The role of organization and management in substance abuse treatment: Review and roadmap

J Subst Abuse Treat. 2006 Oct;31(3):221-33. doi: 10.1016/j.jsat.2006.06.016. Epub 2006 Aug 24.


To develop an understanding as to why there exists a seemingly wide gap between research and practice in the field of substance abuse treatment and, more important, to understand how this gap can be closed, researchers have focused their attention on the role of organizational and management factors in the delivery of treatment services. This article's overarching goal is to stimulate research and interventions that focus on these factors so as to improve the standards and outcomes of care in substance abuse treatment. Part 1 introduces the key assumptions and perspectives that guide organization and management research. Part 2 selectively reviews empirical studies that examine relationships between treatment programs' use of research-based treatment practices and organization and management factors. The article concludes with a discussion of the next important steps for research and policy.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Joint Commission on Accreditation of Healthcare Organizations
  • Male
  • Methadone / therapeutic use*
  • Quality of Health Care / standards*
  • Substance Abuse Treatment Centers / organization & administration
  • Substance Abuse Treatment Centers / standards*
  • Substance Abuse Treatment Centers / statistics & numerical data
  • Substance-Related Disorders / rehabilitation*
  • United States
  • Women's Health


  • Methadone