Staff Turnover in Statewide Implementation of ACT: Relationship with ACT Fidelity and Other Team Characteristics
Administration and Policy in Mental Health and Mental Health Services ResearchPublished 10 December 2009Open access
Angela L. Rollins, Michelle P. Salyers, Jack Tsai, Jennifer M. Lydick
Citations60
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TL;DR
Most ACT staff turnover rates were comparable or better than other turnover rates reported in the mental health and substance abuse literature and negatively correlated with overall fidelity at Year 1 and 3.
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.
Keywords
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