Abstract
Quality measurement is an important component of healthcare reform. The relationship of quality indicators (QIs) for parent-delivered family support services to organizational social contexts known to improve quality is unexamined. This study employs data collected from 21 child mental health programs that deliver team-based family support services. Performance on two levels of QIs—those targeting the program and staff—were significantly associated with organizational social context profiles and dimensions. High quality program policies are associated with positive organizational cultures and engaging climates. Inappropriate staff practices are associated with resistant cultures. Implications for organizational strategies to improve service quality are discussed.
Similar content being viewed by others
References
Aarons, G. A., & Sawitzky, A. C. (2006). Organizational climate partially mediates the effect of culture on work attitudes and staff turnover in mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 33(3), 289–301.
Brunette, M., Asher, D., Whitley, R., Lutz, W., Wieder, B., Jones, A., et al. (2008). Implementation of integrated dual disorders treatment: a qualitative analysis of facilitators and barriers. Psychiatric Services, 59(9), 989–995.
Carr, J. Z., Schmidt, A. M., Ford, J. K., & DeShon, R. P. (2003). Climate perceptions matter: a meta-analytic path analysis relating molar climate, cognitive and affective states, and individual level work outcomes. Journal of Applied Psychology, 88(4), 605.
Corrigan, P. (2006). Impact of consumer-operated services on empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 57(10), 1493–1496.
Dixon, L., Stewart, B., Burland, J., Delahanty, J., Lucksted, A., & Hoffman, M. (2001). Pilot study of the effectiveness of the family-to-family education program. Psychiatric Services, 52(7), 965–967.
Donner, R. (2003). Moving forward together: Building culturally effective partnerships between families and professionals. Topeka, KS.
Garcia, J. A., & Weisz, J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for ending youth outpatient treatment. Journal of Consulting and Clinical Psychology, 70(2), 439.
Glisson, C. (1978). Dependence of technological routinization on structural variables in human service organizations. Administrative Science Quarterly, 23(3), 383–395.
Glisson, C. (2007). Assessing and changing organizational culture and climate for effective services. Research on Social Work Practice, 17(6), 736–747.
Glisson, C. (2008). Interventions with organizations: The ARC model. In K. Sowers & C. Dulmus (Eds.), The comprehensive handbook of social work and social welfare. New Jersey: Wiley.
Glisson, C., Dukes, D., & Green, P. (2006). The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children's service systems. Child Abuse and Neglect, 30(8), 855–880.
Glisson, C., & Durick, M. (1988). Predictors of job satisfaction and organizational commitment in human service organizations. Administrative Science Quarterly, 33(1), 61–81.
Glisson, C., & Green, P. (2006). The effects of organizational culture and climate on the access to mental health care in child welfare and juvenile justice systems. Administration and Policy in Mental Health and Mental Health Services Research, 33(4), 433–448.
Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse and Neglect, 22(5), 401–421.
Glisson, C., Hemmelgarn, A., Green, P., Dukes, D., Atkinson, S., & Williams, N. J. (2012). Randomized trial of the availability, responsiveness, and continuity (ARC) organizational intervention with community-based mental health programs and clinicians serving youth. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 780–787.
Glisson, C., Hemmelgarn, A., Green, P., & Williams, N. J. (2013a). Randomized trial of the availability, responsiveness and continuity (ARC) organizational intervention for improving youth outcomes in community mental health programs. Journal of the American Academy of Child and Adolescent Psychiatry, 52(5), 493–500.
Glisson, C., Hemmelgarn, A., Green, P., & Williams, N. (2013b). The organizational social context of peer-delivered family support services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research (this issue).
Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008a). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35(1), 98–113.
Glisson, C., Schoenwald, S. K., Hemmelgarn, A., Green, P., Dukes, D., Armstrong, K. S., et al. (2010). Randomized trial of MST and ARC in a two-level evidence-based treatment implementation strategy. Journal of Consulting and Clinical Psychology, 78(4), 537.
Glisson, C., Schoenwald, S. K., Kelleher, K., Landsverk, J., Hoagwood, K. E., Mayberg, S., et al. (2008b). Therapist turnover and new program sustainability in mental health clinics as a function of organizational culture, climate, and service structure. Administration and Policy in Mental Health and Mental Health Services Research, 35(1), 124–133.
Greener, J. M., Joe, G. W., Simpson, D. D., Rowan-Szal, G. A., & Lehman, W. E. (2007). Influence of organizational functioning on client engagement in treatment. Journal of Substance Abuse Treatment, 33(2), 139.
Guzzo, R. A., Jette, R. D., & Katzell, R. A. (1985). The effects of psychologically based intervention programs on worker productivity: A meta-analysis. Personnel Psychology, 38(2), 275–291.
Hemmelgarn, A. L., Glisson, C., & Dukes, D. (2001). Emergency room culture and the emotional support component of family-centered care. Children’s Health Care, 30(2), 93–110.
Hoagwood, K. E., Cavaleri, M. A., Olin, S., Burns, B. J., Slaton, E., Gruttadaro, D., et al. (2010). Family support in children’s mental health: A review and synthesis. Clinical Child and Family Psychology Review, 13(1), 1–45.
Hoagwood, K. E., Green, E., Kelleher, K., Schoenwald, S., Rolls-Reutz, J., Landsverk, J., et al. (2008). Family advocacy, support and education in children’s mental health: Results of a national survey. Administration and Policy in Mental Health and Mental Health Services Research, 35(1), 73–83.
Institute of Medicine (IOM). (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: National Academy Press.
Jensen, P. S., & Hoagwood, K. E. (Eds.). (2008). Improving children’s mental health through parent empowerment: A guide to assisting families. New York: Oxford University Press.
Kazdin, A. E., Holland, L., & Crowley, M. (1997). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65(3), 453.
Kilbourne, A. M., Keyser, D., & Pincus, H. A. (2010). Challenges and opportunities in measuring the quality of mental health care. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 55(9), 549.
Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080.
Koren, P., Paulson, R., Kinney, R., Yatchmenoff, D., Gordon, L., & DeChillo, N. (1997). Service coordination in children’s mental health: An empirical study from the caregiver’s perspective. Journal of Emotional and Behavioral Disorder, 5(3), 162–172.
Magidson, J., & Vermunt, J. K. (2004). Latent class analysis. In D. Kaplan (Ed.), Handbook of quantitative methodology for the social sciences (pp. 175–198). Thousand Oaks: Sage Publications.
McCabe, K. M. (2002). Factors that predict premature termination among Mexican–American children in outpatient psychotherapy. Journal of Child and Family Studies, 11, 347–359.
Min, S. Y., Whitecraft, J., Rothbard, A. B., & Salzer, M. S. (2007). Peer support for persons with co-occurring disorders and community tenure: A survival analysis. Psychiatric Rehabilitation Journal, 30(3), 207–213.
Muthén, L. K., & Muthén, B. O. (2008). Mplus 5.1. Statistical analysis with latent variables. User’s guide. Los Angeles: Muthén and Muthén.
Neuman, G. A., Edwards, J. E., & Raju, N. S. (1989). Organizational development interventions: A meta-analysis of their effects on satisfaction and other attitudes. Personnel Psychology, 42(3), 461–489.
Obrochta, C., Anthony, B., Armstrong, M., Kalil, J., Hust, J., & Kernan, J. (2011). Issue brief: Family-to-family peer support: Models and evaluation. Atlanta, GA: ICF Macro, Outcomes Roundtable for Children and Families.
Olin, S. S., Hoagwood, K. E., Rodriguez, J., Radigan, M., Burton, G., Cavaleri, M., et al. (2010a). Impact of empowerment training on the professional work of family peer advocates. Children and Youth Services Review, 32(10), 1426–1429.
Olin, S. S., Hoagwood, K. E., Rodriguez, J., Ramos, B., Burton, G., Penn, M., et al. (2010b). The application of behavior change theory to family-based services: Improving parent empowerment in children’s mental health. Journal of Child and Family Studies, 19(4), 462–470.
Olin, S. S., Kutash, K., Pollock, M., Burns, B. J., Kuppinger, A., Craig, N., et al. (2013). Developing quality indicators for family support services in community team-based mental health care. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-013-0501-9.
Parker, C. P., Baltes, B. B., Young, S. A., Huff, J. W., Altmann, R. A., Lacost, H. A., et al. (2003). Relationships between psychological climate perceptions and work outcomes: A meta-analytic review. Journal of Organizational Behavior, 24(4), 389–416.
Parsons, D. J & Lambert, L. (2012). Family support and family involvement: Building skills, knowledge and participation. Retrieved from http://ppal.net/wp-content/uploads/2011/01/Family-Support-and-Family-Involvement-with-cover-final.pdf. Accessed Jan 2013.
Peer Technical Assistance Network. (2000). Learning from colleagues: Family/professional partnerships (second printing). Alexandria: Federation of Families for Children’s Mental Health.
Pincus, H., Page, A., Druss, B., Appelbaum, P., Gottlieb, G., & England, M. (2007). Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditions. American Journal of Psychiatry, 164(5), 712–719.
Pincus, H. A., Spaeth-Rublee, B., & Watkins, K. E. (2011). The case for measuring quality in mental health and substance abuse care. Health Affairs, 30(4), 730–736.
Richard, A. L., Jongbloed, L. E., & MacFarlane, A. (2009). Integration of peer support workers into community mental health teams. International Journal of Psychosocial Rehabilitation, 14(1), 99–110.
Robbins, V., Johnston, J., Barnett, H., Hobstetter, W., Kutash, K., Duchnowski, A. J., et al. (2008). Parent to parent: A synthesis of the emerging literature. Tampa: University of South Florida, The Louis de la Parte Florida Mental Health Institute, Department of Child & Family Studies.
Robertson, P. J., Roberts, D. R., & Porras, J. I. (1993). Dynamics of planned organizational change: Assessing empirical support for a theoretical model. Academy of Management Journal, 36(3), 619–634.
Rodriguez, J., Olin, S. S., Hoagwood, K. E., Shen, S., Burton, G., Radigan, M., et al. (2011). The development and evaluation of a parent empowerment program for family peer advocates. Journal of Child and Family Studies, 20(4), 397–405.
Rogers, E. M. (2010). Diffusion of innovations (5th ed.). New York, NY: Free Press.
Salzer, M., Schwenk, E., & Brusilovskiy, E. (2010). Certified peer specialist roles and activities: Results from a national survey. Psychiatric Services, 61(5), 520–523.
Schoenwald, S. K., Chapman, J. E., Kelleher, K., Hoagwood, K. E., Landsverk, J., Stevens, J., et al. (2008). A survey of the infrastructure for children’s mental health services: Implications for the implementation of empirically supported treatments (ESTs). Administration and Policy in Mental Health and Mental Health Services Research, 35(1), 84–97.
Sells, D., Davidson, L., Jewell, C., Falzer, P., & Rowe, M. (2006). The treatment relationship in peer-based and regular case management for clients with severe mental illness. Psychiatric Services, 57(8), 1179–1184.
Sheridan, J. E. (1992). Organizational culture and employee retention. Academy of Management Journal, 35(5), 1036–1056.
Shim, M. (2010). Factors influencing child welfare employee’s turnover: Focusing on organizational culture and climate. Children and Youth Services Review, 32(6), 847–856.
Spencer, S. A., Blau, G. M., & Mallery, C. J. (2010). Family-driven care in America: More than a good idea. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(3), 176.
Stroul, B. A. (Ed.). (1996). Children’s mental health: Creating systems of care in a changing society. Baltimore: P.H. Brookes Publishing.
Vermunt, J. K. (2002). Latent class analysis of complex sample survey data: Application to dietary data. Journal of the American Statistical Association, 97(459), 736–737.
Walker, D. K., & Crocker, R. W. (2008). Measuring family systems outcomes. In H. B. Weiss & F. H. Jacobs (Eds.), Evaluating Family Programs (pp. 153–176). New Jersey: Transaction Publishers.
Winters, N. C., & Metz, W. P. (2009). The wraparound approach in systems of care. Psychiatric Clinics of North America, 32(1), 135–151.
Acknowledgments
This study was supported by funding from the National Institute of Mental Health (Grants 1R01MH085969 & 1F31MH099846).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Olin, S.S., Williams, N., Pollock, M. et al. Quality Indicators for Family Support Services and Their Relationship to Organizational Social Context. Adm Policy Ment Health 41, 43–54 (2014). https://doi.org/10.1007/s10488-013-0499-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10488-013-0499-z