Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Community Mental Health Journal
Published in: Community Mental Health Journal 6/2010

01-12-2010 | Original Paper

The Challenges in Providing Services to Clients with Mental Illness: Managed Care, Burnout and Somatic Symptoms Among Social Workers

Author: Gila M. Acker

Published in: Community Mental Health Journal | Issue 6/2010

Login to get access

Abstract

This study examined the relationship between social workers’ experiences when interfacing with managed care organizations and burnout. A total of 591 social workers completed questionnaires that included several measures: Self-perceived competence in the context of managed care, professional involvement with clients with severe mental illness, and burnout. Results showed that self-perceived competence in the context of managed care had statistically significant correlations with burnout dimensions. The author discusses the role of social work schools in preparing students for the realistic aspects of mental health work, and recommends a partnership between managed care organizations and professionals for best care giving.
Literature
Acker, G. M. (1999). The impact of clients’ mental illness on social workers’ job satisfaction and burnout. Health and Social Work, 24(2), 112–119.PubMed
Acker, G. M. (2003). Role conflict and ambiguity: Do they predict burnout among mental health service providers? Social Work in Mental Health, 1(3), 63–80.CrossRef
Acker, G. M. (2004). The effect of organizational conditions (role conflict, role ambiguity, opportunities for professional development and social support) on job satisfaction and intention to leave among social workers in mental health care. Community Mental Health Journal, 40(1), 65–74.CrossRefPubMed
Adams, C. B. (2001). The changing face of direct practice. LINKS, George Warren Brown School of Social Work.
Arches, J. L. (1997). Burnout and social action. Journal of Progressive Human Services, 8(2), 51–61.
Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44, 1175–1184.CrossRefPubMed
Bolen, R. M., & Hall, J. C. (2007). Special section: Promoting and sustaining evidence- based practice. Managed care and evidence-based practice: The untold story. Journal of Social Work Education, 43(3), 463–479.CrossRef
Caplan, R. D., Cobb, S., French, J. R. P., Jr., Van Harrison, R., & Pinneau, S. R., Jr. (1980). Job demands and worker health: Main effects and occupational differences. Ann Arbor: University of Michigan, Institute for Social Research.
Cherniss, C. (1993). Role of professional self-efficacy in the etiology and amelioration of burnout. In W. B. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional burnout: Recent developments in theory and research (pp. 135–149). USA: Taylor & Frances.
Cohen, J. A. (2003). Managed care and the evolving role of the clinical social worker in mental health. Social Work, 48(1), 34–44.PubMed
Daniels, J. A. (2001). Managed care ethics and counseling. Journal of counseling & Development, 79(1), 119–122.
Egan, M., & Kadushin, G. (2007). The revolution in health care funding and delivery. In social work practice in community-based health care (pp. 3–24). UK: The Haworth Press, Inc.
Feldman, R. (2001). Health care and social work education in a changing world. Social Work in Health Care, 34(1/2), 31–41.CrossRefPubMed
Finch, E. S., & Krantz, S. R. (1991). Low burnout in a high stress setting: A study of staff adaptation at fountain house. Psychological Rehabilitation Journal, 14(3), 15–26.
Hagen, J. L., & Hutchison, E. (1988). Who’s serving the homeless? Social Casework: The Journal of Contemporary Social Work, 69(8), 491–497.
Hall, M. L., & Keefe, R. H. (2000). Exploring “The management behavioral health care provider self-perceived competence scale”: A tool for continuing professional education. Professional Development. The International Journal of Continuing Social Work Education, 3(3), 27–35.
Harrison, W. D. (1980). Role strain and burnout in child-protective service workers. Social Service Review, 54, 31–44.CrossRefPubMed
Keefe, R. H., & Hall, M. L. (1998). Interfacing with managed behavioral health care organizations: An emerging scale of private practitioners self-perceived competence. Professional Development: The International Journal of Continuing Education, 1(13), 41–52.
Koeske, G. F., & Koeske, R. D. (1993). A preliminary test of a stress-strain-outcome model for reconceptualizing the burnout phenomenon. Journal of Social Service Research, 17(3/4), 107–135.CrossRef
Lu, Y. E., Miller, M. H., & Chen, S. (2002). American revolution in mental health care delivery: Meeting the educational challenge. Journal of Teaching in Social Work, 22(1/2), 167–182.CrossRef
Maslach, C. (1978). The client role in staff burnout. Journal of Social Issues, 34(4), 111–124.CrossRef
Maslach, C. (1982). Burnout: The cost of caring. Englander Cliffs, NJ: Prenatally-Hall.
Maslach, C., Jackson, S., & Leiter, M. (1996). Maslach burnout inventor manual. Palo Alto, CA: Consulting Psychologists Press.
Minikoff, K. (1994). Community mental health in the nineties: Public sector managed care. Community Mental Health Journal, 30(4), 317–321.CrossRef
Mohren, D. C., Swaen, G. M., Kant, I. J., Van Schayck, C. P., & Galama, J. M. (2005). Fatigue and job stress as predictors for sickness absence during common infections. International Journal of Behavioral Medicine, 12(1), 11–20.CrossRefPubMed
Montcalm, D., & Royse, D. (2002). Data analysis for social workers. Boston: Allyn and Bacon.
Nakao, M., Tamiya, N., & Yano, E. (2005). Gender and somatosensory amplification in relation to perceived work stress and social support in Japanese workers. Women and Health, 42(1), 41–54.CrossRef
Pines, A. (1983). On burnout and the buffering effects of social support. In B. A. Farber (Ed.), Stress and burnout in the human service professions (pp. 155–174). New York: Pergamon Press.
Pumariega, A. J., Winters, N. C., & Huffine, C. (2003). The evolution of systems of care for children’s mental health: Forty years of community child and adolescent psychiatry. Community Mental Health Journal, 39(5), 399–425.CrossRefPubMed
Raquepaw, J. M., & Miller, R. S. (1986). Psychological burnout: A componential analysis. Professional Psychology: Research and Practice, 20(1), 32–36.CrossRef
Scheid, T. L. (2000). Rethinking professional prerogative: managed mental health care provides. Sociology of Health & Illness, 22(5), 700–719.CrossRef
Scheid, T. L. (2003). Managed care and the rationalization of mental health services. Journal of Health and Social Behavior, 44(2), 142–161.CrossRefPubMed
Shera, W. (1996). Managed care and people with severe mental illness: Challenges and opportunities for social workers. Health and Social Work, 21, 196–201.PubMed
Spevack, L. (2009). 12 tips for managing managed care. Update. NASW. New York State Chapter, 33(6), 6–15.
Stone, A. A. (1995). Psychotherapy and managed care: The bigger picture. Harvard Mental Health Letter, 11(8), 5–8.
Tyler, P., & Cushway, D. (1998). Stress and well––being in health––care staff: The role of negative affectivity, and perceptions of job demand and discretion. Stress Medicine, 14, 99–107.CrossRef
Um, M. Y., & Harrison, D. F. (1998). Role stressors, burnout, mediators, and job satisfaction: A stress- strain-outcome model and an empirical test. Social Work Research, 22(2), 100–115.
Wagner, F. R., & Morse, J. J. (1975). A measure of individual sense of competence. Psychological Reports, 36, 451–459.PubMed
White, R. W. (1967). Competence and the growth of personality. Science and Psychoanalysis, 11, 42–49.
Winnibust, J. (1993). Organizational structure, social support and burnout. In W. B. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional burnout: Recent developments in theory and research (pp. 151–162). USA: Taylor & Francis.
Metadata
Title
The Challenges in Providing Services to Clients with Mental Illness: Managed Care, Burnout and Somatic Symptoms Among Social Workers
Author
Gila M. Acker
Publication date
01-12-2010
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 6/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-009-9269-5

Other articles of this Issue 6/2010

Community Mental Health Journal 6/2010 Go to the issue

Original Paper

Oral Health of Adults with Serious Mental Illnesses: A Review

Original Paper

A Pilot Evaluation of the In SHAPE Individualized Health Promotion Intervention for Adults with Mental Illness

Original Paper

Utilization of Complementary and Alternative Medicines for Mental Health Problems Among Asian Americans

Brief Report

The Use of Herbal Medications and Dietary Supplements by People with Mental Illness

Original Paper

A Care Planning Strategy for Traumatic Life Events in Community Mental Health and Inpatient Psychiatry Based on the InterRAI Assessment Instruments

Original Paper

The Association Between Disaster-Related Experiences and Mental Health Outcomes Among Drug Using African American Hurricane Katrina Evacuees