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 will provide data for the project.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Project (R01)
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Application #
Study Section
Special Emphasis Panel (ZDA1-GXM-A (23))
Program Officer
Ducharme, Lori
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Project End
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University of Georgia
Schools of Arts and Sciences
United States
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Eby, Lillian T; Butts, Marcus M; Hoffman, Brian J et al. (2015) Cross-lagged relations between mentoring received from supervisors and employee OCBs: Disentangling causal direction and identifying boundary conditions. J Appl Psychol 100:1275-85
Eby, Lillian T; Laschober, Tanja C; Curtis, Sara L (2014) Substance abuse-specific knowledge transfer or loss? Treatment program turnover versus professional turnover among substance abuse clinicians. J Addict Dis 33:243-52
Spell, Hannah B; Eby, Lillian T; Vandenberg, Robert J (2014) Developmental Climate: A Cross-level Analysis of Voluntary Turnover and Job Performance. J Vocat Behav 84:283-292
Eby, Lillian T; Laschober, Tanja C (2013) A quasi-experimental study examining New York State's tobacco-free regulation: effects on clinical practice behaviors. Drug Alcohol Depend 132:158-64
Eby, Lillian; George, Kerrin; Brown, B Lindsay (2013) Going tobacco-free: predictors of clinician reactions and outcomes of the NY State Office of Alcoholism and Substance Abuse Services tobacco-free regulation. J Subst Abuse Treat 44:280-7
Laschober, Tanja C; de Tormes Eby, Lillian Turner (2013) Substance use disorder counselors' job performance and turnover after 1 year: linear or curvilinear relationship? Adm Policy Ment Health 40:300-10
Rothrauff-Laschober, Tanja C; Eby, Lillian Turner de Tormes; Sauer, Julia B (2013) Effective Clinical Supervision in Substance Use Disorder Treatment Programs and Counselor Job Performance. J Ment Health Couns 35:76-94
Laschober, Tanja C; Eby, Lillian Turner de Tormes; Kinkade, Katie (2013) Mentoring support from clinical supervisors: mentor motives and associations with counselor work-to-nonwork conflict. J Subst Abuse Treat 44:186-92
Butts, Marcus M; Hurst, Carrie S; Eby, Lillian T (2013) Supervisor Health and Safety Support: Scale Development and Validation. J Appl Manag Entrep 18:97-118
Eby, Lillian T; Rothrauff-Laschober, Tanja C (2012) The relationship between perceptions of organizational functioning and voluntary counselor turnover: a four-wave longitudinal study. J Subst Abuse Treat 42:151-8

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