2012
DOI: 10.1016/j.jsat.2011.10.015
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Treatment staff turnover in organizations implementing evidence-based practices: Turnover rates and their association with client outcomes

Abstract: High staff turnover has been described as a problem for the substance use disorder treatment field. This assertion is based primarily on the assumption that staff turnover adversely impacts treatment delivery and effectiveness. This assumption, however, has not been empirically tested. In this study, we computed annualized rates of turnover for treatment staff (n=249) participating in an evidence-based practice implementation initiative and examined the association between organizational-level rates of staff t… Show more

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Cited by 61 publications
(67 citation statements)
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“…Turnover, i.e., leaving one's position, has been linked to a variety of factors including a desire for better career opportunities, low pay, inadequate skills/training, inadequate benefits, and a lack of workplace supports (Baraket al 2001;Ben-Dror 1994;Jayaratne and Chess 1984;Perkins et al 2007). Currently, annual turnover rates for mental health workers are estimated at 30 % (Garner et al 2012;Gitter 2009;Rollins et al 2010).…”
Section: Introduction Turnover Among Community Mental Health Workers mentioning
confidence: 99%
“…Turnover, i.e., leaving one's position, has been linked to a variety of factors including a desire for better career opportunities, low pay, inadequate skills/training, inadequate benefits, and a lack of workplace supports (Baraket al 2001;Ben-Dror 1994;Jayaratne and Chess 1984;Perkins et al 2007). Currently, annual turnover rates for mental health workers are estimated at 30 % (Garner et al 2012;Gitter 2009;Rollins et al 2010).…”
Section: Introduction Turnover Among Community Mental Health Workers mentioning
confidence: 99%
“…With agencies experiencing high turnover rates (Garner et al, 2012) and high costs of training (direct and indirect), having a workforce with prior EBT training could make EBT implementation more feasible. In addition, if individuals who may not deliver EBTs, but are in positions to refer to EBTs and create market demand, have increased knowledge of the most effective treatments available to address common emotional and behavioral disorders, they may be more likely to advocate for EBTs.…”
Section: Discussionmentioning
confidence: 99%
“…Conversely other research has pointed to some positive outcomes relating to staff turnover (Garner et al, 2012;Gill, Greenberg, Moon, & Margraf, 2008;Woltmann et al, 2008). Woltmann et al (2008) suggest staff turnover is not inherently bad and can have positive influences on the implementation of evidence-based treatment dissemination and implementation.…”
Section: Impact Of Turnover On Organizationsmentioning
confidence: 98%
“…One of the most significant and challenging issues facing the substance abuse treatment field is turnover among clinical staff (Eby, Burk, & Maher, 2010;Garner, Hunter, Modisette, Ihnes, & Godley, 2012;Knudsen, Abraham, Roman, & Studts, 2011;McLellan, Carise, & Kleber, 2003;Rothrauff, Abraham, Bride, & Roman, 2011;White & Garner, 2011). Rates are generally high, ranging from 18.5% (Knudsen, Johnson, & Roman, 2003) to 25% (Gallon, Gabriel, & Knudsen, 2003) among direct care staff.…”
Section: Statement Of the Problemmentioning
confidence: 99%