Therapist Financial Strain and Turnover: Interactions with System-Level Implementation of Evidence-Based Practices

被引：19

作者：

Adams, Danielle R. ^{[1
,2
]}

Williams, Nathaniel J. ^{[3
]}

Becker-Haimes, Emily M. ^{[2
,4
]}

Skriner, Laura ^{[2
,5
]}

Shaffer, Lauren ^{[2
,6
]}

DeWitt, Kathryn ^{[2
,7
]}

Neimark, Geoffrey ^{[8
]}

Jones, David T. ^{[8
]}

Beidas, Rinad S. ^{[2
,9
,10
]}

机构：

[1] Univ Chicago, Sch Social Serv Adm, Chicago, IL 60637 USA

[2] Univ Penn, Dept Psychiat, 3535 Market St,3rd Floor,Off 3015, Philadelphia, PA 19104 USA

[3] Boise State Univ, Sch Social Work, Boise, ID 83725 USA

[4] Hall Mercer Community Mental Hlth Ctr, Philadelphia, PA USA

[5] Evidence Based Practitioners New Jersey, Summit, NJ USA

[6] Univ Texas Southwestern, Dallas, TX USA

[7] Qualtrics, Provo, UT USA

[8] Community Behav Hlth, Philadelphia, PA USA

[9] Univ Penn, Perelman Sch Med, Dept Med Eth & Hlth Policy, Philadelphia, PA 19104 USA

[10] Univ Penn, Leonard Davis Inst Hlth Econ PISCE LDI, Penn Implementat Sci Ctr, Philadelphia, PA 19104 USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2019年 / 46卷 / 06期

基金：

美国医疗保健研究与质量局;

关键词：

Financial strain; Turnover; Implementation; Behavioral health services; Evidence-based practice; System transformation; MENTAL-HEALTH; STAFF TURNOVER; UNFOLDING MODEL; BURNOUT; FIDELITY; POLICY;

D O I：

10.1007/s10488-019-00949-8

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：

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.

引用

页码：713 / 723

页数：11

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Danielle R. Adams
Nathaniel J. Williams
Emily M. Becker-Haimes
Laura Skriner
Lauren Shaffer
Kathryn DeWitt
Geoffrey Neimark
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