Date of Conferral

5-8-2025

Date of Award

May 2025

Degree

Doctor of Psychology (Psy.D.)

School

Psychology

Advisor

Kristen Glover

Abstract

This case study examines the influence of leadership styles on employee retention and performance in medication-assisted treatment (MAT) facilities located in the southeastern United States, with a focus on facilities treating patients with severe opioid use disorder (F11.20). Using the Baldrige Excellence Framework, the study explores how different leadership approaches impact the work environment, employee satisfaction, and retention. Data were collected through semi structured interviews with six clinic directors, one regional clinical supervisor, and one regional director, as well as a review of organizational archival records and a literature review. The analysis revealed several key findings: (a) staff licensure requirements are limited to nursing staff, (b) leadership positions are determined based on clinic needs, (c) clinical staff require specialized training and guidance upon entering their roles, and (d) evaluating leadership styles for effectiveness in relation to staff engagement and retention is necessary. The results highlight that transformational, servant, and supportive leadership styles contribute to improved employee satisfaction and retention. Furthermore, the study emphasizes the need for specialized training programs tailored to the unique demands of MAT settings. Identifying and implementing effective leadership approaches is crucial for fostering social change, stability, and success in MAT treatment, ultimately benefiting both staff and patients.

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