Center for Addictions Research and Services, Boston University, School of Social Work, 264 Bay State Road, Boston, MA 02215, USA.
Am J Addict. 2011 May-Jun;20(3):271-84. doi: 10.1111/j.1521-0391.2011.00127.x. Epub 2011 Mar 31.
This national study of addiction-treatment organizations' implementation of evidence-based practices examines: (1) organizational/leadership factors associated with director (n = 212) attitudes regarding staff resistance to organizational change, and (2) organizational/staff factors associated with staff (n = 312) attitudes regarding evidence-based clinical training. Linear regression analyses, controlling for type of treatment unit, leadership/staff characteristics and organizational readiness to change, identified that directors who perceived their organization needed more guidance and had less staff cohesion and autonomy rated staff resistance to organizational change significantly higher. Staff with higher levels of education and greater agreement that their organization supported change had greater preference for evidence-based trainings. Federal addiction treatment policy should both promote education and training of treatment staff and organizational development of treatment CBOs.
（1）与主任（n=212）对员工抵制组织变革的态度相关的组织/领导因素；以及（2）与员工（n=312）对循证临床培训的态度相关的组织/员工因素。线性回归分析，控制了治疗单位类型、领导/员工特征和组织变革准备程度，发现那些认为自己的组织需要更多指导、员工凝聚力和自主权较低的主任，对员工抵制组织变革的评价显著更高。教育程度较高、更认同组织支持变革的员工，对循证培训的偏好程度更高。联邦成瘾治疗政策应同时促进治疗人员的教育和培训，以及治疗 CBO 的组织发展。
