TY - JOUR
KW - Behavioral Medicine/manpower
KW - Community Mental Health Services/manpower/standards
KW - Cooperative Behavior
KW - Diffusion of Innovation
KW - Empirical Research
KW - Evidence-Based Medicine/organization & administration
KW - Health Plan Implementation
KW - Humans
KW - Linear Models
KW - Logistic Models
KW - Outcome and Process Assessment (Health Care)/organization & administration
KW - Personnel Turnover/statistics & numerical data
KW - Public Sector
KW - United States
AU - E. M. Woltmann
AU - R. Whitley
AU - G. J. McHugo
AU - M. Brunette
AU - W. C. Torrey
AU - L. Coots
AU - D. Lynde
AU - R. E. Drake
A1 - 
AB - OBJECTIVES: This study examined turnover rates of teams implementing psychosocial evidence-based practices in public-sector mental health settings. It also explored the relationship between turnover and implementation outcomes in an effort to understand whether practitioner perspectives on turnover are related to implementation outcomes. METHODS: Team turnover was measured for 42 implementing teams participating in a national demonstration project examining implementation of five evidence-based practices between 2002 and 2005. Regression techniques were used to analyze the effects of team turnover on penetration and fidelity. Qualitative data collected throughout the project were blended with the quantitative data to examine the significance of team turnover to those attempting to implement the practices. RESULTS: High team turnover was common (M+/-SD=81%+/-46%) and did not vary by practice. The 24-month turnover rate was inversely related to fidelity scores at 24 months (N=40, beta=-.005, p=.01). A negative trend was observed for penetration. Further analysis indicated that 71% of teams noted that turnover was a relevant factor in implementation. CONCLUSIONS: The behavioral health workforce remains in flux. High turnover most often had a negative impact on implementation, although some teams were able to use strategies to improve implementation through turnover. Implementation models must consider turbulent behavioral health workforce conditions.
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce
CP - 7
CY - United States
DO - 10.1176/appi.ps.59.7.732
IS - 7
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVES: This study examined turnover rates of teams implementing psychosocial evidence-based practices in public-sector mental health settings. It also explored the relationship between turnover and implementation outcomes in an effort to understand whether practitioner perspectives on turnover are related to implementation outcomes. METHODS: Team turnover was measured for 42 implementing teams participating in a national demonstration project examining implementation of five evidence-based practices between 2002 and 2005. Regression techniques were used to analyze the effects of team turnover on penetration and fidelity. Qualitative data collected throughout the project were blended with the quantitative data to examine the significance of team turnover to those attempting to implement the practices. RESULTS: High team turnover was common (M+/-SD=81%+/-46%) and did not vary by practice. The 24-month turnover rate was inversely related to fidelity scores at 24 months (N=40, beta=-.005, p=.01). A negative trend was observed for penetration. Further analysis indicated that 71% of teams noted that turnover was a relevant factor in implementation. CONCLUSIONS: The behavioral health workforce remains in flux. High turnover most often had a negative impact on implementation, although some teams were able to use strategies to improve implementation through turnover. Implementation models must consider turbulent behavioral health workforce conditions.
PP - United States
PY - 2008
SN - 1075-2730; 1075-2730
SP - 732
EP - 737
EP - 
T1 - The role of staff turnover in the implementation of evidence-based practices in mental health care
T2 - Psychiatric services (Washington, D.C.)
TI - The role of staff turnover in the implementation of evidence-based practices in mental health care
U1 - Education & Workforce
U2 - 18586989
U3 - 10.1176/appi.ps.59.7.732
VL - 59
VO - 1075-2730; 1075-2730
Y1 - 2008
ER -