The most important studies on how treatment organisations affect the implementation and effectiveness of psychosocial therapies. One of 25 cells in the alcohol matrix. Also highlights the most useful reviews and practice guidelines and offers a customised one-click search for more on the Effectiveness Bank database.
S Seminal studies K Key studies R Reviews G Guidance more Search for more studies
Links to other documents. Hover over for notes. Click to highlight passage referred to. Unfold extra text
S Organisational factors affect willingness to work with drinkers (1980). English study of mainly non-medical alcohol counselling and treatment centre staff spotlighted the availability of experience in working with problem drinkers, support of experienced colleagues and, in a later study (1986), time, prioritisation, policy and other constraints at work. Discussion in bite’s Where should I start? section.
K Organisational health affects counselling rapport and client participation (2009). In England clients engaged best and developed rapport with their counsellors when services fostered communication, participation and trust among counselling staff, and had a clear mission but were open to new ideas. Discussion in bite’s Where should I start? section.
K Workplace ethos sets context for new counselling methods (2012). Workplace climate including strength of mission, staff cohesion, communications, professional autonomy, not being stressful, and receptiveness to change “underlies the entire process” of ‘bottom up’ innovation-adoption initiated by counsellors. Discussion in bite’s Where should I start? section.
K Autonomy and justice help retain counselling staff (2007). Organisations which do not offer autonomy to substance use counsellors, foster a sense of being treated fairly, or promote mutual worker support, risk generating the high staff turnover which impedes workforce development. Discussion in bite’s Issues section.
R Involve whole organisation in implementing psychosocial treatment (2012). Successful implementation is most likely when the entire agency is the target of the implementation effort rather than individual therapists. Discussion in bite’s What is this cell about? section.
G Implementing change ([US] Substance Abuse and Mental Health Services Administration, 2009). How to assess an organisation’s capacity to identify priorities, implement changes, evaluate progress, and sustain effective programmes, and how to implement innovations. Discussions in bite’s Issues section (1 2).
G Simple ways to improve an organisation’s performance. Very helpful US web site from the University of Wisconsin providing research, promising practices and tools that encourage and support process improvement in addiction and mental health care.
G Theory into practice strategies ([Australian] National Centre for Education and Training on Addiction, 2005). From one of the world’s major workforce development agencies for the addictions field. Chapter on managing organisational change includes the organisational factors which impede or promote change and how to manage them. Discussion in bite’s Issues section.
more Search for all relevant Effectiveness Bank analyses or for sub-topics go to the subject search page and hot topics on why some treatment services are more effective and on individualising treatment.