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J Consult Clin Psychol. 2009 Apr;77(2):270-80. doi: 10.1037/a0013223.

The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: evidence for a protective effect.

Author information

1
Department of Psychiatry, University of California, San Diego, CA 92123, USA. gaarons@ucsd.edu

Abstract

Staff retention is an ongoing challenge in mental health and community-based service organizations. Little is known about the impact of evidence-based practice implementation on the mental health and social service workforce. The present study examined the effect of evidence-based practice implementation and ongoing fidelity monitoring on staff retention in a children's services system. The study took place in the context of a statewide, regionally randomized effectiveness trial of an evidence-based intervention designed to reduce child neglect. In the study 21 teams consisting of 153 home-based service providers were followed over a 29-month period. Survival analyses revealed greater staff retention in the condition where the evidence-based practice was implemented along with ongoing fidelity monitoring presented to staff as supportive consultation. These results should help to allay concerns about staff retention when implementing evidence-based practices where there is good values-innovation fit and when fidelity monitoring is designed as an aid and support to service providers in providing a high standard of care for children and families.

PMID:
19309186
PMCID:
PMC2742697
DOI:
10.1037/a0013223
[Indexed for MEDLINE]
Free PMC Article

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