Predictors of emotional exhaustion, disengagement and burnout among improving access to psychological therapies (IAPT) practitioners

Westwood, Sophie; Morison, Linda; Allt, Jackie; Holmes, Nan

doi:10.1080/09638237.2016.1276540

Cited by 77 publications

(113 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A previous study in a similar setting has also indicated that wider organizational and contextual factors, such as working overtime, increased telephone-based work, and infrequent access to clinical supervision are implicated in occupational burnout (Westwood et al, 2017). Therapists' resilience may also be an important determinant of clinical outcomes (Green et al, 2014;Pereira et al, 2017).…”

Section: Main Findingsmentioning

confidence: 92%

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

2018

View full text Add to dashboard Cite

show abstract

Section: Main Findingsmentioning

confidence: 92%

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

2018

View full text Add to dashboard Cite

show abstract

“…The high emotional demands of psychotherapeutic work have been extensively documented (e.g., D'Souza, Egan, & Rees, 2011;Farber, 1983;Westwood, Morison, Allt, & Holmes, 2017). Psychological practitioners are exposed to significant vicarious distress and may face limited resources and excessive demands (Rupert & Morgan, 2005).…”

Section: Psychological Practitioner Well-beingmentioning

confidence: 99%

A measure to assess the workplace well‐being of psychological practitioners

Summers

Morris

Bhutani

2019

Clin Psychology and Psychoth

View full text Add to dashboard Cite

The well-being of psychological practitioners is a key factor in the effective delivery of psychological therapies and the effectiveness of mental health services. Despite this, there are no measures of well-being for this professional group. The 26-item psychological practitioner workplace well-being measure (PPWWM) measures psychological well-being for psychological practitioners and was informed by a qualitative study. Items were generated and then verified by groups of practitioners using sorting tasks. The items reflect a broad range of issues relevant to the workplace well-being of psychological practitioners. The PPWWM was validated with a sample of 400 psychological practitioners recruited through professional networks. Internal consistency (α = .92) and testretest reliability (r = .94) were high. Construct validity was indicated by positive correlations with the Health and Safety Executive Management Standards Indicator Tool and Satisfaction with Life Scale and negative correlation with the General Health Questionnaire. Exploratory factor analysis produced six factors, explaining 61.2% of the variance: professional and organizational; support and flexibility; professional role; physical environment; clinical supervision; and external personal. PPWWM scoreswere not significantly associated with a range of demographic variables (gender, health/disability, profession, and type of organization), but it did correlate significantly and negatively with age.The PPWWM has potential application as a brief measure, suitable for large-scale surveys that specifically measures workplace well-being in psychological practitioners. Future research could include cross validation with new samples and validation with subgroups of psychological practitioners.

show abstract

“…Many of the contextual factors affecting intervention delivery such as staff shortages, inadequate training and supervision, a poorly specified intervention and lack of systems for monitoring competence and treatment adherence (Morse, Salyers, Rollins, Monroe‐DeVita, & Pfahler, ), not only appear to have a negative impact on the quantity and quality of intervention delivery but have also been associated with staff burnout. Staff burnout results in decreased motivation and poorer interactions with patients and constitutes a further threat to healthcare quality and patient safety (Salyers et al, ; Westwood, Morison, Allt, & Holmes, ). Interventions that are delegated to less experienced practitioners may also compromise comprehensive assessment, patient engagement, and intervention effectiveness (Scott, ).…”

Section: Discussionmentioning

confidence: 99%

Using the TIDieR checklist to describe health visitor support for mothers with mental health problems: Analysis of a cross‐sectional survey

Lowenhoff

Davison-Fischer

Pike

et al. 2019

Health Soc Care Community

View full text Add to dashboard Cite

At least half of the 20% of mothers who experience mental health problems (MHPs) during pregnancy or after birth are not receiving the help they need that will lead to recovery. In order to identify where improvements need to be made, it is necessary to describe exactly what is being done and the barriers and facilitators that compromise or enhance optimal care. The majority of mothers experience mild to moderate anxiety or depression. The expectation is that primary care professionals, such as health visitors (HVs), can provide the support they need that will lead to recovery. The aim of this study was to explore the views of HVs regarding the content and purpose of an intervention to support mothers with MHPs, described as ‘listening visits’ (LVs). A link to an online survey was offered to the members and champions of the Institute of Health Visiting (n = 9,474) March–May 2016. The survey was completed by 1,599 (17%) of the target population, of whom 85% were offering LVs. The Template for Intervention Description and Replication (TIDieR) checklist was used to provide a framework to describe commonalities and variations in practice. There appeared to be a shared understanding of the rationale for LVs but a lack of agreement about what the intervention should be called, the techniques that should be used and the duration, frequency and expected outcomes of the intervention. Contextual factors such as staff shortages; conflicting priorities; the needs and circumstances of mothers; the capability and motivation of HVs; inadequate training and supervision; and the absence of clear guidance contributed to variations in perceptions and practice. There are many ways in which the HV contribution to the assessment and management of mothers with MHPs could be improved. The intervention delivered by HVs needs to be more clearly articulated. The contextual factors influencing competent and consistent practice also need to be addressed.

show abstract

Predictors of emotional exhaustion, disengagement and burnout among improving access to psychological therapies (IAPT) practitioners

Abstract: Our results suggest a high prevalence of burnout among IAPT practitioners. Strategies to reduce burnout among PWPs involving reductions in workload, particularly telephone contact and increases in clinical supervision need to be evaluated.

Cited by 77 publications

References 14 publications

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

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

A measure to assess the workplace well‐being of psychological practitioners

Using the TIDieR checklist to describe health visitor support for mothers with mental health problems: Analysis of a cross‐sectional survey

Contact Info

Product

Resources

About