The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
The Role of Staff Turnover in the Implementation of Evidence-Based Practices in Mental Health Care
Open accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“given very high staff turnover in community mental health settings (Woltmann et al., 2008)”
From Stakeholder Perceptions of the Barriers to Receiving and Delivering Exposure-Based Cognitive Behavioral Therapy for Anxiety Disorders in Adult Community Mental Health Settings (2019) · cites this paper as Woltmann et al., 2008
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Qualitative Data Analysis: An Expanded Sourcebook
(1994) · Journal of Environmental Psychology · doi:10.1016/s0272-4944(05)80231-2 · Cited by 48,420
The American Journal of Managed Care
(2020) · The American Journal of Managed Care · doi:10.37765/ajmc · Cited by 3,254
Regression standard errors in clustered samples
Rogers, W. H. (1993) · Stata technical bulletin · Cited by 2,694
A Note on Robust Variance Estimation for Cluster‐Correlated Data
Williams, R. L. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00645.x · Cited by 2,501
Barak, M. E. M., Nissly, J. A., & Levin, A. (2001) · Social Service Review · doi:10.1086/323166 · Cited by 1,006
Predictors of Job Satisfaction and Organizational Commitment in Human Service Organizations
Glisson, C. A., & Durick, M. (1988) · Administrative Science Quarterly · doi:10.2307/2392855 · Cited by 872
Implementing Evidence-Based Practices in Routine Mental Health Service Settings
Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L. B., Mueser, K. T., & Torrey, W. C. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.2.179 · Cited by 721
Self-citationIllness Management and Recovery: A Review of the Research
Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S. L., Essock, S. M., Tarrier, N., Morey, B., Vogel-Scibilia, S., et al. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.10.1272 · Cited by 684
Implementing Supported Employmentas an Evidence-Based Practice
Bond, G. R., Becker, D. R., Drake, R. E., Rapp, C. A., Meisler, N., Lehman, A. F., Bell, M. D., & Blyler, C. R. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.3.313 · Cited by 681
Self-citationImplementing dual diagnosis services for clients with severe mental illness.
Drake, R., Essock, S., Shaner, A., Carey, K., Minkoff, K., Kola, L., Lynde, D., Osher, F., Clark, R., & Rickards, L. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.4.469 · Cited by 631
Self-citationSubstance Abuse and Mental Health Services Administration
National Cancer Institute (2020) · Definitions · doi:10.32388/2cdmlf · Cited by 528
Evidence-Based Practices for Services to Families of People With Psychiatric Disabilities
Dixon, L. B., McFarlane, W. R., Lefley, H. P., Lucksted, A. A., Cohen, M., Falloon, I. R. H., Mueser, K. T., Miklowitz, D. J., Solomon, P., & Sondheimer, D. L. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.7.903 · Cited by 501
Moving Assertive Community Treatment Into Standard Practice
Phillips, S. D., Burns, B. J., Edgar, E. R., Mueser, K. T., Linkins, K. W., Rosenheck, R. A., Drake, R. E., & McDonel, E. C. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.6.771 · Cited by 441
Self-citationHogan, M. F. (2003) · Psychiatric Services · doi:10.1176/appi.ps.54.11.1467 · Cited by 426
Aarons, G. A., & Sawitzky, A. C. (2006) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-006-0039-1 · Cited by 371
Job Satisfaction, Burnout, and Turnover: A National Study
Jayaratne, S., & Chess, W. A. (1984) · Social Work · doi:10.1093/sw/29.5.448 · Cited by 345
McEvoy, G. M., & Cascio, W. F. (1987) · Academy of Management Journal · doi:10.2307/256158 · Cited by 303
Campion, M. A. (1991) · Journal of Applied Psychology · doi:10.1037/0021-9010.76.2.199 · Cited by 277
The Costs of Nurse Turnover, Part 2
Jones, C. B. (2005) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200501000-00014 · Cited by 224
The relationships among commitment to change,coping with change, and turnover intentions
Cunningham, G. B. (2006) · European Journal of Work and Organizational Psychology · doi:10.1080/13594320500418766 · Cited by 218
Job Satisfaction, Burnout, and Turnover in Health Care Social Workers
Siefert, K., Jayaratne, S., & Chess, W. A. (1991) · Health & Social Work · doi:10.1093/hsw/16.3.193 · Cited by 183
Estimates of costs of primary care physician turnover.
Buchbinder, S. B., Wilson, M. E. H., Melick, C. F., & Powe, N. R. (1999) · PubMed · Cited by 176
The fundamentals of workforce competency: implications for behavioral health
Hoge, M. A., Tondora, J., & Marrelli, A. F. (2005) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-005-3263-1 · Cited by 119
The toughest job you'll ever love: A Pacific Northwest Treatment Workforce Survey
Gallon, S. L., Gabriel, R. M., & Knudsen, J. R. W. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00032-1 · Cited by 115
The effects of person–innovation fit on individual responses to innovation
Choi, J. N., & Price, R. H. (2005) · Journal of Occupational and Organizational Psychology · doi:10.1348/096317904x22953 · Cited by 111
Turnover Intentions of Community Mental Health Workers in Psychosocial Rehabilitation Services
Blankertz, L., & Robinson, S. E. (1997) · Community Mental Health Journal · doi:10.1023/a:1025000703487 · Cited by 105
Costing child protective services staff turnover.
Graef, M. I., & Hill, E. L. (2000) · PubMed · Cited by 97
The mental health professions: Workforce supply and demand, issues, and challenges
Robiner, W. N. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.05.002 · Cited by 90
Supply Dynamics of the Mental Health Workforce: Implications for Health Policy
Ivey, S. L., Scheffler, R. M., & Zazzali, J. L. (1998) · Milbank Quarterly · doi:10.1111/1468-0009.00078 · Cited by 79
Employee turnover in community mental health organization: A developmental stages study
Ben-Dror, R. (1994) · Community Mental Health Journal · doi:10.1007/bf02188885 · Cited by 71
Bingley, P., & Westergaard‐Nielsen, N. (2003) · Journal of Business Research · doi:10.1016/s0148-2963(02)00321-1 · Cited by 41
Woltmann, E., & Whitley, R. (2007) · Journal of Mental Health · doi:10.1080/09638230701496402 · Cited by 34
Self-citationRecruitment and retention of psychosocial rehabilitation workers
Blankertz, L., & Robinson, S. E. (1997) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/bf02042475 · Cited by 14
Manpower Information and the Community Mental Health System
Kamis-Gould, E., & Staines, G. L. (1986) · Psychiatric Services · doi:10.1176/ps.37.10.1030 · Cited by 10
Flagged first, then by citations
Research works printed but not linked: 6
- Ms, Dartmouth Medical School, 7252 MML Building
- Institute of Medicine, 2006, Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series. Washington DC
- Kamis-Gould E, 1986, Hospital and Community Psychiatry, 37, 1030
- Rogers WH, 1993, Stata Technical Bulletin, 13, 19
- Miles MB, 1994, Thousand Oaks
- Graef MI, 2000, Child Welfare, 79, 517
Cited by
Sorted by citations
Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0528-y · Cited by 12,038
Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012) · Implementation Science · doi:10.1186/1748-5908-7-17 · Cited by 1,355
Mixed method designs in implementation research
Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0314-z · Cited by 1,187
Johnson, J., Hall, L. H., Berzins, K., Baker, J., Melling, K., & Thompson, C. (2018) · International Journal of Mental Health Nursing · doi:10.1111/inm.12416 · Cited by 371
Qualitative and Mixed Methods in Mental Health Services and Implementation Research
Palinkas, L. A. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.910791 · Cited by 459
Metadata
- Authors
- Woltmann, E. M., Whitley, R., McHugo, G. J., Brunette, M., Torrey, W. C., Coots, L., Lynde, D., & Drake, R. E.
- Affiliations
- Dartmouth College (US)
- Venue
- Psychiatric Services
- Published
- 2008-07
- Volume
- 59
- Issue
- 7
- Pages
- 732-737
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2104229989
- Cited by
- 246
- References
- 32
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 15 · 2023: 24 · 2022: 11 · 2021: 22 · 2020: 13 · 2019: 21 · 2018: 13 · 2017: 7 · 2016: 12 · 2015: 16 · 2014: 13 · 2013: 12 · 2012: 12
- FWCI
- 20.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- John D. and Catherine T. MacArthur Foundation
- Substance Abuse and Mental Health Services Administration
- Agency for Healthcare Research and Quality
- Center for Mental Health Services
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- employee turnover, implementation fidelity, evidence-based practice, psychosocial interventions, mental health services, behavioral health workforce, implementation teams, implementation outcomes
- MeSH terms
- Workforce, Behavioral Medicine, Community Mental Health Services, Cooperative Behavior, Diffusion of Innovation, Health Plan Implementation, Humans, Outcome and Process Assessment, Health Care, Personnel Turnover, United States, Linear Models, Logistic Models, Public Sector, Evidence-Based Medicine, Empirical Research
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
