How We Hold ~90% Clinician Retention in a Field That Loses a Third of Its Workforce
Hiring & Team, Ethics & Culture Emelie Douglas Hiring & Team, Ethics & Culture Emelie Douglas

How We Hold ~90% Clinician Retention in a Field That Loses a Third of Its Workforce

Behavioral health loses somewhere between a quarter and 40 percent of its workforce every year. At Sprout Therapy PDX we have held roughly 90 percent annual retention across a team that grew past 40 clinicians. That gap is not a personality difference or a perks budget. It comes down to four things: pay people properly, protect the caseload, supervise for real, and take the administrative load off them.

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How to Build an Ethical, Non-Exploitative Group Practice
Starting a Practice, Ethics & Culture Emelie Douglas Starting a Practice, Ethics & Culture Emelie Douglas

How to Build an Ethical, Non-Exploitative Group Practice

An ethical group practice is one where clinicians are paid fairly, supported clinically, and treated as people rather than revenue units — and it can absolutely still be profitable. In fact, the two reinforce each other: when clinicians are well cared for, they stay, they do better work, and clients get better care. I've built this in real life. At Sprout Therapy PDX, we've held roughly 90% annual staff retention in a field where 50% turnover is common. Here's how to grow without exploiting the people who make it possible.

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