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.
The Clinician Onboarding Checklist for Group Practices
Good clinician onboarding covers three things: operational (access and logistics), clinical (caseload and supervision), and cultural (team and values). Get all three right in the first month and your new hire ramps faster, feels supported, and is far more likely to stay. Here's the checklist I use.
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.