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This study examined relations between workforce turnover and select clinician (demographic and professional characteristics and perceptions of treatment model features and job requirements) organizational (perceptions of organizational climate and structure) and program level (salary, case mix) variables in a sample of 453 clinicians across 45 organizations participating in a transportability study...
Much of the recent discussion about how to make interventions with demonstrated effectiveness more routinely available to clients emphasizes the role of change agents in promoting service providers' use of new interventions. This study provides a complimentary perspective; it describes what happens in service provider organizations as they go about making changes in the services they provide. The...
This paper presents a dynamic systems view of assertive community treatment (ACT), a recognized evidence-based treatment for adults with severe and persistent mental illness (SPMI). It is argued that because an ACT team operates as a complex adaptive system (CAS), it engages in the organizational processes of “sensemaking” and self-organization, which help to bring order to the actions of team members...
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