Date of Graduation


Document Type


Degree Type



Eberly College of Arts and Sciences



Committee Chair

Amy D Herschell

Committee Co-Chair

Amy Fiske

Committee Member

Nicholas A Turiano


Staff turnover in the behavioral health field is a substantial and chronic problem with implications for both agencies and clients (Ben-Dror, 1994). Increased focus on the implementation of evidence-based treatments (EBT) has further highlighted the problems associated with turnover, as EBT trainings are particularly costly and time-consuming for clinicians and their agencies (Cook, Biyanova, & Coyne, 2009). The current study examined rates and predictors of turnover within an EBT implementation initiative designed to assess the effectiveness of three different training models. Data was collected from 110 families, 100 clinicians, 50 supervisors, and 50 administrators involved in the state-wide implementation of Parent-Child Interaction Therapy (PCIT). Overall, rates of staff turnover (8% at 12 months, 30% at 24 months) were less than typically reported by community behavioral health organizations (50% or greater at 12 months). In addition, organizational climate was a significant predictor of supervisor and administrator turnover, with different rates of turnover noted across different training conditions. Evidence also suggested that clinician turnover may be associated with poor client outcomes, although for a limited proportion of families. Implications for behavioral health agencies and future directions for research are discussed.