Therapeutic communities have shown great promise for producing significant behavioral changes and successful """"""""habilitation"""""""" of substance abusers and addicts (DeLeon, 2000). In order to understand how therapeutic communities are differentially successful, a focus upon their organization and management is critical. Several aspects of therapeutic community management appear to be problematic in maximizing the effectiveness of these organizations. These include recruitment of clients, retention of clients, maintaining organizational funding, and characteristics of those in management and leadership positions. We propose a longitudinal study of organizational features and managerial practices in a nationally representative sample of therapeutic communities, excluding those based in prisons or other correctional settings. An initial part of the study design will center on the definition of the therapeutic community, using the established measures of the Essential Elements Questionnaires. The primary goal of the study is to discern the predictors of different patterns of organizational performance, stability and change in this sample of therapeutic communities as these organizations cope with the turbulent environment of substance abuse treatment. Using a representative national sample (N=450), this study would collect longitudinal data on the following sets of variables: organizational structure, organizational/therapeutic culture, organizational management, treatment inputs, treatment/clinical process, treatment/clinical management, characteristics of therapeutic community leadership and management, external environment and organizational performance.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
1R01DA014976-01
Application #
6448318
Study Section
Special Emphasis Panel (ZDA1-KXN-G (09))
Program Officer
Hilton, Thomas
Project Start
2001-09-30
Project End
2006-08-31
Budget Start
2001-09-30
Budget End
2002-08-31
Support Year
1
Fiscal Year
2001
Total Cost
$563,621
Indirect Cost
Name
University of Georgia
Department
Psychology
Type
Other Domestic Higher Education
DUNS #
City
Athens
State
GA
Country
United States
Zip Code
30602
Knudsen, Hannah K; Muilenburg, Jessica; Eby, Lillian T (2013) Sustainment of smoking cessation programs in substance use disorder treatment organizations. Nicotine Tob Res 15:1060-8
Knudsen, Hannah K; Studts, Christina R; Studts, Jamie L (2012) The implementation of smoking cessation counseling in substance abuse treatment. J Behav Health Serv Res 39:28-41
Dye, Meredith Huey; Roman, Paul M; Knudsen, Hannah K et al. (2012) The availability of integrated care in a national sample of therapeutic communities. J Behav Health Serv Res 39:17-27
Knudsen, Hannah K; Studts, Jamie L (2011) Availability of nicotine replacement therapy in substance use disorder treatment: longitudinal patterns of adoption, sustainability, and discontinuation. Drug Alcohol Depend 118:244-50
Knudsen, Hannah K; Studts, Jamie L; Boyd, Sara et al. (2010) Structural and cultural barriers to the adoption of smoking cessation services in addiction treatment organizations. J Addict Dis 29:294-305
Knudsen, Hannah K; Boyd, Sara E; Studts, Jamie L (2010) Substance abuse treatment counselors and tobacco use: a comparison of comprehensive and indoor-only workplace smoking bans. Nicotine Tob Res 12:1151-5
Knudsen, Hannah K; Studts, Jamie L (2010) The implementation of tobacco-related brief interventions in substance abuse treatment: a national study of counselors. J Subst Abuse Treat 38:212-9
McCarty, Dennis; Roman, Paul M; Sorensen, James et al. (2009) Health Services Research for Drug and Alcohol Treatment and Prevention. J Drug Issues 39:197-208
Dye, Meredith Huey; Ducharme, Lori J; Johnson, J Aaron et al. (2009) Modified therapeutic communities and adherence to traditional elements. J Psychoactive Drugs 41:275-83
Knudsen, Hannah K; Ducharme, Lori J; Roman, Paul M (2006) Counselor emotional exhaustion and turnover intention in therapeutic communities. J Subst Abuse Treat 31:173-80

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