Simpson D Dwayne, Flynn Patrick M
Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA.
J Subst Abuse Treat. 2007 Sep;33(2):111-20. doi: 10.1016/j.jsat.2006.12.023. Epub 2007 Apr 16.
Treatment programs are expected to change their clients. To adopt evidence-based practices to improve their therapeutic effectiveness in dealing with drug-related problems of clients, they also are expected to change themselves. The process of innovation adoption and implementation is the focus of studies included in this special journal issue. Collectively, this volume examines staff perceptions of program needs, organizational readiness for change (based on pressures, resources, staff attributes, and organizational climate), quality of workshop training, subsequent utilization of training materials, and client self-report of treatment engagement. Approximately 800 treatment programs nationwide contributed data for these studies. A standardized assessment of organizational functioning captured attributes that describe environments, settings, and staffs, and the findings are interpreted in the context of a stage-based approach to program changes. A conceptual model is used to help organize and summarize longitudinal results within the organizational context and according to implementation influences related to qualities of the innovations.
治疗项目旨在改变其服务对象。为采用循证实践以提高应对服务对象药物相关问题的治疗效果，这些项目自身也需做出改变。创新采纳与实施过程是本特刊所收录研究的重点。总体而言，本卷探讨了工作人员对项目需求的看法、组织对变革的准备情况（基于压力、资源、员工特质和组织氛围）、工作坊培训质量、培训材料的后续使用情况以及服务对象对治疗参与度的自我报告。全国约800个治疗项目为这些研究提供了数据。对组织功能的标准化评估获取了描述环境、场所和员工的属性，并根据基于阶段的项目变革方法对研究结果进行解读。一个概念模型用于在组织背景下并依据与创新质量相关的实施影响来帮助组织和总结纵向研究结果。
