Citation

Menon A, Flannigan C, Tacchi MJ, Johnston J. Psychoanalytic Psychotherapy 2015; 29(4): 330-342.

Copyright

(Copyright © 2015, Association for Psychoanalytic Psychotherapy in the National Health Service)

DOI

10.1080/02668734.2015.1069753

PMID

unavailable

Abstract

Crisis resolution and home treatment teams (CRHT) are integral to acute psychiatric services. This survey quantifies staff burnout using the MBI-HSS (Maslach Burnout Inventory) and notes sources of stress and satisfaction before (2012) and after (2013) service transformation of a CRHT in Leeds into a single point of access, with home treatment devolved to community teams. Moderate to high Burnout scores were observed over the study period, with a rise in the mean depersonalisation score from 5.8 to 7.2 over the study period. Contact with colleagues; work with patients and variety of work emerged as rewarding while themes of suicide and violence were most linked with stress, with clinicians reporting self-doubt in the face of difficult clinical decisions. Clinicians positively rated a weekly psychoanalytic reflective practice group. A pictorial representation of qualitative results uses psychoanalytic theory inconceptualising 'skins' around various aspects of the clinical setting, which then become semipermeable in response to a patient in crisis when clinicians feel poorly supported by the changing organisation. © 2015 The Association for Psychoanalytic Psychotherapy in the NHS.

Language: en

Keywords

adult; human; female; male; Burnout; prevalence; burnout; stress; psychoanalysis; job satisfaction; self report; priority journal; mental health service; health survey; home care; peer group; emotional stress; peer review; staff; psychoanalytic theory; depersonalization; Article; job stress; CRHT; crisis resolution and home treatment team; crisis team; MBI-HSS; psychoanalytic reflective practice group