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

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|June 17, 2019
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Summary

Financial strain significantly increases therapist turnover in community mental health settings. However, participation in evidence-based practice (EBP) training initiatives can mitigate this turnover, suggesting a path to improved staff retention.

Keywords:
Behavioral health servicesEvidence-based practiceFinancial strainImplementationSystem transformationTurnover

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Area of Science:

  • Mental Health Services Research
  • Organizational Psychology
  • Health Economics

Background:

  • Therapist turnover presents a significant challenge in community mental health (CMH) settings.
  • Financial strain, encompassing cognitive, emotional, and behavioral responses to economic hardship, is an understudied factor contributing to this turnover.
  • The financial environment in CMH agencies is often unstable, exacerbating potential financial strain among therapists.

Purpose of the Study:

  • To prospectively examine the relationship between therapist financial strain and turnover.
  • To investigate whether participation in system-funded evidence-based practice (EBP) training mitigates the effect of financial strain on turnover.

Main Methods:

  • A prospective study involving 247 therapists across 28 CMH agencies.
  • Assessed the association between therapist financial strain and subsequent turnover.
  • Controlled for relevant covariates in the analysis.

Main Results:

  • Greater financial strain was found to predict higher therapist turnover (OR 1.12, p=.045).
  • This predictive relationship between financial strain and turnover was not significant for therapists who participated in an EBP training initiative.
  • Findings suggest EBP training may buffer the impact of financial strain on retention.

Conclusions:

  • Financial strain is a significant predictor of therapist turnover in community mental health.
  • Evidence-based practice (EBP) training initiatives may serve as a protective factor, reducing turnover among therapists experiencing financial strain.
  • Strategies to reduce financial strain and promote EBP implementation could be key to improving therapist retention in CMH.