An organizational analysis of service patterns in outpatient drug abuse treatment units

Thomas D'Aunno, Thomas E. Vaughn

Research output: Contribution to journalArticle

Abstract

The effectiveness of drug abuse treatment depends in part on meeting clients' medical and social needs related to drug abuse. Yet, we know little about the type and amount of medical and social services that clients receive in outpatient drug abuse treatment units. This article addresses this issue, drawing from conceptual perspectives in organizational theory and using data from a national random sample of 481 outpatient treatment units that participated in a phone survey in both 1988 and 1990. We examine the extent to which clients in these units receive: physical (medical) and mental health care; special treatment for multiple drug abuse; and employment, financial, and legal counseling. Results from a multivariate analysis of variance (MANOVA) indicate that there was a significant decrease from 1988 to 1990 in all of the services we examined. Regression analyses were conducted to identify organizational and client characteristics related to these decrease. Results show that changes in both client characteristics and key organizational factors (e.g., resources, staffing) are significantly related to decreases in the services clients receive. Implications for meeting the medical and social service needs of drug abuse clients are discussed.

Original languageEnglish (US)
Pages (from-to)27-42
Number of pages16
JournalJournal of Substance Abuse
Volume7
Issue number1
DOIs
StatePublished - 1995

Fingerprint

Substance-Related Disorders
Outpatients
Social Work
Therapeutics
Counseling
Analysis of Variance
Mental Health
Multivariate Analysis
Regression Analysis
Delivery of Health Care

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Neuroscience(all)

Cite this

An organizational analysis of service patterns in outpatient drug abuse treatment units. / D'Aunno, Thomas; Vaughn, Thomas E.

In: Journal of Substance Abuse, Vol. 7, No. 1, 1995, p. 27-42.

Research output: Contribution to journalArticle

@article{62f58bb006c34c53bd253c01f5b92d17,
title = "An organizational analysis of service patterns in outpatient drug abuse treatment units",
abstract = "The effectiveness of drug abuse treatment depends in part on meeting clients' medical and social needs related to drug abuse. Yet, we know little about the type and amount of medical and social services that clients receive in outpatient drug abuse treatment units. This article addresses this issue, drawing from conceptual perspectives in organizational theory and using data from a national random sample of 481 outpatient treatment units that participated in a phone survey in both 1988 and 1990. We examine the extent to which clients in these units receive: physical (medical) and mental health care; special treatment for multiple drug abuse; and employment, financial, and legal counseling. Results from a multivariate analysis of variance (MANOVA) indicate that there was a significant decrease from 1988 to 1990 in all of the services we examined. Regression analyses were conducted to identify organizational and client characteristics related to these decrease. Results show that changes in both client characteristics and key organizational factors (e.g., resources, staffing) are significantly related to decreases in the services clients receive. Implications for meeting the medical and social service needs of drug abuse clients are discussed.",
author = "Thomas D'Aunno and Vaughn, {Thomas E.}",
year = "1995",
doi = "10.1016/0899-3289(95)90304-6",
language = "English (US)",
volume = "7",
pages = "27--42",
journal = "Journal of Substance Abuse",
issn = "0899-3289",
publisher = "Ablex Pub. Corp",
number = "1",

}

TY - JOUR

T1 - An organizational analysis of service patterns in outpatient drug abuse treatment units

AU - D'Aunno, Thomas

AU - Vaughn, Thomas E.

PY - 1995

Y1 - 1995

N2 - The effectiveness of drug abuse treatment depends in part on meeting clients' medical and social needs related to drug abuse. Yet, we know little about the type and amount of medical and social services that clients receive in outpatient drug abuse treatment units. This article addresses this issue, drawing from conceptual perspectives in organizational theory and using data from a national random sample of 481 outpatient treatment units that participated in a phone survey in both 1988 and 1990. We examine the extent to which clients in these units receive: physical (medical) and mental health care; special treatment for multiple drug abuse; and employment, financial, and legal counseling. Results from a multivariate analysis of variance (MANOVA) indicate that there was a significant decrease from 1988 to 1990 in all of the services we examined. Regression analyses were conducted to identify organizational and client characteristics related to these decrease. Results show that changes in both client characteristics and key organizational factors (e.g., resources, staffing) are significantly related to decreases in the services clients receive. Implications for meeting the medical and social service needs of drug abuse clients are discussed.

AB - The effectiveness of drug abuse treatment depends in part on meeting clients' medical and social needs related to drug abuse. Yet, we know little about the type and amount of medical and social services that clients receive in outpatient drug abuse treatment units. This article addresses this issue, drawing from conceptual perspectives in organizational theory and using data from a national random sample of 481 outpatient treatment units that participated in a phone survey in both 1988 and 1990. We examine the extent to which clients in these units receive: physical (medical) and mental health care; special treatment for multiple drug abuse; and employment, financial, and legal counseling. Results from a multivariate analysis of variance (MANOVA) indicate that there was a significant decrease from 1988 to 1990 in all of the services we examined. Regression analyses were conducted to identify organizational and client characteristics related to these decrease. Results show that changes in both client characteristics and key organizational factors (e.g., resources, staffing) are significantly related to decreases in the services clients receive. Implications for meeting the medical and social service needs of drug abuse clients are discussed.

UR - http://www.scopus.com/inward/record.url?scp=0029046263&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029046263&partnerID=8YFLogxK

U2 - 10.1016/0899-3289(95)90304-6

DO - 10.1016/0899-3289(95)90304-6

M3 - Article

VL - 7

SP - 27

EP - 42

JO - Journal of Substance Abuse

JF - Journal of Substance Abuse

SN - 0899-3289

IS - 1

ER -