Cited by 609Health Policy Implementation SciencePsychiatric care and mental health servicesHealthcare Quality and Management

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Assessing the Organizational Social Context (OSC) of Mental Health Services: Implications for Research and Practice

Glisson, Charles, Landsverk, John, Schoenwald, Sonja, Kelleher, Kelly, Hoagwood, Kimberly Eaton, Mayberg, Stephen, Green, Philip, The Research Network on Youth Mental Health·2008·Administration and Policy in Mental Health and Mental Health Services Research

DOI 10.1007/s10488-007-0148-5

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Abstract

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.

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First Do No Harm
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How Big Is Big?
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Best-Laid Plans
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Authors: Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., Green, P., & The Research Network on Youth Mental Health
Affiliations: University of Tennessee at Knoxville (US)
Corresponding author: Glisson, Charles
ORCID: Schoenwald, Sonja
Kelleher, Kelly
Hoagwood, Kimberly Eaton
Venue: Administration and Policy in Mental Health and Mental Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2007-12-18
Volume: 35
Issue: 1-2
Pages: 98-113
ISSN: 0894-587X (ISSN-L)
1573-3289
DOI: 10.1007/s10488-007-0148-5
OpenAlex: W2148178151
Cited by: 608
References: 89
Citations by year: 2026: 6 · 2025: 6 · 2024: 27 · 2023: 23 · 2022: 18 · 2021: 102 · 2020: 32 · 2019: 33 · 2018: 33 · 2017: 70 · 2016: 33 · 2015: 32 · 2014: 31 · 2013: 36 · 2012: 41
FWCI: 36.72
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
Keywords: mental health services, implementation effectiveness, evidence-based practice, organizational culture, organizational climate, psychometric properties, second-order confirmatory factor analysis, psychiatric clinic
MeSH terms: Adult, Attitude of Health Personnel, Diffusion of Innovation, Female, Humans, Male, Mental Health Services, Middle Aged, Surveys and Questionnaires, United States, Organizational Culture, Evidence-Based Medicine, Health Care Surveys

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Assessing the Organizational Social Context (OSC) of Mental Health Services: Implications for Research and Practice

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