Burnout in substance abuse counselors

Shoptaw, Steven; Stein, Judith A.; Rawson, Richard A.

doi:10.1016/s0740-5472(99)00106-3

Cited by 45 publications

(18 citation statements)

References 33 publications

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“…Our research found only 23.3% and 34.9% of methadone clinics in Guangdong province met these physician and nurse staffing requirements, respectively [36]. Other research suggests limited staffing is a problem throughout China [35] and to a lesser extent, the U.S [37]. Often two or three part-time clinicians are managing care for more than 100 patients, including writing prescriptions, providing counseling and health education, tracking patients lost to follow-up, and preparing reports [38].…”

Section: Discussionmentioning

confidence: 74%

HIV and hepatitis C virus test uptake at methadone clinics in Southern China: opportunities for expanding detection of bloodborne infections

et al. 2013

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BackgroundHIV and hepatitis C (HCV) co-infection is highly common among Chinese injection drug users but it is difficult to reach IDUs at traditional VCT (Voluntary HIV counseling treatment) clinics. A new national model integrating HIV/HCV testing with methadone maintenance treatment was started in 2006. The purpose of this study was to investigate HIV and HCV test uptake and associated factors at methadone clinics in Guangdong Province, China.MethodsA cross-sectional design using routine surveillance data and laboratory testing confirmation was applied to determine rates of HIV and HCV test uptake. Multi-level modeling was used to examine individual-level and clinic-level correlates of increased test uptake.Results45 out of 49 methadone clinics in Guangdong Province agreed to participate in the study. Among all 13,270 individuals, 10,046 (75.7%) had HIV test uptake and 10,404 (78.4%) had HCV uptake. At the individual level, methadone clients 30 years or older were more likely to have HIV and HCV test uptake (p <0.001 for both). At the clinic level, methadone clinics with greater health care personnel were more likely to have HIV (p =0.01) and HCV (p = 0.044) test uptake. HIV test uptake significantly correlated with HCV test uptake (correlation coefficient=0.64).ConclusionMethadone clinics provide an opportunity for routine integrated HIV and HCV screening among drug users in China. Increased test uptake in young drug users and increased health care personnel at clinics may further improve screening.

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Section: Discussionmentioning

confidence: 74%

HIV and hepatitis C virus test uptake at methadone clinics in Southern China: opportunities for expanding detection of bloodborne infections

et al. 2013

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“…Further, adolescents with PTSD+SUD are often both avoidant (due to the trauma) and ambivalent about pursuing SUD and trauma-related treatment goals, which can also be challenging for clinicians. Reports of burnout, frustration, and compassion fatigue by mental healthcare and addictions counselors are well documented (Craig & Sprang, 2010; Shoptaw, Stein, & Rawson, 2000). Results of this study suggest providers who work with adolescents with PTSD+SUD may be particularly vulnerable to these problems.…”

Section: Discussionmentioning

confidence: 99%

Clinician Perspectives on Treating Adolescents with Co-occurring Post-Traumatic Stress Disorder, Substance Use, and Other Problems

Adams

McCauley

Back

et al. 2016

Journal of Child & Adolescent Substance Abuse

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Clinicians (n=138) who treat adolescents with co-occurring posttraumatic stress and substance use disorders (PTSD+SUD) were surveyed about their attitudes and practice behaviors. Most providers were trained in PTSD treatment; fewer were trained in SUD or PTSD+SUD treatments. PTSD+SUD treatment was rated more difficult than treatment of other diagnoses. Providers typically addressed symptoms of PTSD and SUD separately and sequentially, rather than with integrated approaches. There was no consensus about which clinical strategies to use with adolescent PTSD+SUD. Continued treatment development, training, and dissemination efforts are needed to equip providers with resources to deliver effective treatments to adolescents with PTSD+SUD.

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“…Studies have suggested the high turnover rate for substance abuse counselors has been linked in great part to poor compensation and counselor “burnout” (Fahy, 2007; Knudsen, Ducharme, & Roman, 2006). Burnout is a common term in the human service fields used to describe the three-dimensional aspects of emotional exhaustion, depersonalization, and lack of personal accomplishment (Shoptaw, Stein, & Rawson, 2000). In addition, there is a lack of professional prestige substance abuse counselors are afforded, due in part to the clientele they serve (Fahy, 2007).…”

Section: Introductionmentioning

confidence: 99%

Job Frustration in Substance Abuse Counselors Working With Offenders in Prisons Versus Community Settings

Perkins

Oser

2013

Int J Offender Ther Comp Criminol

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Substance abuse counselors who work with offenders are facing increasing caseloads which puts them at higher risk for job frustration. The purpose of this study was to explore differences between substance abuse counselors employed in prison versus community settings in terms of level of organizational support and job frustration. This study also investigated whether organizational support was associated with job frustration after controlling for counselor characteristics and workplace setting. This was accomplished utilizing data that was collected from 267 counselors as part of the Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) research cooperative. Results indicated that counselors employed in community settings, as compared to those employed in prisons, are more likely to report higher levels of perceived organizational support. In addition, ordinal logistic regression results reveal that counselors who are non-white and have greater levels of organizational support have less job frustration, after controlling for counselor characteristics and workplace setting. The research to practice implications are discussed.

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Burnout in substance abuse counselors

Cited by 45 publications

References 33 publications

HIV and hepatitis C virus test uptake at methadone clinics in Southern China: opportunities for expanding detection of bloodborne infections

HIV and hepatitis C virus test uptake at methadone clinics in Southern China: opportunities for expanding detection of bloodborne infections

Clinician Perspectives on Treating Adolescents with Co-occurring Post-Traumatic Stress Disorder, Substance Use, and Other Problems

Job Frustration in Substance Abuse Counselors Working With Offenders in Prisons Versus Community Settings

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