Abstract
The major purpose of this paper is to examine the relationship between control and implementation of drug treatment services while controlling for the structure of the organization. It is based on a study of 19 drug abuse programs in eight counties of North Carolina. The analysis of the data indicates that greater control will not necessarily increase the effectiveness of organization performance; rather, for change to occur, control by professional personnel will have to decrease. This would allow the organization to be more responsive to environmental concerns, and therefore more effective.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Becker, S., & Gordon, J. An entrepreneurial theory of formal organizations.Administrative Science Quarterly, 1966,11, 315–344.
Child, J. Organizational structure, environment and performance: The role of strategic choice.Sociology, 1972,6, 1–22.
Hage, J., & Dewar, R. Elite values versus organizational structure in predicting innovation.Administrative Science Quarterly, 1973,18, 279–290.
Hall, R. B. The concept of bureaucracy: An empirical assessment.American Journal of Sociology, 1963,69, 32–40.
Kaluzny, A. D. Innovation in health services: Theoretical framework and review of research.Health Services Research, 1974,9, 101–120.
Lawrence, R. R., & Lorsch, J. W.Organization and environment: Managing differentiation and integration, Boston: Harvard Business School, 1967.
Morley, E. Human support services in complex manufacturing organizations: A special case of differentiation.Administrative Science Quarterly, 1974,19, 295–318.
Nathanson, C. A., & Becker, N. H. Control structure and conflict in outpatient clinics.Journal of Health and Social Behavior, 1972,13, 251–262.
Neuhauser, D.The relationship between administration activities and hospital performance. Research Series 28, Chicago: Center for Health Administration Studies, University of Chicago, 1971.
Perrow, C. A framework for the comparative analysis of organizations.American Sociological Review, 1967,32, 194–208.
Rosengren, W. R., & Lefton, M.Hospitals and patients. New York: Atherton, 1969.
Tannenbaum, A. S.Control in organizations. New York: McGraw-Hill, 1968.
Weick, K. E.The social psychology of organizing, Reading, Mass.: Addison-Wesley, 1969.
Author information
Authors and Affiliations
Additional information
This research was supported by Grant #1 R01 DA00602-01 from the United States Public Health Service Alcohol, Drug Abuse, and Mental Health Administration, Division of Research, National Institute on Drug Abuse.
Rights and permissions
About this article
Cite this article
Veney, J.E., Kaluzny, A.D. & Phoenix, D.D. Control and service implementation in drug abuse treatment programs. Community Ment Health J 13, 249–260 (1977). https://doi.org/10.1007/BF02161199
Issue Date:
DOI: https://doi.org/10.1007/BF02161199