Treatment staff turnover in organizations implementing evidence-based practices: Turnover rates and their association with client outcomes

Journal of Substance Abuse Treatment

Volumn 42, Issue 2, 2012, Pages 134-142

  Garner, Bryan R ^a   Hunter, Brooke D ^a   Modisette, Kathryn C ^a   Ihnes, Pamela C ^a   Godley, Susan H ^a  

^a CHESTNUT HEALTH SYSTEMS   (United States)

Author keywords

Clinical supervisors; Retention; Substance abuse counselors; Turnover; Workforce

Indexed keywords

ARTICLE; DRUG DEPENDENCE TREATMENT; EVIDENCE BASED PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; PERSONNEL MANAGEMENT; PRIORITY JOURNAL; TREATMENT OUTCOME;

EVIDENCE-BASED PRACTICE; HUMANS; PERSONNEL TURNOVER; SUBSTANCE ABUSE TREATMENT CENTERS; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME;

EID: 84856342371     PISSN: 07405472     EISSN: 18736483     Source Type: Journal    
DOI: 10.1016/j.jsat.2011.10.015     Document Type: Article

References (41)

1. Aarons G.A., Sommerfeld D.H., Hecht D.B., Silovsky J.F., Chaffin M.J. The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a positive effect. Journal of Consulting and Clinical Psychology 2009, 77:270-280. 10.1037/a0013223.
2. Bureau of Labor Statistics. (2011). Retrieved May 17, 2011 from http://www.bls.gov/jlt/data.htm.
3. Cascio W.F. Managing a virtual workplace. Academy of Management Executive 2000, 14:81-90.
4. Cohen J. Statistical power analysis for the behavioral sciences 1977, Academic Press, New York.
5. Dalton D.R. Employee transfer and employee turnover: A theoretical and practical disconnect?. Journal of Organizational Behavior 1997, 18:411-413. 10.1002/(SICI)1099-1379(199709).
6. Dalton D.R., Todor W.D. Turnover turned over: An expanded and positive perspective. Academy of Management Review 1979, 4:225-235.
7. Dennis M.L., Godley S.H., Diamond G., Tims F.M., Babor T., Donaldson J., et al. The Cannabis Youth Treatment (CYT) Study: Main findings from two randomized trials. Journal of Substance Abuse Treatment 2004, 27:197-213. 10.1016/j.jsat.2003.09.005.
8. Dennis M.L., Titus J.C., White M., Unsicker J., Hodgkins D. Global Appraisal of Individual Needs (GAIN): Administration guide for the GAIN and related measures (Version 5) 2003, Chestnut Health Systems, Bloomington, IL, Retrieved from. http://www.chestnut.org/LI/gain/index.html.
9. Eby L.T., Burk H., Maher C.P. How serious of a problem is staff turnover in substance abuse treatment? A longitudinal study of actual turnover. Journal of Substance Abuse Treatment 2010, 39:264-271. 10.1016/j.jsat.2010.06.009.
10. Garner B.R., Godley M.D., Funk R.R., Dennis M.L., Godley S.H. The impact of continuing care adherence on environmental risks, substance use and substance-related problems following adolescent residential treatment. Psychology of Addictive Behaviors 2007, 21:488-497. 10.1037/0893-164X.21.4.488.
11. Garner B.R., Godley S.H., Funk R.R., Dennis M.L., Smith J.E., Godley M.D. Exposure to A-CRA treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome. Journal of Substance Abuse Treatment 2009, 36:252-264. 10.1016/j.jsat.2008.06.007.
12. Garner, B. R., Hunter, B. D., Godley, S. H., & Godley, M. D. (in press). Training and retaining staff to competently deliver an evidence-based practice: The role of staff attributes and perceptions of organizational functioning. Journal of Substance Abuse Treatment, doi:10.1016/j.jsat.2011.10.016.
13. Garnick D.W., Lee M.T., Chalk M., Gastfriend D., Horgan C.M., McCorry F., et al. Establishing the feasibility of performance measures for alcohol and other drugs. Journal of Substance Abuse Treatment 2002, 23:375-385. 10.1016/S0740-5472(02)00303-3.
14. Garnick D.W., Lee M.T., Horgan C.M., Acevedo A. Adapting Washington Circle performance measures for public sector substance abuse treatment systems. Journal of Substance Abuse Treatment 2009, 36:265-277. Washington Circle Public Sector Workgroup. 10.1016/j.jsat.2008.06.008.
15. Glebbeek A.C., Bax E.H. Is high employee turnover really harmful? An empirical test using company records. Academy of Management Journal 2004, 47:277-286.
16. Godley M.D., Godley S.H., Dennis M.L., Funk R., Passetti L. Preliminary outcomes from the assertive continuing care experiment for adolescents discharged from residential treatment. Journal of Substance Abuse Treatment 2002, 23:21-32. 10.1016/S0740-5472(02)00230-1.
17. Godley M.D., Godley S.H., Dennis M.L., Funk R.R., Passetti L.L. The effect of Assertive Continuing Care (ACC) on continuing care linkage, adherence and abstinence following residential treatment for adolescents. Addiction 2007, 102:81-93. 10.1111/j.1360-0443.2006.01648.x.
18. Godley S.H., Garner B.R., Passetti L.L., Funk R.R., Dennis M.L., Godley M.D. Adolescent outpatient treatment and continuing care: Main findings from a randomized clinical trial. Drug and Alcohol Dependence 2010, 110:44-54. 10.1016/j.drugalcdep.2010.02.003.
19. Godley S.H., Garner B.R., Smith J.E., Meyers R.J., Godley M.D. A large-scale dissemination and implementation model for evidence-based treatment and continuing care. Clinical Psychology: Science and Practice 2011, 18:67-83. 10.1111/j.1468-2850-2011.01236.
20. Godley S.H., Meyers R.J., Smith J.E., Godley M.D., Titus J.C., Karvinen T., et al. The Adolescent Community Reinforcement Approach (ACRA) for adolescent cannabis users, Cannabis Youth Treatment (CYT) Manual Series, Volume 4 (DHHS Publication No. (SMA) 01-3489) 2001, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockville, MD, Retrieved from. http://www.chestnut.org/li/cyt/products/acra_cyt_v4.pdf.
21. Knudsen H.K., Abraham A.J., Roman P.M., Studts J.L. Nurse turnover in substance abuse treatment programs affiliated with the National Drug Abuse Treatment Clinical Trials Network. Journal of Substance Abuse Treatment 2011, 40:307-312. 10.1016/j.jsat.2010.11.012.
22. Knudsen H.K., Ducharme L.J., Roman P.M. Counselor emotional exhaustion and turnover intention in therapeutic communities. Journal of Substance Abuse Treatment 2006, 31:173-180. 10.1016/j.jsat.2006.04.003.
23. Knudsen H.K., Ducharme L.J., Roman P.M. Research participation and turnover intention: An exploratory analysis of substance abuse counselors. Journal of Substance Abuse Treatment 2007, 33:211-217. 10.1016/j.jsat.2006.12.013.
24. Knudsen H.K., Ducharme L.J., Roman P.M. Clinical supervision, emotional exhaustion, and turnover intention: A study of substance abuse treatment counselors in the Clinical Trials Network of the National Institute on Drug Abuse. Journal of Substance Abuse Treatment 2008, 35:387-395. 10.1016/j.jsat.2008.02.003.
25. Knudsen H.K., Johnson J.A., Roman P.M. Retaining counseling staff at substance abuse treatment centers: Effects of management practices. Journal of Substance Abuse Treatment 2003, 24:129-135. 10.1016/S0740-5472(02)00357-4.
26. Lennox R., Dennis M.L., Ives M., White M.K. The construct and predictive validity of different approaches to combining urine and self-reported drug use measures among older adolescents after substance abuse treatment. American Journal on Addictions 2006, 15:92-101. 10.1080/10550490601006089.
27. McLellan A.T., Carise D., Kleber H.D. Can the national addiction treatment infrastructure support the public's demand for quality care?. Journal of Substance Abuse Treatment 2003, 25:117-121. 10.1016/S0740-5472(03)00156-9.
28. Miller W.R., Yahne C.E., Moyers T.B., Martinez J., Pirritano M. A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Consulting and Clinical Psychology 2004, 72:1050-1062. 10.1037/0022-006X.72.6.1050.
29. Plomondon M.E., Magid D.J., Steiner J.R., MaWhinney S., Gifford B.D., Shih S.C., et al. Primary care provider turnover and quality in managed care organizations. The American Journal of Managed Care 2007, 13:465-472.
30. Raudenbush S., Bryk A., Cheong Y.F., Congdon R., du Toit M. HLM 6: Hierarchical linear and nonlinear modeling 2004, Scientific Software International, Inc, Lincolnwood, IL.
31. Raudenbush S.W., Bryk A.S. Hierarchical linear models 2002, Sage, Thousand Oaks, CA.
32. Robinson W. Ecological correlations and the behavior of individuals. American Sociological Review 1950, 15:351-357.
33. Rothrauff T.C., Abraham A.J., Bride B.E., Roman P.M. Occupational turnover intentions among substance abuse counselors. Journal of Substance Abuse Treatment 2011, 40:67-76. 10.1016/j.jsat.2010.08.008.
34. Scott C.K. A replicable model for achieving over 90% follow-up rates in longitudinal studies of substance abusers. Drug and Alcohol Dependence 2004, 74:21-36. 10.1016/j.drugalcdep.2003.11.007.
35. Shaw J.D. Turnover rates and organizational performance: Review, critique, and research agenda. Organizational Psychology Review 2011, 1:187-213. 10.1177/2041386610382152.
36. Shaw J.D., Gupta N., Delery J.E. Alternative conceptualizations of the relationship between voluntary turnover and organizational performance. Academy of Management 2005, 48:50-68.
37. Sholomskas D.E., Syracuse-Stewart G., Rounsaville B.J., Ball S.A., Nuro K.F., Carroll K.M. 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 2005, 73:106-115. 10.1037/0022-006X.73.1.106.
38. Staw B.M. The consequences of turnover. Journal of Occupational Behaviour 1980, 1:253-273.
39. White W.L., Garner B.R. Staff turnover in addiction treatment: Toward science-based answers to critical questions. Counselor 2011, 12:56-59.
40. Williams A.C.de.C., Potts H.W.W. Group membership and staff turnover affect outcomes in group CBT for persistent pain. Pain 2010, 148:481-486. 10.1016/j.pain.2009.12.011.
41. Woltmann E.M., Whitley R., McHugo G.J., Brunette M., Torrey W.C., Coots L., et al. The role of staff turnover in the implementation of evidence-based practices in mental health care. Psychiatric Services 2008, 59:732-737. 10.1176/appi.ps.59.7.732.