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Keeping Our ACT Team Together: Supervisory Strategies to Promote Workforce Retention.

Mimi Choy-Brown1, William Carlson2, Nathaniel J Williams3

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Summary
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Investing in Assertive Community Treatment (ACT) leaders improves retention. Transformational leadership and strong supervisory alliances reduce ACT workforce turnover, enhancing patient care.

Keywords:
Assertive community treatmentClinical supervisionIntention to leaveLeadership

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Area of Science:

  • Mental Health Services Research
  • Organizational Psychology
  • Psychiatric Rehabilitation

Background:

  • The mental health workforce crisis, particularly in Assertive Community Treatment (ACT), jeopardizes care for individuals with psychiatric disabilities.
  • High workforce turnover in ACT negatively impacts patient outcomes and experiences.
  • Identifying effective supervisory strategies is crucial for retaining ACT professionals.

Purpose of the Study:

  • To examine supervisory strategies that can reduce the intention to leave among ACT team members.
  • To identify factors influencing voluntary turnover within the ACT workforce.
  • To inform workforce development initiatives aimed at improving retention in community mental health.

Main Methods:

  • A cross-sectional survey of 334 ACT team members across 80 teams in four states.
  • Assessment of team-level and individual-level supervision characteristics.
  • Hierarchical linear regression models to analyze factors associated with intention to leave, accounting for team clustering.

Main Results:

  • Team member and team factors were significantly associated with reduced intention to leave.
  • Higher levels of transformational leadership and strong supervisory working alliances correlated with lower turnover intention.
  • Empirically supported supervision and transformational leadership predicted stronger supervisory working alliances.

Conclusions:

  • Strategic investment in ACT team leaders' transformational leadership and supervision skills can bolster supervisory alliances.
  • Promoting strong supervisory working alliances is a viable strategy to enhance ACT workforce retention.
  • Addressing turnover intention through leadership development is key to sustaining essential ACT services.