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- Hiring That Stuck: From Two Quits in Six Months to 18+ Month Retention
Group therapy practice · Ontario
Hiring That Stuck: From Two Quits in Six Months to 18+ Month Retention
Time window: 18+ months of retention after the redesigned hiring process
Practice profile
Growing clinic that could attract applicants but struggled to keep them after the honeymoon period.
Starting position
- Hired 3 therapists; 2 quit within 6 months
- Informal interviews without a shared scorecard
- Thin onboarding—associates learned by firehose
Constraint diagnosed
Turnover erased hiring ROI. The problem looked like recruiting volume; it was selection and onboarding design.
What was built
- Structured interview scorecard aligned to role design
- Onboarding checklist covering clinical, admin, and culture norms
- Clearer compensation and caseload expectations up front
Results
Hired 2; both stayed 18+ months
Retention flipped from a revolving door to stable capacity.
“We stopped hiring for chemistry alone and started hiring for fit we could measure.”
Related reading: solo-to-group practice program · how to scale a group therapy practice · all case studies
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