“…Such models view an organization's institutional and external environments as influencing its structures and processes (Marsden, 1998). Institutional factors associated with the quality treatment practices for substance-abusing clients include organizational culture and climate (Knudsen et al, 2006,Friedmann, Alexander, & D'Aunno, 1999a,Friedmann, Alexander, Jin, & D'Aunno, 1999b,Wheeler, Fadel, & D'Aunno, 1992, leadership background and attitudes (Roman & Johnson, 2002,Heinrich et al, 2002, and staff background and training (Knudsen et al, 2006,Friedmann et al, 1999a,D'Aunno & Vaughn, 1995,Backer, Liberman, & Kuehnel, 1986. Characteristics of the external environment associated with treatment practices include requirements of regulatory or accreditation agencies (Brown & Flynn, 2002,Friedmann et al, 1999a,D'Aunno & Vaughn, 1992,Anttewell & Gerstein, 1979, resources and funding (Lehman, Greener, & Simpson, 2002,D'Aunno, Vaughn, & McElroy, 1999,D'Aunno et al, 1995,Simpson, 2002,Friedmann et al, 1999a, and network connectedness (Knudsen & Roman, 2004,Taxman et al, 2000.…”