The Relationship Between Clinician Turnover and Client Outcomes in Community Behavioral Health Settings

• DOI: 10.1176/appi.ps.201900169
• Publication Date: 2019-09-16T07:13:40Z
• Authors: Annalee Johnson-K...; Wei Wu; Lauren Luther; Melanie W. Fischer; Michelle P. Salyers; Angela L. Rollins
• Keywords: Turnover; Depression

High clinician turnover in community behavioral health settings can lead to increased costs and have a negative impact on care quality. Few studies examined the implications of for client outcomes. This study investigated changes outcomes associated with turnover.The used prospective observational data collected as part larger randomized controlled trial. Clients (N=328) from two centers identified (N=121) whom they saw most often. completed measures depression, anxiety, mental physical functioning, patient activation at baseline, 6 months, 12 months. Clinician during 12-month was obtained agency records. Latent growth curve modeling analyze data.Of 328 clients, 24% experienced turnover. For all except association moderated by baseline status outcome measure. Turnover tended be clinical decline clients who had low moderate high activation, or functioning. Surprisingly, functioning very also age. sharper older clients.Results suggest that strongly higher but it not uniformly worsening