An Organizational Analysis of Psychosocial and Medical Services in Outpatient Drug Abuse Treatment Programs

Trends in comprehensive service availability in outpatient drug abuse treatment

“…This study also supports previous work that organizational characteristics are associated with the types of services available in specialty substance abuse treatment facilities (Durkin, 2002;Lee et al, 2001). The lower propensity of private for-profit units to deliver comprehensive services is well-established Friedmann, Alexander, Jin, & D'Aunno, 1999;Lee et al, 2001).…”

“…However, methadone units and JCAHOaccredited units are no more likely to make social services available. Because the regulatory system for methadone programs is converting towards an accreditation-based system (for which JCAHO is one accrediting organization), these findings imply that the availability of a range of comprehensive services should be monitored closely (Durkin, 2002).…”

Service Delivery in Substance Abuse Treatment: Reexamining “Comprehensive” Care

“…By contrast, there are likely to be broader variations in the availability of wraparound services provided by addiction treatment programs. [16][17][18][19] Whereas some variation is explained by differences in client needs, a more common finding is that services vary by treatment modality and an organization_s structural characteristics, even with caseload demographics and service needs held constant. 14,17,[20][21][22] Early studies focusing on public sector programs, such as the Drug Abuse Treatment Outcome Studies, 23 examined differences in treatment retention and outcomes across several modalities, namely, long-term residential, methadone, and outpatient Bdrug-free^programs.…”

“…18,24 Organizational characteristics other than treatment modality have also been associated with the availability of wraparound services, but different organizational characteristics seem to predict the availability of different services. 16,18 This is likely due in part to the unique organizational features required to support a given service. For example, in a study of methadone programs, Ball et al 25 found that the delivery of medical services was related to the number of medical personnel on staff, but unrelated to client characteristics or service needs.…”

Organizational characteristics of drug abuse treatment programs for offenders

“…Organizational structure-Organizational structure refers to fixed or nonbehavioral organizational attributes (James & Jones, 1976) that may influence the treatment approach and types of services provided to clients (Durkin, 2002), including the provision of services that address the needs of specific populations (Strauss, Rindskopk, Astone-Twerell, Des Jarlas, & Hagan, 2006). Structural aspects of programs include age of the organization (Roman & Johnson, 2002); type of ownership (Olmstead & Sindelar, 2004); financial and human resources management (Heinrich & Lynn, 2002); type of modality (e.g., residential, hospital inpatient, or outpatient) (Etheridge et al, 1997;Mojtabai, 2004;OAS, 2002); administrator and staffing characteristics (Magura, Nwakeze, Kang, & Demsky, 1999); program capacity (Delaney, Broome, Flynn, & Fletcher, 2001); accreditation ; affiliation with the criminal justice system (Taxman & Bouffard, 2002); client case-mix (Friedmann, Alexander, Jin, & D'Aunno, 1999;D'Aunno, Vaughn, & McElroy, 1999;; proximity to other service providers (Schmitt, Phibbs, & Piette, 2003); inter-organizational relationships (Friedmann, D'Aunno, Jin, & Alexander, 2000;Friedmann, Lemon, Stein, Etheridge, & D'Aunno, 2001;Rivard, Johnsen, Morrissey, & Starrett, 1999;Hurlburt et al, 2004); and physical attributes of the program, including its setting and architectural features (Grosenick & Hatmaker, 2000;Timko, 1996).…”