Mediational Paths From Supervisor Support to Turnover Intention and Actual Turnover Among Community Mental Health Providers

Objective: Turnover is a critical problem for community mental health providers, and supervisors may play an important role in mitigating turnover. The current study examined the potential impact of supervisory support on turnover intention and actual turnover among community mental health providers. Method: We conducted path analyses with data collected longitudinally from 186 direct clinical care providers at two community mental health centers. Results: Increased supervisory support was associated with lower turnover intention 6 months later, as well as reduced actual turnover 12 months later. Type of supervisory support mattered: supervisors' emotional support was most strongly associated with reduced turnover intention and turnover. However, client goal alignment support (supporting providers to help consumers achieve their goals) was directly associated with increased turnover. Conclusions and Implications for Practice: The current study suggests an important role for direct supervisors to attend to care providers' emotional support needs, which may reduce turnover intention and actual turnover. Differential supervisory support functions might impact turnover in unique ways; thus, examining more detailed change mechanisms would facilitate our understanding of factors that may prevent future turnover. Impact and Implications The current study suggests an important role for direct supervisors to attend to mental health care providers' emotional support needs, which may potentially reduce turnover intention and actual turnover. Given the high rates of turnover and associated costs to mental health organizations, this study provides important information for organizational leaders.