No abstract

Comprehensive medical and psychosocial services are essential to quality addiction treatment, but their availability declined in the 1980s. To determine whether this downward trend in the availability of comprehensive services continued in the 1990s, we analyzed data from a national panel study of outpatient substance abuse treatment units in 1990, 1995, and 2000. Response rates were greater than 85%. Regarding the availability of comprehensive services, including physical examinations, routine medical care, mental health services, financial counseling and employment counseling, administrators reported whether any substance abuse treatment client received the service in the past year. With the exception of physical examinations, whose reported availability increased from 1990 to 1995, and financial counseling, whose reported availability decreased during the same time, the reported availability of comprehensive services changed little during the 1990s. These findings highlight the continuing need to monitor access to comprehensive services and other quality markers in addiction treatment over time.

No abstract

This study examined the association between organizational climate and changes in internalizing and externalizing behavior for youth in residential treatment centers (RTCs). The sample included 407 youth and 349 front-line residential treatment staff from 17 RTCs in Illinois. Youth behavior was measured using the Child Functional Assessment Rating Scale. Organizational climate was measured via the Areas of Worklife Survey. Using hierarchical linear modeling, results demonstrated that a higher perception of person-job match on community among front-line staff was associated with more improvement on youth externalizing behaviors. Counter-intuitively, higher person-job match on fairness and workload were each associated with less improvement on internalizing and externalizing behavior. These results offer several potentialThe authors acknowledge Li Zhou's assistance in preparing the data file for analysis and Brice-Bloom-Ellis for helpful comments.