Associations Among Job Role, Training Type, and Staff Turnover in a Large-Scale Implementation Initiative

  • Laurel A. BrabsonEmail author
  • Amy D. Herschell
  • David J. Kolko
  • Stanley J. Mrozowski


Staff turnover is problematic for behavioral health agencies implementing evidence-based practices (EBPs), which are costly and time-consuming. The current study examined the association between EBP training methods and turnover and explored predictors of turnover for different types of staff. Participants (100 clinicians, 50 supervisors, 50 administrators) were randomized to one of three training conditions for an EBP. Results indicated low annual rates of turnover for clinicians, supervisors, and administrators. However, contrary to hypothesis, no statistically significant differences were found in rates of turnover across training conditions. Partially consistent with prior research, organizational climate was a significant predictor of supervisor and administrator turnover at 24 months, but was not a significant predictor of clinician turnover. Implications and future directions for research are discussed.


Compliance with Ethical Standards

Conflict of Interest

 Amy Herschell has received funding through grants from the National Institute of Heath (2U54GM104942-02), and Mental Health (R01 MH095750; R34 MH11059), a cooperative agreement with the Association of University Centers on Disabilities (AUCD)/Center for Disease Control (5NU38OT000140-05-00), and contracts with the Community Behavioral Health and Community Care Behavioral Health. David Kolko has received funding through grants from the National Institute of Mental Health (R01 MH095750-01), Substance Abuse andMental Health Services Administration (U79 SM080056-01; U79 SM080000-01), National Institute on Drug Abuse (U01 DA040213-02), and National Institute of Neurological Disorders and Stroke (P/I #XDK0216EPI). Laurel Brabson and Stanley Mrozowski have no conflicts of interest to report.


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Copyright information

© National Council for Behavioral Health 2019

Authors and Affiliations

  1. 1.Department of PsychologyWest Virginia UniversityMorgantownUSA
  2. 2.Western Psychiatric Institute and ClinicUniversity of Pittsburgh School of MedicinePittsburghUSA

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