Whole team training to reduce burn-out amongst staff on an in-patient alcohol ward

Abstract

In 2005 the alcohol in-patient ward at South London and Maudsley NHS Foundation Trust participated in a 2-day training programme designed to reduce levels of burn-out amongst staff. The training intervention was derived from a large-scale project that focused on in-patient and community mental health staff in five European countries. A research component was built into the work, with levels of staff burn-out being measured prior to the training intervention and 1 month afterwards, using the Maslach Burn-out Inventory (MBI). The team were able to identify four sources of stress at work. A 1-month follow-up using the MBI showed that levels of emotional exhaustion and depersonalization had been reduced and feelings of personal accomplishment at work risen. Staff identified four main sources of stress at work. These were: (i) group-work; (ii) dealing with complex clients; (iii) effectively evaluating the shift; and (iv) client aggression. The implications of whole team training is discussed in the context of staff working with high turnover clients.

Burnout among Professionals Working in Corrections: A Two Stage Review

“…Emotional exhaustion is defined as being over-extended and exhausted by one’s work (Hill et al, 2010) [ 16 ]. Hill and colleagues (2010) [ 16 ] conducted a study on the faculty of an inpatient alcohol dependence facility and found that, before training, staff reported, on average, elevated levels of emotional exhaustion, suggesting that, collectively, the team was highly emotionally exhausted. After the training, MBI emotional exhaustion scores were down slightly, but not to a significant degree.…”

“…Depersonalization refers to an unfeeling and impersonal response to clients (Hill et al, 2010) [ 16 ]. Over half of the participants in the study conducted by Hill and colleagues (2010) [ 16 ] were classified in the high range for depersonalization on the MBI prior to training. The psychoeducational training resulted in a decrease of depersonalization scores, but not to a significant degree.…”

“…The existing literature regarding burnout interventions for forensic professionals working in inpatient and forensic settings includes training (Hill et al, 2010; Norman et al, 2020 [ 16 , 17 ] mindfulness-based interventions (Marconi et al, 2019; Kaplan et al, 2020; Márquez et al, 2021) [ 18 , 19 , 20 ], psychoeducation (Wampole, & Bressi, 2020; Bagaric & Markanovic, 2021) [ 21 , 22 ], stress management (Ekman, 2015) [ 23 ], and workshops (Rollins et la., 2016) [ 24 ]. Prior studies assessing burnout intervention programs for correctional staff have concluded that psychoeducational training was effective in reducing feelings of emotional exhaustion, depersonalization, cynicism, and in increasing feelings of general well-being (Hill et al, 2010; Norman et al, 2020; Bagaric et al, 2021) [ 16 , 17 , 22 ]. Historical findings also suggest that mindfulness-based interventions decrease feelings of depression, worry, anxiety, and perceived stress levels while promoting increased feelings of self-compassion (Marconi et al, 2019; Kaplan et al, 2020) [ 18 , 19 ].…”

The influence of individual personality traits and team characteristics on training transfer: A longitudinal study

“…It is well-accepted that the characteristics of the individuals participating in the training (e.g., extraversion) as well as the characteristics of the teams or organisations in which these individuals work (e.g., team cohesion) have been shown to affect training transfer (Blume et al, 2010;Burke & Hutchins, 2007;Cheng & Ho, 1999;Colquitt et al, 2000). However, many studies fail to take either the trainees' individual characteristics (Clarke, 2002;Hill et al, 2010;Velasco & Harder, 2014) or the influence of their team and work environment into account (Castillo-Gualda et al, 2019;Salas et al, 2008;Skodova & Lajciakova, 2013). Such studies are important for identifying which specific trainee or team characteristics influence training transfer, but do not enable a comparison between these two domains.…”

Survey of Burnout amongst Drug and Alcohol Unit Staff

“…Robert et al conducted a training program on coping with burnout for the staff of alcohol inpatient ward and used Maslach Burnout Inventory for evaluating the staff afterward 13 .…”