title: Staff turnover in statewide implementation of ACT: relationship with ACT fidelity and other team characteristics.
abstract: Staff turnover on assertive community treatment (ACT) teams is a poorly understood phenomenon. This study examined annual turnover and fidelity data collected in a statewide implementation of ACT over a 5-year period. Mean annual staff turnover across all observations was 30.0%. Turnover was negatively correlated with overall fidelity at Year 1 and 3. The team approach fidelity item was negatively correlated with staff turnover at Year 3. For 13 teams with 3 years of follow-up data, turnover rates did not change over time. Most ACT staff turnover rates were comparable or better than other turnover rates reported in the mental health and substance abuse literature.
authors.affiliation: Department of Psychology, ACT Center of Indiana, Indiana University Purdue University Indianapolis (IUPUI), Indianapolis, IN 46204, USA. alrollin@iupui.edu
authors.forename: Angela L
authors.initials: AL
authors.lastname: Rollins
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
authors.forename: Jack
authors.initials: J
authors.lastname: Tsai
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Lydick
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration* / Q000706:statistics & numerical data*; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data