What Is the Impact of High-Quality Clinical Supervision on Substance Abuse Treatment Staff Turnover?
Clinical staff turnover is high in addiction treatment programs and is associated with disrupting the clinical relationship and lowering the quality of care. Efforts to implement evidence-based practices may be hampered by staff turnover, and replacing personnel is costly. The relationship between substance abuse counselors’ perceptions of clinical supervision and their intent to leave employment was studied among community treatment programs participating in the National Institute of Drug Abuse Clinical Trials Network. A total of 1643 questionnaires were mailed, and 1001 were returned (response rate, 60.9%). Of these, 823 met inclusion criteria. Results indicated that high-rated clinical supervision was associated with: • Less intention on the part of counselors to leave their jobs. • Less emotional exhaustion. • Greater feelings of autonomy. • Higher perception of procedural justice (i.e., fairness of decision making within their organization). • Higher perception of distributive jus
