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Dimensions of publicness and performance in substance abuse treatment organizations

Author

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  • Carolyn J. Heinrich

    (LaFollette School of Public Affairs, University of Wisconsin-Madison)

  • Elizabeth Fournier

    (Department of Public Policy, University of North Carolina-Chapel Hill)

Abstract

Changes in funding, clientele, and treatment practices of public and privately owned substance abuse treatment programs, compelled in part by increased cost containment pressures, have prompted researchers' investigations of the implications of organizational form for treatment programs. These studies primarily probe associations between ownership status, patient characteristics, and services delivered and do not empirically link organizational form or structure to treatment outcomes. Data from the National Treatment Improvement Evaluation Study (NTIES) were used to study the relationship of ownership and other dimensions of “publicness” identified in the public management literature to patient outcomes, controlling for patient characteristics, treatment experiences, and other program characteristics. A few effects of organizational form and structure on substance abuse treatment outcomes are statistically significant (primarily improved social functioning), although the specific contributions of measures of ownership and publicness to explaining program-level variation are generally small. © 2004 by the Association for Public Policy Analysis and Management.

Suggested Citation

  • Carolyn J. Heinrich & Elizabeth Fournier, 2004. "Dimensions of publicness and performance in substance abuse treatment organizations," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 23(1), pages 49-70.
    • Handle: RePEc:wly:jpamgt:v:23:y:2004:i:1:p:49-70
    DOI: 10.1002/pam.10178
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    References listed on IDEAS

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    1. Carolyn J. Heinrich, 2000. "Organizational form and performance: An empirical investigation of nonprofit and for-profit job-training service providers," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 19(2), pages 233-261.
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    Cited by:

    1. Woodward, Albert & Das, Abhik & Raskin, Ira E. & Morgan-Lopez, Antonio A., 2006. "An exploratory analysis of treatment completion and client and organizational factors using hierarchical linear modeling," Evaluation and Program Planning, Elsevier, vol. 29(4), pages 335-351, November.
    2. Yinnon Dryzin-Amit & Dana R Vashdi & Eran Vigoda-Gadot, 2022. "The publicness enigma: Can perceived publicness predict employees’ formal and prosocial behavior across sectors?," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-23, February.
    3. Jonathan Rauh, 2015. "Problems in Identifying Public and Private Organizations: A Demonstration Using a Simple Naive Bayesian Classification," Public Organization Review, Springer, vol. 15(1), pages 33-47, March.
    4. Leroy White & Andy Lockett & Graeme Currie & James Hayton, 2021. "Hybrid Context, Management Practices and Organizational Performance: A Configurational Approach," Journal of Management Studies, Wiley Blackwell, vol. 58(3), pages 718-748, May.
    5. Abdul Majid & Naila Tabassum, 2012. "Analysis of Environmental Complexities and the Associated Dynamics for Development of SME Sector in Pakistan," Information Management and Business Review, AMH International, vol. 4(9), pages 496-501.
    6. Julius A. Nukpezah & P. Edward French & Tamara Dimitrijevska-Markoski & Victor O. Flomo, 2022. "The Moderating Effects of Organizational Publicness on Determinants of the U.S. Federal Employee’s Job Satisfaction," Public Organization Review, Springer, vol. 22(4), pages 883-901, December.
    7. Anderson, Stuart, 2012. "Public, private, neither, both? Publicness theory and the analysis of healthcare organisations," Social Science & Medicine, Elsevier, vol. 74(3), pages 313-322.
    8. Roberto A. Trevino & Alan J. Richard, 2012. "Public Funding and Affordability of Substance Abuse Treatment Services," American Journal of Economics and Business Administration, Science Publications, vol. 4(1), pages 72-83, February.
    9. Youngju Kang & Minyoung Kim & Kwangho Jung, 2020. "The Equity of Health Care Spending in South Korea: Testing the Impact of Publicness," IJERPH, MDPI, vol. 17(5), pages 1-20, March.
    10. Knudsen, Hannah K. & Abraham, Amanda J. & Oser, Carrie B., 2011. "Barriers to the implementation of medication-assisted treatment for substance use disorders: The importance of funding policies and medical infrastructure," Evaluation and Program Planning, Elsevier, vol. 34(4), pages 375-381, November.
    11. Richard M. Walker & George A. Boyne, 2006. "Public management reform and organizational performance: An empirical assessment of the U.K. Labour government's public service improvement strategy," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 25(2), pages 371-393.
    12. Andrew M. Cohen & Beth A. Freeborn & Brian McManus, 2007. "Competition and Crowding-Out among Public, Non-Profit and For-Profit Organizations: Evidence from Outpatient Substance Abuse Treatment," Working Papers 52, Department of Economics, College of William and Mary.

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