Going, going, gone: Provider turnover in Hawaiʻi’s youth public mental health system

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dc.contributor.advisorHiga McMillan, Charmaine
dc.contributor.authorTrevino, Victoria Larson
dc.contributor.departmentCounseling Psychology
dc.date.accessioned2025-06-27T18:44:33Z
dc.date.available2025-06-27T18:44:33Z
dc.date.issued2025-05
dc.description.degreeM.A.
dc.identifier.urihttps://hdl.handle.net/10790/43989
dc.subjectPsychology
dc.subjectbehavioral health
dc.subjectemployee retention
dc.subjectemployee turnover
dc.subjectpublic sector
dc.subjectqualitative
dc.subjectyouth mental health
dc.titleGoing, going, gone: Provider turnover in Hawaiʻi’s youth public mental health system
dc.typeThesis
dcterms.abstractProvider turnover in public mental health systems disrupts therapeutic relationships and compromises treatment continuity, particularly affecting vulnerable youth populations. This qualitative study examined factors influencing provider turnover and retention in Hawai‘i's public youth mental health system through semi-structured interviews with both direct service providers (n=3) and supervisors/administrators (n=7) from Child and Adolescent Mental Health Division (CAMHD) contracted agencies. The interviews were transcribed and coded via inductive coding method. Analysis revealed nine key themes affecting turnover and retention: employee compensation (25.90% of themes), supervision and support (12.23%), autonomy and flexibility (11.51%), leadership and organizational culture (11.51%), work environment (10.79%), caseload (8.63%), provider job fit and individual factors (7.91%), training and professional development (7.19%), and administrative burdens (4.32%). The findings highlight the need for systemic changes needed to support workforce stability in Hawaii's youth mental health system. This study provides valuable insights for behavioral health organizations and policymakers to develop targeted retention strategies that maintain service quality and continuity for youth requiring mental health services.
dcterms.extent65 pages
dcterms.languageen
dcterms.publisherUniversity of Hawaii at Hilo
dcterms.rightsAll UHH dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dcterms.typeText
local.identifier.alturihttps://www.proquest.com/LegacyDocView/DISSNUM/31841438

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