Clinical supervision, emotional exhaustion, and turnover intention: A study of substance abuse treatment counselors in the Clinical Trials Network of the National Institute on Drug Abuse
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An intriguing hypothesis is that clinical supervision may protect against counselor turnover. This idea has been mentioned in recent discussions of the substance abuse treatment workforce. To test this hypothesis, we extend our previous research on emotional exhaustion and turnover intention among counselors by estimating the associations between clinical supervision and these variables in a large sample (N = 823). An exploratory analysis reveals that clinical supervision was negatively associated with emotional exhaustion and turnover intention. Given our previous findings that emotional exhaustion and turnover intention were associated with job autonomy, procedural justice, and distributive justice, we estimate a structural equation model to examine whether these variables mediated clinical supervision's associations with emotional exhaustion and turnover intention. These data support the fully mediated model. We found that the perceived quality of clinical supervision is strongly associated with counselors' perceptions of job autonomy, procedural justice, and distributive justice, which are, in turn, associated with emotional exhaustion and turnover intention. These data offer support for the protective role of clinical supervision in substance abuse treatment counselors' turnover and occupational well-being.
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- Authors
- Knudsen, H. K., Ducharme, L. J., & Roman, P. M.
- Affiliations
- University of Kentucky (US)
- University of Georgia (US)
- Corresponding author
- Knudsen, Hannah K.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2008-12
- Volume
- 35
- Issue
- 4
- Pages
- 387-395
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC2637454
- OpenAlex
- W2009356625
- Cited by
- 163
- References
- 59
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 8 · 2021: 11 · 2020: 11 · 2019: 10 · 2018: 6 · 2017: 12 · 2016: 11 · 2015: 7 · 2014: 11 · 2013: 14 · 2012: 9
- FWCI
- 12.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01da014482-10)
- National Institute on Drug Abuse (R01-DA14482, R01-DA-014482)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Social Sciences › Public Administration › Social Work Education and Practice
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- clinical supervision, emotional exhaustion, turnover intention, employee autonomy, procedural justice, distributive justice, employee well-being, counselor retention, mediation
- MeSH terms
- Workforce, Adult, Allied Health Personnel, Attitude of Health Personnel, Burnout, Professional, Female, Humans, Male, Mental Health Services, Middle Aged, Models, Psychological, Personnel Turnover, Social Justice, United States, Organizational Culture, Professional Autonomy, Substance-Related Disorders, National Institute on Drug Abuse (U.S.)
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