Associations between therapists' occupational burnout and their patients' depression and anxiety treatment outcomes

Delgadillo, Jaime; Saxon, David; Barkham, Michael

doi:10.1002/da.22766

Cited by 117 publications

(113 citation statements)

References 34 publications

(53 reference statements)

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“…Supporting the wellbeing of health professionals is important for a number of reasons. Firstly, health professionals who are burnt out are more likely to make errors and client outcomes can be compromised (Delgadillo, Saxon & Barkham, 2018;Salyers et al, 2015). Secondly, health professionals who are dissatisfied with their positions are more likely to leave their jobs which can lead to loss of institutional knowledge, increased recruitment and training costs, disruption in therapeutic relationships and continuity of care and may impact on the roll out of evidence based practices (Jones, 2004;O'Brien-Pallas et al, 2006;Ray, Wong, White & Heaslip, 2013;Woltmann et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health

Scanlan

Hazelton

2019

Aus Occup Therapy J

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Introduction The core tenet of occupational therapy is that engaging in meaningful occupations promotes health and wellbeing. Despite this, surprisingly little research has explored the meaningfulness of occupational therapists’ own work. Occupational therapists in mental health have been identified as at risk of poor work‐related wellbeing, therefore, it is important to explore potential ‘protective factors’ that may support wellbeing. Meaningfulness of work may be one such factor. This study was established to explore the relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health. Method Participants (N = 118) completed a time use diary and measures of job satisfaction, burnout and professional identity. ‘Meaningfulness of work activities’ was constructed from respondents’ ratings of each work activity according to client‐relatedness, occupational therapy specificity and value of the activity to the individual, clients and families and colleagues. Relationships between meaningfulness of work activities, job satisfaction, burnout and professional identity were explored using bivariate correlations and stepwise regression. Analyses were also conducted to examine differences between individuals in working in ‘generic’ roles and those in ‘occupational therapy specific’ roles. Results Higher levels of meaningfulness of work activities were associated with higher job satisfaction, lower burnout and stronger sense of professional identity. The element of meaningfulness of work activities of ‘value to self’ was the most influential in terms of associations with each of the measures. There were no statistically significant differences in ratings of job satisfaction, burnout or professional identity between respondents in ‘generic’ and ‘occupational therapy specific’ positions. Conclusion Efforts to increase the meaningfulness of work activities for occupational therapists in mental health may enhance work‐related wellbeing. Supporting staff to engage in work duties they find valuable through individualised work allocations across teams may be an innovative approach to improve staff satisfaction and wellbeing.

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Section: Introductionmentioning

confidence: 99%

Relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health

Scanlan

Hazelton

2019

Aus Occup Therapy J

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“…The results of this study potentially suggest some of the factors that may explain the variable effectiveness of NHS psychological therapy services. The results also suggest some of the factors that are responsible for practitioner burnout, which has also been found to have a measurable negative impact on NHS client outcomes in therapy (Delgadillo et al., ). This study thus contributes to a growing literature on the concerning impacts on clients of the current NHS context.…”

Section: Discussionmentioning

confidence: 68%

Counsellors in the National Health Service: A mixed‐method study of efficacy and satisfaction from the counsellor perspective

Ryan

Duncan

Moller

2019

Couns and Psychother Res

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Background It is difficult to know how many counsellors work in the UK's National Health Service (NHS). At a time when the British Government is pledging an expansion of the mental health workforce, it is important to understand both the opportunities and barriers for counsellors to work in the NHS. Aim To understand counsellors’ job roles, pay, perceptions of services, workplace stress and reasons for leaving the NHS. Method An online survey was advertised to members of the British Association for Counselling and Psychotherapy (BACP); just under 2,000 counsellors responded. The sample was majority female, white and had completed training. Mixed methods were utilised to analyse the data which incorporated use of thematic analysis. Findings The data suggest that, as a workforce, counsellors are prone to being “squeezed” out of the NHS workforce; that they are comparatively “underpaid,” are “pressurised” by high level of work demand and are consequently experiencing concerning levels of workplace stress; and that they perceive themselves to be, in multiple ways, “undervalued.” Despite this, members reported high adequacy of therapist qualifications and supervision quality within NHS services. Conclusions Counsellors have expressed a desire to undertake more work in the NHS and are a potentially cost‐effective mental health workforce in comparison with other types of professionals. However, this study has evidenced significant structural, cultural and pay and promotion‐related barriers that are pushing counsellors out of the NHS. Of particular concern is what appears to be a broad undervaluing of counsellors as a professional group.

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“…The third possibility is that our particular measures of workload did not effectively tap the underlying construct of work demands for psychological therapists. Delgadillo et al (2018) favoured this third explanation in their study, but further research would be necessary to establish which types of demands may be most relevant for psychological therapists in the United Kingdom. Fourth is the possibility that the association between some workload factors such as caseload and burnout in psychological therapists is weak and unlikely to replicate in every study.…”

Section: Discussionmentioning

confidence: 94%

“…However, these recent studies were conducted outside the United Kingdom, and the present findings could be due to the UK healthcare delivery context, studies of NHS‐based therapists are more consistent with our present findings. For example, in a mixed sample of psychological practitioners working in UK primary care, Delgadillo, Saxon, and Barkham (2018) found that caseload size and severity were not linked with burnout. Similarly, in a group of PWPs and CBT therapists, Westwood et al (2017) found that while overtime was associated with higher burnout in PWPs, there was no association in CBT therapists.…”

Section: Discussionmentioning

confidence: 99%

Burnout in psychological therapists: A cross‐sectional study investigating the role of supervisory relationship quality

Johnson

Corker

O’Connor

2020

Clinical Psychologist

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Background Burnout is a growing problem in mental health‐care professionals. Clinical supervision is a mandated part of all psychological therapeutic practice but no previous study has explored whether higher quality supervision is associated with lower burnout in qualified psychological therapists. Aims The study aimed to investigate whether the quality of the supervisory relationship was associated with two facets of burnout, exhaustion and disengagement, in a group of psychological therapists once work demands had been accounted for. Methods Psychological therapists were recruited to complete a cross‐sectional online survey between May 2016 and January 2017. The survey measured frequency and quality of clinical supervision, workload factors, and disengagement and burnout. Data were analysed using hierarchical linear regression. Results Two hundred and ninety‐eight qualified psychological therapists responded to the survey. Results suggested that higher quality supervision was associated with lower disengagement but not lower exhaustion. Frequency of supervision and workload variables were not associated with either facet of burnout. Female gender was associated with higher exhaustion but gender had no association with disengagement. According to previously used cut‐off scores, 235 (78.9%) participants could be classed as suffering from “high burnout,” and 173 (58.1%) participants could be classed as suffering from “high disengagement.” Conclusions There is a growing need for burnout reduction interventions in mental health‐care professionals. The present results identify a potential role for enhancing the quality of the supervisory relationship by creating more open, safe spaces for supervisees.

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Associations between therapists' occupational burnout and their patients' depression and anxiety treatment outcomes

Abstract: Therapist burnout has a negative impact on treatment outcomes and could be the target of future preventive and remedial action.

Cited by 117 publications

References 34 publications

Relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health

Relationships between job satisfaction, burnout, professional identity and meaningfulness of work activities for occupational therapists working in mental health

Counsellors in the National Health Service: A mixed‐method study of efficacy and satisfaction from the counsellor perspective

Burnout in psychological therapists: A cross‐sectional study investigating the role of supervisory relationship quality

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