Concordance Between Administrator and Clinician Ratings of Organizational Culture and Climate.
Organizational culture and climate are important determinants of behavioral health service delivery for youth. The Organizational Social Context measure is a well validated assessment of organizational culture and climate that has been developed and extensively used in public sector behavioral health service settings. The degree of concordance between administrators and clinicians in their reports of organizational culture and climate may have implications for research design, inferences, and organizational intervention. However, the extent to which administrators' and clinicians' reports demonstrate concordance is just beginning to garner attention in public behavioral health settings in the United States. We investigated the concordance between 73 administrators (i.e., supervisors, clinical directors, and executive directors) and 247 clinicians in 28 child-serving programs in a public behavioral health system. Findings suggest that administrators, compared to clinicians, reported more positive cultures and climates. Organizational size moderated this relationship such that administrators in small programs (<466 youth clients served annually) provided more congruent reports of culture and climate in contrast to administrators in large programs (≥466 youth clients served annually) who reported more positive cultures and climates than clinicians. We propose a research agenda that examines the effect of concordance between administrators and clinicians on organizational outcomes in public behavioral health service settings.
Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA. rbeidas@upenn.edu.
Rinad S
RS
Beidas
School of Social Work, Boise State University, Boise, ID, USA.
Nathaniel J
NJ
Williams
Center for Behavioral Health Research, College of Social Work, University of Tennessee, Knoxville, TN, USA.
Philip D
PD
Green
Department of Psychiatry, University of California San Diego, San Diego, CA, USA.
Gregory A
GA
Aarons
Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA.
Emily M
EM
Becker-Haimes
Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA.|Department of Behavioral Health and Intellectual Disability Services, Philadelphia, PA, USA.
Arthur C
AC
Evans
Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA.|Department of Behavioral Health and Intellectual Disability Services, Philadelphia, PA, USA.
Ronnie
R
Rubin
Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA.
Danielle R
DR
Adams
School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, USA.
Steven C
SC
Marcus
D000288:Administrative Personnel; D000328:Adult; D001291:Attitude of Health Personnel; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D015143:Philadelphia
Concordance; Leadership; Organizational culture and climate; Organizational size; Organizational social context