Organizational capacity for service integration in community-based addiction health services

E.G. Guerrero, G.A. Aarons and L.A. Palinkas

American Journal of Public Health, 2014, vol. 104, issue 4, e40-e47

Abstract: Objectives. We examined factors associated with readiness to coordinate mental health, public health, and HIV testing among community-based addiction health services programs. Methods. We analyzed client and program data collected in 2011 from publicly funded addiction health services treatment programs in Los Angeles County, California. We analyzed a sample of 14 379 clients nested in 104 programs by using logistic regressions examining odds of service coordination with mental health and public health providers. We conducted a separate analysis to examine the percentage of clients receiving HIV testing in each program. Results. Motivational readiness and organizational climate for change were associated with higher odds of coordination with mental health and public health services. Programs with professional accreditation had higher odds of coordinating with mental health services, whereas programs receiving public funding and methadone and residential programs (compared with outpatient) had a higher percentage of clients receiving coordinated HIV testing. Conclusions. These findings provide an evidentiary base for the role of motivational readiness, organizational climate, and external regulation and funding in improving the capacity of addiction health services programs to develop integrated care.

Keywords: addiction; article; drug dependence treatment; human; integrated health care system; mental health service; methodology; organization and management; public health service; serodiagnosis; United States, AIDS Serodiagnosis; Community Mental Health Services; Delivery of Health Care, Integrated; Humans; Los Angeles; Public Health Administration; Substance Abuse Treatment Centers; Substance-Related Disorders (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301842_7

DOI: 10.2105/AJPH.2013.301842

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