Influence of organizational functioning on client engagement in treatment

Abstract

The present study focused on the relationship between organizational functioning factors measured in a staff survey using the TCU Organizational Readiness for Change (ORC) assessment and clientlevel engagement measured by the TCU Client Evaluation of Self and Treatment (CEST) in drug treatment programs. The sample consisted of 531 clinical and counseling staff and 3475 clients from 163 substance abuse treatment programs located in 9 states from three regional Addiction Technology Transfer Centers (ATTC). Measures of client engagement in treatment (rapport, satisfaction, and participation) were shown to be higher in programs with more positive staff ratings of organizational functioning. In particular, these programs had fewer agency needs and more favorable ratings for their resources, staff attributes, and climate. These findings help establish the importance of addressing organizational factors as part of an overall strategy for improving treatment effectiveness.

Client engagement in psychotherapeutic treatment and associations with client characteristics, therapist characteristics, and treatment factors

“…Greener et al (2007), Simpson, Joe and Rowan-Szal (2007), Simpson et al (2009) and employed the Client Evaluation of Self and Treatment (CEST: Joe et al, 2002), McMurran et al (2013) employed the Treatment Engagement Rating Scale (TER: Drieschner & Boomsma, 2008b) and Tait et al (2003) employed the Treatment Engagement Scale (TES: Tait et al, 2003). These three engagement measures are now discussed in turn.…”

“…Influence of maternal mental-health risk factors on participation and benefit of training Attendance, parent discussion and involvement: weekly session observations, and records of homework completed Graff et al (2009) 102 women and partners attending alcoholism treatment 711 patients attending outpatient methadone treatment Models of relationships among pre-, process, and treatment outcomes Attendance and counsellor ratings of counselling rapport Greener et al (2007) 3475 Godlaski et al (2009) 12 women in a substance abuse treatment Grounded theory Defined by clients as being respected, listened to, and understood by counsellors James et al (2006) 7 therapists, 7 clients in a psycho-educational family intervention…”

Assessing and Changing Organizational Social Contexts for Effective Mental Health Services

“…The social contexts of organizations that provide mental health and social services are associated with differences in both individual service provider behavior and client outcomes (1,3,4,34,35,37,44,47,82,97,98,110). Moreover, organizational research in many sectors, including medicine, customer service (e.g., banking), and various professional fields (e.g., information technology), explains how organizational social contexts determine whether an organization is innovative, that is, whether it is an early adopter of new ideas, tools, and practices that could improve its effectiveness (15,51,86,88,94).…”

Efficacy indicators of four methods in outpatient addiction treatment

“…Moreover, it is possible that patients who have attended a multimodal treatment (individual and group therapy) had felt more valued for having received more assistance and/or a better service, thus increasing their satisfaction with treatment and therapeutic involvement. In fact, according to a conceptual heuristic model oriented to the addiction area 24,25 , the involvement in treatment implies some essential aspects, as therapeutic relationship, satisfaction with the treatment, participation and treatment compliance 26,27 . This hypothesis seems to be supported by the fact that there were no differences between therapeutic modality IV and therapeutic modality III (individual counseling in both Psychology and Psychiatry).…”