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Dimensions of publicness and performance in substance abuse treatment organizations
Author(s) -
Heinrich Carolyn J.,
Fournier Elizabeth
Publication year - 2003
Publication title -
journal of policy analysis and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.898
H-Index - 84
eISSN - 1520-6688
pISSN - 0276-8739
DOI - 10.1002/pam.10178
Subject(s) - substance abuse treatment , substance abuse , organizational structure , substance use , business , public economics , public relations , organizational performance , psychology , psychiatry , political science , marketing , economics , management
Abstract Changes in funding, clientele, and treatment practices of public and privately owned substance abuse treatmentprograms, compelled in part by increased cost containment pressures, have prompted researchers' investigationsof the implications of organizational form for treatment programs. These studies primarily probe associationsbetween ownership status, patient characteristics, and services delivered and do not empirically linkorganizational form or structure to treatment outcomes. Data from the National Treatment Improvement EvaluationStudy (NTIES) were used to study the relationship of ownership and other dimensions of“publicness” identified in the public management literature to patient outcomes, controlling forpatient characteristics, treatment experiences, and other program characteristics. A few effects of organizationalform and structure on substance abuse treatment outcomes are statistically significant (primarily improvedsocial functioning), although the specific contributions of measures of ownership and publicness to explainingprogram‐level variation are generally small. © 2004 by the Association for Public Policy Analysis andManagement.