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Runninghead:ORGINAZATIONALANALYSIS

Organizational Analysis
Crystal McMillon
Wayne State University

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Organizational Analysis
Organization

National Council on Alcoholism and Drug Dependence (NCADD) is a non- profit


organization in Southeast Michigan. For 69 years, it has worked with in the vulnerable
population of substance abuse. The organization has been officially attached to the
National Council on Alcoholism and Drug Dependence Inc., since its birth in 1947.
NCADD provides prevention, treatment, recovery and advocacy services to the greater
area of Detroit. It has almost 100 affiliates across the country that embodies the dictum
that recovery is possible. The agency has also been affiliated with the National
Association for Children of Alcoholics (NACoA), a national research and advocacy
organization (NCADD, 2012).
Different Components
There are several components to the agency. Policies and procedures of NCADD
are provided to each staff member of all components of the organization. First, the
administrative building works on a macro level, dealing with public policies and the
upkeep of additional programs within the nonprofit organization. NCADD serves as a
community resource, and has a financial component that works in concert with the other
areas to ensure financial stability.
Second, Vantage Point Clinical Services, The NCADD Vantage Point addiction
treatment clinics are the premier health facilities for individuals seeking treatment for
addiction. The staff of specialists is trained in the most recent alcohol and drug
treatment methods for the population afflicted with substance use disorder. Therapists are

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trained not only to treat the underlying disorder, but to help the individual cope with the
dependency that has caused family conflict (NCADD, 2015).
Vantage Point works on a micro level providing substance use disorder services
to individual, group and family counseling for adolescents and adults. The clients are
either mandated or voluntary. The mandated clients have to fill out a particular form
during the intake process, which helps keep track of their progress; progress notes are
then sent to their referrer. Voluntary clients are those individuals who realize they have
challenges with alcohol, tobacco, and other drugs (ATOD) and want to take the proper
steps to recovery. Within the clinical outpatient treatment services the clinical director is
over the services ran at the facility. Under the clinical director falls the: service intensive
outpatient (IOP) leader, the counselor for outpatient (OP), service leader for adolescents
IOP and service leader for OP. The service leader IOP provides counseling four times a
week, and drug education. The counselor OP is a counselor for the OP. The service
leader adolescents IOP serves as a counselor and a family therapist, and the service leader
for adolescent OP serves as a counselor for OP. IOP is designed for those who need
support and treatment beyond weekly session, but do not need to be in inpatient or
residential treatment (NCADD, 2012). The first step for clients who enter NCADD is
the intake process. The intake process consists of gathering important information from
the client: demographics, goals, triggers, etc. After the intake process the client is then
assigned to a therapist, here more information is documented about the clients health,
choice of drugs, confidentiality, etc. Drug screening is up to the discretion of the therapist
if they feel like they should administer a drug during test the initial session. Clients are
terminated after one has completed all sessions. IO clients have 40 mandatory sessions,

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which are 4 days a week for 2.5 to 3 hours, but once completed are welcomed to join the
alumni group. Highlights of the program include: group therapy, individual counseling,
random drug screens, life skills, family counseling, case management, referrals and a
recovery coach.
This service is apart of long-term recovery management that has proven to be
very successful in supporting clients as they work to remain abstinent and avoid relapse.
Evidence of the long-term impact of the Recovery Coaching program is demonstrated
by follow up surveys with those who have successfully completed treatment. Results
from the follow up surveys show that six months after discharge, 75% remained abstinent
from drugs and alcohol, 65% were employed or in school and 90% reported no
involvement with criminal justice system (NCADD, 2012).
Thirdly, Youth Programs, Strong Teens Excelling in Prevention Service (STEPS),
which provides teens with prevention education, trips, outings, and guest speakers.
Within this program teens are assessed by a pre-test in the beginning and post-test during
the end of the program about drugs and alcohol. In addition, we offer Successful Alliance
for Educating Talented Youth (SAFETY), which focuses on early intervention, referral to
treatment, and prevention services. SAFTEY is made up of three components: the
assessment center, after school program SAFETY, and the summer employment program.
The assessment center is where case managers provide services for pre-adjudicated and
adjudicated youth age 10 through 17, who are being supervised by the Wayne County
Third Judicial Circuit Court Family Division and/or who are being supervised by the
Wayne County Third Circuit Court Juvenile Division Probation Department. Youth enter

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the program by a 90-day referral, and have the option to continue after their completed 90
days.
The last component of the SAFETY program is Summer Employment Program,
which allows students to become enrolled in a college or university from the other
program components, allowing them to use the knowledge that they have attained to
assist them with progressing and succeeding in life. Anyone connected to NCADD
organization has the eligibility to attend the tour. Some of the program outcomes 75%
of participants demonstrated increased awareness of ATOD protective factors as
demonstrated by improved post-test results. 75% of youth participation increased
perception of risk of marijuana and other drug use per post test results (NCADD, 2012).
Mission and Goals
National Council on Alcoholism and Drug Dependency (NCADD) is a nonprofit
organization that works with families and youth in the greater Detroit area; providing
education, prevention, treatments for substance abuse disorders and physical abuse,
clinical services, and advocacy services. The mission of the agency is to provide
community health by providing substance abuse prevention, education, training,
treatment and advocacy (NCADD, 2012).
Goals within the organization are to provide quality addiction treatment,
prevention education, and recovery services to our target population. In addition, to
advocate for proper education on prevention and addiction services. To reduce stigma and
discrimination associated with the disease of addiction. Last but not least, to foster a safe
and healthy recovery community.

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NCADD uses a Cognitive Behavior Therapy to help clients learn methods to


avoid substance abuse. The results from the 2011 study of Watkins et al. found that
Providing group cognitive behavioral therapy for depression to clients with persistent
depressive symptoms receiving residential substance abuse treatment is associated with
improved depression and substance use outcomes (Watkins et al., 2011).
In addition, the agency uses Motivational Interviewing (MI) model to help
advance the client through recovery. According to researchers Motivational Interviewing
is a directive, client-centered brief intervention to elicit behavior change by helping
clients explore and resolve ambivalence (Miller et al., 2003)
Both of these methods have been proven scientifically effective for counseling
our target population. NCADD follows an evidence based practiced curriculum called
Celebrating Families which provides information, skill training, and support to help
participants avoid relapse and strengthen recovery from alcohol, tobacco and other drugs
use with the promotion of health living.
When it comes to goal displacement, based off of my internship experience, it is
very minimal. Being that I am located at the administrative building, resources to walkins are limited, but we will never turn a person in need away, even though we arent fully
equipped to handle their situation. For example, a client walked in looking to be
transported to a rehabilitation center, throughout the process of getting him the proper
resources, the transportation seemed to be the biggest issue. There are a myriad of
influences that prevent goal displacement: innovative ideas, a competent staff, teamwork,
good community relations, and autonomy when it comes to decision-making, to name a
few. NCADD showed that through their commitment to the community over the last 69

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years.
Organizational Structure and Staffing
Organizations are set up a myriad of ways to accomplish their mission and goals.
The structure of an organization defines how an organization functions: how well
employees work together, communication, proper resources, etc. NCADD operates under
a bureaucracy structure. Each of the positions within the company is well defined and
each employee must meet certain qualifications before employed, which makes our staff
competent. If looking at the organization chart, decisions are done at the top beginning
with the upper management, the Board of Directors- the chairperson: Mary Duncan,
leading to the CEO of the organization Dr. Benjamin Jones. Under the CEO fall the
SAFETY and STEPS program directors, the recovery coach, administrative office, and
the director of clinical, who all have the help of special assistants. Information about the
program activities is kept between program directors, unless they seek other advice or
ideas. According to the text Bureaucratic structure is designed to help an organization
complete it tasks by maximizing the efficiency with which those task are carried out
(Netting, 1993).
When it comes to diversity, that is one of our strengths, both the clients and staff
is diverse from ones age, education, race, etc. Both qualified males and females hold
positions throughout the agency. NCADD is an organization filled with diversity, so I see
no special issues that will affect the minority population due to the balance within the
company.
Internal and External Environment/Recommendations
However, the agency does have both internal and external weakness. When it

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comes to the internal weakness of the organization, these are issues that the organization
itself can control. If you look at the organizational chart you will find that a few of the
positions are vacant. If spots were filled, the organization wouldnt be under staffed, and
could then provide more resources accessible to clients. The organization doesnt offer
enough transportation to clients, going back to the example I gave about the walk-in at
the administrative office building. Transportation is an essential resource within our
organization. I would recommend a licensed driver at both of the locations to better assist
the population when to comes to commuting to different locations. One issue that might
stand in the way of this solution would be funding, which could possibly come from a
fund raising event or a grant. Clients need to be able to get back and forth to their
sessions and transportation is needed for those who walk-in inquiring about rehabilitation
centers. Training is another weakness, considering that a lot of the clients that we serve
suffer from mental health illness; more training should be done within this subject matter,
to increase competence in that area.
Communication is the key to success. Communication is very important within
any organization because that is how ideas are expressed. Ive experienced a lack of
communication throughout the organization. Being an intern, I sometimes dont receive
notices about events or meetings until the day of. Example, we just started a new
workshop, and both weeks that we were supposed to start the life readiness skill
workshop for our youth program, the event was cancelled. People within the organization
could do a better job of keeping staff that is involved in the working projects up to date. I
would recommend a blog for the organization, and with this blog we could also promote
program services to the community to add to our clientele base. Clients come from a

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plethora of sources: referrals from court system other social service systems, word of
mouth, web site, and marketing, the blog would only add to our sources.
Another example of communication weakness within the agency is, when I first
started my internship at NCADD, I spoke to everyone that I crossed paths with. I soon
realized that the receptionist didnt respond all of the time. I started to think that it was a
personal problem, due to the fact that no one informed me that she had some challenges
with hearing. If this disability had been communicated from day one it would have been
expected and understood, instead of me having to communicate my concern with another
staff member. Communication is definitely a feasible goal within the organization, that
wouldnt take much work, just more of a team effort.
Some external factors stems from the staffing, as stated within the internal
environment. Not maximizing the full potential of staff can be a potential threat to the
organizations success. The major factor that lies within the external factors is funding,
being a non-profit organization the agency depends highly on grants and such for
funding. In addition, the community that the agency stands is in an impoverished area.
NCADD could use security for the parking lot and within the building, to help staff
members and client feel secure.
Culture of NCADD has a powerful influence on the behavior and attitudes of staff
members. The organizations culture is warm, friendly, and calm; I would change nothing
about the culture of NCADD, its a professional setting, staff members dress
appropriately and work well with one another. NCADD knows that whatever decisions
they make doesnt just affect the organization but can have a rippling effect on the clients
and the community.

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Relationship with Community


Within the community you need to know the primary funders. Detroit Wayne
Mental Health is the largest contributor to behavior health programs in Wayne County.
Other funders include: United way, community services, human services, and foundations
like Ford, Kellogg and Community Foundation for Southeast, MI.
NCADD is competes with all human service agencies in one aspect or another.
Primarily being other local mental health and substance abuse organizations. This is also
an example of politics, competing for the same dollar, doing that you have to stand apart
from other organizations. Politically you need to know a lot of people, you have to be
known as influential, a positive image in the community and ones leadership must be
recognized and respected.
Theoretical Construct of Organization
My affiliation with this organization has allowed me to see that it operates under
more than one system. Even though our organization operates under a bureaucracy
structure when it comes to the decision-making, the power is still evenly distributed
throughout the staff. Autonomy comes from within staff, not micro managing.
Administration steps in when dealing with resources. Services are more selective. The
best idea of the day rules the day! (Dr. B Jones, personal communication, February 27,
2015). This is an example of Theory Y and Human Relations. According to the text
These theories assume that workers are motivated by factors other than wages. Which
being in the social work profession is a big factor; considering the pay isnt always high.
Human relations theorist noted that social relations among staff could enhance the

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production within the organization. Which can also be, a commonly shared understanding
of the reason of existence of the organization, which is an example of the management by
objective theory (Netting, 1993). This theory fits more of the organization in my
opinion, due to the monthly staff meeting that we have. The CEO conducts staff meetings
at the agency, we follow an agenda, but members of the organization are allowed to voice
short term and long term planning, goals and innovative ideas. Furthermore, during these
meetings other staff members learn about what is going on in other departments of the
organization. The surveys that we receive from clients who have completed programs
successfully also add in the open systems perspective. NCADD does allow input from
their environment, and from there the organization takes into consideration the ideas of
the clients that they serve. Decision-making is collective from everyone involved within
the organization.
Commitment
NCADD has a monolithic role in the greater area of Detroit. NCADD believes in
the power of recovery to help restore and transform lives and change the world for the
better. As of today from the myriad of years that NCADD has provided substance abuse
prevention, education, training, treatment, and advocacy; more than 80% of Americans
know that alcoholism is a disease and are far more open about acknowledging the
destructive effects of ATOD (NCADD, 2012).
NCADD has received accreditation for its services in 2011 from CARF (national
accredited organization for community based organizations). After receiving the
Substance Abuse and Mental Health Services Administration (SAMHSA) National
Recovery Month award in 2011, the agencys annual event was selected as the Faces and

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Voices got Recovery (FAVOR) National Hub Event for the 2012 Recovery Month
Observance. Everyone is welcomed to the services that are provided. NCADD provides
positive and life changing experiences.
NCADD believes that everyone is entitled to recovery with dignity, which is the
primary goal of the agency. The organization operates from a philosophical position that
addiction to alcohol and other drugs is a chronic condition for which there are protocols
that increase the probability of long-term recovery for individuals and families. NCADD
has continued to uphold its mission to prevent, and treat substance use disorder, as well
as, labor to provide recovery with dignity to individuals and families impacted by the
chronic disease of addiction. Over the years the agency has provided insightful
interventions and intuitive programming designed to holistically support people and
communities.

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References
Miller, W. R., yahne, C. E., & Tonigan, J. S. (2003). Motivational interviewing in drug
abuse services: A randomized trial. Journal of Consulting and Clinical
Psychology, 71(4), 754-763.Retrieved from
http://search.proquest.com.proxy.lib.wayne.edu/docview/210638591?
accountid=14925
Netting, F., Kettner, P., McMurty, S., & Thomas, M. (1993). Understanding
Organizations. In Social work macro practice. New York: Longman.

Watkins, Katherine E,M.D., M.S.H.S., Hunter, S. B., PhD., Hepner, K. A., PhD.,
Paddock, S. M., PhD., de, l. C., Zhou, A. J., M.S., & Gilmore, Jim,M.B.A.,
C.A.D.C. (2011). An effectiveness trial of group cognitive behavioral therapy for
patients with persistent depressive symptoms in substance abuse
treatment. Archives of General Psychiatry, 68(6), 577. Retrieved from
http://search.proquest.com.proxy.lib.wayne.edu/docview/872846620?
accountid=14925

NCADD-GDA. (2012). We Can HelpMake a Difference in Your Life


Today! [Brochure]. Detroit, Michigan: Author.

(n.d.). Retrieved March 5, 2015, from http://www.ncadd-detroit.org/boardandstaff.html

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