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The method to which Substance abuse administrators plan, organize, and manage the day-to-day operations of Substance Abuse Services delivery systems was researched. This research was conducted in regards

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ANiYaH Substance Abuse Administrators and their Adversity in Maintaining Accessible and Effective "Best Practices" in Treatment Centers Donna L. Braveboy Southern Illinois University Carbondale HCM 450 Management Problems in the Health Care Industry Assignment #3 Abstract The method to which Substance abuse administrators plan, organize, and manage the day-to-day operations of Substance Abuse Services delivery systems was researched. This research was conducted in regards to the efficacious gap between treatment approaches or practices and research that implement "best practices". The issue is that the onset of substance abuse, underage drinking, and tobacco use is at its best without the aid of "best practices" within substance abuse treatment centers (Mersy, 2003). Without intervention and application of an emerging base of "evidence-based models" in substance abuse treatment, our society will progress towards a more complex and deep-rooted association with delinquency, addiction, crime, and prison making the failure of substance abuse treatment more costly (Information, 2003). Literature and statistics shows that the lack of accessible and effective substance abuse services that is implemented and managed by substance abuse administrators is one of the most vigorous public health crises in America. Substance Abuse Administrators and their Adversity in Maintaining Accessible and Effective "Best Practices" in Treatment Centers A vast amount of research has indicated that in the substance abuse treatment field, like other practice disciplines, has long been characterized by incoherent idiosyncratic practices based on one's personal practice, perception, particular styles of conversing, and/or myths (Brendel, Bennett, & Albert, 2003). Administrators within these treatment facilities have a wide array of responsibility. Administrators maintain and evaluate ongoing training and technical support for substance abuse providers. They also maintain the professional knowledge and keep abreast of changes in job related rules, statues, laws, and new business trends. Nonetheless the gap between the treatment approaches or practices that research has shown to be efficacious and what is actually done in substance abuse treatment agencies is enormous. ...read more.


It follows a process of strategic planning that focuses on the integrating thoughtful assessment, design, implementation, and evaluation into every program. Prevention is a proactive process that empowers individuals and systems to meet the challenge of life events by creating and reinforcing conditions that promote healthy behaviors and lifestyles. These theories include: individual change theories (including theories of addiction), risk and resiliency, intra and inter organizational change theories, and community change theories (including community organizing, policy change, and public health theories) (Information). This theory is also known as the ZYX theory of successful change management (Arora, 2003). Clients, drugs, treatment concepts are changing. Therefore, if the environment around a problem (substance abuse problem) is an ever-changing environment, then the substance abuse era has to keep abreast of those changes. Numerous challenges face all who are alcohol and drug treatment supervisors, providers, or just professionals in the substance abuse sector (Sparks). Some of these challenges may include consumer demands, and expectations, incorporating the need for standardized practices, and technological advances in treatment delivery. These challenges will determine one's individual ability to meet the needs of our clients and our profession's ability to enhance the quality of care provided (Sparks). For a firm to change from a former state to the latter state critical organizational transformations have to be mastered (Sparks). Organizational means opening a new chapter in the theory of the firm. However, to keep track of a changing composition of the routines in an industry is perhaps more compelling a device for analyzing how firms and industries co-evolve than for spotting the organizational change within the individual firm. Effective administrators understand theories of change and seek to nurture the need for change within the context of the institutional norms that defend against it (Sparks). Ultimately, leaders cultivate change as an essential means toward the achievement of institutional advancement. Individual change theory expounds on the basis that if wanting to succeed spectacularly at creating or managing change, one would have to reach the right place. ...read more.


Research is now expanding around factors that influence how treatment innovations get incorporated into real-world settings. Identifying effective clinical techniques and program management systems is only the first (science-based) step and has to be followed up with studies of execution, including cost-related suggestion (Daley, et al). There is a need to learn much more about this dynamic process, which will likely be one of the greatest challenges facing the U.S. in the next decade. Reference Arora, N. (2003) Theory ZYX of Successful Change Management: A Definitive Guide to Research the Next Level. California: L.A. Press. Brendel, J. K., Bennett, D. S., & Albert, R. (2003, July). Bridging the Gap. Retrieved February 12, 2004, from http://www.pearsonassessments.com/bridginggap/bridgingsummer2003print.htm Daley, D. C. & Zuckoff, A. (2003). Improving treatment compliance: Counseling and system strategies for substance abuse and dual disorders (4th ed.). Center City, Pa: Hazalden. Information about science-based prevention. (2003, April 28). Retrieved February 12, 2003, from http://www.dmhas.state.ct.us/sig/sciencebased.htm Mersy, J. M. (2003). Recognition of Alcohol and Substance Abuse. Retrieved March 3, 2004, from American Academy of Family Physicians Web site: http://www.aafp.org/afp/20030401/1529.html National Institute on Drug Abuse. (2003, March 31). Why Analyze Cost and Benefits Retrieved February 14, 2004, from http://www.nida.nih.gov/IMPCOST/IMPCOST2.html Schmidt, L. (2003, February, 28). Alcohol Abuse: Prevention for People All Ages. SAMHSA News, X1(1). Retrieved March 3, 2004, from http://www.samhsa.gov/SAMHSA_news/VolumeXI_1/article10.htm Sparks, D. (2003). NSDC's Theory of Change. Retrieved March 13, 2004 from the National Staff Development Council Web site: http://www.nsdc.org/library/change/organizationals.cfm Spotswood, S. (2003, August). SAMHSA Widens Substance Abuse Prevention Efforts. U.S. Medicine, 53, Article 721. Retrieved March 4, 2004, from, http://www.usmedicine.com/article.cfm?articleID=782&issueID=57 Stevens, S. J., & Morral, A. J. (2003). Adolescent substance abuse treatment in the United States: Exemplary models from a national evaluation study (2nd ed.). New York: Haworth Press. Substance Abuse and Mental Health Services Administration (2003, September). Results from the 2003 National Survey on Drug Use and Health: National Findings. Retrieved March 4, 2004, from http://www.samhsa.gov/oas.nhsda/2k2nsduh/Results/2k2Results.htm#toc University of Florida, George A. Smathers Library's Government Documents (2003, April). United States Statistical Sources. Retrieved March 3, 2004, from http://web.uflib.ufl.edu/docs/us_statistics.html ?? ?? ?? ?? 1 ...read more.

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