TY - JOUR
T1 - Assessing and changing organizational social contexts for effective mental health services
AU - Glisson, Charles
AU - Williams, Nathaniel J.
N1 - Publisher Copyright:
Copyright © 2015 by Annual Reviews. All rights reserved.
PY - 2015/3/18
Y1 - 2015/3/18
N2 - Culture and climate are critical dimensions of a mental health service organization's social context that affect the quality and outcomes of the services it provides and the implementation of innovations such as evidence-based treatments (EBTs). We describe a measure of culture and climate labeled Organizational Social Context (OSC), which has been associated with innovation, service quality, and outcomes in national samples and randomized controlled trials (RCTs) of mental health and social service organizations. The article also describes an empirically supported organizational intervention model labeled Availability, Responsiveness, and Continuity (ARC), which has improved organizational social context, innovation, and effectiveness in five RCTs. Finally, the article outlines a research agenda for developing more efficient and scalable organizational strategies to improve mental health services by identifying the mechanisms that link organizational interventions and social context to individual-level service provider intentions and behaviors associated with innovation and effectiveness.
AB - Culture and climate are critical dimensions of a mental health service organization's social context that affect the quality and outcomes of the services it provides and the implementation of innovations such as evidence-based treatments (EBTs). We describe a measure of culture and climate labeled Organizational Social Context (OSC), which has been associated with innovation, service quality, and outcomes in national samples and randomized controlled trials (RCTs) of mental health and social service organizations. The article also describes an empirically supported organizational intervention model labeled Availability, Responsiveness, and Continuity (ARC), which has improved organizational social context, innovation, and effectiveness in five RCTs. Finally, the article outlines a research agenda for developing more efficient and scalable organizational strategies to improve mental health services by identifying the mechanisms that link organizational interventions and social context to individual-level service provider intentions and behaviors associated with innovation and effectiveness.
KW - ARC
KW - Evidence-based treatments
KW - Implementation
KW - Innovation
KW - Mental health services
KW - Organizational climate
KW - Organizational culture
KW - OSC
UR - http://www.scopus.com/inward/record.url?scp=84925248653&partnerID=8YFLogxK
UR - http://dx.doi.org/10.1146/annurev-publhealth-031914-122435
U2 - 10.1146/annurev-publhealth-031914-122435
DO - 10.1146/annurev-publhealth-031914-122435
M3 - Review article
C2 - 25785894
AN - SCOPUS:84925248653
SN - 0163-7525
VL - 36
SP - 507
EP - 523
JO - Annual Review of Public Health
JF - Annual Review of Public Health
ER -