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Assessing the Organizational Social Context (OSC) of Mental Health Services: Implications for Research and Practice
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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“Positive organizational culture is associated with EBP sustainment (Glisson et al. 2008).”
From Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors (2011) · cites this paper as Glisson et al. 2008
In the citing paper
“Aspects of organizational social context can create a set of shared expectations and beliefs that affect how providers work with consumers in children’s services organizations (Glisson et al. 2008).”
From Intervening at the Setting Level to Prevent Behavioral Incidents in Residential Child Care: Efficacy of the CARE Program Model (2016) · cites this paper as Glisson et al. 2008
In the citing paper
“Other approaches to assessing readiness have focused on organizational culture, climate, and work attitudes [73], and on providers’ attitudes towards evidence-based practices [21,22,74].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [73]
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“, includes constructs related to psychological climate (perception of the psychological influence of work environment) and work attitudes (job satisfaction and organizational commitment) [72].”
BackgroundAdvancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors
Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0327-7 · Cited by 3,240
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Metadata
- 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
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2007-12-18
- Volume
- 35
- Issue
- 1-2
- Pages
- 98-113
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- 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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