Weak coordination between community correctional agencies and community-based treatment providers is a major barrier to diffusion of medication-assisted treatment (MAT)—the inclusion of medications (e.g., methadone and buprenorphine) in combination with traditional counseling and behavioral therapies to treat substance use disorders. In a multisite cluster randomized trial, experimental sites (j = 10) received a 3-h MAT training plus a 12-month linkage intervention; control sites (j = 10) received the 3-h training alone. Hierarchical linear models showed that the intervention resulted in significant improvements in perceptions of interagency coordination among treatment providers, but not probation/parole agents. Implications for policy and practice are discussed.
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In some sites, change team members also included representatives from Treatment Alternatives to Street Crime (TASC) or another local agency responsible for Alcohol or Other Drug (AOD) assessments.
A random effect was not estimated for Treatment Agency (27 treatment agencies participated across the 20 sites), but the “Subjects” statement in GLMM explicitly separated cases by Treatment Agency so as to avoid mixing ratings of or by distinct treatment agencies in any specific site.
For IOR1, n = 458 for BL; n = 323 for 12MO; total cases available for analyses = 781. Because each respondent may have rated more than one treatment agency, and because different respondents may have been sampled at BL and 12MO, the total number of unique individuals (rather than cases) was n = 439.
For IOR2, n = 213 for BL; n = 171 for 12MO; total cases available for analyses = 384. Because different respondents may have been sampled at BL and 12MO, the total number of unique individuals (rather than cases) was n = 270.
Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23. doi:10.1007/s10488-010-0327-7.
Aime, F., Humphrey, S. E., DeRue, D. S., & Paul, J. B. (2014). The riddle of heterarchy: Power transitions in cross-functional teams. Academy of Management Journal, 57, 327–352. doi:10.5465/amj.2011.0756.
Aime, F., Meyer, C. J., & Humphrey, S. E. (2010). Legitimacy of group rewards: Analyzing legitimacy as a condition for the effectiveness of group incentive designs. Journal of Business Research, 63, 60–66.
Amato, L., Davoli, M., Perucci, C. A., Ferri, M., Faggiano, F., & Mattick, R. P. (2005). An overview of systematic reviews of the effectiveness of opiate maintenance therapies: Available evidence to inform clinical practice and research. Journal of Substance Abuse Treatment, 28, 321–329.
American Association for the Treatment of Opioid Dependence, Inc. (AATOD) (2014). Methadone treatment in the criminal justice system. http://www.aatod.org/projectseducational-training/methadone-treatment-in-the-criminal-justice/. Accessed 3 Jan 2015.
American Probation and Parole Association (APPA) (2014). Position statement: Substance abuse. Retrieved from the APPA web site at https://www.appa-net.org/eweb/Dynamicpage.aspx?site=APPA_2&webcode=IB_PositionStatement&wps_key=7fc2f2f7-f752-4c3e-adb8-64b4b49dfa58. Accessed 3 Jan 2015.
Beersma, B., Hollenbeck, J. R., Humphrey, S. E., Moon, H., Conlon, D. E., & Ilgen, D. R. (2003). Cooperation, competition, and team performance: Toward a contingency approach. Academy of Management Journal, 46, 572–590.
Broome, K. M., Knight, D. K., Edwards, J. R., & Flynn, P. M. (2009). Leadership, burnout, and job satisfaction in outpatient drug-free treatment programs. Journal of Substance Abuse Treatment, 37, 160–170. doi:10.1016/j.jsat.2008.12.002.
Capoccia, V. A., Cotter, F., Gustafson, D. H., Cassidy, E., Ford, J., Madden, L., et al. (2007). Making “st“ne soup”:”ow process improvement is changing the addiction treatment field. Joint Commission Journal on Quality and Patient Safety, 33, 95–103.
Center for Substance Abuse Treatment (2007). National summit on recovery: Conference report. DHHS Publication No. (SMA) 07-4276. Rockville, MD: Substance Abuse and Mental Health Services Administration. http://beta.samhsa.gov/sites/default/files/partnersforrecovery/docs/Summit_Rpt_1.pdf. Accessed 3 Jan 2015.
Chamberlain, P., Brown, C. H., Saldana, L., Reid, J., Wang, W., Marsenich, L., et al. (2008). Engaging and recruiting counties in an experiment on implementing evidence-based practice in California. Administration & Policy in Mental Health & Mental Health Services Research, 35, 250–260. doi:10.1007/s10488-008-0167-x.
Clear, T. R., & Latessa, E. J. (1993). Probation officers’ r’les in intensive supervision: Surveillance versus treatment. Justice Quarterly, 10(3), 441–462.
Cocozza, J. J., Steadman, H. J., Dennis, D. L., Blasinsky, M., Randolph, F. L., Johnsen, M., & Goldman, H. (2000). Successful systems integration strategies: The ACCESS program for persons who are homeless and mentally ill. Administration & Policy in Mental Health & Mental Health Services Research, 27, 395–407.
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50. doi:10.1186/1748-5908-1184-1150.
Damschroder, L. J., & Hagedorn, H. J. (2011). A guiding framework and approach for implementation research in substance use disorders treatment. Psychology of Addictive Behaviors, 25, 194–205. doi:10.1037/a0022284.
D’Aunno, T. A. (1997). Linking substance abuse treatment and primary health care. In J. A. Egerston, D. M. Fox, & A. I. Leshner (Eds.), Treating drug users effectively (pp. 311–351). Malden, MA: Blackwell.
Ducharme, L. J., Chandler, R. K., & Wiley, T. R. A. (2013). Implementing drug abuse treatment services in criminal justice settings: Introduction to the CJDATS study protocol series. Health & Justice, 1, 5. doi:10.1186/2194-7899-1-5.
Edmonson, A. C. (2003). Speaking up in the operating room: How team leaders promote learning in interdisciplinary action teams. Journal of Management Studies, 40, 1419–1452. doi:10.1111/1467-6486.00386.
Etten, T., & Petrone, R. (1994). Sharing data and information in juvenile justice: Legal, ethical, and practical considerations. Juvenile and Family Court Journal, 45, 65–90. doi:10.1111/j.1755-6988.
Feldstein, A. C., & Glasgow, R. E. (2008). A practical, robust implementation and sustainability model (PRISM) for integrating findings into practice. Joint Commission Journal on Quality and Patient Safety, 34, 228–243.
Ferlie, E. B., & Shortell, S. M. (2001). Improving the quality of health care in the United Kingdom and the United States: A framework for change. Millbank Quarterly, 79, 281–315.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (FMHI Publication #231). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
Fletcher, B. W., & Wexler, H. K. (2005). National criminal justice drug abuse treatment studies (CJ-DATS): Update and progress. Justice Research & Research Association Forum, 23, 1–7.
Friedmann, P. D., D'Aunno, T. A., Jin, L., & Alexander, J. A. (2000). Medical and psychosocial services in drug abuse treatment: Do stronger linkages promote client utilization? Health Services Research, 35, 443–465.
Friedmann, P. D., Ducharme, L. J., Welsh, W., Frisman, L., Knight, K., et al. (2013). A cluster randomized trial of an organizational linkage intervention for offenders with substance use disorders: study protocol. Health and Justice, 1, 6. doi:10.1186/2194-7899-1-6.
Friedmann, P. D., Hoskinson, R., Gordon, M., Schwartz, R., Kinlock, T., Knight, K., et al. (2012). Medication-assisted treatment in criminal justice agencies affiliated with the criminal justice drug abuse treatment studies (CJ-DATS): availability, barriers and intentions. Substance Abuse, 33, 9–18. doi:10.1080/08897077.
Friedmann, P. D., Taxman, F. S., & Henderson, C. E. (2007). Evidence-based treatment practices for drug-involved adults in the criminal justice system. Journal of Substance Abuse Treatment, 32, 267–277.
Goldman, H. H., Morrissey, J. P., Rosenheck, R. A., Cocozza, J., Blasinsky, M., Randolph, F., & The ACCESS National Evaluation Team. (2002). Lessons from the evaluation of the ACCESS program. Psychiatric Services, 53, 967–969.
Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581–629.
Hedeker, D., Gibbons, R. D., & Flay, B. R. (1994). Random-effects regression models for clustered data with an example from smoking prevention research. Journal of Consulting and Clinical Psychology, 62, 757–765.
Henderson, C. E., Taxman, F. S., & Young, D. (2008). A Rasch model analysis of evidence based treatment practices used in the criminal justice system. Drug and Alcohol Dependence, 93, 163–175.
Henderson, C. E., Young, D. W., Farrell, J., & Taxman, F. S. (2009). Associations among state and local organizational contexts: Use of evidence-based practices in the criminal justice system. Drug and Alcohol Dependence, 103, S23–S32.
Hepburn, J. R., & Albonetti, C. (1980). Role conflict in correctional institutions: An empirical examination of the treatment-custody dilemma among correctional staff. Criminology, 17(4), 445–459.
Hitt, M. A., Beamish, P. W., Jackson, S. E., & Mathieu, J. E. (2007). Building theoretical and empirical bridges across levels: Multilevel research in management. Academy of Management Journal, 50, 1385–1399. doi:10.5465/AMJ.2007.28166219.
Johnson, B. A. (2008). Update on neuropharmacological treatments for alcoholism: Scientific basis and clinical findings. Biochemical Pharmacology, 75, 34–56.
Johnson, C., Dowd, T. J., & Ridgeway, C. L. (2006). Legitimacy as a social process. Annual Review of Sociology, 32, 53–78.
Knudsen, H. K., Abraham, A. J., & Roman, P. M. (2011). Adoption and implementation of medications in addiction treatment programs. Journal of Addiction Medicine, 5, 21–27. doi:10.1097/ADM.0b013e3181d41ddb.
Kubiak, S. P., Arfken, C. L., & Gibson, E. S. (2009). Departments of corrections as purchasers of community-based treatment: A national study. Journal of Substance Abuse Treatment, 36, 420–427. doi:10.1016/j.jsat.2008.08.009.
Lehman, W. E. K., Fletcher, B. W., Wexler, H. K., & Melnick, G. (2009). Organizational factors and collaboration and integration activities in criminal justice and drug abuse treatment agencies. Drug and Alcohol Dependence, 103S, S65–S72. doi:10.1016/j.drugalcdep.2009.01.004.
Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22, 197–209.
Lundgren, L., Chassler, D., Amodeo, M., D'Ippolito, M., & Sullivan, L. (2012). Barriers to implementation of evidence-based addiction treatment: A national study. Journal of Substance Abuse Treatment, 42, 231–238. doi:10.1016/j.jsat.2011.08.003.
Maxwell, S. E., & Delaney, H. D. (2004). Designing experiments and analyzing data: A model comparison perspective. New York: Taylor & Francis.
McCarty, D., & Chandler, R. K. (2009). Understanding the importance of organizational and system variables on addiction treatment services within criminal justice settings. Drug and Alcohol Dependence, 103, S91–S93. doi:10.1016/j.drugalcdep.2009.03.001.
McCarty, D., Gustafson, D. H., Wisdom, J. P., Ford, J., Dongseok, C., Molfenter, T., et al. (2007). The network for the improvement of addiction treatment (NIATx): Enhancing access and retention. Drug and Alcohol Dependence, 88, 138–145.
Miller, N. (2013). RSAT training tool: Medication Assisted Treatment (MAT) for offender populations. Washington, DC: U.S. Department of Justice, Office of Justice programs, Bureau of Justice Assistance. http://www.rsat-tta.com/Files/Trainings/FinalMAT. Accessed 3 Jan 2015.
Miller, W. R., Sorensen, J. L., Selzer, J. A., & Brigham, G. S. (2006). Disseminating evidence-based practices in substance abuse treatment: A review with suggestions. Journal of Substance Abuse Treatment, 31, 25–39.
Morrissey, J. P., Calloway, M. O., Thakur, N., Cocozza, J., Steadman, H. J., Dennis, D., & The ACCESS National Evaluation Team. (2002). Integration of service systems for homeless persons with serious mental illness through the ACCESS program. Psychiatric Services, 53, 949–957.
National Reentry Resource Center (NRRC) (2011). Innovations in substance abuse treatment: Continuing care and medicated-assisted treatments for the criminal justice population. http://csgjusticecenter.org/documents/0000/1206/Oct_25_2011_Webinar-_ATTC_and_CSGJC_final.pdf. Accessed 3 Jan 2015.
NIH Consensus Development Panel on Effective Medical Treatment of Opiate Addiction. (1998). Effective medical treatment of opiate addiction. JAMA, 280, 1936–1943.
Oliver, C. (1990). Determinants of interorganizational relationships: Integration and future directions. Academy of Management Review, 15, 241–265.
Palinkas, L. A., Aarons, G. A., Horwitz, S. M., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011). Mixed method designs in implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 38, 44–53. doi:10.1007/s10488-010-0314-z.
Petrila, J. (2007). Dispelling the myths about information sharing between the mental health and criminal justice systems. CMHS National GAINS Center for Systemic Change for Justice-Involved People with Mental Illness. Tampa, FL: Department of Mental Health Law & Policy, University of South Florida.
Powell, B. J., McMillen, J. C., Proctor, E. K., Carpenter, C. R., Griffey, R. T., Bunger, A. C., et al. (2012). A compilation of strategies for implementing clinical innovations in health and mental health. Medical Care Research and Review, 69, 123–157. doi:10.1177/1077558711430690.
Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy Mental Health, 36, 24–34. doi:10.1007/s10488-008-0197-4.
Randolph, F., Blasinsky, M., Leginski, W., Parker, L. B., & Goldman, H. H. (1997). Creating integrated service systems for homeless persons with mental illness: The ACCESS program. Psychiatric Services, 48, 369–373.
Randolph, F., Blasinsky, M., Morrissey, J. P., Rosenheck, R. A., Cocozza, J., Goldman, H. H., & The ACCESS National Evaluation Team. (2002). Overview of the ACCESS Program. Psychiatric Services, 53, 945–948.
Raudenbush, S. W. (1997). Statistical analysis and optimal design for cluster randomized trials. Psychological Methods, 2, 173–185.
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.
Rosenheck, R. A., Lam, J., Morrissey, J. P., Calloway, M. O., Stolar, M., Randolph, F., & The ACCESS National Evaluation Team. (2002). Service systems integration and outcomes for mentally ill homeless persons in the ACCESS program. Psychiatric Services, 53, 958–966.
Salerno, A., Dixon, L. B., Myers, R. W., Smith, A. M., Lamberti, J. S., Jewell, T. C., & Essock, S. M. (2011). Public-academic partnerships: A public-academic partnership to support a state mental health authority’s strategic planning and policy decisions. Psychiatric Services, 62(12), 1413–1415. doi:10.1176/appi.ps.014132011.
Samet, J. H., Saitz, R., & Larson, M. J. (1996). A case for enhanced linkage of substance abusers to primary medical care. Substance Abuse, 17, 181–192.
Sigler, R. T. (1988). Role conflict for adult probation and parole officers: Fact or myth. Journal of Criminal Justice, 16(2), 121–129.
Spybrook, J., & Raudenbush, S. W. (2009). An examination of the precision and technical accuracy of the first wave of group-randomized trials funded by the Institute of Education Sciences. Educational Evaluation and Policy Analysis, 31(3), 298–318. doi:10.3102/0162373709339524.
Substance Abuse and Mental Health Services Administration (SAMHSA) (2013). Einstein expert panel: Medication-Assisted Treatment and the criminal justice system. Rockville, MD: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. http://www.samhsa.gov/sites/default/files/mat-criminal-justice-panel-2011.pdf. Accessed 3 Jan 2015.
Substance Abuse and Mental Health Services Administration (SAMHSA) (2014). Partners for recovery (PFR). Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. http://beta.samhsa.gov/partners-for-recovery. Accessed 3 Jan 2015.
Tabak, R. G., Khoong, E. C., Chambers, D. A., & Brownson, R. C. (2012). Bridging research and practice: Models for dissemination and implementation research. American Journal of Preventive Medicine, 43, 337–350. doi:10.1016/j.amepre.2012.05.024.
Taxman, F., Henderson, C., & Belenko, S. (2009). Organizational context, systems change, and adopting treatment delivery systems in the criminal justice system. Drug and Alcohol Dependence, 103S, S1–S6. doi:10.1016/j.drugalcdep.2009.03.003.
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, 39, 353–364. doi:10.1007/s10488-011-0357-9.
Van de Ven, A. H., & Ferry, D. L. (1980). The interorganizational field. In A. H. Van de Ven & D. L. Ferry (Eds.), Measuring and assessing organizations (pp. 296–346). New York: Wiley.
Van de Ven, A. H., & Walker, G. (1984). The dynamics of interorganizational coordination. Administrative Science Quarterly, 29, 598–621.
Varda, D., Chandra, A., Stern, S., & Lurie, N. (2008). Core dimensions of connectivity in public health collaboratives. Journal of Public Health Management and Practice, 14, E1–E7. doi:10.1097/01.PHH.0000333889.60517.46.
Welsh, W. N. (2006). The need for a comprehensive approach to program planning, development, and evaluation. Criminology and Public Policy, 5, 603–614.
Welsh, W. N., & Harris, P. W. (2012). Criminal justice policy and planning (4th ed.). Cincinnati: Elsevier.
Whitehead, J. T. (1984). Probation mission reform: Implications for the forgotten actor—the probation officer. Criminal Justice Review, 9(1), 15–21.
Whitehead, J. T., & Lindquist, C. A. (1992). Determinants of probation and parole officer professional orientation. Journal of Criminal Justice, 20, 13–24.
Sheedy C.K. & Whitter, M. (2009). Guiding principles and elements of recovery-oriented systems of care: What do we know from the research? HHS. Publication No. (SMA) 09-4439. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. http://www.samhsa.gov/samhsanewsletter/Volume_17_Number_5/WhitePapers.aspx. Accessed 3 Jan 2015.
This study was funded under a cooperative agreement from the U.S. Department of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA), with support from the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Bureau of Justice Assistance, US Department of Justice. The authors gratefully acknowledge the collaborative contributions by NIDA; the Coordinating Center, AMAR International, Inc.; and the Research Centers participating in CJ-DATS. The Research Centers include: Arizona State University and Maricopa County Adult Probation (U01DA025307); University of Connecticut and the Connecticut Department of Correction (U01DA016194); University of Delaware and the Delaware Department of Correction (U01DA016230); Friends Research Institute and the Maryland Department of Public Safety Correctional Services’Division of Parole and Probation (U01DA025233); University of Kentucky and the Kentucky Department of Corrections (U01DA016205); University of Rhode Island, Rhode Island Hospital and the Rhode Island Department of Corrections (U01DA016191); Texas Christian University and the Illinois Department of Corrections (U01DA016190); Temple University and the Pennsylvania Department of Corrections (U01DA025284); and the University of California at Los Angeles and the Washington State Department of Corrections (U01DA016211). The views and opinions expressed in this report are those of the authors and should not be construed to represent the views of NIDA nor any of the sponsoring organizations, agencies, CJ-DATS partner sites, or the U.S. government.
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Welsh, W.N., Knudsen, H.K., Knight, K. et al. Effects of an Organizational Linkage Intervention on Inter-Organizational Service Coordination Between Probation/Parole Agencies and Community Treatment Providers. Adm Policy Ment Health 43, 105–121 (2016). https://doi.org/10.1007/s10488-014-0623-8
- Substance-related disorders
- Interagency relationships
- Inter-organizational relationships