IDD Leader

Ep. 67 - Only 11% Turnover: How Melmark Onboards Staff


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How does Melmark achieve only 11% annual turnover in a field where many providers face 40–60%?

In this episode, host Nate Beers continues his conversation with Helena Maguire, digging into Melmark’s extended, behaviorally grounded onboarding model—one that prioritizes confidence before coverage.
This is practical, field-tested onboarding that actually works: slower, more deliberate, and transformative for retention.

If you want a real-world example of an onboarding system that stabilizes teams rather than spinning them into crisis, this episode is a masterclass.

TIMESTAMPS
00:00 – Rethinking Orientation: How Melmark Launches New Staff
09:26 – Training for Real People: Tailoring Learning to Every DSP
12:28 – Phase Two: On-the-Job Practice That Builds Real Competence
16:55 – The Reality of Residential Scheduling (and What Actually Works)
20:24 – Reinforcement That Matters: How Melmark Motivates Performance
27:49 – Designing a High-Performance Culture Without Burnout
33:05 – Can Other Providers Replicate This Model? What It Really Takes
42:57 – The Payoff: Cutting Turnover with a Smarter Onboarding System

Learn More About Melmark
Explore Melmark’s programs, mission, and leadership:
https://www.melmark.org/


Free Upcoming Sessions for IDD Leaders
This episode is part of a broader conversation about building a stronger, more stable workforce.

Nate is collaborating with the University of Minnesota’s Institute on Community Integration (ICI) on an upcoming free virtual series:

Direct Support Leadership Lens: Strategies for a Stronger Workforce

These sessions are designed for leaders who want practical, behaviorally grounded strategies to reduce turnover and support supervisors more effectively.

Learn more or register at https://iddleader.com

Do your frontline supervisors sometimes unintentionally contribute to staff turnover? I know how it feels... Most supervisors were never trained to lead. Get The 7 Quiet Danger Signs Your Supervisors Are Burning Out Their Teams and learn how high-retention agencies spot — and fix — these issues fast. https://iddleader.com/burnout

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IDD LeaderBy Nate Beers

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