@article{ref1,
title="Burnout-or heartburn? A psychoanalytic view on staff Burnout in the context of service transformation in a crisis service in Leeds",
journal="Psychoanalytic psychotherapy",
year="2015",
author="Menon, A. and Flannigan, C. and Tacchi, M.-j. and Johnston, J.",
volume="29",
number="4",
pages="330-342",
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.<p /><p>Language: en</p>",
language="en",
issn="0266-8734",
doi="10.1080/02668734.2015.1069753",
url="http://dx.doi.org/10.1080/02668734.2015.1069753"
}