Offer Quality Services Research Articles

Recruitment and retention of psychosocial rehabilitation workers.

Recruitment and retention of direct service workers can be a major problem for administrators of community mental health organizations. This paper, based on a nationwide study of psychosocial rehabilitation workers and administrators, examines the congruity of worker and administrator perceptions of worker motivation for entering and leaving the field. Workers are motivated by the intrinsic nature of the work to enter into and stay in the field. Job burnout is as important as low pay in forcing workers out of the field. Administrators, however, perceive money to be a major factor motivating workers to enter the field and perceive external opportunities as forces that pull them away. Thus, administrators must address their workers' needs if their agencies are to offer quality services.

Caring vs. Cashflow

Summary The administration and delivery of human services often involve apparently conflicting goals, such as the desire to offer quality services to those most in need while maintaining a sound financial status for an agency. Using the example of needs for caring vs. cashflow in a hospice, this article describes how computer simulation was used to explore possible solutions for this common dilemma in human service organizations. A system dynamics model was developed to represent student and staff beliefs about the causal relationships between processes of caring and cashflow. A generic system dynamics computer application, STELLA, was used to simulate and explore varying assumptions and beliefs about agency functioning. The simulation period proved very useful as an educational tool, and as a motivator for staff to pursue a solution to the caring vs. cashflow dilemma.