Staff Turnover in Statewide Implementation of ACT: Relationship with ACT Fidelity and Other Team Characteristics

被引：49

作者：

Rollins, Angela L. ^{[1
]}

Salyers, Michelle P. ^{[2
,4
]}

Tsai, Jack ^{[3
]}

Lydick, Jennifer M. ^{[4
]}

机构：

[1] Indiana Univ Purdue Univ, Dept Psychol, ACT Ctr Indiana, Indianapolis, IN 46204 USA

[2] Regenstrief Inst Inc, Roudebush VAMC, VA HSR&D Ctr Implementing Evidence Based Practice, Indianapolis, IN 46202 USA

[3] Yale Univ, Sch Med, Dept Psychiat, Natl Ctr Homelessness Vet, West Haven, CT 06516 USA

[4] Indiana Univ Purdue Univ, Dept Psychol, ACT Ctr Indiana, Indianapolis, IN 46202 USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2010年 / 37卷 / 05期

关键词：

Staffing; Assertive community treatment; Turnover; Fidelity; Implementation; ASSERTIVE COMMUNITY TREATMENT; OUTCOMES; CENTERS;

D O I：

10.1007/s10488-009-0257-4

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Staff turnover on assertive community treatment (ACT) teams is a poorly understood phenomenon. This study examined annual turnover and fidelity data collected in a statewide implementation of ACT over a 5-year period. Mean annual staff turnover across all observations was 30.0%. Turnover was negatively correlated with overall fidelity at Year 1 and 3. The team approach fidelity item was negatively correlated with staff turnover at Year 3. For 13 teams with 3 years of follow-up data, turnover rates did not change over time. Most ACT staff turnover rates were comparable or better than other turnover rates reported in the mental health and substance abuse literature.

引用

页码：417 / 426

页数：10