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Supervisory Turnover in Outpatient Substance Abuse Treatment

Abstract

Staff turnover is a significant issue within substance abuse treatment, with implications for service delivery and organizational health. This study examined factors associated with turnover among supervisors in outpatient substance abuse treatment. Turnover was conceptualized as being an individual response to organizational-level influences, and predictors represent aggregate program measures. Participants included 532 staff (including 467 counselors and 65 clinical/program directors) from 90 programs in four regions of the USA. Using logistic regression, analyses of structural factors indicated that programs affiliated with a parent organization and those providing more counseling hours to clients had higher turnover rates. When measures of job attitudes were included, only parent affiliation and collective appraisal of satisfaction were related to turnover. Subsequent analyses identified a trend toward increased supervisory turnover when satisfaction was low following the departure of a previous supervisor. These findings suggest that organizational-level factors can be influential in supervisory turnover.

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Funding source

This work was funded by the National Institute on Drug Abuse (Grant R01 DA014468). The interpretations and conclusions, however, do not necessarily represent the position of the NIDA, NIH, or Department of Health and Human Services. More information (including data collection instruments that can be downloaded without charge) is available on the Internet at www.ibr.tcu.edu, and electronic mail can be sent to ibr@tcu.edu.

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Correspondence to Danica K. Knight PhD.

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Knight, D.K., Broome, K.M., Edwards, J.R. et al. Supervisory Turnover in Outpatient Substance Abuse Treatment. J Behav Health Serv Res 38, 80–90 (2011). https://doi.org/10.1007/s11414-009-9198-7

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Keywords

  • Substance Abuse Treatment
  • Emotional Exhaustion
  • Revolving Door
  • Parent Organization
  • Staff Satisfaction