Institute of Behavioral Research, Texas Christian University (TCU), Fort Worth, TX 76129, USA.
J Subst Abuse Treat. 2012 Mar;42(2):222-30. doi: 10.1016/j.jsat.2011.10.011. Epub 2011 Dec 5.
This article explores the impact of organizational attributes on client engagement within substance abuse treatment. Previous research has identified organizational features, including small size, accreditation, and workplace practices, that impact client engagement (K. M. Broome, P. M. Flynn, D. K. Knight, & D. D. Simpson, 2007). This study sought to explore how aspects of the work environment impact client engagement. The sample included 89 programs located in 9 states across the United States. Work environment measures included counselor perceptions of stress, burnout, and work satisfaction at each program, whereas engagement measures included client ratings of participation, counseling rapport, and treatment satisfaction. Using multiple regression, tests of moderation and mediation revealed that staff stress negatively predicted client participation in treatment. Burnout was related to stress but was not related to participation. Two additional organizational measures--workload and influence--moderated the positive relationship between staff stress and burnout. Implications for drug treatment programs are discussed.
本文探讨了组织属性对物质滥用治疗中客户参与的影响。先前的研究已经确定了组织特征，包括规模小、认证和工作场所实践，这些都会影响客户参与度（K. M. Broome、P. M. Flynn、D. K. Knight 和 D. D. Simpson，2007）。本研究旨在探讨工作环境的各个方面如何影响客户参与度。样本包括美国 9 个州的 89 个项目。工作环境测量包括每个项目中顾问对压力、倦怠和工作满意度的看法，而参与度测量包括客户对参与度、咨询融洽度和治疗满意度的评价。使用多元回归、调节和中介检验表明，员工压力会对客户参与治疗产生负面影响。倦怠与压力有关，但与参与度无关。另外两个组织措施——工作量和影响力——调节了员工压力和倦怠之间的正相关关系。讨论了对毒品治疗项目的影响。
