School of Psychology, University of Queensland, Brisbane, QLD, Australia.
Centre for Social Research in Health, The University of New South Wales, Sydney, Australia.
Health Soc Care Community. 2019 Nov;27(6):1507-1514. doi: 10.1111/hsc.12821. Epub 2019 Aug 1.
Community mental health is a vital service, but it faces ongoing challenges from its high staff-turnover rates. The current study provides a preliminary test of a novel explanation for employee disengagement in community mental health. It is proposed that providing assistance to clients, while simultaneously feeling that only limited progress is being made, is associated with client-related burnout among community mental health providers, leading to negative work outcomes. Employees (N = 349) from three non-governmental community mental health organisations in Australia completed a survey assessing their perceptions of client improvement from treatment, client-related burnout and a range of organisational outcomes. Analyses revealed that perceptions that clients are not improving was associated with burnout, which in turn is related to lower job satisfaction, decreased job engagement, poorer workplace well-being, and increased turnover intentions. These findings suggest that interventions that highlight positive changes among clients could reinforce the important service provided by community mental health employees and may minimise burnout and negative work outcomes.
社区心理健康是一项重要的服务,但它面临着员工高流动率带来的持续挑战。本研究初步检验了一种新的解释,即社区心理健康工作者的工作投入度降低是因为他们在帮助客户的同时,感到进展有限。这与客户相关的倦怠有关,从而导致负面的工作结果。来自澳大利亚三个非政府社区心理健康组织的 349 名员工完成了一项调查,评估了他们对客户从治疗中改善的看法、与客户相关的倦怠以及一系列组织结果。分析显示,认为客户没有改善与倦怠有关,而倦怠又与工作满意度降低、工作投入减少、工作场所幸福感降低以及离职意愿增加有关。这些发现表明,强调客户积极变化的干预措施可以增强社区心理健康工作者提供的重要服务,并可能最大限度地减少倦怠和负面工作结果。