Findings from clinical and natural evaluations for the effectiveness of treatment interventions—especially cognitive and behavioral strategies—have led to renewed calls for transferring these “evidence-based” techniques into practice. This is a complicated task, however, which is itself in need of systematic study. Organizational climate and readiness for change are especially important, and the TCU Program Change Model provides a conceptual framework to summarize these and other sources of influence on this stage-based process. New analytic strategies and assessment instruments for studying organizational functioning have been developed at the IBR for this work.

One of these tools is the Organizational Readiness for Change (ORC) survey, which is an instrument (with supporting materials) that drug treatment services can “use to assess organizational traits that can facilitate or hinder efforts at transition.”