Clinical Supervision and Turnover in Substance Abuse Tx

医疗保健行业的员工流失率高于其他任何行业。特别是，一个 最近对药物滥用治疗中心的全国性研究报告称， 药物滥用咨询师占18.5%(Roman，Blum，&Johnson，2002)。人员流动率直接(例如，员工 替换成本)和间接(例如，较低质量的患者护理、丧失机构知识)成本 药物滥用治疗中心，是该领域公认的问题。拟议的项目提供 药物滥用咨询师和临床监督员离职情况的综合调查 重点关注临床督导关系对双方更替的影响。两者都有 从角度考察了正面(即收益)和负面(即成本)的监管经验 咨询师和临床监督员，基于越来越多的人认识到临床监督 关系可以为双方带来好处，也可以产生成本。研究的具体目的是：(1) 考察药物滥用咨询师和临床监督员离职的预测因素，(2)探索 工作态度(例如，工作倦怠、工作满意度、承诺)在两者之间的关系中的中介作用 临床督导和离职，(3)跟踪咨询师和临床督导关系随时间的变化 它会发展和/或恶化，表明关系的变化如何预测职业和工作 态度，以及离职，以及(4)检查辅导员的角色和临床主管的经验 与营业额和其他研究变量有关。咨询师-临床主管二人组将随着时间的推移在 对营业额的纵向研究。本项目响应计划公告PA-03-011“服务 国家药物滥用研究中心“。附属于国家药物滥用治疗中心的药物滥用治疗中心 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.