The primary goal of the research is to examine organizational performance, stability and change within a nationally representative stratified sample of private alcoholism treatment centers as these centers cope with a turbulent environment. The study would contribute the first known data based description of the range of intercorrelated characteristics of these centers. Other goals of the research are (1) to describe the associations between organization/management-related characteristics and treatment- related characteristics in private alcoholism treatment centers, (2) the examine how organizational with organizational performance, and its longer-term outcomes of expansion, decline, and/or """"""""organizational death"""""""" and (5) to monitor and document the impact of upcoming national health care reform on private alcohol problem treatment. A set of hypotheses regarding organizational development, adaptation and change is proposed. Included in the research design are private for-profit and not-for-profit private treatment centers in three categories: inpatient only, inpatient and outpatient, and outpatient only. Using a representative national sample (N=300), this study would collect longitudinal data over 4 years through 3 data collection site visits and 4 telephone interviews on the following 7 sets of variables: organizational structure, organizational management, treatment inputs, treatment/clinical process, treatment/clinical management, external environment, and treatment center performance.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA010130-02
Application #
2046624
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1994-08-01
Project End
1999-04-30
Budget Start
1995-08-01
Budget End
1996-04-30
Support Year
2
Fiscal Year
1995
Total Cost
Indirect Cost
Name
University of Georgia
Department
Psychology
Type
Other Domestic Higher Education
DUNS #
City
Athens
State
GA
Country
United States
Zip Code
30602
Ducharme, Lori J; Knudsen, Hannah K; Roman, Paul M (2006) Trends in the adoption of medications for alcohol dependence. J Clin Psychopharmacol 26 Suppl 1:S13-9
Knudsen, Hannah K; Roman, Paul M; Ducharme, Lori J (2005) Does service diversification enhance organizational survival?: Evidence from the private substance abuse treatment system. J Behav Health Serv Res 32:241-52
Knudsen, Hannah K; Roman, Paul M; Ducharme, Lori J (2004) The availability of psychiatric programs in private substance abuse treatment centers, 1995 to 2001. Psychiatr Serv 55:270-3
Tinney, Shannon M; Oser, Carrie B; Johnson, J Aaron et al. (2004) Predominantly female caseloads: identifying organizational correlates in private substance abuse treatment centers. J Behav Health Serv Res 31:403-17
Knudsen, Hannah K; Johnson, J Aaron; Roman, Paul M (2003) Retaining counseling staff at substance abuse treatment centers: effects of management practices. J Subst Abuse Treat 24:129-35
Knudsen, Hannah K; Johnson, J Aaron; Roman, Paul M et al. (2003) Rural and urban similarities and differences in private substance abuse treatment centers. J Psychoactive Drugs 35:511-8
Roman, Paul M; Johnson, J Aaron (2002) Adoption and implementation of new technologies in substance abuse treatment. J Subst Abuse Treat 22:211-8