Staff Retention and Turnover in a Residential Treatment Center

Connor, Daniel F.; McIntyre, E. K.; Miller, Kevin P.; Brown, Cathy; Daunais, Donna; LeBeau, Suzanne

doi:10.1300/j007v20n03_04

Cited by 38 publications

(30 citation statements)

References 6 publications

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“…Frequent service and staff changes for adolescents undermine relationships of trust (Connor, et al, 2003); legalistic and bureaucratic practice, in place of social justice, leaves adolescents feeling abandoned and worthless (Thorpe, 2007); and the failure to conduct coherent chronologies, can lead to an underestimation of harm, risks and support required (Reder & Duncan, 2013). Importantly, in the current study, trauma histories provided an opportunity for adolescents to tell a coherent narrative, a core aspect of trauma healing (Levine, 1997).…”

Section: Discussionmentioning

confidence: 99%

Adolescents in Secure Accommodation in Scotland: Exposure and Impact of Traumatic Events

Barron

Mitchell²

2017

Journal of Aggression, Maltreatment & Trauma

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Section: Discussionmentioning

confidence: 99%

Adolescents in Secure Accommodation in Scotland: Exposure and Impact of Traumatic Events

Barron

Mitchell²

2017

Journal of Aggression, Maltreatment & Trauma

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“…Staff turnover has been a persistent challenge for residential care agencies (e.g., Colton & Roberts, 2007; Connor et al, 2003), and reasons for it are complex and manifold and beyond the scope of this paper. High turnover rates have been associated with lower performance, low productivity and negative organizational climate and culture and have been shown to negatively impact the outcomes of services (e.g., Aarons & Sawitzky, 2008; Landsman, 2007).…”

Section: Recommendationsmentioning

confidence: 99%

Implementing Evidence-Based Practice in Residential Care: How Far Have We Come?

James

2017

Residential Treatment for Children & Youth

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Residential care agencies have been making efforts to provide better quality care through the implementation of evidence-based program models and evidence-based treatments. This paper retraces the developments that led to such efforts. It further aims to answer two questions based on the available conceptual and empirical literature: (1) What is the current status on milieu-based program models that were developed for residential care settings with a therapeutic focus? (2) What is known about the implementation of client- or disorder-specific evidence-based treatments into residential care settings? Findings from this review will be integrated to provide recommendations to residential care providers about the integration of evidence-based treatments into their agencies and to point to the challenges that remain for the field.

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“…Finally, the stop-gap model may also have a positive impact on staff retention, a problem that continues to plague RTCs and affects overall service delivery (Connor et al, 2003). By employing fewer highly trained professionals and placing them in key positions of training and supervision, the responsibility for treatment delivery can be shared among a number of less costly, junior-level pre-professionals, who would benefit from the additional training and, perhaps, elect to stay a little longer in their positions as a direct result of the increased development opportunities.…”

Section: So What About Residential?mentioning

confidence: 99%

‘And what about residential…?’ Re‐conceptualizing residential treatment as a stop‐gap service for youth with emotional and behavioral disorders

McCurdy

McIntyre

2004

Behavioral Interventions

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The need for residential services for youth with the most intractable emotional and behavioral problems continues to exist despite advances made in developing community-based systems of care. Residential treatment centers (RTCs), considered one of the most restrictive service settings, have changed little over the years and have not fared well in outcome evaluations. Despite these factors, admissions to RTCs continue to increase. In an attempt to contemporize and bring the RTC more in line with current practice, a stop-gap model of service delivery is recommended. The stop-gap model, incorporating evidencebased practices, is intended to have an immediate and positive impact on the barrier behaviors that keep youths in the most restrictive environments. The twofold goal of the stop-gap model is to interrupt the youth's downward spiral imposed by increasingly disruptive behavior and, simultaneously, to prepare the post-discharge environment for the youth's timely reintegration. Strategies for evaluating the effectiveness of the stop-gap model are recommended.

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Staff Retention and Turnover in a Residential Treatment Center

Cited by 38 publications

References 6 publications

Adolescents in Secure Accommodation in Scotland: Exposure and Impact of Traumatic Events

Adolescents in Secure Accommodation in Scotland: Exposure and Impact of Traumatic Events

Implementing Evidence-Based Practice in Residential Care: How Far Have We Come?

‘And what about residential…?’ Re‐conceptualizing residential treatment as a stop‐gap service for youth with emotional and behavioral disorders

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