Greener Jack M, Joe George W, Simpson D Dwayne, Rowan-Szal Grace A, Lehman Wayne E K
Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA.
J Subst Abuse Treat. 2007 Sep;33(2):139-47. doi: 10.1016/j.jsat.2006.12.025. Epub 2007 Apr 12.
This study focused on the relationship between organizational functioning factors measured in a staff survey using the Texas Christian University (TCU) Organizational Readiness for Change assessment and client-level engagement measured by the TCU Client Evaluation of Self and Treatment in drug treatment programs. The sample consisted of 531 clinical and counseling staff and 3,475 clients from 163 substance abuse treatment programs located in nine states from three regional Addiction Technology Transfer Centers. 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.
本研究聚焦于使用德克萨斯基督教大学（TCU）变革组织准备度评估进行的员工调查所衡量的组织功能因素，与通过TCU药物治疗项目中客户自我及治疗评估所衡量的客户层面参与度之间的关系。样本包括来自三个区域成瘾技术转移中心九个州的163个药物滥用治疗项目的531名临床和咨询工作人员以及3475名客户。结果表明，在员工对组织功能给出更积极评分的项目中，客户治疗参与度（融洽关系、满意度和参与度）的衡量指标更高。特别是，这些项目的机构需求较少，对其资源、员工特质和氛围的评分更有利。这些发现有助于确立将解决组织因素作为提高治疗效果整体战略一部分的重要性。
