Credentialed. Accountable. Practical.
Certified HR
Certified Professional
PHR
Professional in HR (HRCI)
EEOC Law
Administrative Law Judge
JD (Law)
Employment Counsel
Licensed Clinicians
LCSW, LPC on team
NAPEO
Member (Employer Orgs)
Built for:
Organizations with 20%+ annual turnover Behavioral health providers IDD and community health agencies 10-200 employees
Pain Points This Program Solves
42% average turnover in behavioral health : every departure costs 30–50% of annual salary
Clinical staff burning out and you have no compassion fatigue protocol
No stay interviews, no flight-risk tracking, no data on why people leave
Remaining staff carry more load, morale drops, more people start looking
Questions You Should Be Asking
? Do you know why your last three clinical staff members left?
? When was the last time a manager conducted a stay interview?
? What is your actual cost-per-departure : and can you prove it?

The Math of Losing Clinical Staff

The average annual turnover in behavioral health is 42 percent. Every clinician who leaves costs 30 to 50 percent of their annual salary to replace. Training, recruiting, lost productivity, reduced census. The math is brutal.

You know your clinical staff is burning out. You do not conduct stay interviews. You have no data on why people leave. You are not tracking flight risk. You have no compassion fatigue protocol. When someone gives notice, it feels like a surprise.

The clinical staff who remain are carrying more load. Morale drops. More people start looking. The cycle accelerates. Your organization is stuck in a retention death spiral.

What You Get: 14 Retention Documents

1

Turnover Cost Analysis

Calculate exact cost per separation, identify expensive roles, ROI of retention

2

Stay Interview Framework

Structured questions, manager training, data collection, trend analysis

3

Exit Interview Redesign

Capture true reasons, identify patterns, legal documentation

4

Retention Blueprint

Strategic roadmap, retention targets, priority interventions

5

Employee Engagement Survey

Anonymous feedback, 20-question validated instrument, benchmarking

6

Recognition System

Peer recognition platform, manager appreciation tools, celebration calendar

7

Compassion Fatigue Protocol

Screening tool, intervention framework, self-care resources, manager training

8

First-Year Retention Tracker

Month-by-month milestones, 30-60-90 check-ins, early-warning system

9

Manager Retention Scorecard

Department-level turnover, retention incentives, manager accountability

10

Compensation Benchmarking Report

Market salary analysis, role-by-role comparison, pay equity assessment

11

Total Rewards Statement

Benefits summary, retirement value, health insurance contributions, full value visibility

12

Onboarding-to-Retention Bridge

First-year experience design, relationship building, culture immersion

13

Quarterly Pulse Check

5-question engagement survey, trending, immediate action triggers

14

Retention Reporting Package

Turnover trends, cohort analysis, program impact measurement

How We Build Your Retention Reset Program

From exit interview analysis to engagement metrics. Here is exactly what happens and when.

Discovery & Diagnostic
Week 1
What We Analyze:
  • Turnover cost analysis
  • Exit interview review
  • Engagement baseline assessment
  • Key retention drivers ID
Document Build
Weeks 2-4
Frameworks We Create:
  • Stay interview framework
  • Recognition & reward system
  • Compassion fatigue protocol
  • Retention metrics dashboard
Review & Refinement
Week 5
Calibration & Testing:
  • Leadership calibration sessions
  • Metric alignment review
  • Program scope refinement
  • Manager feedback integration
Implementation Support
Weeks 6-8
Rollout & Launch:
  • Manager coaching sessions
  • First pulse survey launch
  • Recognition system rollout
  • Ongoing metric tracking
Handoff & Sustainability
Week 8+
Long-term Success:
  • Retention dashboard delivery
  • Quarterly survey cadence
  • Ongoing metrics & analysis
  • Program evolution planning
Diagnostic
Build
Review
Implementation
Handoff
The true cost

One clinical exit costs more than you think.

The line item you see is only the replacement cost. Five hidden layers sit underneath. For a clinician earning seventy thousand, the all-in exit cost is typically $115,000 to $140,000.

SEPARATION VACANCY COVERAGE RECRUITING ONBOARDING + TRAINING PRODUCTIVITY RAMP CLIENT CONTINUITY IMPACT TEAM MORALE + CONTAGION
Cost breakdown - $70K clinician
Separation costs$3,500
Vacancy coverage (overtime, locums)$18,000
Recruiting + hiring$14,500
Onboarding + supervision$12,200
Productivity ramp (6 months)$26,000
Client continuity + churn$22,000
Team morale + contagion risk$18,000
All-in exit cost$114,200

Mid-range estimate. Directors and specialized clinical roles run $150K to $220K all-in.

What Changes After Retention Reset

Month 1

You Know the True Cost

Your turnover cost analysis is complete. You can see exactly how much each separation costs. You know which roles are most expensive to replace. You can show ROI for retention investments to your board.

Month 2-3

Stay Interviews Start

Your managers are trained. They are conducting stay interviews with key clinical staff. You are learning the real reasons people stay. You have early warning when someone is at flight risk.

Month 4

Engagement Data is Current

Your engagement survey is complete. You have baseline data. You know where morale is strongest and where burnout is highest. Your team feels heard.

Month 5-6

Clinical Staff Have Support

Your compassion fatigue protocol is live. Clinical staff have access to self-care resources. Managers can identify burnout early. Your organization is no longer silent about mental health.

6-12 Months

Turnover Begins to Drop

Your initiatives are working. People feel valued. Managers know retention is a priority. Clinical staff see a real difference in workload and support.

Is This the Right Program for You?

This Is For You If:

  • Your turnover rate exceeds 25 percent
  • You have never conducted stay interviews
  • Your clinical staff are showing burnout signs
  • You do not know why people leave
  • You have no engagement feedback mechanism
  • Compensation competitiveness is unclear

This Is Not For You If:

  • Your primary challenge is hiring, not keeping
  • You have fewer than 10 employees
  • Your turnover rate is under 15 percent
  • You need executive recruitment services
  • You are looking for individual career counseling

How Retention Reset Works

01

Diagnostic

We calculate your turnover cost, analyze exit data, survey engagement, and interview clinical staff about burnout.

02

Match

We identify the top three retention leaks for your organization. We benchmark compensation. We assess compassion fatigue risk.

03

Build

We create your retention blueprint with targeted interventions. We design your engagement survey. We build the compassion fatigue protocol.

04

Train & Measure

We train managers on stay interviews. We launch your engagement survey and pulse checks. We set up reporting to track progress.

"Turnover went from 48 percent to 19 percent in 18 months. We stopped treating retention like it was someone else's problem and made it part of our operations. The program made that shift possible."

Marcus Hale, Chief Operating Officer
PREDICTIVE ANALYTICS

Where are you most likely to lose staff?

Answer 4 questions. See your flight risk score.

42%
50
Flight Risk Score

Key Insights

  • Your turnover rate (42%) is above the HHS sector average.
  • Stay interviews are missing. You are not catching flight risk signals.
  • Compassion fatigue is unaddressed. Clinical staff are at highest risk.
Estimated annual cost of current turnover
$308,700
Based on 35% of salary per departure

Ready to Stop the Revolving Door?

Investment begins at $4,199. Custom scoping based on organization size and complexity.

Q2 cohort intake closes May 1. 4 seats remaining.
Compare All TWF Signature Programs™ →
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