Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 5/2016

01-09-2016 | Original Article

Leadership, Organizational Climate, and Perceived Burden of Evidence-Based Practice in Mental Health Services

Authors: Kim C. Brimhall, Karissa Fenwick, Lauren R. Farahnak, Michael S. Hurlburt, Scott C. Roesch, Gregory A. Aarons

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2016

Login to get access

Abstract

The use of evidence-based practices (EBPs) is associated with favorable client outcomes, yet perceived burden of using EBPs may affect the adoption and implementation of such practices. Multilevel path analysis was used to examine the associations of transformational leadership with organizational climate, and their associations with perceived burden of using EBPs. Results indicated significant relationships between transformational leadership and empowering and demoralizing climates, and between demoralizing climate and perceived burden of EBPs. We found significant indirect associations of leadership and perceived burden through organizational climate. Findings suggest that further research is needed to examine the extent to which improving leadership and organizational climate may reduce perceived burden and use of EBPs with the ultimate goal of enhancing quality of care.
Literature
go back to reference Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57, 1162–1169.CrossRefPubMedPubMedCentral Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57, 1162–1169.CrossRefPubMedPubMedCentral
go back to reference Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence-based practice: The Evidence Based Practice Attitude Scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39, 331–340. doi:10.1007/s10488-010-0302-3.CrossRefPubMed Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence-based practice: The Evidence Based Practice Attitude Scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39, 331–340. doi:10.​1007/​s10488-010-0302-3.CrossRefPubMed
go back to reference Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(1), 11. doi:10.1186/s13012-014-0192-y.CrossRefPubMedPubMedCentral Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(1), 11. doi:10.​1186/​s13012-014-0192-y.CrossRefPubMedPubMedCentral
go back to reference Aarons, G. A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., & Cafri, G. (2010). Psychometric properties and U.S. national norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22, 356–365. doi:10.1037/a0019188.CrossRefPubMed Aarons, G. A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., & Cafri, G. (2010). Psychometric properties and U.S. national norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22, 356–365. doi:10.​1037/​a0019188.CrossRefPubMed
go back to reference Aarons, G. A., McDonald, E. J., Sheehan, A. K., & Walrath-Greene, C. M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research, 34, 465–469. doi:10.1007/s10488-007-0127-x.CrossRefPubMed Aarons, G. A., McDonald, E. J., Sheehan, A. K., & Walrath-Greene, C. M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale (EBPAS) in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research, 34, 465–469. doi:10.​1007/​s10488-007-0127-x.CrossRefPubMed
go back to reference Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34, 411–419. doi:10.1007/s10488-007-0121-3.CrossRefPubMed Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34, 411–419. doi:10.​1007/​s10488-007-0121-3.CrossRefPubMed
go back to reference 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, 289–301. doi:10.1007/s10488-006-0039-1.CrossRefPubMedPubMedCentral 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, 289–301. doi:10.​1007/​s10488-006-0039-1.CrossRefPubMedPubMedCentral
go back to reference Aarons, G. A., Sommerfeld, D. H., & Willging, C. E. (2011). The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform. Psychological Services, 8, 269–281. doi:10.1037/a0026196.CrossRefPubMedPubMedCentral Aarons, G. A., Sommerfeld, D. H., & Willging, C. E. (2011). The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform. Psychological Services, 8, 269–281. doi:10.​1037/​a0026196.CrossRefPubMedPubMedCentral
go back to reference Barling, J., Weber, T., & Kelloway, E. K. (1996). Effects of transformational leadership training on attitudinal and financial outcomes: A field experiment. Journal of Applied Psychology, 81, 827–832.CrossRef Barling, J., Weber, T., & Kelloway, E. K. (1996). Effects of transformational leadership training on attitudinal and financial outcomes: A field experiment. Journal of Applied Psychology, 81, 827–832.CrossRef
go back to reference Bass, B. M. (1999). Two decades of research and development in transformational leadership. European Journal of Work and Organizational Psychology, 8, 9–32.CrossRef Bass, B. M. (1999). Two decades of research and development in transformational leadership. European Journal of Work and Organizational Psychology, 8, 9–32.CrossRef
go back to reference Bass, B., & Avolio, B. (1995). MLQ: multifactor leadership questionnaire: technical report. Palo Alto, CA: Mind Garden. Bass, B., & Avolio, B. (1995). MLQ: multifactor leadership questionnaire: technical report. Palo Alto, CA: Mind Garden.
go back to reference Bass, B. M., & Avolio, B. J. (1997). Full range leadership development: manual for the multifactor leadership questionnaire. Palo Alto, CA: Mind Garden. Bass, B. M., & Avolio, B. J. (1997). Full range leadership development: manual for the multifactor leadership questionnaire. Palo Alto, CA: Mind Garden.
go back to reference Bass, B. M., & Riggio, R. E. (2006). Transformational leadership (2nd ed.). Mahwah, NJ: Lawrence Erlbaum. Bass, B. M., & Riggio, R. E. (2006). Transformational leadership (2nd ed.). Mahwah, NJ: Lawrence Erlbaum.
go back to reference Bastien, D. T., McPhee, R. D., & Bolton, K. A. (1995). A study and extended theory of the structuration of climate. Communications Monographs, 62(2), 87–109.CrossRef Bastien, D. T., McPhee, R. D., & Bolton, K. A. (1995). A study and extended theory of the structuration of climate. Communications Monographs, 62(2), 87–109.CrossRef
go back to reference Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17, 1–30. doi:10.1111/j.1468-2850.2009.01187.x. Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17, 1–30. doi:10.​1111/​j.​1468-2850.​2009.​01187.​x.
go back to reference Beidas, R. S., & Kendall, P. C. (2014). Dissemination and implementation of evidence-based practices in child and adolescent mental health. New York, NY: Oxford University Press. Beidas, R. S., & Kendall, P. C. (2014). Dissemination and implementation of evidence-based practices in child and adolescent mental health. New York, NY: Oxford University Press.
go back to reference Bliese, P. D. (2000). Within-group agreement, non-independence, and reliability: Implications for aggregation and analysis. In K. J. Klein & S. W. J. Kozlowski (Eds.), Multilevel theory, research, and methods in organizations: Foundations, extensions, and new directions (pp. 349–381). San Francisco, CA: Jossey-Bass. Bliese, P. D. (2000). Within-group agreement, non-independence, and reliability: Implications for aggregation and analysis. In K. J. Klein & S. W. J. Kozlowski (Eds.), Multilevel theory, research, and methods in organizations: Foundations, extensions, and new directions (pp. 349–381). San Francisco, CA: Jossey-Bass.
go back to reference Brown, R. D. (2000, April). Interrater agreement reconsidered: The role of maximum possible variance. Paper presented at the 15th Annual Conference of the Society for Industrial and Organizational Psychology, New Orleans, LA. Brown, R. D. (2000, April). Interrater agreement reconsidered: The role of maximum possible variance. Paper presented at the 15th Annual Conference of the Society for Industrial and Organizational Psychology, New Orleans, LA.
go back to reference Brown, R. D., & Hauenstein, N. M. A. (2005). Interrater agreement reconsidered: An alternative to the rwg indices. Organizational Research Methods, 8, 165–184.CrossRef Brown, R. D., & Hauenstein, N. M. A. (2005). Interrater agreement reconsidered: An alternative to the rwg indices. Organizational Research Methods, 8, 165–184.CrossRef
go back to reference Bruns, E. J., Hoagwood, K. E., Rivard, J. C., Wotring, J., Marsenich, L., & Carter, B. (2008). State implementation of evidence-based practice for youths, part II: Recommendations for research and policy. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 499–504.CrossRefPubMed Bruns, E. J., Hoagwood, K. E., Rivard, J. C., Wotring, J., Marsenich, L., & Carter, B. (2008). State implementation of evidence-based practice for youths, part II: Recommendations for research and policy. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 499–504.CrossRefPubMed
go back to reference Carlson, M., Wilcox, R., Chou, C., Chang, M., Yang, F., Blanchard, J., et al. (2011). Psychometric properties of reverse-scored items on the CES-D in a sample of ethnically diverse older adults. Psychological Assessment, 23, 558–562.CrossRefPubMedPubMedCentral Carlson, M., Wilcox, R., Chou, C., Chang, M., Yang, F., Blanchard, J., et al. (2011). Psychometric properties of reverse-scored items on the CES-D in a sample of ethnically diverse older adults. Psychological Assessment, 23, 558–562.CrossRefPubMedPubMedCentral
go back to reference Cashin, C., Scheffler, R., Felton, M., Adams, N., & Miller, L. (2008). Transformation of the California mental health system: Stakeholder-driven planning as a transformational activity. Psychiatric Services, 59, 1107–1114.CrossRefPubMed Cashin, C., Scheffler, R., Felton, M., Adams, N., & Miller, L. (2008). Transformation of the California mental health system: Stakeholder-driven planning as a transformational activity. Psychiatric Services, 59, 1107–1114.CrossRefPubMed
go back to reference Conrad, K. J., Wright, B. D., McKnight, P., McFall, M., Fontana, A., & Rosenheck, R. (2004). Comparing traditional and Rasch analyses of the Mississippi PTSD scale: Revealing limitations of reverse-scored items. Journal of Applied Measurement, 5, 15–30.PubMed Conrad, K. J., Wright, B. D., McKnight, P., McFall, M., Fontana, A., & Rosenheck, R. (2004). Comparing traditional and Rasch analyses of the Mississippi PTSD scale: Revealing limitations of reverse-scored items. Journal of Applied Measurement, 5, 15–30.PubMed
go back to reference Fisher, D. M. (2014). A multilevel cross-cultural examination of role overload and organizational commitment: Investigating the interactive effects of context. Journal of Applied Psychology, 99(4), 723. doi:10.1037/a0035861.CrossRefPubMed Fisher, D. M. (2014). A multilevel cross-cultural examination of role overload and organizational commitment: Investigating the interactive effects of context. Journal of Applied Psychology, 99(4), 723. doi:10.​1037/​a0035861.CrossRefPubMed
go back to reference Glisson, C., & Green, P. (2011). Organizational climate, services, and outcomes in child welfare settings. Child Abuse and Neglect, 35, 582–591.CrossRefPubMed Glisson, C., & Green, P. (2011). Organizational climate, services, and outcomes in child welfare settings. Child Abuse and Neglect, 35, 582–591.CrossRefPubMed
go back to reference Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., & Research Network on Youth Mental Health. (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, 98–113. doi:10.1007/s10488-007-0148-5.CrossRefPubMed Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., & Research Network on Youth Mental Health. (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, 98–113. doi:10.​1007/​s10488-007-0148-5.CrossRefPubMed
go back to reference Glisson, C., Shoenwald, 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, 124–133. doi:10.1007/s10488-007-0152-9.CrossRefPubMed Glisson, C., Shoenwald, 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, 124–133. doi:10.​1007/​s10488-007-0152-9.CrossRefPubMed
go back to reference Grant, A. M. (2012). Leading with meaning: Beneficiary contact, prosocial impact, and the performance effects of transformational leadership. Academy of Management Journal, 55, 458–476. doi:10.5465/amj.2010.0588.CrossRef Grant, A. M. (2012). Leading with meaning: Beneficiary contact, prosocial impact, and the performance effects of transformational leadership. Academy of Management Journal, 55, 458–476. doi:10.​5465/​amj.​2010.​0588.CrossRef
go back to reference Henggeler, S. W., Chapman, J. E., Rowland, M. D., Halliday-Boykins, C. A., Randall, J., Shackelford, J., & Schoenwald, S. K. (2008). Statewide adoption and initial implementation of contingency management for substance-abusing adolescents. Journal of Consulting and Clinical Psychology, 76, 556–567. doi:10.1037/0022-006X.76.4.556.CrossRefPubMedPubMedCentral Henggeler, S. W., Chapman, J. E., Rowland, M. D., Halliday-Boykins, C. A., Randall, J., Shackelford, J., & Schoenwald, S. K. (2008). Statewide adoption and initial implementation of contingency management for substance-abusing adolescents. Journal of Consulting and Clinical Psychology, 76, 556–567. doi:10.​1037/​0022-006X.​76.​4.​556.CrossRefPubMedPubMedCentral
go back to reference Kearney, E., & Gebert, D. (2009). Managing diversity and enhancing team outcomes: The promise of transformational leadership. Journal of Applied Psychology, 94, 77–89. doi:10.1037/a0013077.CrossRefPubMed Kearney, E., & Gebert, D. (2009). Managing diversity and enhancing team outcomes: The promise of transformational leadership. Journal of Applied Psychology, 94, 77–89. doi:10.​1037/​a0013077.CrossRefPubMed
go back to reference Laschinger, H. K. S., Finegan, J., & Shamian, J. (2001). The impact of workplace empowerment, organizational trust on staff nurses’ work satisfaction and organizational commitment. Health Care Management Review, 26(3), 7–23.CrossRefPubMed Laschinger, H. K. S., Finegan, J., & Shamian, J. (2001). The impact of workplace empowerment, organizational trust on staff nurses’ work satisfaction and organizational commitment. Health Care Management Review, 26(3), 7–23.CrossRefPubMed
go back to reference McArdle, J. J. (2013). Dealing with longitudinal attrition using logistic regression and decision tree analyses. In J. J. McArdle & G. Ritschard (Eds.), Contemporary issues in exploratory data mining in the behavioral sciences (pp. 282–311). New York: Taylor & Frances. McArdle, J. J. (2013). Dealing with longitudinal attrition using logistic regression and decision tree analyses. In J. J. McArdle & G. Ritschard (Eds.), Contemporary issues in exploratory data mining in the behavioral sciences (pp. 282–311). New York: Taylor & Frances.
go back to reference McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73–84. doi:10.1037/a0018121.CrossRefPubMed McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73–84. doi:10.​1037/​a0018121.CrossRefPubMed
go back to reference Mullen, J. E., & Kelloway, E. K. (2009). Safety leadership: A longitudinal study of the effects of transformational leadership on safety outcomes. Journal of Occupational and Organizational Psychology, 82(2), 253–272. doi:10.1348/096317908X325313.CrossRef Mullen, J. E., & Kelloway, E. K. (2009). Safety leadership: A longitudinal study of the effects of transformational leadership on safety outcomes. Journal of Occupational and Organizational Psychology, 82(2), 253–272. doi:10.​1348/​096317908X325313​.CrossRef
go back to reference Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903.CrossRefPubMed Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903.CrossRefPubMed
go back to reference Podsakoff, P. M., & Organ, D. W. (1986). Self-reports in organizational research: Problems and prospects. Journal of Management, 12(4), 531–544.CrossRef Podsakoff, P. M., & Organ, D. W. (1986). Self-reports in organizational research: Problems and prospects. Journal of Management, 12(4), 531–544.CrossRef
go back to reference Reichers, A. E., & Schneider, B. (1990). Climate and culture: An evolution of constructs. In B. Schneider (Ed.), Organizational climate and culture (pp. 5–39). San Francisco, CA: Jossey-Bass. Reichers, A. E., & Schneider, B. (1990). Climate and culture: An evolution of constructs. In B. Schneider (Ed.), Organizational climate and culture (pp. 5–39). San Francisco, CA: Jossey-Bass.
go back to reference Rodebaugh, T. L., Woods, C. M., & Heimberg, R. G. (2007). The reserve of social anxiety is not always the opposite: The reverse-scored items of the social interaction anxiety scale do not belong. Behavior Therapy, 38, 192–206.CrossRefPubMed Rodebaugh, T. L., Woods, C. M., & Heimberg, R. G. (2007). The reserve of social anxiety is not always the opposite: The reverse-scored items of the social interaction anxiety scale do not belong. Behavior Therapy, 38, 192–206.CrossRefPubMed
go back to reference Sarros, J. C., Cooper, B. K., & Santora, J. C. (2008). Building a climate for innovation through transformational leadership and organizational culture. Journal of Leadership & Organizational Studies, 15, 145–158.CrossRef Sarros, J. C., Cooper, B. K., & Santora, J. C. (2008). Building a climate for innovation through transformational leadership and organizational culture. Journal of Leadership & Organizational Studies, 15, 145–158.CrossRef
go back to reference Scheffer, J. (2002). Dealing with missing data. Research Letters in the Information and Mathematical Sciences, 3, 153–160. Scheffer, J. (2002). Dealing with missing data. Research Letters in the Information and Mathematical Sciences, 3, 153–160.
go back to reference Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRefPubMed Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRefPubMed
go back to reference Sivasubramaniam, N., Murry, W. D., Avolio, B. J., & Jung, D. I. (2002). A longitudinal model of the effects of team leadership and group potency on group performance. Group and Organization Management, 27, 66–96. doi:10.1177/1059601102027001005.CrossRef Sivasubramaniam, N., Murry, W. D., Avolio, B. J., & Jung, D. I. (2002). A longitudinal model of the effects of team leadership and group potency on group performance. Group and Organization Management, 27, 66–96. doi:10.​1177/​1059601102027001​005.CrossRef
go back to reference Spector, P. E. (2006). Method variance in organizational research truth or urban legend? Organizational Research Methods, 9, 221–232.CrossRef Spector, P. E. (2006). Method variance in organizational research truth or urban legend? Organizational Research Methods, 9, 221–232.CrossRef
go back to reference Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Boston, MA: Pearson. Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). Boston, MA: Pearson.
go back to reference Torrey, W. C., Bond, G. R., McHugo, G. J., & Swain, K. (2012). Evidence-based practice implementation in community mental health settings: The relative importance of key domains of implementation activity. Administration and Policy in Mental Health and Mental Health Services Research, 39, 353–364. doi:10.1007/s10488-011-0357-9.CrossRefPubMed Torrey, W. C., Bond, G. R., McHugo, G. J., & Swain, K. (2012). Evidence-based practice implementation in community mental health settings: The relative importance of key domains of implementation activity. Administration and Policy in Mental Health and Mental Health Services Research, 39, 353–364. doi:10.​1007/​s10488-011-0357-9.CrossRefPubMed
go back to reference Wang, G., Oh, I.-S., Courtright, S. H., & Colbert, A. E. (2011). Transformational leadership and performance across criteria and levels: A meta-analytic review of 25 years of research. Group and Organization Management, 36, 223–270. doi:10.1177/1059601111401017.CrossRef Wang, G., Oh, I.-S., Courtright, S. H., & Colbert, A. E. (2011). Transformational leadership and performance across criteria and levels: A meta-analytic review of 25 years of research. Group and Organization Management, 36, 223–270. doi:10.​1177/​1059601111401017​.CrossRef
go back to reference Warren-Gross, L. (2009). How does a failing school stop failing? Knowledge Quest, 38(2), 40–43. Warren-Gross, L. (2009). How does a failing school stop failing? Knowledge Quest, 38(2), 40–43.
go back to reference Zohar, D. (1980). Safety climate in industrial organizations: Theoretical and applied implications. Journal of Applied Psychology, 65, 96–102.CrossRefPubMed Zohar, D. (1980). Safety climate in industrial organizations: Theoretical and applied implications. Journal of Applied Psychology, 65, 96–102.CrossRefPubMed
go back to reference Zohar, D., & Polachek, T. (2014). Discourse-based intervention for modifying supervisory communication as leverage for safety climate and performance improvement: A randomized field study. Journal of Applied Psychology, 99(1), 113. doi:10.1037/a0034096.CrossRefPubMed Zohar, D., & Polachek, T. (2014). Discourse-based intervention for modifying supervisory communication as leverage for safety climate and performance improvement: A randomized field study. Journal of Applied Psychology, 99(1), 113. doi:10.​1037/​a0034096.CrossRefPubMed
Metadata
Title
Leadership, Organizational Climate, and Perceived Burden of Evidence-Based Practice in Mental Health Services
Authors
Kim C. Brimhall
Karissa Fenwick
Lauren R. Farahnak
Michael S. Hurlburt
Scott C. Roesch
Gregory A. Aarons
Publication date
01-09-2016
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2016
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0670-9

Other articles of this Issue 5/2016

Administration and Policy in Mental Health and Mental Health Services Research 5/2016 Go to the issue