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Burnout in the Mental Health Workforce: A Review

  • Manuel ParisJrEmail author
  • Michael A. Hoge
Article

Abstract

There are enormous concerns regarding the recruitment, retention, training, and performance of the behavioral health workforce. Paramount among these concerns is turnover, which causes disruption in continuity of care, diminishes access to care while a position remains vacant, and poses financial hardship on the provider organization through costs related to recruitment, orientation, and training of a new hire. There is frequent mention of burnout within the literature and among behavioral health managers as a potential cause of turnover. However, there is no recent or comprehensive review of burnout that examines the evidence surrounding its validity, utility, and potential relationship to turnover. The purpose of this paper is to provide such a review by examining the construct of burnout, methodological and measurement issues, its prevalence in the mental health workforce, correlates of burnout, and interventions to decrease it. The implications for provider organizations and recommendations for future research are identified.

Keywords

Mental Health Behavioral Health Emotional Exhaustion General Health Questionnaire Personal Accomplishment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Hoge MA, Morris JA, Daniels AS, et al. An Action Plan on Behavioral Health Workforce Development. Cincinnati: The Annapolis Coalition on the Behavioral Health Workforce; 2007.Google Scholar
  2. 2.
    Blankertz LE, Robinson SE. Turnover intentions of community mental health workers in psychosocial rehabilitation services. Community Mental Health Journal. 1997;33(6):517–529.CrossRefPubMedGoogle Scholar
  3. 3.
    Blankertz LE, Robinson SE. Recruitment and retention of psychosocial rehabilitation workers. Administration & Policy in Mental Health. 1997;24(3):221–234.CrossRefGoogle Scholar
  4. 4.
    Mor Barak ME, Nissly JA, Levin A. 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. 2001;75:625–661.CrossRefGoogle Scholar
  5. 5.
    Ben-Dror R. Employee turnover in community mental health organization: a developmental stages study. Community Mental Health Journal. 1994;30(3):243–257.CrossRefPubMedGoogle Scholar
  6. 6.
    Corrigan PW, Holmes EP, Luchins D, et al. Staff burnout in a psychiatric hospital: a cross-lagged panel design. Journal of Organizational Behavior. 1994;15:65–74.CrossRefGoogle Scholar
  7. 7.
    Macinick CG, Macinick JW. Strategies for burnout prevention in the mental health setting. International Nurse Review. 1990;37(2):246–249.Google Scholar
  8. 8.
    Martin U, Schinke SP. Organizational and individual factors influencing job satisfaction and burnout of mental health workers. Social Work in Health Care. 1998;28(2):51–62.CrossRefPubMedGoogle Scholar
  9. 9.
    Wykes T, Stevens W, Everitt B. Stress in community care teams: will it affect the sustainability of community care. Social Psychiatry and Psychiatric Epidemiology. 1997;32:398–407.PubMedGoogle Scholar
  10. 10.
    Freudenberger HJ. Staff burnout. Journal of Social Issues. 1974;30:159–165.CrossRefGoogle Scholar
  11. 11.
    Jones W. The Staff Burnout Scale for Health Professionals. Park Ridge: London House Press; 1980.Google Scholar
  12. 12.
    Pines A, Aronson E. Career Burnout Causes and Cures. New York: Free Press; 1988.Google Scholar
  13. 13.
    Maslach C, Jackson SE, Leiter MP. The Maslach Burnout Inventory Manual. 3rd edn. Palto Alto: Consulting Psychologists Press; 1996.Google Scholar
  14. 14.
    Duquette A, Kerouac S, Sandhu BK, et al. Psychosocial determinants of burnout in geriatric nursing. International Journal of Nursing Studies. 1995;32(5):443–456.CrossRefPubMedGoogle Scholar
  15. 15.
    Keane A, Ducette J, Adler DC. Stress in ICU and non-ICU nurses. Nursing Research. 1985;34(4):231–236.CrossRefPubMedGoogle Scholar
  16. 16.
    Enzmann D, Schaufeli WB, Janssen P, et al. Dimensionality and validity of the Burnout Measure. Journal of Occupational and Organizational Psychology. 1998;71:331–351.Google Scholar
  17. 17.
    Schutte N, Toppinen S, Kalimo R, et al. The factorial validity of the Maslach Burnout Inventory-general survey (MBI-GS) across occupational groups and nations. Journal of Occupational and Organizational Psychology. 2000;73:53–66.CrossRefGoogle Scholar
  18. 18.
    Kilfedder CJ, Power KG, Wells TJ. Burnout in psychiatric nursing. Journal of Advanced Nursing. 2001;34(3):383–396.CrossRefPubMedGoogle Scholar
  19. 19.
    Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Occupational Behaviour. 1981;2:99–113.CrossRefGoogle Scholar
  20. 20.
    Kalliath TJ, O’Driscoll P, Gillespie DF, et al. A test of the Maslach Burnout Inventory in three samples of healthcare professionals. Work & Stress. 2000;14(1):35–50.CrossRefGoogle Scholar
  21. 21.
    Maslach C, Jackson SE, Leiter MP. The Maslach Burnout Inventory. In: Zalaquett CP, Wood RJ, eds. 3rd edn. Evaluating Stress: A Book of Resources. Lanham: Scarecrow; 1997:191–218.Google Scholar
  22. 22.
    Rupert PA, Morgan DJ. Work setting and burnout among professional psychologists. Professional Psychology: Research and Practice. 2005;36(2):544–550.CrossRefGoogle Scholar
  23. 23.
    Edwards D, Burnard P, Coyle D, et al. Stress and burnout in community mental health nursing: a review of the literature. Journal of Psychiatric and Mental Health Nursing. 2000;7:7–14.CrossRefPubMedGoogle Scholar
  24. 24.
    Onyett S, Heppleston T, Bushnell D. A national survey of community mental health teams: team structure and process. Journal of Mental Health. 1994;3(2):175–194.CrossRefGoogle Scholar
  25. 25.
    Onyett S, Pillinger T, Muijen M. Job satisfaction and burnout among members of community mental health teams. Journal of Mental Health. 1997;6(1):55–66.CrossRefGoogle Scholar
  26. 26.
    Prosser D, Johnson S, Kuipers E, et al. Mental health, “burnout” and job satisfaction in a longitudinal study of mental health staff. Social Psychiatry and Psychiatric Epidemiology. 1999;34:295–300.CrossRefPubMedGoogle Scholar
  27. 27.
    Sweeney G, Nichols K. Stress experiences of occupational therapists in mental health practice arenas: A review of the literature. The International Journal of Social Psychiatry. 1996;42:132–140.CrossRefPubMedGoogle Scholar
  28. 28.
    Evans S, Huxley P, Gately C, et al. Mental health, burnout and job satisfaction among mental health social workers in England and Wales. British Journal of Psychiatry. 2006;188:75–80.CrossRefPubMedGoogle Scholar
  29. 29.
    Blankertz LE, Robinson SE. Who is the psychosocial rehabilitation worker? Psychiatric Rehabilitation Journal. 1996;19(4):3–13.Google Scholar
  30. 30.
    Geurts S, Schaufeli W, De Jonge J. Burnout and intention to leave among mental health-care professionals: a social psychological approach. Journal of Social and Clinical Psychology. 1998;17(3):341–362.Google Scholar
  31. 31.
    DeStefano TJ, Clark H, Potter T. An assessment of burnout among rural mental health workers. Rural Mental Health. 2004;30:18–24.Google Scholar
  32. 32.
    Rabin S, Feldman D, Kaplan Z. Stress and intervention strategies in mental health professionals. British Journal of Medical Psychology. 1999;72:159–169.CrossRefPubMedGoogle Scholar
  33. 33.
    van Dierendonck D, Schaufeli WB, Buunk BP. The evaluation of an individual burnout intervention program: The role of inequity and social support. Journal of Applied Psychology. 1998;83(3):392–407.CrossRefGoogle Scholar
  34. 34.
    Scarnera P, Bosco A, Soleti E, et al. Preventing burnout in mental health workers at interpersonal level: An Italian pilot study. Community Mental Health Journal. 2009;45:222–227.CrossRefPubMedGoogle Scholar
  35. 35.
    Edwards D, Burnard P, Hannigan B, et al. Clinical supervision and burnout: the influence of clinical supervision for community mental health nurses. Journal of Clinical Nursing. 2006;15:1007–1015.CrossRefPubMedGoogle Scholar
  36. 36.
    Dickinson T, Wright KM. Stress and burnout in forensic mental health nursing: A literature review. British Journal of Nursing. 2008;17(2):81–87.Google Scholar
  37. 37.
    Hyrkas K. Clinical supervision, burnout, and job satisfaction among mental health and psychiatric nurses in Finland. Issues in Mental Health Nursing. 2005;26:531–556.CrossRefPubMedGoogle Scholar
  38. 38.
    Reid Y, Johnson S, Morant N, et al. Improving support for mental health staff: A qualitative study. Social Psychiatry and Psychiatric Epidemiology. 1999;34:309–315.CrossRefPubMedGoogle Scholar
  39. 39.
    Corrigan PW, Holmes EP, Luchins D. Burnout and collegial support in state psychiatric hospital staff. Journal of Clinical Psychology. 1995;51(5):703–710.CrossRefPubMedGoogle Scholar
  40. 40.
    Maslach C. Job burnout: New directions in research and intervention. Current Directions in Psychological Science. 2003;12(5):189–192.CrossRefGoogle Scholar
  41. 41.
    Maslach C, Goldberg J. Prevention of burnout: New perspectives. Applied & Preventive Psychology. 1998;7:63–74.CrossRefGoogle Scholar
  42. 42.
    Fixsen DL, Naoom SF, Blasé KA, Friedman RM, Wallace F. Implementation Research: A Synthesis of the Literature. Tampa: University of South Florida, National Implementation Research Network; 2005.Google Scholar

Copyright information

© National Council for Community Behavioral Healthcare 2009

Authors and Affiliations

  1. 1.The Hispanic Clinic, School of MedicineYale UniversityNew HavenUSA
  2. 2.School of MedicineYale UniversityNew HavenUSA

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