Organizational Readiness for Change and opinions toward treatment innovations

Bret E. Fuller, Traci Rieckmann, Edward V. Nunes, Michael Miller, Cynthia Arfken, Eldon Edmundson, Dennis McCarty

Research output: Contribution to journalArticlepeer-review

100 Scopus citations


Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices.

Original languageEnglish (US)
Pages (from-to)183-192
Number of pages10
JournalJournal of Substance Abuse Treatment
Issue number2
StatePublished - Sep 2007
Externally publishedYes


  • Clinical trials network
  • Evidence-based practice
  • Organizational characteristics
  • Organizational readiness for change

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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