Assessing and changing organizational social contexts for effective mental health services

Annual Review of Public Health
Charles Glisson, Nathaniel J Williams

Abstract

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.

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Citations

Apr 2, 2016·Administration and Policy in Mental Health·Byron J PowellDavid S Mandell
Jan 1, 2015·Human Service Organizations, Management, Leadership & Governance·Charles Glisson
Oct 18, 2015·Administration and Policy in Mental Health·Nathaniel J Williams
Sep 7, 2016·Administration and Policy in Mental Health·Byron J Powell, Rinad S Beidas
Aug 26, 2018·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Nathaniel J Williams, Rinad S Beidas
Nov 2, 2018·Journal of Evidence-informed Social Work·Alicia C BungerYiwen Cao
May 14, 2019·International Journal of Mental Health Nursing·Junko NiimuraAtsushi Nishida
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Jul 28, 2019·Administration and Policy in Mental Health·Emily M Becker-HaimesRinad S Beidas
Jul 16, 2020·Community Mental Health Journal·Katherine A DondanvilleUNKNOWN STRONG STAR Training Initiative
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Feb 23, 2019·Health Services Research·Emily White VanGompelElliott Main
Feb 16, 2021·Prevention Science : the Official Journal of the Society for Prevention Research·Dainelys GarciaJason F Jent

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