Organizational Factors Influencing Practice Improvement In Community-Based Care
James C May
Richmond Behavioral Health Authority Richmond, Va 23219
Grant 1R01DA022081-01 from National Institute On Drug Abuse IRG: ZDA1
Abstract: Under this RFA, the Richmond Behavioral Health Authority s (RBHA) Substance Abuse Services Division will partner with the Virginia Commonwealth University s Institute for Drug and Alcohol Studies (VCU-IDAS) and the RBHA s contracted community-based substance abuse treatment providers to develop and pilot test a program self-assessment protocol for practice improvement. Through this project, the RBHA and its university-based partners will assess organizational readiness and capacity for practice improvement of specific program units of the RBHA as well as its affiliated network of contracted treatment providers. In the context of the current national "research-to-practice" movement, the RBHA and VCU will increase and improve the dialogue between university-based research faculty and the RBHA s community-based practitioners. This preliminary, descriptive research will provide the information needed to conduct a planned series of program-specific interventions, designed to expedite the adoption of EBPs within specific programs. This initiative will contribute to the emerging literature on factors that facilitate or hinder the adoption and implementation of new practice technologies with regard to community-based care for prevention and treatment of drug abuse, particularly overcoming health care disparities for minorities, a large segment of Richmond s population. Additionally, this project will support a culture change process wherein local service providers become more data-driven in the design and delivery of services. The current study will be grounded in a stage model of innovation implementation widely advanced in the organizational change literature (Klein and Sorra, 1996; Rogers, 1995; Wejnert, 2002) and applied by Simpson and colleagues to substance abuse service delivery systems (Simpson, 2002; Lehman, Greener, and Simpson, 2002). Specific aims 1) Develop a pilot protocol for community-based substance abuse treatment provider self-assessment that will serve as the basis for systemic program assessment, 2) Using results of the self-assessment protocol, develop a pilot treatment practice improvement protocol that can serve as a basis for systemic practice improvement, 3) Implement the program assessment and practice improvement pilot protocols in selected service units within Richmond community-based treatment programs and assess their impacts on evidence-based practice implementation and organizational functioning and 4) Promote systemic implementation of the self-assessment and practice improvement protocol, assess replicability for use in other areas, and disseminate findings to inform other national technology transfer efforts.
Keywords: community, birth, substance abuse related disorder, university, clinical research
Project start date: 2006-09-30
Project end date: 2010-05-31
Sponsored Links Excellgen http://Excellgen.com
Grants awarded to James C May
ORGANIZATIONAL FACTORS INFLUENCING PRACTICE IMPROVEMENT IN COMMUNITY-BASED CARE
James C May, Director Of Substance Abuse Services
Richmond Behavioral Health Authority, Richmond, Va 23219
Grant 5R01DA022081-03 from National Institute On Drug Abuse
Abstract: Under this RFA, the Richmond Behavioral Health Authority´s (RBHA) Substance Abuse Services Division will partner with the Virginia Commonwealth University´s Institute for Drug and Alcohol Studies (VCU-IDAS) and the RBHA´s contracted community-based substance abuse treatment providers to develop and pilot test a program self-assessment protocol for practice improvement. Through this project, the RBHA and its university-based partners will assess organizational readiness and capacity for practice improvement of specific program units of the RBHA as well as its affiliated network of contracted treatment providers. In the context of the current national "research-to-practice" movement, the RBHA and VCU will increase and improve the dialogue between university-based research faculty and the RBHA´s community-based practitioners. This preliminary, descriptive research will provide the information needed to conduct a planned series of program-specific interventions, designed to expedite the adoption of EBPs within specific programs. This initiative will contribute to the emerging literature on factors that facilitate or hinder the adoption and implementation of new practice technologies with regard to community-based care for prevention and treatment of drug abuse, particularly overcoming health care disparities for minorities, a large segment of Richmond´s population. Additionally, this project will support a culture change process wherein local service providers become more data-driven in the design and delivery of services. The current study will be grounded in a stage model of innovation implementation widely advanced in the organizational change literature (Klein & Sorra, 1996; Rogers, 1995; Wejnert, 2002) and applied by Simpson and colleagues to substance abuse service delivery systems (Simpson, 2002; Lehman, Greener, & Simpson, 2002). Specific aims 1) Develop a pilot protocol for community-based substance abuse treatment provider self-assessment that will serve as the basis for systemic program assessment, 2) Using results of the self-assessment protocol, develop a pilot treatment practice improvement protocol that can serve as a basis for systemic practice improvement, 3) Implement the program assessment and practice improvement pilot protocols in selected service units within Richmond community-based treatment programs and assess their impacts on evidence-based practice implementation and organizational functioning and 4) Promote systemic implementation of the self-assessment and practice improvement protocol, assess replicability for use in other areas, and disseminate findings to inform other national technology transfer efforts
Keywords: AOD use; Address; Adopted; Adoption; Affect; Alcohol or Other Drugs use; Alcohols; Area; Attention; Care, Health; Characteristics; Chemical Class, Alcohol; Client; Climate; Clinical; Collaborations; Communities; Contract Services; Contracting Opportunities; Contracts; Dace; Data; Development; Drug abuse; Drugs; Effectiveness; Evidence based practice; Evidence based treatment; Faculty; Generations; Goals; Health Care Providers; Health Personnel; Healthcare; Healthcare Providers; Healthcare worker; Individual; Infrastructure; Institutes; Investigators; Leadership; Licensing; Literature; Management Information Systems; Measures; Medication; Meteorological Climate; Minority; Mission; Modality; Modeling; Movement; Organizational Change; Outcome; PROV; Performance; Persons; Pharmaceutic Preparations; Pharmaceutical Preparations; Policies; Population; Position; Positioning Attribute; Preparedness; Pressure; Pressure- physical agent; Prevention; Process; Program Development; Programs (PT); Programs [Publication Type]; Protocol; Protocols documentation; Provider; Questionnaires; R01 Mechanism; R01 Program; RPG; Readiness; Research; Research Grants; Research Infrastructure; Research Personnel; Research Project Grants; Research Projects; Research Projects, R-Series; Research Resources; Researchers; Resource Allocation; Resources; Self Assessment; Self Assessment (Psychology); Series; Services; Site; Staging; Strategic Planning; Substance Use Disorder; Substance abuse problem; System; System, LOINC Axis 4; Technology; Technology Transfer; Testing; Time; Universities; Virginia; Work; abuse of drugs; abuse of substances; abuses drugs; addiction; authority; base; behavioral health; body movement; climatic; community based care; community based service; community based treatment; design; designing; drug/agent; evidence base; experience; health care personnel; health care worker; health provider; healthcare personnel; improved; infrastructure development; innovate; innovation; innovative; intervention design; medical personnel; pressure; programs; research to practice; substance abuse; substance use; therapy design; treatment design; treatment program; treatment provider
Project start date: 2006-09-30
Project end date: 2011-05-31
Budget start date: 1-JUN-2009
Budget end date: 31-MAY-2011
PFA/PA: RFA-DA-06-001
5R01DA022081-03 (2009): $132143