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A Systematic Review of Organizational and Workforce Interventions to Improve the Culture and Climate of Youth-Service Settings

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Abstract

Both organizational culture and climate are associated with service quality and outcomes across youth-service settings. Increasing evidence indicates capacity of organizational interventions to promote a positive and effective culture and climate. Less is known about common intervention components across studies and service settings. The current systematic review reviewed 9223 citations and identified 31 studies, across six youth-service settings, measuring changes over time in organizational culture and climate following implementation of an organizational or workforce support intervention. Results highlight the promise of organizational interventions, a need for more comparison and randomized designs, and future directions for maximizing capacity of organizations to promote health for frontline providers and the children they serve.

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References

  • 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, 11. https://doi.org/10.1186/s13012-014-0192-y.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., Glisson, C., Green, P. D., Hoagwood, K., Kelleher, K. J., Landsverk, J. A., & The Research Network on Youth Mental Health. (2012). The organizational social context of mental health services and clinician attitudes toward evidence-based practice: a United States national study. Implementation Science,7, 56. https://doi.org/10.1186/1748-5908-7-56.

    Article  Google Scholar 

  • Anderson-Butcher, D., Lawson, H. A., & Barkdull, C. (2002). An evaluation of child welfare design teams in four states. Journal of Health & Social Policy,15(3–4), 131–161. https://doi.org/10.1300/J045v15n03_10.

    Article  Google Scholar 

  • Anderson-Butcher, D., Paluta, L., Sterling, K., & Anderson, C. (2017). Ensuring healthy youth development through community schools: a case study. Children & Schools,40(1), 7–16. https://doi.org/10.1093/cs/cdx026.

    Article  Google Scholar 

  • Baldschun, A., Hamalainen, J., Totto, P., Rantonen, O., & Salo, P. (2019). Job-strain and well-being among Finnish social workers: exploring the differences in occupational well-being between child protection social workers and social workers without duties in child protection. European Journal of Social Work,22(1), 43–58. https://doi.org/10.1080/13691457.2017.1357025.

    Article  Google Scholar 

  • Barnett, T., Hoang, H., Cross, M., & Bridgman, H. (2015). Interprofessional practice and learning in a youth mental health service: A case study using network analysis. Journal of Interprofessional Care,29(5), 512–514. https://doi.org/10.3109/13561820.2015.1004042.

    Article  PubMed  Google Scholar 

  • Boris, E. T., de Leon, E., Roeger, K. L., & Nikolova, M. (2010). Human Service Nonprofits and Government Collaboration Findings from the 2010 National Survey of Nonprofit Government Contracting and Grants. Retrieved from Center on Nonprofits and Philanthropy at the Urban Institute: //www.councilofnonprofits.org/sites/default/files/documents/Full%20Report.pdf

  • Bradshaw, C. P., Koth, C. W., Bevans, K. B., Ialongo, N., & Leaf, P. J. (2008). The impact of school-wide positive behavioral interventions and supports (PBIS) on the organizational health of elementary schools. School Psychology Quarterly,23(4), 462. https://doi.org/10.1037/a0012883.

    Article  Google Scholar 

  • Bradshaw, C. P., Koth, C. W., Thornton, L. A., & Leaf, P. J. (2009). Altering school climate through school-wide Positive Behavioral Interventions and Supports: findings from a group-randomized effectiveness trial. Prevention Science : The Official Journal of the Society for Prevention Research,10(2), 100–115. https://doi.org/10.1007/s11121-008-0114-9.

    Article  Google Scholar 

  • Bryson, J. M., (1995). Strategic planning for public and nonprofit organizations: a guide to strengthening and sustaining organizational achievement (Rev ed.). San Francisco: Jossey-Bass Publishers.

    Google Scholar 

  • Bryson, J. M. (2010). The future of public and nonprofit strategic planning in the United States. Public Administration Review,70(s1), s255–s267. https://doi.org/10.1111/j.1540-6210.2010.02285.x.

    Article  Google Scholar 

  • Bunger, A. C., & Lengnick-Hall, R. (2018). Do learning collaboratives strengthen communication? A comparison of organizational team communication networks over time. Health Care Management Review,43(1), 50–60. https://doi.org/10.1097/HMR.0000000000000120.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: misconceptions and clinical examples. Journal of the American Academy of Child and Adolescent Psychiatry,46(5), 647–652. https://doi.org/10.1097/chi.0b013e318033ff71.

    Article  PubMed  Google Scholar 

  • Chorpita, B. C., Daleiden, E., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: a distillation and matching model. Mental Health Services Research,7, 5–20. https://doi.org/10.1007/s11020-005-1962-6.

    Article  PubMed  Google Scholar 

  • Colarossi, L., Betancourt, G. S., Perez, A., Weidl, M., & Morales, H. (2014). An organizational capacity-building program to enhance adolescent sexual and reproductive health. Health Promotion Practice,15(4), 538–547. https://doi.org/10.1177/1524839913478420.

    Article  PubMed  Google Scholar 

  • Cooke, R. A., & Szumal, J. L. (1993). Measuring normative beliefs and shared behavioral expectations in organizations: The reliability and validity of the organizational culture inventory. Psychological Reports, 72(3_suppl), 1299–1330. https://doi.org/10.2466/pr0.1993.72.3c.1299

  • Crawford, E. R., LePine, J. A., & Rich, B. L. (2010). Linking job demands and resources to employee engagement and burnout: a theoretical extension and meta-analytic test. Journal of Applied Psychology,95, 834–848. https://doi.org/10.1037/a0019364.

    Article  PubMed  Google Scholar 

  • Cross, A.F. (1992). Development and Implementation of a Program of Evaluation to Support Improvement of Organizational Components in a Child Care Center. Retrieved from Education Resources Information Center (ERIC) Archive. (Accession No. ERIC_ED343671)

  • Cyphers, G. (2001). APHSA Report from child welfare workforce survey: State and county data and findings. Washington DC: American Public Human Services Association.

    Google Scholar 

  • Damian, A. J., Gallo, J., Leaf, P., & Mendelson, T. (2017). Organizational and provider level factors in implementation of trauma-informed care after a city-wide training: an explanatory mixed methods assessment. BMC Health Services Research,17(1), 750. https://doi.org/10.1186/s12913-017-2695-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., et al. (2016). Interventions for Adolescent Mental Health: An Overview of Systematic Reviews. The Journal of adolescent health : official publication of the Society for Adolescent Medicine,59(4S), S49–S60. https://doi.org/10.1016/j.jadohealth.2016.06.020.

    Article  Google Scholar 

  • Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands resources model of burnout. Journal of Applied Psychology,86, 499–512. https://doi.org/10.1037/0021-9010.86.3.499.

    Article  CAS  PubMed  Google Scholar 

  • Denison, D. R. (1996). What is the difference between organizational culture and organizational climate? A native’s point of view on a decade of paradigm wars. Academy of Management Review,21, 619–654. https://doi.org/10.5465/AMR.1996.9702100310.

    Article  Google Scholar 

  • Embry, D. D., & Biglan, A. (2008). Evidence-based kernels: fundamental units of behavioral influence. Clinical child and family psychology review,11(3), 75–113. https://doi.org/10.1007/s10567-008-0036-x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Elwyn, L. J., Esaki, N., & Smith, C. A. (2015). Safety at a girls secure juvenile justice facility. Therapeutic Communities: The International Journal of Therapeutic Communities,36(4), 209–218. https://doi.org/10.1108/TC-11-2014-0038.

    Article  Google Scholar 

  • 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 & Neglect,30(8), 854–855. https://doi.org/10.1016/j.chiabu.2005.12.010.

    Article  Google Scholar 

  • 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. https://doi.org/10.1007/s10488-005-0016-0.

    Article  PubMed  Google Scholar 

  • 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 & Adolescent Psychiatry,51(8), 780–787. https://doi.org/10.1016/j.jaac.2012.05.010.

    Article  Google Scholar 

  • Glisson, C., Hemmelgarn, A., Green, P., & Williams, N. J. (2013). 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, 493–500. https://doi.org/10.1016/j.jaac.2013.02.005.

    Article  PubMed  Google Scholar 

  • Glisson, C., & James, L. R. (2002). The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior,23(6), 767–794. https://doi.org/10.1002/job.162.

    Article  Google Scholar 

  • Glisson, C., Schoenwald, S.K., Kelleher, K., Landsverk, J., Hoagwood, K.E., Mayberg, S., Green, P., & The Research Network on Youth Mental Health. (2008). 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,35, 124–133. https://doi.org/10.1007/s10488-007-0152-9.

    Article  Google Scholar 

  • Glisson, C., Williams, N. J., Hemmelgarn, A., Proctor, E., & Green, P. (2016). Increasing clinicians’ EBT exploration and preparation behavior in youth mental health services by changing organizational culture with ARC. Behaviour Research and Therapy,76, 40–46. https://doi.org/10.1016/j.brat.2015.11.008.

    Article  PubMed  Google Scholar 

  • Green, B. L., Malsch, A. M., Kothari, B. H., Busse, J., & Brennan, E. (2012). An intervention to increase early childhood staff capacity for promoting children’s social-emotional development in preschool settings. Early Childhood Education Journal,40(2), 123–132. https://doi.org/10.1007/s10643-011-0497-2.

    Article  Google Scholar 

  • Henry, L. S., Christine Hansson, M., Haughton, V. C., Waite, A. L., Bowers, M., Siegrist, V., et al. (2017). Application of Kotter’s Theory of Change to achieve baby-friendly designation. Nursing for Women’s Health,21(5), 372–382. https://doi.org/10.1016/j.nwh.2017.07.007.

    Article  PubMed  Google Scholar 

  • Hickey, L.M. (1994). Building Staff Morale in a Season of Change through Supportive, Growth-Oriented Supervision. Retrieved from Education Resources Information Center (ERIC) Archive. (Accession No. ERIC_ ED380725)

  • Hussein, S. (2018). Work engagement, burnout and personal accomplishments among social workers: A comparison between those working in children and adults’ services in england. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-018-0872-z 10.1007/s10488–018–0872-z

  • Hoy, W. K., Barnes, K., & Sabo, D. (1995). The organizational health of middle schools: the concept and its measure. Unpublished manuscript.

  • Hoy, W. K., & Feldman, J. A. (1987). Organizational health: the concept and its measure. Journal of Research and Development in Education,20, 30–38.

    Google Scholar 

  • James, L. A., & James, L. R. (1989). Integrating work environment perceptions: explorations into the measurement of meaning. Journal of Applied Psychology,74, 739–751. https://doi.org/10.1037/0021-9010.74.5.739.

    Article  Google Scholar 

  • Jones, A. P., & James, L. R. (1979). Psychological climate: Dimensions and relationships of individual and aggregated work environment perceptions. Organizational Behavior and Human Performance,23, 201–250. https://doi.org/10.1016/0030-5073(79)90056-4.

    Article  Google Scholar 

  • Joosten, T. C. M., Bongers, I. M. B., & Janssen, R. T. J. M. (2014). Redesigning mental healthcare delivery: is there an effect on organizational climate? International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care,26(1), 58–63. https://doi.org/10.1093/intqhc/mzt082.

    Article  CAS  Google Scholar 

  • Joyce, W. F., & Slocum, J. W. (1984). Collective climate: Agreement as a basis for defining aggregate climates in organizations. Academy of Management Journal,24, 721–742. https://doi.org/10.2307/255875.

    Article  Google Scholar 

  • Kayiwa, J., Clarke, K., Knight, L., Allen, E., Walakira, E., Namy, S., ... Devries, K. (2017). Effect of the good school toolkit on school staff mental health, sense of job satisfaction and perceptions of school climate: Secondary analysis of a cluster randomised trial. Preventive Medicine: An International Journal Devoted to Practice and Theory,101, 84–90. https://doi.org/10.1016/j.ypmed.2017.05.022.…

  • Kennedy, J. L., Jones, S. M., Porter, N., White, M. L., Gephardt, G., Hill, T., ... Thompson, T. (2013). High-fidelity hybrid simulation of allergic emergencies demonstrates improved preparedness for office emergencies in pediatric allergy clinics. Journal of Allergy and Clinical Immunology- In Practice,1(6), 608–U111. https://doi.org/10.1016/j.jaip.2013.07.006.…

  • Kim, H., Tracy, E. M., Biegel, D. E., Min, M. O., & Munson, M. R. (2015). The effects of organizational culture on mental health service engagement of transition age youth. The Journal of Behavioral Health Services & Research,42(4), 466–485. https://doi.org/10.1007/s11414-014-9406-y.

    Article  Google Scholar 

  • King, M. A., Wissow, L. S., & Baum, R. A. (2018). The role of organizational context in the implementation of a statewide initiative to integrate mental health services into pediatric primary care. Health Care Management Review,43(3), 206–217. https://doi.org/10.1097/HMR.0000000000000169.

    Article  PubMed  Google Scholar 

  • Lam, M. T., & McDiarmid, M. (2016). Increasing number of databases searched in systematic reviews and meta-analyses between 1994 and 2014. Journal of the Medical Library Association,104(4), 284.

    Article  Google Scholar 

  • Lawrence, C. K., Zeitlin, W. S., Auerbach, C., & Claiborne, N. (2015). Climate change in private child welfare organizations. Human Service Organizations Management Leadership & Governance,39(4), 290–305. https://doi.org/10.1080/23303131.2015.1045108.

    Article  Google Scholar 

  • Lawrence, C., Claiborne, N., Zeitlin, W., & Auerbach, C. (2016). Finish what you start: A study of Design Team change initiatives’ impact on agency climate. Children and Youth Services Review,63, 40–46. https://doi.org/10.1016/j.childyouth.2016.02.009.

    Article  Google Scholar 

  • Olin, S. S., Williams, N., Pollock, M., Armusewicz, K., Kutash, K., Glisson, C., et al. (2014). Quality indicators for family support services and their relationship to organizational social context. Administration and Policy in Mental Health and Mental Health Services Research,41, 43–54. https://doi.org/10.1007/s10488-013-0499-z.

    Article  PubMed  Google Scholar 

  • Orthner, D. K., Cook, P., Sabah, Y., & Rosenfeld, J. (2006). Organizational learning: A cross-national pilot-test of effectiveness in children’s services. Evaluation and Program Planning,29(1), 70–78. https://doi.org/10.1016/j.evalprogplan.2005.08.002.

    Article  Google Scholar 

  • Parmelli, E., Flodgren, G., Beyer, F., Baillie, N., Schaafsma, M. E., & Eccles, M. P. (2011). The effectiveness of strategies to change organisational culture to improve healthcare performance: a systematic review. Implementation Science,6, 33. https://doi.org/10.1186/1748-5908-6-33.

    Article  PubMed  Google Scholar 

  • Paul, G. L. (1967). Strategy of outcome research in psychotherapy. Journal of Consulting Psychology. US: American Psychological Association.. https://doi.org/10.1037/h0024436.

    Article  Google Scholar 

  • Pérez-Escoda, N., Guiu, G.F., Benet, A.S., & Fondevila (2013). Evaluación de un programa de educación emocional para profesorado de primaria. Facultad de Educación, 16(1). https://doi.org/10.5944/educxx1.16.1.725

  • Peterson, M. F., & Fischer, R. (2004). Organizational culture and climate. In C. D. Spielberger (Ed.), Encyclopedia of applied psychology. Oxford, UK: Elsevier Science & Technology.

  • Potter, C. C., Comstock, A., Brittain, C., & Hanna, M. (2009). Intervening in multiple states: Findings from the Western Regional Recruitment Project. Child Welfare: Journal of Policy, Practice, and Program,88(5), 169–185.

    Google Scholar 

  • Renner, L. M., Porter, R. L., & Preister, S. (2009). Improving the retention of child welfare workers by strengthening skills and increasing support for supervisors. Child Welfare, 88(5, SI), 109–127.

  • Rhodes, J. E., Camic, P. M., Milburn, M., & Lowe, S. R. (2009). Improving middle school climate through teacher-centered change. Journal of Community Psychology,37(6), 711–724. https://doi.org/10.1002/jcop.20326.

    Article  Google Scholar 

  • Schein, E. H. (2000). Sense and nonsense about culture and climate. In N. M. Ashkanasy, C. P. M. Wilderom, & M. F. Peterson (Eds.), Handbook of organizational culture and climate (pp. xxiii–xxx). Thousand Oaks, CA: Sage Publications, Inc.

  • Schneider, B., Brief, A. P., & Guzzo, R. A. (1996). Creating a climate and culture for sustainable organizational change. Organizational Dynamics,24(4), 7–19. https://doi.org/10.1016/S0090-2616(96)90010-8.

    Article  CAS  Google Scholar 

  • Schneider, B. (2000). The psychological life of organizations. In N. M. Ashkanasy, C. P. M. Wilderom, & M. F. Peterson (Eds.), Handbook of organizational culture and climate (pp. xvii–xxi). Thousand Oaks, CA: Sage Publications, Inc.

  • Sheth, S., McCarthy, E., Kipps, A. K., Wood, M., Roth, S. J., Sharek, P. J., et al. (2016). Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. Pediatrics,137(2), e20150166. https://doi.org/10.1542/peds.2015-0166.

    Article  PubMed  Google Scholar 

  • Shoushtarian, M., Barnett, M., McMahon, F., & Ferris, J. (2014). Impact of introducing practical obstetric multi-professional training (PROMPT) into maternity units in Victoria, Australia. BJOG : An International Journal of Obstetrics and Gynaecology,121(13), 1710–1718. https://doi.org/10.1111/1471-0528.12767.

    Article  CAS  Google Scholar 

  • Slater, P. J., Edwards, R. M., & Badat, A. A. (2018). Evaluation of a staff well-being program in a pediatric oncology, hematology, and palliative care services group. Journal of Healthcare Leadership,10, 67–85. https://doi.org/10.2147/JHL.S176848.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sorensen, J. B. (2002). The strength of corporate culture and the reliability of firm performance. Administrative Science Quarterly,47, 70–91. https://doi.org/10.2307/3094891.

    Article  Google Scholar 

  • Sottimano, I., Guidetti, G., Converso, D., & Viotti, S. (2018). We cannot be “forever young”, but our children are: a multilevel intervention to sustain nursery school teachers’ resources and well-being during their long work life cycle. PLoS ONE,13(11), e0206627. https://doi.org/10.1371/journal.pone.0206627.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Taxman, F. S., Henderson, C., Young, D., & Farrell, J. (2014). The impact of training interventions on organizational readiness to support innovations in juvenile justice offices. Administration and Policy in Mental Health and Mental Health Services Research,41(2), 177–188. https://doi.org/10.1007/s10488-012-0445-5.

    Article  PubMed  Google Scholar 

  • Twombly, E.C. (2005). Nonprofit Child and Youth Service Providers Showed Signs of Fiscal Stress before 9/11 (Policy brief No. 1). Retrieved from Urban Institute: //www.urban.org/sites/default/files/publication/51496/311129-Nonprofit-Child-and-Youth-Service-Providers-Showed-Signs-of-Fiscal-Stress-before--.PDF

  • Weiner, B. J. (2009). A theory of organizational readiness for change. Implementation Science,9, 1–9. https://doi.org/10.1186/1748-5908-4-67.

    Article  Google Scholar 

  • Williams, N. J., Frank, H. E., Frederick, L., Beidas, R. S., Mandell, D. S., Aarons, G. A., ... Locke, J. (2019). Organizational culture and climate profiles: relationships with fidelity to three evidence-based practices for autism in elementary schools. Implementation Science,14, https://doi.org/10.1186/s13012-019-0863-9.…

  • Zaza, S., Wright-De Agüero, L. K., Briss, P. A., Truman, B. I., Hopkins, D. P., Hennessy, M. H., & Pappaioanou, M. (2000). Data collection instrument and procedure for systematic reviews in the guide to community preventive services. Task force on community preventive services. American Journal of Preventive Medicine, 18(1), 44–74. https://doi.org/10.1016/S0749-3797(99)00122-1

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Ouellette, R.R., Goodman, A.C., Martinez-Pedraza, F. et al. A Systematic Review of Organizational and Workforce Interventions to Improve the Culture and Climate of Youth-Service Settings. Adm Policy Ment Health 47, 764–778 (2020). https://doi.org/10.1007/s10488-020-01037-y

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