Clinical Supervision and Turnover in Substance Abuse Tx

医疗保健行业的员工流动率高于其他任何行业。特别是 最近对药物滥用治疗中心的全国性研究报告说， 18.5%的药物滥用咨询师（Roman，Blum，&约翰逊，2002）。营业额使直接（例如，工作人员 重置成本）和间接成本（例如，患者护理质量较低，机构知识损失）的成本， 药物滥用治疗中心，是该领域公认的问题。拟议项目提供 对药物滥用咨询师和临床主管之间的人员流动进行全面检查， 着重探讨临床督导关系对双方人员流动的影响。两 正的（即，益处）和负面（即，成本）的监督经验进行审查，从角度来看， 咨询师和临床监督员，基于越来越多的认识，临床监督 这种关系对双方都有好处，也有代价。本研究的具体目的是：（1） 探讨药物滥用辅导员与临床督导人员离职的预测因子，（2）探讨 工作态度的中介作用（例如，工作倦怠、工作满意度、承诺）之间的关系 临床监督和周转，（3）跟踪顾问-临床监督关系随时间的变化 它发展和/或恶化，表明关系的变化如何预测职业和工作 态度，以及营业额，和（4）检查的作用，辅导员和临床主管的经验，因为它 与营业额和其他研究变量有关。随着时间的推移，将对顾问-临床主管二人组进行研究， 对人员流动的纵向研究。本项目响应PA-03-011“服务”项目公告 国家药物滥用CTN的研究”。药物滥用治疗中心，附属于 临床试验网络为该项目提供数据。

The healthcare industry has staff turnover rates that are higher than any other industry. In particular, a recent national study of substance abuse treatment centers reports that the annual turnover rate among substance abuse counselors of 18.5% (Roman, Blum, & Johnson, 2002). Turnover renders direct (e.g., staff replacement costs) and indirect (e.g., lower quality patient care, loss of institutional knowledge) costs to substance abuse treatment centers and is a recognized problem in the field. The proposed project provides a comprehensive examination of turnover among substance abuse counselors and clinical supervisors, focusing on the effect that the clinical supervisory relationship has on the turnover of both parties. Both positive (i.e., benefits) and negative (i.e., costs) supervisory experiences are examined, from the perspective of both counselor and clinical supervisor, based on the growing recognition that clinical supervisory relationships can yield benefits as well as costs for both parties. Specific aims of the research are to: (1) examine the predictors of turnover among substance abuse counselors and clinical supervisors, (2) explore the mediating role of work attitudes (e.g., burnout, job satisfaction, commitment) in the relationship between clinical supervision and turnover, (3) track changes in the counselor-clinical supervisor relationship over time it develops and/or deteriorates, demonstrating how changes in the relationship predict career and work attitudes, as well as turnover, and (4) examine the role of counselor and clinical supervisor experience as it relates to turnover and other study variables. Counselor-clinical supervisor dyads will be studied over time in a longitudinal study of turnover. This project responds to program announcement PA-03-011 "Services Research in the National Drug Abuse CTN". Substance abuse treatment centers that are affiliated with the Clinical Trails Network with provide data for the project.