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Article ; Online: Patterns and Predictors of Sustained Training and Technical Assistance Engagement Among Addiction Treatment and Affiliated Providers.

Shafer, Michael S / Oh, Hyunsung / Sturtevant, Hanna / Freese, Thomas / Rutkowski, Beth

The journal of behavioral health services & research

2023 Volume 51, Issue 2, Page(s) 264–274

Abstract: The current study draws upon data collected over a 4-year period by a regional addiction technology transfer center (ATTC) to better understand the learning patterns and methods of learning engagement among behavioral health professionals. Training ... ...

Abstract	The current study draws upon data collected over a 4-year period by a regional addiction technology transfer center (ATTC) to better understand the learning patterns and methods of learning engagement among behavioral health professionals. Training participants were found to be predominately female and ethnically diverse, evenly split on attaining a graduate degree, with a third of the participants possessing less than a 4-year college degree. More than one-half reported working in non-health/non-behavioral healthcare settings. Individuals who attended more ATTC events were found to possess less than a master's degree, work in non-behavioral health settings, and identify as Hispanic or other races. In addition, individuals who initially accessed training through an ATTC conference or online asynchronous learning events were found to become engaged learners.
MeSH term(s)	Humans ; Female ; Health Personnel ; Educational Status ; Psychiatry
Language	English
Publishing date	2023-08-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	1419909-9
ISSN	1556-3308 ; 1094-3412
ISSN (online)	1556-3308
ISSN	1094-3412
DOI	10.1007/s11414-023-09854-3
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Article ; Online: Critical Issues in Leadership Development for Peer Support Specialists.

Jenkins, G Trey / Shafer, Michael S / Janich, Nicole

Community mental health journal

2020 Volume 56, Issue 6, Page(s) 1085–1094

Abstract: This paper is a qualitative analysis of perspectives on leadership development among working peer support specialists and highlights the challenges, needs and efficacy these individuals experience in their work settings. Six participants engaged in a 2 h ...

Abstract	This paper is a qualitative analysis of perspectives on leadership development among working peer support specialists and highlights the challenges, needs and efficacy these individuals experience in their work settings. Six participants engaged in a 2 h semi-structured focus group. Participants were guided through a series of nine questions regarding their transition to leadership, professional communication and relationships. Seven themes emerged: managing dual relationships; having difficult conversations; push and pull of leadership; taking responsibility for others; taking responsibility for self-care; addressing stigma in the workplace, and, spirituality/a calling to help. These professionals integrate their personal experiences of recovery into their direct care and leadership approaches in the workplace. This blending of recovery concepts and supervision approaches reflect some of the powerful elements that peer recovery specialists are uniquely qualified to lead in the healthcare workforce. These findings provide important implications for leadership development among this growing segment of the healthcare workforce.
MeSH term(s)	Counseling ; Health Personnel ; Humans ; Leadership ; Qualitative Research ; Specialization
Keywords	covid19
Language	English
Publishing date	2020-02-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-020-00569-9
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Article: How metaphorical framings build and undermine resilience during change: A longitudinal study of metaphors in team-driven planned organizational change.

Malvini Redden, Shawna / Clark, Lou / Tracy, Sarah J / Shafer, Michael S

Communication monographs

2019 Volume 86, Issue 4, Page(s) 501–525

Abstract: Change is a constant feature of organizing and one that requires resilience, or the ability to effectively face challenges. Although research demonstrates important findings about resilience during chaotic change like crises, less is known about ... ...

Abstract	Change is a constant feature of organizing and one that requires resilience, or the ability to effectively face challenges. Although research demonstrates important findings about resilience during chaotic change like crises, less is known about resilience in mundane situations like planned change. This study explores team-driven planned organizational change, offering insights about how team members metaphorically frame change how their framing fluctuates over time relative to perceptions of team success. Our three theoretical contributions extend theory about metaphors and organizational change, showing how negative framings of change are endemic to teams, regardless of perceived success; generate knowledge about resilience in organizing by showing how metaphors both build and undermine resilience; and extend applied theory about stakeholder participation in bureaucratic organizations.
Language	English
Publishing date	2019-06-04
Publishing country	United States
Document type	Journal Article
ISSN	0363-7751
ISSN	0363-7751
DOI	10.1080/03637751.2019.1621361
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Article ; Online: Framework for Multisector Alignment Research.

Riley, William J / Love, Kailey / Runger, George / Shafer, Michael S / Pine, Kathleen / Mays, Glen

Journal of public health management and practice : JPHMP

2020 Volume 27, Issue 5, Page(s) E205–E209

Abstract: Context: Public health collaboratives are effective platforms to develop interventions for improving population health. Most collaboratives are limited to the public health and health care delivery sectors; however, multisector collaboratives are ... ...

Abstract	Context: Public health collaboratives are effective platforms to develop interventions for improving population health. Most collaboratives are limited to the public health and health care delivery sectors; however, multisector collaboratives are becoming more recognized as a strategy for combining efforts from medical, public health, social services, and other sectors. Program: Based on a 4-year multisector collaborative project, we identify concepts for widening the lens to conduct multisector alignment research. The goal of the collaborative was to address the serious care fragmentation and conflicting financing systems for persons with behavioral health disorders. Our work with these 7 sectors provides insight for creating a framework to conduct multisector alignment research for investigating how alignment problems can be identified, investigated, and applied to achieve systems alignment. Implementation: The multisector collaborative was undertaken in Maricopa County, encompassing Phoenix, Arizona, and consisted of more than 50 organizations representing 7 sectors. Evaluation: We develop a framework for systems alignment consisting of 4 dimensions (alignment problems, alignment mechanisms, alignment solutions, and goal attainment) and a vocabulary for implementing multisector alignment research. We then describe the interplay and reciprocity between the 4 dimensions. Discussion: This framework can be used by multisector collaboratives to help identify strategies, implement programs, and develop metrics to assess impact on population health and equity.
MeSH term(s)	Arizona ; Humans ; Population Health ; Public Health ; Social Work
Language	English
Publishing date	2020-10-16
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2027860-3
ISSN	1550-5022 ; 1078-4659
ISSN (online)	1550-5022
ISSN	1078-4659
DOI	10.1097/PHH.0000000000001275
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Article ; Online: Factors associated with the health service utilization of unsheltered, chronically homeless adults.

Linton, Kristen Faye / Shafer, Michael S

Social work in public health

2014 Volume 29, Issue 1, Page(s) 73–80

Abstract: Individuals who are chronically homeless have significantly higher rates of morbidity at significantly younger ages because they experience homelessness, physical and mental health impairments, and substance use disorders. The health status and health ... ...

Abstract	Individuals who are chronically homeless have significantly higher rates of morbidity at significantly younger ages because they experience homelessness, physical and mental health impairments, and substance use disorders. The health status and health service utilization of 260 unsheltered, chronically homeless individuals in a large southwestern, metropolitan community are reported. The behavioral model for vulnerable populations was used to conceptualize the factors associated with hospital, mental health, and substance abuse service utilization among the sample. Health insurance coverage was positively associated with the use of all health services. Other factors were also observed to exert differential relationships to health service utilization.
MeSH term(s)	Adult ; Aged ; Arizona ; Female ; Health Care Surveys ; Health Services/utilization ; Homeless Persons/psychology ; Homeless Persons/statistics & numerical data ; Hospitals/utilization ; Humans ; Insurance Coverage/statistics & numerical data ; Male ; Mental Health Services/utilization ; Middle Aged ; Models, Psychological ; Socioeconomic Factors ; Substance Abuse Treatment Centers/utilization ; Vulnerable Populations ; Young Adult
Language	English
Publishing date	2014
Publishing country	United States
Document type	Journal Article
ZDB-ID	2414992-5
ISSN	1937-190X ; 1937-1918
ISSN (online)	1937-190X
ISSN	1937-1918
DOI	10.1080/19371918.2011.619934
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Article ; Online: Design and Implementation of a COVID-19 Case Investigation Program: An Academic-Public Health Partnership, Arizona, 2020.

Ledesma, Daniela / Maroofi, Hanna / Sabin, Susanna / Dennehy, Timothy J / Truong, Jasmine M / Meyer, Laura G / Salik, McMillan / Scott, Sarah / White, Jessica R / Collins, Jennifer / Mrukowicz, Christina / Charifson, Mia / Shafer, Michael S / Jehn, Megan

Public health reports (Washington, D.C. : 1974)

2022 Volume 137, Issue 2, Page(s) 213–219

Abstract: From May through July 2020, Arizona was a global hotspot for new COVID-19 cases. In response to the surge of cases, local public health departments looked for innovative ways to form external partnerships to address their staffing needs. In collaboration ...

Abstract	From May through July 2020, Arizona was a global hotspot for new COVID-19 cases. In response to the surge of cases, local public health departments looked for innovative ways to form external partnerships to address their staffing needs. In collaboration with the Maricopa County Department of Public Health, the Arizona State University Student Outbreak Response Team (SORT) created and implemented a virtual call center to conduct public health case investigations for COVID-19. SORT officially launched a dedicated COVID-19 case investigation program after 3 weeks of program design and training. From June 29 through November 8, 2020, SORT recruited and trained 218 case investigators, completed 5000 case patient interviews, and closed 10 000 cases. Our team also developed process improvements to address disparities in case investigation timeliness. A strong infrastructure designed to accommodate remote case investigations, paired with a large workforce, enabled SORT to provide additional surge capacity for the county's high volume of cases. University-driven multidisciplinary case investigator teams working in partnership with state, tribal, and local public health staff members can be an effective tool for supporting a diverse and growing public health workforce. We discuss the essential design factors involved in building a university program to complement local COVID-19 response efforts, including workflows for case management, volunteer case investigator recruitment and training, secure technology platforms for conducting case investigations remotely, and robust data-tracking procedures for maintaining quality control and timely case reporting.
MeSH term(s)	Arizona/epidemiology ; COVID-19/epidemiology ; Call Centers/organization & administration ; Contact Tracing/methods ; Disease Outbreaks/prevention & control ; Humans ; Intersectoral Collaboration ; Program Development ; Program Evaluation ; Public Health Practice ; SARS-CoV-2 ; Students ; Universities ; Volunteers ; Workforce/organization & administration
Language	English
Publishing date	2022-01-21
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	120953-x
ISSN	1468-2877 ; 0033-3549
ISSN (online)	1468-2877
ISSN	0033-3549
DOI	10.1177/00333549211068495
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Article ; Online: Predicting substance-abuse treatment providers' communication with clients about medication assisted treatment: a test of the theories of reasoned action and planned behavior.

Roberto, Anthony J / Shafer, Michael S / Marmo, Jennifer

Journal of substance abuse treatment

2014 Volume 47, Issue 5, Page(s) 307–313

Abstract: The purpose of this investigation is to determine if the theory of reasoned action (TRA) and theory of planned behavior (TPB) can retrospectively predict whether substance-abuse treatment providers encourage their clients to use medicated-assisted ... ...

Abstract	The purpose of this investigation is to determine if the theory of reasoned action (TRA) and theory of planned behavior (TPB) can retrospectively predict whether substance-abuse treatment providers encourage their clients to use medicated-assisted treatment (MAT) as part of their treatment plan. Two-hundred and ten substance-abuse treatment providers completed a survey measuring attitudes, subjective norms, perceived behavioral control, intentions, and behavior. Results indicate that substance-abuse treatment providers have very positive attitudes, neutral subjective norms, somewhat positive perceived behavioral control, somewhat positive intentions toward recommending MAT as part of their clients' treatment plan, and were somewhat likely to engage in the actual behavior. Further, the data fit both the TRA and TPB, but with the TPB model having better fit and predictive power for this target audience and behavior. The theoretical and practical implications for the developing messages for substance-abuse treatment providers and other health-care professionals who provide treatment to patients with substance use disorders are discussed.
MeSH term(s)	Adult ; Aged ; Attitude of Health Personnel ; Communication ; Female ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; Intention ; Male ; Middle Aged ; Models, Psychological ; Professional-Patient Relations ; Psychological Theory ; Substance-Related Disorders/drug therapy
Language	English
Publishing date	2014-11
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	605923-5
ISSN	1873-6483 ; 0740-5472
ISSN (online)	1873-6483
ISSN	0740-5472
DOI	10.1016/j.jsat.2014.06.002
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Article: A metaphor analysis of recovering substance abusers' sensemaking of medication-assisted treatment.

Malvini Redden, Shawna / Tracy, Sarah J / Shafer, Michael S

Qualitative health research

2013 Volume 23, Issue 7, Page(s) 951–962

Abstract: In this study, we examined metaphors invoked by people recovering from opioid dependence as they described the challenges and successes of using medication-assisted treatment. Metaphors provide linguistic tools for expressing issues that are confusing, ... ...

Abstract	In this study, we examined metaphors invoked by people recovering from opioid dependence as they described the challenges and successes of using medication-assisted treatment. Metaphors provide linguistic tools for expressing issues that are confusing, complex, hidden, and difficult to state analytically or literally. Using data from eight focus groups with 68 participants representing four ethnic minority groups, we conducted a grounded analysis to show how recovering substance users communicatively constructed addiction and recovery. The primary medication, methadone, was framed as "liquid handcuffs" that allowed those in recovery to quit "hustling," get "straight," and find "money in their pockets." Nonetheless, methadone also served as a "crutch," leaving them still feeling like "users" with "habits" who "came up dirty" to friends and family. In this analysis, we tease out implications of these metaphors, and how they shed light on sensemaking, agency, and related racial- and class-based structural challenges in substance abuse recovery.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Communication ; Drug Users/psychology ; Female ; Focus Groups ; Humans ; Male ; Metaphor ; Methadone/therapeutic use ; Middle Aged ; Minority Groups ; Opiate Substitution Treatment/psychology ; Opioid-Related Disorders/drug therapy ; Opioid-Related Disorders/ethnology ; Self Efficacy ; Social Support
Chemical Substances	Methadone (UC6VBE7V1Z)
Language	English
Publishing date	2013-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1275716-0
ISSN	1552-7557 ; 1049-7323
ISSN (online)	1552-7557
ISSN	1049-7323
DOI	10.1177/1049732313487802
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Article: The impact of housing first and peer support on people who are medically vulnerable and homeless.

Bean, Kristen F / Shafer, Michael S / Glennon, Mary

Psychiatric rehabilitation journal

2013 Volume 36, Issue 1, Page(s) 48–50

Abstract: Objective: The purpose of this study was to assess the impact of a local initiative, Project H3, which used housing first, harm reduction, and peer support models to provide housing for 47 homeless people who were medically vulnerable.: Method: ... ...

Abstract	Objective: The purpose of this study was to assess the impact of a local initiative, Project H3, which used housing first, harm reduction, and peer support models to provide housing for 47 homeless people who were medically vulnerable. Method: Comparisons of interviews with participants who were housed at the day of their move-in, and 6-months and 12-months after their move-in, were conducted. Results: Ninety-eight percent of the participants remained in housing after 12 months. Individuals who were housed reported significant increases in their access to and utilization of planned health care services and quality of life, and reductions in their involvement in the criminal justice system. Conclusion and implications for practice: Housing first, harm reduction, and peer support models demonstrate effectiveness in decreasing substance use and improving the quality of life of people who are homeless over time.
MeSH term(s)	Female ; Follow-Up Studies ; Harm Reduction ; Homeless Persons/psychology ; Humans ; Interview, Psychological ; Male ; Middle Aged ; Peer Group ; Public Housing ; Quality of Life/psychology ; Social Support ; Substance-Related Disorders/rehabilitation ; Surveys and Questionnaires ; Time Factors
Language	English
Publishing date	2013-03
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	2070454-9
ISSN	1559-3126 ; 1095-158X
ISSN (online)	1559-3126
ISSN	1095-158X
DOI	10.1037/h0094748
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Article: A cluster randomized trial of an organizational process improvement intervention for improving the assessment and case planning of offenders: a Study Protocol.

Shafer, Michael S / Prendergast, Michael / Melnick, Gerald / Stein, Lynda A / Welsh, Wayne N

Health & justice

2014 Volume 2, Issue 1

Abstract: Background: The Organizational Process Improvement Intervention (OPII), conducted by the NIDA-funded Criminal Justice Drug Abuse Treatment Studies consortium of nine research centers, examined an organizational intervention to improve the processes used ...

Abstract	Background: The Organizational Process Improvement Intervention (OPII), conducted by the NIDA-funded Criminal Justice Drug Abuse Treatment Studies consortium of nine research centers, examined an organizational intervention to improve the processes used in correctional settings to assess substance abusing offenders, develop case plans, transfer this information to community-based treatment agencies, and monitor the services provided by these community based treatment agencies. Methods/design: A multi-site cluster randomized design was used to evaluate an inter-agency organizational process improvement intervention among dyads of correctional agencies and community based treatment agencies. Linked correctional and community based agencies were clustered among nine (9) research centers and randomly assigned to an early or delayed intervention condition. Participants included administrators, managers, and line staff from the participating agencies; some participants served on interagency change teams while other participants performed agency tasks related to offender services. A manualized organizational intervention that includes the use of external organizational coaches was applied to create and support interagency change teams that proceeded through a four-step process over a planned intervention period of 12 months. The primary outcome of the process improvement intervention was to improve processes associated with the assessment, case planning, service referral and service provision processes within the linked organizations. Discussion: Providing substance abuse offenders with coordinated treatment and access to community-based services is critical to reducing offender recidivism. Results from this study protocol will provide new and critical information on strategies and processes that improve the assessment and case planning for such offenders as they transition between correctional and community based systems and settings. Further, this study extends current knowledge of and methods for, the study of evidence-based practice adoption and implementation.
Language	English
Publishing date	2014-12-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2740401-8
ISSN	2194-7899
ISSN	2194-7899
DOI	10.1186/2194-7899-2-1
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