Social work and managed care: Measuring competence, burnout, and role stress of workers providing mental health services in a managed care era

Journal of Social Work

Volumn 9, Issue 3, 2009, Pages 269-283

  Acker, Gila M ^a   Lawrence, Dorothea ^a  

^a CITY UNIVERSITY OF NEW YORK   (United States)

Author keywords

Emotional exhaustion; Managed care; Role stress; Self perceived competence

Indexed keywords

EID: 69949120555     PISSN: 14680173     EISSN: 1741296X     Source Type: Journal    
DOI: 10.1177/1468017309334902     Document Type: Article

References (57)

1. Acker, G.M. (1999) The Impact of Clients Mental Illness on Social Workers Job Satisfaction and Burnout, Health & Social Work 24(2): 112-19.
2. Acker, G.M. (2003) Role Conflict and Ambiguity: Do They Predict Burnout among Mental Health Service Providers?, Social Work in Mental Health 1(3): 63-80.
3. Acker, G.M. (2004) The Effect of Organizational Conditions (Role Conflict, Role Ambiguity, Opportunities for Professional Development and Social Support) on Job Satisfaction and Intention to Leave among Social Workers in Mental Health Care, Community Mental Health Journal 40(1): 65-74.
4. Adams, C.B. (2001) The Changing Face of Direct Practice, LINKS, George Warren Brown School of Social Work, Fall.
5. Arches, J.L. (1997) Burnout and Social Action, Journal of Progressive Human Services 8(2): 51-61.
6. Bandura, A. (1989) Human Agency in Social Cognitive Theory, American Psychologist 44: 1175-84.
7. Blankertz, L. and Robinson, S. (1997) Who is the Psychosocial Rehabilitation Worker?, Psychiatric Rehabilitation Journal 19(4): 3-15.
8. Bolen, R.M. and Hall, J.C. (2007) Special Section: Promoting and Sustaining Evidence-based Practice. Managed Care and Evidence-based Practice: The Untold Story, Journal of Social Work Education 43(3): 463-79.
9. Caplan, R.D., Cobb, S., French, J.R.P., Jr, Van Harrison, R. and Pinneau, S.R., Jr (1980) Job Demands and Worker Health: Main Effects and Occupational Differences. Ann Arbor: University of Michigan, Institute for Social Research.
10. Cherniss, C. (1993) Role of Professional Self-efficacy in the Etiology and Amelioration of Burnout, in W.B. Schaufeli, C. Maslach and T. Marek (eds) Professional Burnout: Recent Developments in Theory and Research, pp. 135-49. New York: Taylor & Francis.
11. Cohen, J.A. (2003) Managed Care and the Evolving Role of the Clinical Social Worker in Mental Health, Social Work 48(1): 34-44.
12. Daniels, J.A. (2001) Managed Care Ethics and Counseling, Journal of Counseling & Development 79(1): 119-22.
13. Demerouti, E., Bakker, A.B., Vardakou, I. and Kantas, A. (2002) The Convergent Validity of Two Burnout Instruments. A Multitrait - Multimethod Analysis, European Journal of Psychological Assessment 18(3): 296-307.
14. Drake, B. and Yadama, G.N. (1996) A Structural Equation Model of Burnout and Job Exit among Child Care Providers, Social Work Research 20(3): 179-87.
15. Egan, M. and Kadushin, G. (2007) The Revolution in Health Care Funding and Delivery, in Social Work Practice in Community-Based Health Care, pp. 3-24. New York: The Haworth Press.
16. Farber, B.A. (1983) Introduction: A Critical Perspective on Burnout, in B.A. Farber (ed.) Stress and Burnout in the Human Service Professions, pp. 1-20. New York: Pergamon Press.
17. Feldman, R. (2001) Health Care and Social Work Education in a Changing World, Social Work in Health Care 34(1/2): 31-41.
18. Feldman, S. (1997) Introduction, Administration and Policy in Mental Health 25(1): 3-5.
19. Florentine, R. and Grusky, O. (1990) When Case Managers Manage the Seriously Mentally Ill: A Role-contingency Approach, Social Service Review, March, pp. 79-93.
20. Geurtz, S., Schauffeli, B.A. and De Jonge, J. (1998) Burnout and Intention to Leave among Mental Health Professionals: A Social Psychological Approach, Journal of Social and Clinical Psychology 17(3): 341-62.
21. Green, S.B., Salkind, N.J. and Akey, T.M. (2000) Using SPSS for Windows: Analyzing and Understanding Data. Upper Saddle River, NJ: Prentice-Hall.
22. Hagen, J.L. and Hutchison, E. (1988) Whos Serving the Homeless?, Social Casework: The Journal of Contemporary Social Work 69(8): 491-97.
23. Hall, M.L. and Keefe, R.H. (2000) Exploring "The Management Behavioral Health Care Provider Self-perceived Competence Scale": A Tool for Continuing Professional education, Professional Development. The International Journal of Continuing Social Work Education 3(3): 27-35
24. Harrison, W.D. (1980) Role Strain and Burnout in Child-protective Service Workers, Social Service Review 54: 31-44.
25. Jellinek, M.S. and Nurcombe, B. (1993) Two Wrongs Dont Make a Right, Journal of the American Medicaid Association 270(14): 1737.
26. Johnson, P.J. and Rubin, A. (1983) Case Management in Mental Health: A Social Work Domain?, Social Work 28: 49-55.
27. Kadushin, G. and Egan, M. (1997) Educating Students for a Changing Health Care Environment, Social Work 22(3): 211-22.
28. Keefe, R.H. and Hall, M.L. (1998) Interfacing with Managed Behavioral Health Care Organizations: An Emerging Scale of Private Practitioners Self-perceived Competence, Professional Development: The International Journal of Continuing Education 1(13): 41-52.
29. Knapp, M., McDaid, D., Amaddeo, F., Constantopoulos, A., Oliveira, M.D., Salvador-Carulla, L., Zechmeister, I. and The Mheen Group (2007) Financing Mental Health Care in Europe, Journal of Mental Health 16(2): 167-80.
30. Koeske, G.F. and Koeske, R.D. (1993) A Preliminary Test of a Stress-strain-outcome Model for Reconceptualizing the Burnout Phenomenon, Journal of Social Service Research 17(3/4): 107-35.
31. Lamb, R. (1979) Staff Burnout in Work with Long-term Patients, Hospital and Community Psychiatry 30: 396-8.
32. Lu, Y.E., Miller, M.H. and Chen, S. (2002) American Revolution in Mental Health Care Delivery: Meeting the Educational Challenge, Journal of Teaching in Social Work 22(1/2): 167-82.
33. Maslach, C. (1982) Burnout: The Cost of Caring. Englewood Cliffs, NJ: Prentice-Hall.
34. Maslach, C. and Jackson, S.C. (1986) Maslach Burnout Inventory. Palo Alto, CA: Consulting Psychologists Press.
35. Mechanic, D. (2007) Mental Health Services Then and Now, Health Affairs 26(6): 1548-50.
36. Mizrahi, T. (1993) Managed Care and Managed Competition: A Primer for Social Work, Health & Social Work 18: 86-91.
37. Montcalm, D. and Royse, D. (2002) Data Analysis for Social Workers. Boston, MA: Allyn and Bacon.
38. Mor Barak, M.E., Nissly, J.A. and Levin, A. (2001) Antecedents to Retention and Turnover among Child Welfare, Social Work, and Other Human Service Employees: What Can We Learn from Past Research? A Review and Metanalysis, Social Service Review 75(4): 625-61.
39. Pines, A. (1983) On Burnout and the Buffering Effects of Social Support, in B.A. Farber (ed.) Stress and Burnout in the Human Service Professions, pp. 155-74. New York: Pergamon Press.
40. Pines, A. (2005) The Burnout Measure, Short Version, International Journal of Stress Management 12(1): 78-88.
41. Pines, A. and Kafry, D. (1978) Occupational Tedium in the Social Services, Social Work 23: 499-509.
42. Pines, A. and Maslach, C. (1978) Characteristics of Staff Burnout in Mental Health Settings, Hospital and Community Psychiatry 29: 233-7.
43. Pumariega, A.J., Winters, N.C. and Huffine, C. (2003) The Evolution of Systems of Care for Childrens Mental Health: Forty Years of Community Child and Adolescent Psychiatry, Community Mental Health Journal 39(5): 399-425.
44. Ratlif, N. (1988) Stress and Burnout in the Helping Professions, Social Casework 69(3): 147-54.
45. Rizzo, J.R., House, R.J. and Lirtzman, S.I. (1970) Role Conflict and Ambiguity in Complex Organizations, Administrative Science Quarterly 15: 150-63.
46. Rubin, A. (1978) Commitment to Community Mental Health Aftercare Services: Staffing and Structural Implications, Community Mental Health Journal 14(3): 199-208.
47. Sederer, L.L. and Mirin, S.M. (1994) The Impact of Managed Care on Clinical Practice, Psychiatric Quarterly 65(3): 177-83.
48. Shera, W. (1996) Managed Care and People with Severe Mental Illness: Challenges and Opportunities for Social Workers, Health & Social Work 21: 196-201.
49. Storm-Gottfried, K. (1997) The Implications of Managed Care for Social Work Education, Journal of Social Work Education 33(1): 7-18.
50. Stone, A.A. (1995) Psychotherapy and Managed Care: The Bigger Picture, Harvard Mental Health Letter 11(8): 5-8.
51. Tyler, P. and Cushway, D. (1998) Stress and Well-being in Health-care Staff: The Role of Negative Affectivity and Perceptions of Job Demand and Discretion, Stress Medicine 14: 99-107.
52. Um, M.Y. and Harrison, D.F. (1998) Role Stressors, Burnout, Mediators, and Job Satisfaction: A Stress-strain-outcome Model and an Empirical Test, Social Work Research 22(2): 100-15.
53. Wagner, F.R. and Morse, J.J. (1975) A Measure of Individual Sense of Competence, Psychological Reports 36: 451-9.
54. Waters, C. (2002) Migration and Mental Health Care in Europe: Report of a Preliminary Mapping Exercise, Journal of Ethnic and Migration Studies 28(1): 153-72.
55. Wells, K.B., Astrachan, B.M., Tichler, G.L. and Unutzer, J. (1995) Issues and Approaches in Evaluating Managed Health Care, The Milbank Quarterly 73(1): 57-59.
56. White, R.W. (1967) Competence and the Growth of Personality, Science and Psychoanalysis 11: 42-9.
57. Winnibust, J. (1993) Organizational Structure, Social Support and Burnout, in W.B. Schaufeli, C. Maslach and C. Marek (eds) Professional Burnout: Recent Developments in Theory and Research, pp. 151-62. New York: Taylor & Francis.