“…Additionally, community therapists often provide psychosocial services to trauma-exposed populations, which places them at increased risk of distress or secondary trauma (Bride, 2004; Meldrum, King, & Spooner, 2002). Moreover, top-down pressures to carry larger caseloads, comply with increasing documentation and regulatory demands, and achieve higher levels of clinical productivity via billing (Patterson-Silver Wolf, Dulmus, & Maguin, 2012; Skriner et al, 2018) may create high-stress environments that contribute to low morale, job dissatisfaction, and turnover (Beidas, Marcus, et al, 2016; Hoge et al, 2007; Paris & Hoge, 2010). Within system-driven EBP implementation contexts, there have been mixed findings concerning other workforce impacts.…”