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- W2079893065 abstract "This preliminary study examined the extent to which leadership and program licensure are associated with the delivery of co-occurring mental health and substance abuse disorder (COD) treatment in mental health service organizations. Using a random sample of 52 outpatient programs in low-income and racial and ethnic minority communities, this study examined the association between program leadership and licensed status and implementation of evidence-based protocols and practices to address COD. Understanding of findings was enhanced with focus groups conducted at six clinics. Most programs (81%) reported offering COD treatment but at different degrees. Directorial leadership was positively associated with the delivery of COD treatment (β = 0.253, p = .047, 95% CI = 0.003, 0.502) as well as COD supervision and training (β = 0.358, p = .002, 95% CI = 0.142, 0.575). In contrast, program licensure was negatively associated with COD treatment (β = -0.235, p = .041, 95% CI = -0.460, -0.010) and COD supervision and training (β = -0.195, p = .049, 95% CI = -0.389, -0.001). Leadership plays a critical role in responding to organizational change, whereas lack of financial integration limits the impact of regulation on the delivery of COD treatment. Implications for leadership interventions and policy are discussed in the context of health care reform." @default.
- W2079893065 created "2016-06-24" @default.
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- W2079893065 date "2014-01-01" @default.
- W2079893065 modified "2023-10-17" @default.
- W2079893065 title "Implementation of Co-Occurring Disorder Treatment in Community Mental Health Organizations" @default.
- W2079893065 doi "https://doi.org/10.5465/ambpp.2014.13011abstract" @default.
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