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Review of organizational effects on the outcome of mental health treatments

Falkenström, Fredrik; Grant, Johan LU and Holmqvist, Rolf (2016) In Psychotherapy Research
Abstract
Objective: As there are theoretical, clinical, and “common sense” reasons to expect a relationship between organizational factors and outcome in clinics providing psychotherapy and other mental health treatments, a review of empirical research in this area was undertaken with the aim of finding empirical evidence for organizational effects. Methods: A structured search for studies on organizational differences in patient mental health outcomes was performed using EBSCO host, Cochrane Library Database, and the Health Systems Evidence database at McMasters University. Finished studies published in English were included if they presented data from more than one mental health service and used change in symptom, level of functioning, or quality... (More)
Objective: As there are theoretical, clinical, and “common sense” reasons to expect a relationship between organizational factors and outcome in clinics providing psychotherapy and other mental health treatments, a review of empirical research in this area was undertaken with the aim of finding empirical evidence for organizational effects. Methods: A structured search for studies on organizational differences in patient mental health outcomes was performed using EBSCO host, Cochrane Library Database, and the Health Systems Evidence database at McMasters University. Finished studies published in English were included if they presented data from more than one mental health service and used change in symptom, level of functioning, or quality of life as outcome. Results: The search yielded not more than 19 studies fulfilling inclusion criteria. All studies showed some evidence for organization effects, and there was some evidence for organizational climate and culture explaining differences in outcome. Conclusion: Given that mental health treatments are likely to be especially susceptive to organizational effects, it is remarkable that not more research has been devoted to this. Clearly, more research is needed to study the consequences of work organization for the outcome of psychotherapy. Methodological issues in organizational studies are discussed.
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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Psychotherapy Research
publisher
Taylor & Francis
external identifiers
  • Scopus:84961618618
ISSN
1468-4381
DOI
10.1080/10503307.2016.1158883
language
English
LU publication?
yes
id
8e7886f0-0c85-40ea-b80a-d5c53a0e1cfa
date added to LUP
2016-05-19 11:17:30
date last changed
2016-10-13 05:09:00
@misc{8e7886f0-0c85-40ea-b80a-d5c53a0e1cfa,
  abstract     = {Objective: As there are theoretical, clinical, and “common sense” reasons to expect a relationship between organizational factors and outcome in clinics providing psychotherapy and other mental health treatments, a review of empirical research in this area was undertaken with the aim of finding empirical evidence for organizational effects. Methods: A structured search for studies on organizational differences in patient mental health outcomes was performed using EBSCO host, Cochrane Library Database, and the Health Systems Evidence database at McMasters University. Finished studies published in English were included if they presented data from more than one mental health service and used change in symptom, level of functioning, or quality of life as outcome. Results: The search yielded not more than 19 studies fulfilling inclusion criteria. All studies showed some evidence for organization effects, and there was some evidence for organizational climate and culture explaining differences in outcome. Conclusion: Given that mental health treatments are likely to be especially susceptive to organizational effects, it is remarkable that not more research has been devoted to this. Clearly, more research is needed to study the consequences of work organization for the outcome of psychotherapy. Methodological issues in organizational studies are discussed.<br/>},
  author       = {Falkenström, Fredrik and Grant, Johan and Holmqvist, Rolf},
  issn         = {1468-4381},
  language     = {eng},
  month        = {03},
  publisher    = {ARRAY(0x9c34768)},
  series       = {Psychotherapy Research},
  title        = {Review of organizational effects on the outcome of mental health treatments},
  url          = {http://dx.doi.org/10.1080/10503307.2016.1158883},
  year         = {2016},
}