This proposal focuses on developing an assessment and information system for drug abuse treatment providers that will monitor organizational attributes and program resources, and link these factors to client performance and program changes over time. It uses our Program Change Model (Simpson, in press) as a conceptual framework for this technology transfer process. The proposed sample will consist of 120 outpatient drug-free community-based treatment providers. This work represents the next stage of research designed to better understand the treatment process and technology transfer research planned by our team. It expands applications of our client-level Treatment Process Model (i.e., a framework for integrating interventions with client assessments of needs and measures of performance changes over time) to include new elements that address program-level change. Our primary goal is to develop reliable instruments that can measure and provide feedback on program resources and organizational dynamics (along with aggregated client data) for the purpose of clinical management in real world community settings where the majority of substance abuse treatment occurs. These also are the major issues program directors rated as among their highest priorities in our recent surveys of training needs. While the ability to effectively use information technology is increasing at most agencies, integrated data systems that meet these crucial clinical management needs have not been developed and tested. Therefore, specific aims of this proposed project are to - (1) develop a set of field instruments and procedures (i.e., the Organizational and Resource Assessments, ORA) that treatment programs are willing to implement and use; (2) demonstrate the feasibility and utility of these assessments in a sample of 120 outpatient drug free treatment providers from two regions in the U.S.; (3) monitor organizational changes over time and relate them to client-level indicators of program effectiveness; (4) plan and evaluate a training protocol for program directors on how to use ORA information systems for improving program management and functioning; and (5) study the process of program change and the long-range implementation of this new technology.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA014468-03
Application #
6952434
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Hilton, Thomas
Project Start
2003-04-01
Project End
2008-03-31
Budget Start
2005-04-01
Budget End
2006-03-31
Support Year
3
Fiscal Year
2005
Total Cost
$768,207
Indirect Cost
Name
Texas Christian University
Department
Type
Organized Research Units
DUNS #
043807882
City
Fort Worth
State
TX
Country
United States
Zip Code
76129
Knight, Danica K; Becan, Jennifer E; Flynn, Patrick M (2013) The Impact of Staff Turnover on Workplace Demands and Coworker Relationships. Counselor (Deerfield Beach) 14:20-23
Landrum, Brittany; Knight, Danica K; Flynn, Patrick M (2012) The impact of organizational stress and burnout on client engagement. J Subst Abuse Treat 42:222-30
Becan, Jennifer E; Knight, Danica K; Flynn, Patrick M (2012) Innovation adoption as facilitated by a change-oriented workplace. J Subst Abuse Treat 42:179-90
Knight, Danica K; Landrum, Brittany; Becan, Jennifer E et al. (2012) Program needs and change orientation: implications for counselor turnover. J Subst Abuse Treat 42:159-68
Lehman, Wayne E K; Becan, Jennifer E; Joe, George W et al. (2012) Resources and training in outpatient substance abuse treatment facilities. J Subst Abuse Treat 42:169-78
Broome, Kirk M; Knight, Danica K; Joe, George W et al. (2012) Treatment program operations and costs. J Subst Abuse Treat 42:125-33
Knight, Danica K; Becan, Jennifer E; Flynn, Patrick M (2012) Organizational consequences of staff turnover in outpatient substance abuse treatment programs. J Subst Abuse Treat 42:143-50
Edwards, Jennifer R; Knight, Danica K; Flynn, Patrick M (2011) Organizational correlates of service availability in outpatient substance abuse treatment programs. J Behav Health Serv Res 38:432-43
Knight, Danica K; Broome, Kirk M; Edwards, Jennifer R et al. (2011) Supervisory turnover in outpatient substance abuse treatment. J Behav Health Serv Res 38:80-90
Edwards, Jennifer R; Knight, Danica K; Broome, Kirk M et al. (2010) The development and validation of a transformational leadership survey for substance use treatment programs. Subst Use Misuse 45:1279-302

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