TY - JOUR
T1 - Therapist Financial Strain and Turnover
T2 - Interactions with System-Level Implementation of Evidence-Based Practices
AU - Adams, Danielle R.
AU - Williams, Nathaniel J.
AU - Becker-Haimes, Emily M.
AU - Skriner, Laura
AU - Shaffer, Lauren
AU - DeWitt, Kathryn
AU - Neimark, Geoffrey
AU - Jones, David T.
AU - Beidas, Rinad S.
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Therapist turnover is a major problem in community mental health. Financial strain, which is composed of cognitive, emotional, and behavioral responses to the experience of economic hardship, is an understudied antecedent of therapist turnover given the tumultuous financial environment in community mental health. We prospectively examined the relationship between therapist financial strain and turnover in 247 therapists in 28 community mental health agencies. We expected greater therapist financial strain to predict higher turnover and participation in a system-funded evidence-based practice (EBP) training initiative to alleviate this effect. Controlling for covariates, financial strain predicted therapist turnover (OR 1.12, p =.045), but not for therapists who participated in an EBP training initiative. Reducing financial strain and/or promoting EBP implementation may be levers to reduce turnover.
AB - Therapist turnover is a major problem in community mental health. Financial strain, which is composed of cognitive, emotional, and behavioral responses to the experience of economic hardship, is an understudied antecedent of therapist turnover given the tumultuous financial environment in community mental health. We prospectively examined the relationship between therapist financial strain and turnover in 247 therapists in 28 community mental health agencies. We expected greater therapist financial strain to predict higher turnover and participation in a system-funded evidence-based practice (EBP) training initiative to alleviate this effect. Controlling for covariates, financial strain predicted therapist turnover (OR 1.12, p =.045), but not for therapists who participated in an EBP training initiative. Reducing financial strain and/or promoting EBP implementation may be levers to reduce turnover.
KW - Behavioral health services
KW - Evidence-based practice
KW - Financial strain
KW - Implementation
KW - System transformation
KW - Turnover
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U2 - 10.1007/s10488-019-00949-8
DO - 10.1007/s10488-019-00949-8
M3 - Article
C2 - 31203492
AN - SCOPUS:85067809599
SN - 0894-587X
VL - 46
SP - 713
EP - 723
JO - Administration and Policy in Mental Health and Mental Health Services Research
JF - Administration and Policy in Mental Health and Mental Health Services Research
IS - 6
ER -
