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.

    Group practice owner, Ontario (anonymized)

    Related reading: solo-to-group practice program · how to scale a group therapy practice · all case studies

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