TY - JOUR
KW - AIDS Serodiagnosis/methods
KW - Community Mental Health Services/organization & administration
KW - Delivery of Health Care, Integrated/organization & administration
KW - Humans
KW - Los Angeles
KW - Public Health Administration
KW - Substance Abuse Treatment Centers/organization & administration
KW - Substance-Related Disorders/therapy
AU - E. G. Guerrero
AU - G. A. Aarons
AU - L. A. Palinkas
A1 - 
AB - OBJECTIVES: We examined factors associated with readiness to coordinate mental health, public health, and HIV testing among community-based addiction health services programs. METHODS: We analyzed client and program data collected in 2011 from publicly funded addiction health services treatment programs in Los Angeles County, California. We analyzed a sample of 14 379 clients nested in 104 programs by using logistic regressions examining odds of service coordination with mental health and public health providers. We conducted a separate analysis to examine the percentage of clients receiving HIV testing in each program. RESULTS: Motivational readiness and organizational climate for change were associated with higher odds of coordination with mental health and public health services. Programs with professional accreditation had higher odds of coordinating with mental health services, whereas programs receiving public funding and methadone and residential programs (compared with outpatient) had a higher percentage of clients receiving coordinated HIV testing. CONCLUSIONS: These findings provide an evidentiary base for the role of motivational readiness, organizational climate, and external regulation and funding in improving the capacity of addiction health services programs to develop integrated care.
BT - American Journal of Public Health
C5 - General Literature
CP - 4
CY - United States
IS - 4
JF - American Journal of Public Health
N2 - OBJECTIVES: We examined factors associated with readiness to coordinate mental health, public health, and HIV testing among community-based addiction health services programs. METHODS: We analyzed client and program data collected in 2011 from publicly funded addiction health services treatment programs in Los Angeles County, California. We analyzed a sample of 14 379 clients nested in 104 programs by using logistic regressions examining odds of service coordination with mental health and public health providers. We conducted a separate analysis to examine the percentage of clients receiving HIV testing in each program. RESULTS: Motivational readiness and organizational climate for change were associated with higher odds of coordination with mental health and public health services. Programs with professional accreditation had higher odds of coordinating with mental health services, whereas programs receiving public funding and methadone and residential programs (compared with outpatient) had a higher percentage of clients receiving coordinated HIV testing. CONCLUSIONS: These findings provide an evidentiary base for the role of motivational readiness, organizational climate, and external regulation and funding in improving the capacity of addiction health services programs to develop integrated care.
PP - United States
PY - 2014
SN - 1541-0048; 0090-0036
EP - 7
EP - e40+
T1 - Organizational capacity for service integration in community-based addiction health services
T2 - American Journal of Public Health
TI - Organizational capacity for service integration in community-based addiction health services
U1 - General Literature
U2 - 24524525
VL - 104
VO - 1541-0048; 0090-0036
Y1 - 2014
ER -