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Organizational Climate and Treatment Outcomes for African American Clients Receiving Services at Community Mental Health Agencies

机译:非裔美国人在社区心理健康机构接受服务的组织气候和治疗结果

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摘要

The purpose of this study, which represents the second part of a two-part case study, is to develop a conceptual model that explains the multiple organizational, staff, and client factors that contribute to the creation of treatment outcomes for African American clients seeking services from community mental health agencies (CMHAs). Method: An agency identified in the first part of the case study by the authors (Larrison et al., 2004) as achieving similar positive treatment outcomes for African American and white clients is further examined in an attempt to understand the organizational and staff influence on these outcomes. A purposeful sample of staff and African American clients were asked to describe the agency's organizational climate and how that climate shaped the work of staff and the outcomes of treatment for African American clients. Both quantitative and qualitative descriptive data were collected and analyzed in an effort to develop an accurate understanding of how the agency created treatment outcomes for African American clients. Findings: The conceptual model developed suggests that organizational factors mediate the relationship between staff and clients. In particular, we posited that the high levels of involvement with clients, task orientation towards positive outcomes for all clients, clarity of tasks and goals, innovative interventions, and high levels of physical comfort at CMHAs helps to minimize disparities in treatment outcomes for African American clients.
机译:这项研究的目的是代表一个分为两部分的案例研究的第二部分,其目的是建立一个概念模型,该模型解释导致为寻求服务的非裔美国人客户创造治疗结果的多种组织,员工和客户因素来自社区心理健康机构(CMHA)。方法:在案例研究的第一部分中,作者确定了一个机构(Larrison等,2004),该机构对非裔美国人和白人客户取得了相似的积极治疗效果,以试图了解组织和员工对这些结果。要求提供有目的的员工和非裔美国人客户样本,以描述该机构的组织氛围以及这种氛围如何影响员工的工作以及对非裔美国人客户的待遇。收集并分析了定量和定性的描述性数据,以期准确了解该机构如何为非裔美国人的客户创造治疗效果。调查结果:建立的概念模型表明组织因素可调节员工与客户之间的关系。特别是,我们认为与客户的高度参与,面向所有客户的积极成果的任务导向,任务和目标的明确性,创新的干预措施以及CMHA的高度身体舒适性有助于最大程度地减少非裔美国人在治疗结果上的差异客户。

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  • 来源
    《Administration in Social Work》 |2008年第3期|111-138|共28页
  • 作者单位

    University of Illinois at Urbana-Champaign, School of Social Work,;

    Radford University, Waldron College of Health and Human Services,;

    University of Illinois at Springfield, Liberal Studies Program,;

    University of Illinois at Urbana-Champaign, School of Social Work,;

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  • 正文语种 eng
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  • 入库时间 2022-08-17 23:33:06

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