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Dimensions of publicness and performance in substance abuse treatment organizations


Author Info

  • Carolyn J. Heinrich

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

  • Elizabeth Fournier

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


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.

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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Journal of Policy Analysis and Management.

Volume (Year): 23 (2004)
Issue (Month): 1 ()
Pages: 49-70

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Handle: RePEc:wly:jpamgt:v:23:y:2004:i:1:p:49-70

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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. 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.
  2. 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.
  3. 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.
  4. 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.


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