Doctor of Philosophy in Urban Education, Cleveland State University, 2024, Maxine Goodman Levin College of Urban Affairs
The substance use disorder (SUD) counseling field has faced many challenges since it began as a grass roots movement alongside the formal counseling profession. Along with previously poorly defined training and education, low compensation, and high stress, counselors in this field face burnout, low job satisfaction, and low success rates. A major concern facing the field today is the voluntary turnover of SUD therapists at alarming rates. Several factors are theorized to contribute to turnover; however, no single factor accounts for turnover entirely, thus researchers in the field rely on working models to explain voluntary turnover. An explanatory framework from career psychology literature (Muchinsky and Morrow, 1980) suggests examining economic, personal, and work-related determinants of turnover. Another model (Mobley, 1977) suggests investigating the correlates of job satisfaction in relation to turnover. A final important model (Lee & Mitchell, 1994) indicated a psychological evaluative process preceding turnover decisions. This study combined these frameworks to propose specific determinants of voluntary turnover among SUD therapists. A discriminant analysis was utilized to understand how well these factors discriminated between therapists who consider leaving or remaining in their jobs during the COVID-19 pandemic. Nonprobability sampling and data collection was conducted through national and state databases of SUD treatment centers and SUD therapists. Furthermore, the effects of gender, profession, and degree level were explored regarding these determinants. Results of the study indicated that the combination of Age, Tenure, Household Size, Job Satisfaction, Job Embeddedness, Burnout, Addiction Counseling Self-Efficacy, Procedural Justice, and Distributive Justice significantly discriminated between SUD therapists who are “not at all likely,” “somewhat likely,” and “very likely” to quit their jobs. The psychological variables of Job Satisfaction, Job Embedd (open full item for complete abstract)
Committee: Graham Stead (Committee Chair); Karla Hamlen-Mansour (Committee Member); Kelly Liao (Committee Member); Patricia Stoddard-Dare (Committee Member); Julia Phillips (Committee Member)
Subjects: Counseling Psychology