BACKGROUND: This implementation study examined the impact of an organizational process improvement intervention (OPII) on a continuum of evidence based practices related to assessment and community reentry of drug-involved offenders: Measurement/Instrumentation, Case Plan Integration, Conveyance/Utility, and Service Activation/Delivery. METHODS: To assess implementation outcomes (staff perceptions of evidence-based assessment practices), a survey was administered to correctional and treatment staff (n=1509) at 21 sites randomly assigned to an Early- or Delayed-Start condition. Hierarchical linear models with repeated measures were used to examine changes in evidence-based assessment practices over time, and organizational characteristics were examined as covariates to control for differences across the 21 research sites. RESULTS: Results demonstrated significant intervention and sustainability effects for three of the four assessment domains examined, although stronger effects were obtained for intra- than inter-agency outcomes. No significant effects were found for Conveyance/Utility. CONCLUSIONS: Implementation interventions such as the OPII represent an important tool to enhance the use of evidence-based assessment practices in large and diverse correctional systems. Intra-agency assessment activities that were more directly under the control of correctional agencies were implemented most effectively. Activities in domains that required cross-systems collaboration were not as successfully implemented, although longer follow-up periods might afford detection of stronger effects.
RCT Entities:
BACKGROUND: This implementation study examined the impact of an organizational process improvement intervention (OPII) on a continuum of evidence based practices related to assessment and community reentry of drug-involved offenders: Measurement/Instrumentation, Case Plan Integration, Conveyance/Utility, and Service Activation/Delivery. METHODS: To assess implementation outcomes (staff perceptions of evidence-based assessment practices), a survey was administered to correctional and treatment staff (n=1509) at 21 sites randomly assigned to an Early- or Delayed-Start condition. Hierarchical linear models with repeated measures were used to examine changes in evidence-based assessment practices over time, and organizational characteristics were examined as covariates to control for differences across the 21 research sites. RESULTS: Results demonstrated significant intervention and sustainability effects for three of the four assessment domains examined, although stronger effects were obtained for intra- than inter-agency outcomes. No significant effects were found for Conveyance/Utility. CONCLUSIONS: Implementation interventions such as the OPII represent an important tool to enhance the use of evidence-based assessment practices in large and diverse correctional systems. Intra-agency assessment activities that were more directly under the control of correctional agencies were implemented most effectively. Activities in domains that required cross-systems collaboration were not as successfully implemented, although longer follow-up periods might afford detection of stronger effects.
Authors: Cheryl B Stetler; Marcia W Legro; Carolyn M Wallace; Candice Bowman; Marylou Guihan; Hildi Hagedorn; Barbara Kimmel; Nancy D Sharp; Jeffrey L Smith Journal: J Gen Intern Med Date: 2006-02 Impact factor: 5.128
Authors: Victor A Capoccia; Frances Cotter; David H Gustafson; Elaine F Cassidy; James H Ford; Lynn Madden; Betta H Owens; Scott O Farnum; Dennis McCarty; Todd Molfenter Journal: Jt Comm J Qual Patient Saf Date: 2007-02
Authors: Stephen M Shortell; Jill A Marsteller; Michael Lin; Marjorie L Pearson; Shin-Yi Wu; Peter Mendel; Shan Cretin; Mayde Rosen Journal: Med Care Date: 2004-11 Impact factor: 2.983
Authors: Dennis McCarty; David H Gustafson; Jennifer P Wisdom; Jay Ford; Dongseok Choi; Todd Molfenter; Victor Capoccia; Frances Cotter Journal: Drug Alcohol Depend Date: 2006-11-28 Impact factor: 4.492