Management practices of program directors on the front-lines of addiction treatment

Introduction: Despite an ongoing focus on evidence-based clinical practices, many individuals relapse following treatment for substance use disorders. Organizational factors may contribute to quality of care, and management practices are an element that may be key. This study aims to provide the perspective of front-line managers highlighting areas of concern and identifying areas for future training.

Methods: This study, funded by the Robert Wood Johnson Foundation, presents qualitative data from in-person interviews with program directors of Massachusetts facilities that provide detoxification, short-term intensive treatment, or transitional support services (n=22, 76% response rate)

Findings: Program directors varied widely in terms of management experience prior to their current position. Most program directors had a clinical background that they felt was useful to them in their work, especially in terms of how to motivate staff and navigate conflicts. Program directors reported having limited access to management training outside of corporate compliance and building management provided when they took the position. All program directors stressed the importance of meeting the client's needs and creating an environment that was respectful of both clients and staff.

Conclusion: In a time with heightened focus on quality of care it is essential to consider nuances in management practices that may affect treatment quality. By taking into consideration the perspectives of front-line managers this research provides essential information regarding program manager needs and what administrators and policy makers can be doing to support front-line managers in their efforts to improve the overall care experience for their clients.