Staff turnover in statewide implementation of ACT: relationship with ACT fidelity and other team characteristics.
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.
Rollins
Angela L
AL
Department of Psychology, ACT Center of Indiana, Indiana University Purdue University Indianapolis (IUPUI), Indianapolis, IN 46204, USA. alrollin@iupui.edu
Salyers
Michelle P
MP
Tsai
Jack
J
Lydick
Jennifer M
JM
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