scholarly journals Availability of Outpatient Substance Use Disorder Treatment Programs in the United States

2010 ◽  
Vol 45 (7-8) ◽  
pp. 1097-1111 ◽  
Author(s):  
Brian E. Perron ◽  
David F. Gillespie ◽  
Ben Alexander-Eitzman ◽  
Jorge Delva
Keyword(s):  
United States ◽  
Substance Use ◽  
Substance Use Disorder ◽  
The United States ◽  
Treatment Programs ◽  
Substance Use Disorder Treatment ◽  
Disorder Treatment

Representative Bureaucracy Through Staff With Lived Experience: Peer Coproduction in the Field of Substance Use Disorder Treatment

2020 ◽  
Vol 50 (8) ◽  
pp. 880-897
Author(s):  
Sunggeun (Ethan) Park
Keyword(s):  
Decision Making ◽  
Substance Use ◽  
Lived Experience ◽  
Substance Use Disorder ◽  
The United States ◽  
Descriptive Representation ◽  
Representative Bureaucracy ◽  
Organizational Decision Making ◽  
Substance Use Disorder Treatment ◽  
Disorder Treatment

This study extends the representative bureaucracy literature by theorizing and empirically testing how staff sharing lived experience with service users can serve as user representatives in service provision processes (i.e., the peer coproduction mechanism). Using survey data from a representative sample of substance use disorder treatment clinics in the United States, we explore factors associated with descriptive representation (the presence of staff with firsthand experience of a substance use disorder in both frontline treatment and senior positions) and directors’ perceptions of recovering staff’s potential to serve as user representatives in individual care and organizational decision-making processes. Recovering staff accounted for a third of the field’s workforce, but the majority of the clinics did not employ them in senior staff positions. Regression results suggest that organizational leaders’ recognition of recovering staff’s unique representation capacities may facilitate greater descriptive representation and grant meaningful organizational decision-making authority to recovering staff. Multiple research and practice implications are discussed.

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