BOOK REVIEWS |
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| Authors: | Anuradha Menon Claire Flannigan Mary-Jane Tacchi James Johnston |
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| Institution: | 1. Psychoanalytic Psychotherapy and Adult Psychiatry, Leeds and York Partnership NHS Foundation Trust, Leeds, UKanuradha.menon@nhs.net;3. Crisis Assessment Service, Leeds and York Partnership NHS Foundation Trust, Leeds, UK;4. Crisis Resolution and Home Treatment Team, Northumberland Tyne and Wear NHS Trust, Newcastle upon Tyne, UK;5. Psychotherapy, Leeds and York Partnership NHS Foundation Trust, Leeds, UK |
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| 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. |
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| Keywords: | MBI-HSS CRHT Burnout stress staff crisis team psychoanalytic reflective practice group |
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