The organizational social context of mental health medicaid waiver programs with family support services: implications for research and practice.
The organizational social context of mental health medicaid waiver programs with family support services: implications for research and practice.
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DOI：
10.1007/s10488-013-0517-1
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发表时间：
2014-01
影响因子：
2.6
通讯作者：
Hoagwood, Kimberly
中科院分区：
文献类型：
--
作者：
Glisson, Charles;Williams, Nathaniel J.;Green, Philip;Hemmelgarn, Anthony;Hoagwood, Kimberly
关键词：
同伴家庭支持专家（FSS）是在儿童心理健康护理系统中具有实际经验的父母，他们为需要心理健康服务的儿童的家庭提供支持，宣传和指导。他们的经验和培训不同于那些受过正式培训的心理健康临床医生，造成潜在的冲突，优先事项和价值观之间的FSS和临床医生。我们假设，这些差异可能会产生负面影响的组织文化和气候的心理健康诊所，雇用FSS和心理健康临床医生，并降低工作满意度和组织承诺的FSS。组织社会背景（OSC）措施进行了现场管理，209 FSS和临床医生在纽约州的21个精神卫生项目。该研究比较了雇用FSS和正式培训的临床医生的精神卫生诊所的组织层面的文化和气候概况与儿童精神卫生诊所的国家规范，评估了个人层面的工作满意度和组织承诺作为工作的函数（FSS与临床医生）和其他个人水平和组织水平的特征，并测试了FSS和临床医生的工作态度是否与组织文化和氛围有差异。这些项目的组织文化和气候概况与国家规范没有显着差异。个人层面的工作满意度和组织承诺无关的位置（FSS与临床医生）或其他个人层面和组织层面的特征，除了文化和气候。组织文化和氛围与FSS的使用没有相关性。FSS和临床医生的个人层面的工作态度与组织文化和气候类似。
Peer family support specialists (FSS) are parents with practical experience in navigating children’s mental health care systems who provide support, advocacy and guidance to the families of children who need mental health services. Their experience and training differ from those of formally trained mental health clinicians, creating potential conflicts in priorities and values between FSS and clinicians. We hypothesized that these differences could negatively affect the organizational cultures and climates of mental health clinics that employ both FSS and mental health clinicians, and lower the job satisfaction and organizational commitment of FSS. The Organizational Social Context (OSC) measure was administered on site to 209 FSS and clinicians in 21 mental health programs in New York State. The study compared the organizational-level culture and climate profiles of mental health clinics that employ both FSS and formally trained clinicians to national norms for child mental health clinics, assessed individual-level job satisfaction and organizational commitment as a function of job (FSS vs. clinician) and other individual-level and organizational-level characteristics, and tested whether FSS and clinicians’ job attitudes are differentially associated with organizational culture and climate. The programs’ organizational culture and climate profiles were not significantly different from national norms. Individual-level job satisfaction and organizational commitment were unrelated to position (FSS vs. clinician) or other individual-level and organizational-level characteristics except for culture and climate. Organizational culture and climate are not related to the employment of FSS. Both FSS’ and clinicians’ individual-level work attitudes are associated similarly with organizational culture and climate.
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影响因子：
10.4
作者：
GLISSON, C;DURICK, M
通讯作者：
DURICK, M
影响因子：
7.2
作者：
Aarons, Gregory A.;Glisson, Charles;Landsverk, John A.
通讯作者：
Landsverk, John A.
DOI：
10.1016/j.jaac.2013.02.005
发表时间：
2013-05-01
影响因子：
13.3
作者：
Glisson, Charles;Hemmelgarn, Anthony;Williams, Nathaniel J.
通讯作者：
Williams, Nathaniel J.
影响因子：
9.9
作者：
Hartnell, Chad A.;Ou, Amy Yi;Kinicki, Angelo
通讯作者：
Kinicki, Angelo
DOI：
10.1007/s10488-006-0039-1
发表时间：
2006-05-01
影响因子：
2.6
作者：
Aarons, Gregory A.;Sawitzky, Angelina C.
通讯作者：
Sawitzky, Angelina C.