*