Abstract
Internal process improvements embedded within the Network for Improvement of Addiction Treatment (NIATx) program are promising innovations for improving substance use disorder (SUD) treatment performance, such as engagement and retention. To date, few studies have examined the variables that may increase diffusion and implementation of NIATx innovations. This study investigates organizational characteristics associated with SUD treatment center utilization of NIATx process improvements in a sample of 458 treatment programs. Overall, 19% had utilized NIATx process improvements. After statistically controlling environmental factors, five organizational variables were associated with the likelihood that treatment centers used NIATx processes. Organization size, administrative intensity, membership in a provider association, and participation in National Institute on Drug Abuse’s Clinical Trials Network were positively associated with the odds of utilizing NIATx processes, while the association for the level of slack resources was negative. The findings suggest that policies and related supportive efforts may be required to facilitate diffusion and implementation of NIATx processes to affect SUD treatment center performance and capacity.
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The authors gratefully acknowledge the research support of the National Institute on Drug Abuse within the National Institutes of Health (Grants R01DA14482 and R37DA013110 awarded to the University of Georgia Research Foundation). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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The authors have no conflicts of interest.
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Fields, D., Knudsen, H.K. & Roman, P.M. Implementation of Network for the Improvement of Addiction Treatment (NIATx) Processes in Substance Use Disorder Treatment Centers. J Behav Health Serv Res 43, 354–365 (2016). https://doi.org/10.1007/s11414-015-9466-7
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DOI: https://doi.org/10.1007/s11414-015-9466-7