TY - JOUR
T1 - Assessing the Organizational Social Context (OSC) of mental health services
T2 - Implications for research and practice
AU - Glisson, Charles
AU - Landsverk, John
AU - Schoenwald, Sonja
AU - Kelleher, Kelly
AU - Hoagwood, Kimberly Eaton
AU - Mayberg, Stephen
AU - Green, Philip
AU - Weisz, John
AU - Chorpita, Bruce
AU - Gibbons, Robert
AU - Green, Evelyn Polk
AU - Hoagwood, Kimberly
AU - Jensen, Peter S.
AU - Miranda, Jeanne
AU - Palinkas, Lawrence
N1 - Funding Information:
The Research Network on Youth Mental Health is a collaborative network funded by the John D. and Catherine T. MacArthur Foundation. Network Members at the time this work was performed included: John Weisz, Ph.D. (Network Director), Bruce Chorpita, Ph.D., Robert Gibbons, Ph.D., Charles Glisson, Ph.D., Evelyn Polk Green, M.A., Kimberly Hoagwood, Ph.D., Peter S. Jensen, M.D., Kelly Kelleher, M.D., John Landsverk, Ph.D., Stephen Mayberg, Ph.D., Jeanne Miranda, Ph.D., Lawrence Palinkas, Ph.D., Sonja Schoenwald, Ph.D.
PY - 2008/3
Y1 - 2008/3
N2 - The organizational social context in which mental health services are provided is believed to affect the adoption and implementation of evidence-based practices (EBPs) as well as the quality and outcomes of the services. A fully developed science of implementation effectiveness requires conceptual models that include organizational social context and tools for assessing social context that have been tested in a broad cross-section of mental health systems. This paper describes the role of organizational social context in services and implementation research and evaluates a comprehensive contextual measure, labeled Organizational Social Context (OSC), designed to assess the key latent constructs of culture, climate and work attitudes. The psychometric properties of the OSC measure were assessed in a nationwide study of 1,154 clinicians in 100 mental health clinics with a second-order confirmatory factor analysis of clinician responses, estimates of scale reliabilities, and indices of within-clinic agreement and between-clinic differences among clinicians. Finally, the paper illustrates the use of nationwide norms in describing the OSC profiles of individual mental health clinics and examines the cross-level association of organizational-level culture and climate with clinician-level work attitudes.
AB - The organizational social context in which mental health services are provided is believed to affect the adoption and implementation of evidence-based practices (EBPs) as well as the quality and outcomes of the services. A fully developed science of implementation effectiveness requires conceptual models that include organizational social context and tools for assessing social context that have been tested in a broad cross-section of mental health systems. This paper describes the role of organizational social context in services and implementation research and evaluates a comprehensive contextual measure, labeled Organizational Social Context (OSC), designed to assess the key latent constructs of culture, climate and work attitudes. The psychometric properties of the OSC measure were assessed in a nationwide study of 1,154 clinicians in 100 mental health clinics with a second-order confirmatory factor analysis of clinician responses, estimates of scale reliabilities, and indices of within-clinic agreement and between-clinic differences among clinicians. Finally, the paper illustrates the use of nationwide norms in describing the OSC profiles of individual mental health clinics and examines the cross-level association of organizational-level culture and climate with clinician-level work attitudes.
KW - Implementation research
KW - OSC
KW - Organizational assessment
KW - Organizational climate
KW - Organizational culture
KW - Organizational social context
KW - Services research
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U2 - 10.1007/s10488-007-0148-5
DO - 10.1007/s10488-007-0148-5
M3 - Article
C2 - 18085434
AN - SCOPUS:37649001189
SN - 0894-587X
VL - 35
SP - 98
EP - 113
JO - Administration and Policy in Mental Health and Mental Health Services Research
JF - Administration and Policy in Mental Health and Mental Health Services Research
IS - 1-2
ER -