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Organizational Change Models

Quality Improvement Models

Addressing Tobacco through Organizational Change (ATTOC)

ATTOC is a 10-step process designed to help organizations systematically improve their tobacco addiction treatment for patients/clients and change their culture to better address tobacco use through staff training, improvement of clinical services, and program development. An adapted version of the model, Addressing Problems Through Organizational Change, has been implemented for systematically addressing other key areas of change at the organizational level, including integrating quality improvement efforts that applies mindfulness principles. To learn more about the ATTOC model and the UMass ATTOC consultation services:

ATTOC Publications:

Ziedonis, D., Williams, J. M., & Smelson, D. (2003). Serious mental illness and tobacco addiction: a model program to address this common but neglected issue. The American Journal of the Medical Sciences, 326, 4, 223-30.

Williams, J. M., Foulds, J., Dwyer, M., Order-Connors, B., Springer, M., Gadde, P., & Ziedonis, D. M. (2005). The integration of tobacco dependence treatment and tobacco-free standards into residential addictions treatment in New Jersey. Journal of Substance Abuse Treatment, 28, 4, 331-40.

Ziedonis, D. M., Zammarelli, L., Seward, G., Oliver, K., Guydish, J., Hobart, M., & Meltzer, B. (2007). Addressing tobacco use through organizational change: a case study of an addiction treatment organization. Journal of Psychoactive Drugs, 39(4), 451-459.

Guydish, J., Ziedonis, D., Tajima, B., Seward, G., Passalacqua, E., Chan, M., . . . Brigham, G. (2012). Addressing Tobacco Through Organizational Change (ATTOC) in residential addiction treatment settings. Drug and Alcohol Dependence, 121(1-2), 30-37. doi: 10.1016/j.drugalcdep.2011.08.003

Ziedonis, D. M., Kim, S. S., Tonelli, M. E., Li, S., Kalman, D., Wang, X., & Li, T. (2012). Addressing tobacco through organizational change in a hospital-based mental health center in china: The intervention and lessons learned in a pilot implementation project. Journal of Dual Diagnosis, 8, 2, 148-157.

Expands on the work of:

Hoffman, A. L., & Slade, J. (1993). Following the pioneers. Addressing tobacco in chemical dependency treatment. Journal of Substance Abuse Treatment, 10(2), 153-160.

Getting to Outcomes: Methods and tools for planning, evaluation, and accountability (GTO)

GTO is a systematic approach to accountability based on 10 key measures: needs and resources, goals, science and best practices, fit, capacity, plan, implementation, outcome evaluation, continuous quality improvement, and sustainability. It provides practitioners with concrete strategies for planning, implementing, and evaluating programmatic prevention and change efforts in order to increase the likelihood of achieving and demonstrating positive results. Several evidence-based practice manuals have been developed tailored to different outcome areas.

GTO Publications

Wandersman, A., Imm, P., Chinman, M., & Kaftarian, S. (2000). Getting to outcomes: A results-based approach to accountability. Evaluation and program planning, 23(3), 389-395.

Chinman, M., Hunter, S. B., Ebener, P., Paddock, S. M., Stillman, L., Imm, P., & Wandersman, A. (2008). The Getting To Outcomes demonstration and evaluation: An illustration of the prevention support system. American Journal of Community Psychology, 41(3-4), 206–224.