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01-07-2015 | Original Paper

Leadership and Licensure for Drug Treatment and the Implementation of Co-Occurring Disorder Treatment in Community Mental Health Centers

Authors: Erick G. Guerrero, Howard Padwa, Rebecca Lengnick-Hall, Yinfei Kong, Judith L. Perrigo

Published in: Community Mental Health Journal | Issue 5/2015

Abstract

Using a random sample of 48 outpatient mental health programs in low-income and racial and ethnic minority communities, this study examined directorial leadership, drug treatment licensure, and implementation of evidence-based protocols and practices to address co-occurring mental health and substance abuse disorders (COD). Understanding of findings was enhanced with focus groups at six clinics. Most programs (81 %) offered COD treatment. Directorial leadership was positively associated with COD treatment (β = 0.253, p = 0.047, 95 % CI 0.003, 0.502) and COD supervision and training (β = 0.358, p = 0.002, 95 % CI 0.142, 0.575). Licensure was negatively associated with COD treatment (β = −0.235, p = 0.041, 95 % CI −0.460, −0.010) and COD supervision and training (β = −0.195, p = 0.049, 95 % CI −0.389, −0.001). Although lack of financial integration may limit the effect of licensing on COD treatment implementation, the response of leaders to regulation, funding, and human resources issues may encourage COD treatment practices. Implications for leadership interventions and policy are discussed in the context of health care reform.

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Title: Leadership and Licensure for Drug Treatment and the Implementation of Co-Occurring Disorder Treatment in Community Mental Health Centers
Authors: Erick G. Guerrero
Howard Padwa
Rebecca Lengnick-Hall
Yinfei Kong
Judith L. Perrigo
Publication date: 01-07-2015
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 5/2015
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-015-9886-0

At a glance: The STEP trials

Springer Medicine

Leadership and Licensure for Drug Treatment and the Implementation of Co-Occurring Disorder Treatment in Community Mental Health Centers

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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