Organizational survival in the outpatient substance abuse treatment sector, 1988-2000

Rebecca Wells, Christy Harris Lemak, Thomas D'Aunno

Research output: Contribution to journalArticle

Abstract

Substance abuse remains one of the most pressing health issues in the United States today, yet treatment supply continues to lag far behind need. Given the hostile environments treatment facilities face, their survival is a matter of pressing policy concern. Results from analyses of National Drug Abuse Treatment System Survey (NDATSS) data from 1988 through 2000 suggest that organizational attributes such as age, size, and client severity and resource dependencies such as reliance on government revenue affect survival, but their effects change over time. By the mid-1990s, director involvement in state and local policy making was positively associated with subsequent survival; later that decade, directors' professional credentials affected survival as well. Results also show that serving clients with multiple substance abuse problems became a survival liability by the late 1990s. Facilities that treat clients with multiple addictions may need additional financial support to serve these particularly vulnerable clients.

Original languageEnglish (US)
Pages (from-to)697-719
Number of pages23
JournalMedical Care Research and Review
Volume62
Issue number6
DOIs
StatePublished - Dec 2005

Fingerprint

substance abuse
Substance-Related Disorders
Outpatients
director
Financial Support
Policy Making
Information Systems
government revenue
Therapeutics
drug abuse
addiction
liability
Health
supply
health
resources
Surveys and Questionnaires
Dependency (Psychology)

Keywords

  • Drug abuse treatment
  • Models, organizational
  • Organization and administration
  • Organizational survival

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Organizational survival in the outpatient substance abuse treatment sector, 1988-2000. / Wells, Rebecca; Lemak, Christy Harris; D'Aunno, Thomas.

In: Medical Care Research and Review, Vol. 62, No. 6, 12.2005, p. 697-719.

Research output: Contribution to journalArticle

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