Provider-agency fit in addiction services organizations: implications for evidence-based practice implementation

Alex T Ramsey,David Patterson,Carissa Van Den Berk-Clark

doi:10.1186/1940-0640-10-s1-a52

Alex T Ramsey, David Patterson + Show 1 more

Open Access

https://doi.org/10.1186/1940-0640-10-s1-a52

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Abstract

Background Addiction services organizations have been slow to adopt and implement evidence-based practices (EBPs) for substance abuse and dependence. This is due in part to poor worker morale and organizational climates that are not conducive to successful learning and integration of these practices [1]. Person-organization fit theory suggests that alignment, or fit, between providerand agency-level characteristics involving the implementation of EBPs may influence provider morale and organizational learning climate and, thus, implementation success [2]. The current study hypothesized that discrepancies, or lack of fit, between providerand agency-level contextual factors would negatively predict provider morale and organizational learning climate, outcomes shown to be associated with successful EBP implementation.

Highlights

Addiction services organizations have been slow to adopt and implement evidence-based practices (EBPs) for substance abuse and dependence
Direct service providers (N = 120) from four addiction services organizations in a large Midwestern city responded to a survey assessing provider morale, organizational learning climate, agency expectations for EBP use, agency resources for EBP use, and provider attitudes towards EBP use
Misfit between agency expectations and provider attitudes and between agency resources and provider attitudes were associated with poorer provider morale and weaker organizational learning climate

Summary

Introduction

Addiction services organizations have been slow to adopt and implement evidence-based practices (EBPs) for substance abuse and dependence. This is due in part to poor worker morale and organizational climates that are not conducive to successful learning and integration of these practices [1]. Person-organization fit theory suggests that alignment, or fit, between provider- and agency-level characteristics involving the implementation of EBPs may influence provider morale and organizational learning climate and, implementation success [2]. The current study hypothesized that discrepancies, or lack of fit, between provider- and agency-level contextual factors would negatively predict provider morale and organizational learning climate, outcomes shown to be associated with successful EBP implementation

Methods

Results

Conclusion