A Prospective Examination of Clinician and Supervisor Turnover Within the Context of Implementation of Evidence-Based Practices in a Publicly-Funded Mental Health System.

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TitleA Prospective Examination of Clinician and Supervisor Turnover Within the Context of Implementation of Evidence-Based Practices in a Publicly-Funded Mental Health System.
Publication TypeJournal Article
Year of Publication2016
AuthorsBeidas, RS, Marcus, S, Wolk, CBenjamin, Powell, B, Aarons, GA, Evans, AC, Hurford, MO, Hadley, T, Adams, DR, Walsh, LM, Babbar, S, Barg, F, Mandell, DS
JournalAdm Policy Ment Health
Volume43
Issue5
Pagination640-649
Date Published2016 Sep
ISSN1573-3289
KeywordsAdult, Burnout, Professional, Evidence-Based Practice, Female, Humans, Male, Mental Health Services, Middle Aged, Pennsylvania, Personnel Turnover, Prospective Studies
Abstract

Staff turnover rates in publicly-funded mental health settings are high. We investigated staff and organizational predictors of turnover in a sample of individuals working in an urban public mental health system that has engaged in a system-level effort to implement evidence-based practices. Additionally, we interviewed staff to understand reasons for turnover. Greater staff burnout predicted increased turnover, more openness toward new practices predicted retention, and more professional recognition predicted increased turnover. Staff reported leaving their organizations because of personal, organizational, and financial reasons; just over half of staff that left their organization stayed in the public mental health sector. Implications include an imperative to focus on turnover, with a particular emphasis on ameliorating staff burnout.

DOI10.1007/s10488-015-0673-6
Alternate JournalAdm Policy Ment Health
PubMed ID26179469
PubMed Central IDPMC4715798
Grant ListF32 MH103955 / MH / NIMH NIH HHS / United States
K23 MH099179 / MH / NIMH NIH HHS / United States
R25 MH080916 / MH / NIMH NIH HHS / United States
U54 HD086984 / HD / NICHD NIH HHS / United States