Internal process improvement strategies from the Network for Improvement of Addiction Treatment (NIATx) program are promising innovations for improving substance use disorder (SUD) treatment performance, such as engagement and retention. NIATx is designed to engage SUD treatment centers in process improvement by targeting highly specific outcomes, such as reduced days between first patient contact to entrance into treatment, reduced “no show” rates, and enhanced retention in care.
The evidence supporting NIATx’s impact is impressive, however, to date, few studies have examined the variables that may increase diffusion and implementation of NIATx innovations. This article reports on an investigation of organizational characteristics associated with SUD treatment center utilization of NIATx process improvements in a sample of 458 treatment programs participating in the National Treatment Center Study, including programs participating in NIDA’s National Drug Abuse Treatment Clinical Trials Network (CTN).
Overall, 19% of the participating organizations had implemented NIATx process improvements. Five organizational variables were associated with the likelihood centers were using NIATx:
Conclusions: From a practical perspective, this study illustrates that the willingness of treatment centers to undertake process improvements through NIATx can be explained to a large extent by organizational factors. Policies and related supportive efforts may be required to facilitate diffusion and implementation of NIATx processes to affect SUD treatment center performance and capacity.
Funding for this Addiction Science Made Easy project is provided by the Addiction Technology Transfer Center National Office, under the cooperative agreement from the Center for Substance Abuse Treatment of SAMHSA.
Articles were written based on the following published research:
Citation: Fields D, Knudsen HK, Roman PM. Implementation of Network for the Improvement of Addiction Treatment (NIATx) Processes in Substance Use Disorder Treatment Centers. Journal of Behavioral Health Services & Research 2015 (in press).