Service Delivery

Influence of Organizational Characteristics on Success in Implementing Process Improvement Goals in Correctional Treatment Settings

Prendergast et al. (2017) · Journal of Behavioral Health Services & Research 2017
★ The Verdict

In justice clinics, strong communication, adequate staffing, and a rehab-friendly culture predict whether new assessment tools actually get used.

✓ Read this if BCBAs consulting on program rollout in probation, drug court, or prison treatment units.
✗ Skip if Clinicians only running direct therapy with no system-level influence.

01Research in Context

01

What this study did

Prendergast et al. (2017) ran a randomized trial in correctional drug-treatment programs. They wanted to know which agency traits predict success when rolling out new assessment and case-planning steps.

Staff took surveys about communication, staffing levels, supervision quality, and attitudes toward rehab. Teams with stronger scores on these traits were more likely to hit implementation goals.

02

What they found

Agencies that already talked well, had enough staff, solid supervision, and a positive rehab culture made the new steps stick. Sites low on these traits struggled even with the same training.

The study shows culture beats training alone. You can ship the best forms, but if the workplace is chaotic or cynical, staff won't use them.

03

How this fits with other research

Konstantinou et al. (2023) saw the same pattern in disability homes. Staff training plus organizational behavior management changed staff acts, yet client gains were weak. Both papers say: fix the system first.

Vroom et al. (2022) push the same message wider. They argue implementation science must turn into daily practice tools that build communication and staffing capacity before new programs launch.

McDonald et al. (2024) scoping review shows almost no ABA studies exist in justice settings. Prendergast's 2017 trial is still a rare example that proves our science works there when the agency is ready.

04

Why it matters

Before you bring new data sheets or treatment protocols into a probation office or court clinic, audit the basics. Count caseloads, check if supervisors meet weekly, and ask staff if they believe clients can change. If the answer is no on any front, shore those up first or your rollout will flop. Use quick pulse surveys and fix communication paths. A strong agency skeleton lets every other evidence-based practice stand.

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Send a three-question staff survey on communication, staffing adequacy, and rehab attitudes; share results and one quick fix before training starts.

02At a glance

Intervention
not applicable
Design
randomized controlled trial
Sample size
21
Population
substance use disorder
Finding
positive

03Original abstract

Although research indicates that organizational characteristics substantially influence the adoption and use of evidence-based practices (EBPs), there has been little empirical research on organizational factors most likely to influence successful implementation of EBPs, particularly in criminal justice settings. This study examined organizational characteristics related to the success of change teams in achieving improvements in assessment and case-planning procedures for persons leaving correctional settings and receiving community services. In this evaluation of the Organizational Process Improvement Intervention (OPII), part of NIDA’s Criminal Justice Drug Abuse Treatment Studies (CJDATS) cooperative, 21 sites were randomized to an Early-Start or a Delayed-Start condition. For this analysis, data from both conditions were combined. Agencies with fewer program needs, good communication, adequate staffing levels, good supervision, positive attitude toward rehabilitation, and higher institutional capacity for change were better able to implement planned changes in assessment and case-planning procedures. Such agencies may be better candidates for implementation improvement strategies, whereas other agencies could benefit from pre-intervention efforts aimed at strengthening these characteristics before attempting to improve assessment procedures.

Journal of Behavioral Health Services & Research, 2017 · doi:10.1007/s11414-016-9531-x