Evidence map›Paper›PMID 31203492›Full record

ArticleAdministration and policy in mental health2019

Therapist Financial Strain and Turnover: Interactions with System-Level Implementation of Evidence-Based Practices.

Danielle R Adams, Nathaniel J Williams, Emily M Becker-Haimes, Laura Skriner, Lauren Shaffer, Kathryn DeWitt, Geoffrey Neimark, David T Jones, Rinad S Beidas

Abstract read
In one paragraph

Article in Administration and policy in mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  15. The Critical Role of Attachment Theory in Child and Adolescent Mental Health Care.Scandinavian journal of child and adolescent psychiatry and psychology · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Danielle R AdamsSchool of Social Service Administration, University of Chicago, Chicago, IL, USA.
Nathaniel J WilliamsSchool of Social Work, Boise State University, Boise, ID, USA.
Emily M Becker-HaimesDepartment of Psychiatry, University of Pennsylvania, 3535 Market Street, 3rd Floor, Office 3015, Philadelphia, PA, 19104, USA.
Laura SkrinerDepartment of Psychiatry, University of Pennsylvania, 3535 Market Street, 3rd Floor, Office 3015, Philadelphia, PA, 19104, USA.
Lauren ShafferDepartment of Psychiatry, University of Pennsylvania, 3535 Market Street, 3rd Floor, Office 3015, Philadelphia, PA, 19104, USA.
Kathryn DeWittDepartment of Psychiatry, University of Pennsylvania, 3535 Market Street, 3rd Floor, Office 3015, Philadelphia, PA, 19104, USA.
Geoffrey NeimarkCommunity Behavioral Health, Philadelphia, PA, USA.
David T JonesCommunity Behavioral Health, Philadelphia, PA, USA.
Rinad S BeidasDepartment of Psychiatry, University of Pennsylvania, 3535 Market Street, 3rd Floor, Office 3015, Philadelphia, PA, 19104, USA. rbeidas@upenn.edu.

Funding

The University of Chicago and Northwestern University Predoctoral Health Services Research Program-RenewalT32HS000084 · AHRQ · UNIVERSITY OF CHICAGO · PI KONETZKA, RITA TAMARA, MELTZER, DAVID O · 1998 to 2024
$7.6M
Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
AHRQ HHS T32 HS000084NIMH NIH HHS K23 MH099179
6 · The paper itself

Abstract

Therapist turnover is a major problem in community mental health. Financial strain, which is composed of cognitive, emotional, and behavioral responses to the experience of economic hardship, is an understudied antecedent of therapist turnover given the tumultuous financial environment in community mental health. We prospectively examined the relationship between therapist financial strain and turnover in 247 therapists in 28 community mental health agencies. We expected greater therapist financial strain to predict higher turnover and participation in a system-funded evidence-based practice (EBP) training initiative to alleviate this effect. Controlling for covariates, financial strain predicted therapist turnover (OR 1.12, p = .045), but not for therapists who participated in an EBP training initiative. Reducing financial strain and/or promoting EBP implementation may be levers to reduce turnover.

Indexed as

Diffusion of InnovationEvidence-Based PracticeBehavioral MedicineCommunity Mental Health ServicesFemaleHumansMaleOrganizational InnovationPersonnel TurnoverBehavioral health servicesEvidence-based practiceFinancial strainImplementationSystem transformationTurnover

Identifiers

PMID31203492
PMCPMC7083521

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.