Burnout in mental health services: A review of the problem and its remediation

Administration and Policy in Mental Health and Mental Health Services Research

Volumn 39, Issue 5, 2012, Pages 341-352

  Morse, Gary ^a   Salyers, Michelle P ^b,c,d   Rollins, Angela L ^b,c,d   Monroe DeVita, Maria ^e   Pfahler, Corey ^c  

^a Community Alternatives for Hope Health and Recovery ^*  (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c INDIANA UNIVERSITY   (United States)

^d ACT Center of Indiana   (United States)

^e UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Burnout; Burnout prevention; Mental health staff

Indexed keywords

BURNOUT; HEALTH CARE PERSONNEL; HEALTH PERSONNEL ATTITUDE; HUMAN; MENTAL HEALTH SERVICE; PSYCHOLOGICAL ASPECT; REVIEW;

ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; HEALTH PERSONNEL; HUMANS; MENTAL HEALTH SERVICES;

EID: 84864845759     PISSN: 0894587X     EISSN: 15733289     Source Type: Journal    
DOI: 10.1007/s10488-011-0352-1     Document Type: Review

References (76)

1. Acker, G. (2010). The challenges in providing services to clients with mental illness: Managed care, burnout and somatic symptoms among social workers. Community Mental Health Journal, 46(6), 591-600.
2. Ahola, K., Honkonen, T., Isometsä, E., Kalimo, R., Nykyri, E., Aromaa, A., et al. (2005). The relationship between job-related burnout and depressive disorders - results from the Finnish Health 2000 Study. Journal of Affective Disorders, 88(1), 55-62.
3. Awa, W. L., Plaumann, M., & Walter, U. (2010). Burnout prevention: A review of intervention programs. Patient Education and Counselling, 78(2), 184-190.
4. Bittman, B., Bruhn, K. T., Stevens, C., Westengard, J., & Umbach, P. O. (2003). Recreational music-making: A cost-effective group interdisciplinary strategy for reducing burnout and improving mood states in long-term care workers. Advances in Mind-Body Medicine, 19(3-4), 4-15.
5. Boyer, S. L., & Bond, G. R. (1999). Does assertive community treatment reduce burnout? A comparison with traditional case management. Mental Health Services Research, 1(1), 31-45.
6. Burke, R. J., & Richardsen, A. M. (1993). Psychological burnout in organizations. In R. T. Golembiewski (Ed.), Handbook of organizational behavior. New York: Marcel Dekker.
7. Canfield, J. (2005). Secondary traumatization, burnout, and vicarious traumatization: A review of the literature as it relates to therapists who treat trauma. Smith College Studies in Social Work, 75(2), 81-101.
8. Carney, J., Donovan, R., Yurdin, M., & Starr, R. (1993). Incidence of burnout among New York City intensive case managers: Summary of findings. Psychosocial Rehabilitation Journal, 16(4), 25-38.
9. Carson, J., Cavagin, J., Bunclark, J., Maal, S., Gournay, K., Kuipers, E., et al. (1999). Effective communication in mental health nurses: Did social support save the psychiatric nurse? Nursing Times Research, 4(1), 31-42.
10. Chemiss, C. (1980). Staff burnout: Job stress in the human services. Beverly Hills, CA: Sage.
11. Corrigan, P. W. (1990). Consumer satisfaction with institutional and community care. Community Mental Health Journal, 26(2), 151-165.
12. Corrigan, P. W., McCracken, S. G., Edwards, M., Kommana, S., & Simpatico, T. (1997). Staff training to improve implementation and impact of behavioral rehabilitation programs. Psychiatric Services, 48(10), 1336-1338.
13. Deegan, P. E., Rapp, C., Holter, M., & Riefer, M. (2008). Best practices: A program to support shared decision making in an outpatient psychiatric medication clinic. Psychiatric Services, 59(6), 603-605.
14. Ducharme, L. J., Knudsen, H. K., & Roman, P. M. (2008). Emotional exhaustion and turnover intention in human service occupations: The protective role of coworker support. Sociological Spectrum, 28(1), 81-104.
15. Dunkley, J., & Whelan, T. A. (2006). Vicarious traumatisation: Current status and future directions. British Journal of Guidance & Counselling, 34(1), 107-116.
16. Edwards, D., Burnard, P., Coyle, D., Fothergill, A., & Hannigan, B. (2000). Stress and burnout in community mental health nursing: A review of the literature. Journal of Psychiatric and Mental Health Nursing, 7, 7-14.
17. Emmons, R. A., & Shelton, C. M. (2001). Gratitude and the science of positive psychology. In C. Snyder & S. Lopez (Eds.), Handbook of positive psychology (pp. 459-471). New York: Oxford University Press.
18. Ewers, P., Bradshaw, T., McGovern, J., & Ewers, B. (2002). Does training in psychosocial interventions reduce burnout rates in forensic nurses? Journal of Advanced Nursing, 37(5), 470-476.
19. Fallot, R. D., & Harris, M. (2008). Trauma informed approaches to systems of care. Trauma Psychology Newsletter, 3(1), 6-7.
20. Feingold, A. (2005). Sustaining stamina at the interface of HIV and mental health practice. Mental Health AIDS, 6(2), 6-9.
21. Feingold, A. (2008). Kicking it upstairs. Mental Health AIDS, 9(2), 8-9.
22. Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1-20). Philadelphia, PA, USA: Brunner/Mazel.
23. Garman, A. N., Corrigan, P. W., & Morris, S. (2002). Staff burnout and patient satisfaction: Evidence of relationships at the care unit level. Journal of Occupational Health Psychology, 7(3), 235-241.
24. Geller, G., Bernhardt, B. A., Carrese, J., Rushton, C. H., & Kolodner, K. (2008). What do clinicians derive from partnering with their patients? A reliable and valid measure of ''personal meaning in patient care''. Patient Education and Counseling, 72(2), 293-300.
25. Gilbody, S., Cahill, J., Barkham, M., Richards, D., Bee, P., & Glanville, J. (2006). Can we improve the morale of staff working in psychiatric units? A systematic review. Journal of Mental Health, 15(1), 7-17.
26. Glisson, C., Dukes, D., & Green, P. (2006). The effects of the ARC organizational intervention on caseworker turnover, climate, and culture in children's service systems. Child Abuse and Neglect, 30(8), 855-880. discussion 849-854.
27. Goldmacher, S. (2009, November 19, 2009). California's budget woes will continue for years, report says, The Los Angeles Times. Retrieved from www.latimes.com/news/local/la-me-budgetdeficit19- 2009nov19,0,433593.story.
28. Gowdy, E. A., Carlson, L. S., & Rapp, C. A. (2003). Practices differentiating high-performing from low-performing supported employment programs. Psychiatric Rehabilitation Journal, 26, 232-239.
29. Halberg, I. R. (1994). Systematic clinical supervision in a child psychiatric ward: Satisfaction with nursing care, tedium, burnout, and the nurses' own report on the effects of it. Archives of Psychiatric Nursing, 8(1), 44-52.
30. Halbesleben, J. R. B., & Buckley, M. R. (2004). Burnout in organizational life. Journal of Management, 30(6), 859-879.
31. Halbesleben, J. R. B., Osburn, H. K., & Mumford, M. D. (2006). Action research as a burnout intervention: Reducing burnout in the federal fire service. Journal of Applied Behavioral Science, 42(2), 244-266.
32. Halbesleben, J. R., & Rathert, C. (2008). Linking physician burnout and patient outcomes: Exploring the dyadic relationship between physicians and patients. Health Care Management Review, 33(1), 29-39.
33. Hayes, S. C., Bissett, R., Roget, N., Padilla, M., Kohlenberg, B. S., Fisher, G., et al. (2004a). The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy, 35(4), 821-835.
34. Hayes, S. C., Follette, V. M., & Linehan, M. M. (2004b). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Publications, Guilford Press.
35. Hoge, M. A., Morris, J. A., Daniels, A. S., Stuart, G. W., Huey, L. Y., & Adams, N. (2007). An action plan for behavioral health workforce development: A framework for discussion. Rockville, MD.
36. Rockville, MD. Holmqvist, R., & Jeanneau, M. (2006). Burnout and psychiatric staff's feelings towards patients. Psychiatry Research, 145(2-3), 207-213.
37. Kerns, C. D. (2006). Gratitude at work: Counting your blessings will benefit yourself and your organization. Graziado Business Review, 9(4). Retrieved from http://gbr.pepperdine.edu/2010/08/ gratitude-at-work/.
38. Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2008). Clinical supervision, emotional exhaustion, and turnover intention: A study of substance abuse treatment counselors in the Clinical Trials Network of the National Institute on Drug Abuse. Research Support, N.I.H., Extramural. Journal of Substance Abuse Treatment, 35(4), 387-395.
39. Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., et al. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA: Journal of the American Medical Association, 302(12), 1284-1293.
40. Leiter, M. P., & Harvie, P. L. (1996). Burnout among mental health workers: A review and research agenda. International Journal of Social Psychology, 42, 90-101.
41. Leiter, M. P., Harvie, P., & Frizzell, C. (1998). The correspondence of patient satisfaction and nurse burnout. Social Science and Medicine, 47(10), 1611-1617.
42. Leiter, M. P., Laschinger, H. K. S., Day, A., & Oore, D. G. (in press). The impact of civility interventions on employee social behavior, distress, and attitudes. Journal of Applied Psychology.
43. Leiter, M. P., & Schaufeli, W. B. (1996). Consistency of the burnout construct across occupations. Anxiety, Stress & Coping: An International Journal, 9(3), 229-243.
44. Mancini, A. D., Moser, L. L., Whitley, R., McHugo, G. J., Bond, G. R., Finnerty, M. T., et al. (2009). Assertive community treatment: Facilitators and barriers to implementation in routine mental health settings. Psychiatric Services, 60(2), 189-195.
45. Maslach, C. (1993). Burnout: A multidimensional perspective. In W. B. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional burnout: Recent developments in theory and research (pp. 19-32). Washington, DC: Taylor & Francis
46. Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach burnout inventory manual (3rd ed.). Palo Alto, California: Consulting Psychologists Press.
47. Maslach, C., & Pines, A. (1979). Burnout, the loss of human caring. In A. Pines & C. Maslach (Eds.), Experiencing social psychology. New York: Random House.
48. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397-422.
49. Melchior, M. E., Philipsen, H., Abu-Saad, H. H., Halfens, R. J., van de Berg, A. A., & Gassman, P. (1996). The effectiveness of primary nursing on burnout among psychiatric nurses in longstay settings. Journal of Advanced Nursing, 24(4), 694-702.
50. Murphy, L. R. (1996). Stress management in work settings: A critical review of the health effects. American Journal of Health Promotion: AJHP, 11(2), 112-135.
51. Oddie, S., & Ousley, L. (2007). Assessing burn-out and occupational stressors in a medium secure service. The British Journal of Forensic Practice, 9(2), 32-48.
52. Onyett, S., Pillinger, T., & Muijen, M. (1997). Job satisfaction and burnout among members of community mental health teams. Journal of Mental Health, 6(1), 55-66.
53. Paris, M., Jr., & Hoge, M. A. (2010). Burnout in the mental health workforce: A review. Journal of Behavioral Health Services & Research, 37(4), 519-528.
54. Peterson, U., Demerouti, E., Bergstrom, G., Samuelsson, M., Asberg, M., & Nygren, A (2008). Burnout and physical and mental health among Swedish healthcare workers. Journal of Advanced Nursing, 62(1), 84-95.
55. Pines, A., & Aronson, E. (1988). Career burnout: Causes and cures. New York, NY, USA: Free Press.
56. Pines, A., & Maslach, C. (1978). Characteristics of staff burnout in mental health settings. Hospital & Community Psychiatry, 29(4), 233-237.
57. Priebe, S., Fakhoury, W. K. H., Hoffmann, K., & Powell, R. A. (2005). Morale and job perception of community mental health professionals in Berlin and London. Social Psychiatry and Psychiatric Epidemiology, 40(3), 223.
58. Prosser, D., Johnson, S., Kuipers, E., Szmukler, G., Bebbington, P., & Thornicroft, G. (1997). Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. Journal of Psychosomatic Research, 43(1), 51-59.
59. Robey, K., Ramsland, S. E., & Castelbaum, K. (1991). Alignment of agency and personal missions: An evaluation. Administration and Policy In Mental Health, 19(1), 39-45.
60. Rohland, B. M. (2000). A survey of burnout among mental health center directors in a rural state. Administration and Policy In Mental Health, 27(4), 221-237.
61. Rollins, A., Salyers, M., Tsai, J., & Lydick, J. (2010). Staff turnover in statewide implementation of ACT: Relationship with ACT fidelity and other team characteristics. Administration and Policy in Mental Health and Mental Health Services Research, 37(5), 417-426.
62. Rupert, P. A., & Kent, J. S. (2007). Gender and work setting differences in career-sustaining behaviors and burnout among professional psychologists. Professional Psychology: Research and Practice, 38(1), 88-96.
63. Salyers, M. P., Hudson, C., Morse, G., Rollins, A. L., Monroe- DeVita, M., Wilson, C., et al. (2011). BREATHE: A pilot study of a one-day retreat to reduce burnout among mental health professionals. Psychiatric Services, 62(2), 214-217.
64. Scarnera, P., Bosco, A., Soleti, E., & Lancioni, G. E. (2009). Preventing burnout in mental health workers at interpersonal level: An Italian pilot study. Community Mental Health Journal, 45(3), 222-227.
65. Schulz, R., Greenley, J. R., & Brown, R. (1995). Organization, management, and client effects on staff burnout. Journal of Health and Social Behavior, 36(4), 333-345.
66. Schwab, R. L., Jackson, S. E., & Schuler, R. S. (1986). Educator burnout: Sources and consequences. Educational Research Quarterly, 10, 15-30.
67. Siebert, D. C. (2005). Personal and occupational factors in burnout among practicing social workers: Implications for research, practitioners, and managers. Journal of Social Service Research, 32(2), 25-44.
68. Smoot, S. L., & Gonzolas, J. L. (1995). Cost-effective communication skills training for state hospital employees. Psychiatric Services, 46, 819-822.
69. Stalker, C., & Harvey, C. (2002). Professional burnout: A review of theory research, and prevention Partnerships for Children and Families Project. Waterloo: Wilfrid Laurier University.
70. Taris, T. W. (2006). Is there a relationship between burnout and objective performance? A critical review of 16 studies. Work & Stress, 20(4), 316-334.
71. Toppinen-Tanner, S., Ojajärvi, A., Väänänen, A., Kalimo, R., & Jäppinen, P. (2005). Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes. Behavioral Medicine, 31(1), 18-27.
72. van Dierendonck, D., Garssen, B., & Visser, A. (2005). Burnout prevention through personal growth. International Journal of Stress Management, 12(1), 62-77.
73. van Dierendonck, D., Schaufeli, W. B., & Buunk, B. P. (1998). The evaluation of an individual burnout intervention program: The role of inequity and social support. Journal of Applied Psychology, 83(3), 392-407.
74. van Dierendonck, D., Schaufeli, W. B., & Buunk, B. P. (2001). Burnout and inequity among human service professionals: A longitudinal study. Journal of Occupational Health Psychology, 6(1), 43-52.
75. Webster, L., & Hackett, R. K. (1999). Burnout and leadership in community mental health systems. Administration and Policy In Mental Health, 26(6), 387-399.
76. World Health Organization. (1992). The ICD-10 classification of mental and behavioral disorders. Geneva: World Health Organization.