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Predictors of Workforce Turnover in a Transported Treatment Program

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Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

This study examined relations between workforce turnover and select clinician (demographic and professional characteristics and perceptions of treatment model features and job requirements) organizational (perceptions of organizational climate and structure) and program level (salary, case mix) variables in a sample of 453 clinicians across 45 organizations participating in a transportability study of an empirically supported adolescent treatment (i.e., MST). At 20% annually, turnover was lower than in the national mental health workforce (i.e., 50–60%). Clinician demographic, professional background, and perceptions of the treatment model and demands did not predict turnover. Perceptions of an emotionally demanding organizational climate, program salary level, and program case mix of youth did predict turnover.

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References

  • Ben-Dror, R. (1994). Employee turnover in community mental health organization: A developmental stages study. Community Mental Health Journal, 30, 243–257.

    Article  PubMed  CAS  Google Scholar 

  • Blankertz, L. E., & Robinson, S. E. (1997). Turnover intentions of community mental health workers in psychosocial rehabilitation services. Community Mental Health Journal, 33, 517–529.

    Article  PubMed  CAS  Google Scholar 

  • Chamberlain, P. (2003). The Oregon Multidimensional Treatment Foster Care model: Features, outcomes, and progress in dissemination. Cognitive and Behavioral Practice, 10(4), 303–312.

    Article  Google Scholar 

  • Corrigan, P. W., Steiner, L., McCracken, S. G., Blaser, B., & Barr, M. (2001). Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness. Psychiatric Services, 52(12), 1598–1606.

    Article  PubMed  CAS  Google Scholar 

  • Fals-Stewart, W., Logsdon, T., & Birchler, G. R. (2004). Diffusion of an Empirically Supported Treatment for Substance Abuse: An Organizational Autopsy of Technology Transfer Success and Failure. Clinical Psychology: Science & Practice, 11(2), 177–182.

    Article  Google Scholar 

  • Geurts, S., Schaufeli, W., & De Jonge, J. (1998). Burnout and intention to leave among mental health-care professionals: A social psychological approach. Journal of Social & Clinical Psychology, 17(3), 341–362.

    Google Scholar 

  • Glisson, C. (2002). The Organizational Context of Children’s Mental Health Services. Clinical Child & Family Psychology Review, 5(4), 233–253.

    Article  Google Scholar 

  • Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse & Neglect, 22(5), 401–421.

    Article  CAS  Google Scholar 

  • Hage, J., & Aiken, M. (1967). Relationship of centralization to other structural properties. Administrative Science Quarterly, 12, 73–92.

    Google Scholar 

  • Hall, R. H. (1963). The concept of bureaucracy: An empirical assessment. American Journal of Sociology, 69, 32–40.

    Article  Google Scholar 

  • Henggeler, S. W., & Schoenwald, S. K. (1999). The role of quality assurance in achieving outcomes in MST programs. Journal of Juvenile Justice and Detention Services, 14, 1–17.

    Google Scholar 

  • Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment of antisocial behavior in children and adolescents. Guilford Press: New York.

    Google Scholar 

  • Hoge, M. A., & Morris, J. A. (2002). Guest editors’ introduction. Administration and Policy in Mental Health, 29(4–5), 297–303.

    Article  Google Scholar 

  • Huber, P. J. (1967). The behavior of maximum likelihood estimates under nonstandard conditions. In Proceedings of the Fifth Berkeley Symposium on Mathematical Statistics and Probability (Vol. 1, pp. 221–233). Berkeley: University of California Press.

  • James, L. R., & Sells, S. B. (1981). Psychological climate: Theoretical perspectives and empirical research. In D. Magnussen (Ed.), The Situation: An Interactional Perspective, (pp. 275–295). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Jinnett, K., & Alexander, J. A. (1999). The influence of organizational context on quitting intention: An examination of treatment staff in long-term mental health care settings. Research on Aging, 21(2), 176–204.

    Article  Google Scholar 

  • Kamis-Gould, E., & Staines, G. L. (1986). Manpower information and the community mental health system. Hospital & Community Psychiatry, 37(10), 1030–1034.

    CAS  Google Scholar 

  • Klein, K. J., & Knight, A. P. (2005). Innovation implementation: Overcoming the challenge. Current Directions in Psychological Science, 14, 243–246.

    Article  Google Scholar 

  • Maslach, C., & Jackson S.E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour 2, 99–113.

    Article  Google Scholar 

  • McLellan, A. T., Carise, D., & Kleber, H. D. (2003). Can the national addiction treatment infrastructure support the public’s demand for quality care? Journal of Substance Abuse Treatment, 25(2), 117–121.

    Article  PubMed  Google Scholar 

  • Olds, D. L., Hill, P. L., O’Brien, R., Racine, D., & Moritz, P. (2003). Taking preventive intervention to scale: The nurse-family partnership. Cognitive and Behavioral Practice, 10(4), 278–290.

    Article  Google Scholar 

  • Parnes, H. S. (1954). Research on labor mobility: An appraisal of research findings in the United States. Social Science Research Council Bulletin, No. 65 1954, 205.

  • President’s New Freedom Commission on Mental Health. (2003). Achieving the Promise: Transforming Mental Health Care in America.

  • Rogers, E. M. (1995). Diffusion of innovations, (4 edn). New York: Free Press.

    Google Scholar 

  • Schoenwald, S. K. (1998). MST Personnel Data Inventory. Charleston, SC: Family Services Research Center.

    Google Scholar 

  • Schoenwald, S. K., Halliday-Boykins, C. A., & Henggeler, S. W. (2003). Client-level predictors of adherence to MST in community service settings. Family Process, 42(3), 345–359.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Letourneau, E. J., & Halliday-Boykins, C. A. (2005). Predicting therapist adherence to a transported family-based treatment for youth. Journal of Clinical Child & Adolescent Psychology, 34(4), 658–670.

    Article  Google Scholar 

  • Schoenwald, S. K., Sheidow, A. J., & Letourneau, E. J. (2004). Toward effective quality assurance in evidence-based practice: Links between expert consultation, therapist fidelity, and child outcomes. Journal of Clinical Child & Adolescent Psychology, 33(1), 94–104.

    Article  Google Scholar 

  • Schoenwald, S. K., Sheidow, A. J., Letourneau, E. J., & Liao, J. G. (2003). Transportability of evidence-based treatments: Evidence for multi–level influences. Mental Health Services Research, 5(4), 223–239.

    Article  PubMed  Google Scholar 

  • Sheidow, A. J., Henggeler, S. W., & Schoenwald, S. K. (2003). Multisystemic therapy. In T. L. Sexton, G. Weeks & M. Robbins (Eds.), Handbook of family therapy: Theory, research, and practice, (pp. 303–322). New York: Brunner-Routledge.

    Google Scholar 

  • Sheidow, A. J., Schoenwald, S. K., & Liao, J. G. (2002). Adaptation of organizational climate and structure scales for use with mental health treatment providers, (Tech. Rep.). Charleston: Medical University of South Carolina, Family Services Research Center.

    Google Scholar 

  • Shirom, A. (1989). Burnout in work organizations. In: C.L. Cooper & I.T. Robertson (Eds.), International review of industrial and organizational psychology, (pp. 25–48). Oxford, England: John Wiley.

    Google Scholar 

  • Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106–115.

    Article  PubMed  Google Scholar 

  • Siefert, K., Jayaratne, S., & Chess, W. A. (1991). Job satisfaction, burnout, and turnover in health care social workers. Health & Social Work, 16(3), 193–202.

    CAS  Google Scholar 

  • Tang, T. L. P., Kim, J. K., & Tang, D. S. H. (2000). Does attitude toward money moderate the relationship between intrinsic job satisfaction and voluntary turnover? Human Relations, 53(2), 213–245.

    Google Scholar 

  • Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services, 52(1), 45–50.

    Article  PubMed  CAS  Google Scholar 

  • Wright, T. A., & Cropanzano, R. (1998). Emotional exhaustion as a predictor of job performance and voluntary turnover. Journal of Applied Psychology, 83(3), 486–493.

    Article  PubMed  CAS  Google Scholar 

  • Wykes, T., Stevens, W., & Everitt, B. (1997). Stress in community care teams: Will it affect the sustainability of community care?. Social Psychiatry and Psychiatric Epidemiology, 32(7), 398–407.

    PubMed  CAS  Google Scholar 

  • Zohar, D. (1997). Predicting burnout with a hassle-based measure of role demands. Journal of Organizational Behavior, 18(2), 101–115.

    Article  Google Scholar 

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Correspondence to Ashli J. Sheidow.

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Sheidow, A.J., Schoenwald, S.K., Wagner, H.R. et al. Predictors of Workforce Turnover in a Transported Treatment Program. Adm Policy Ment Health 34, 45–56 (2007). https://doi.org/10.1007/s10488-006-0061-3

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  • DOI: https://doi.org/10.1007/s10488-006-0061-3

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