Adoption of a Clinical Innovation "Best Practices for Concurrent Mental Health and Substance Use Disorders" in Ontario, a One-year Follow up

Objectives: To determine the level of adoption and which characteristics are most strongly associated with the adoption of a clinical innovation in Mental Health and Addiction Service organizations in Ontario, one year after dissemination. Methods: This cross-sectional study included a voluntary quantitative mail-out survey, using a self administered questionnaire that was sent to 260 mental health and addiction service organizations in Ontario. Linear regression analysis was conducted to identify significant predictors of the overall adoption-decision of the best practice recommendations.Results: Individuals’ tenure within the organization and the provision of screening (organizational variable) was identified to be predictors of adoption for the organization. Conclusions: The results of this study demonstrated the majority of the organizations are on the path towards a finale decision of adopting or rejecting the recommendations. The results also demonstrate the importance of individual characteristics and organizational characteristics in identifying predictors of adoption.