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Sunday, May 24, 2009

Burn Out

Maslach & Leiter define burnout as:

"the index of the dislocation between what people are and what they have to do. It represents an erosion in values, dignity, spirit and will--an erosion of the human soul. It is a malady that spreads gradually and continuously over time, putting people into a downward spiral ..."

Symptoms include exhaustion, cynical detachment from our work, and feelings of ineffectiveness.

Why are so many social workers are burning out? We're good people who are staunchly committed to helping others. Here's where we think the problem lies:

Too many of our employers fail to empower us with the ability to perform effectively, doing so in a multitude of ways.

  • Mismanagement While social workers may be nice people, many social workSocial work boss! middle managers do not appear on the surface to be skilled administrators. However, looking at the problem more closely, when upper management mandates cost-cutting, middle management is often left powerless to support front line staff. This results in front line workers who are overburdened with unmanageable workloads. We suspect that social work middle managers, squeezed between the directives to "do more with less" and "work smarter," experience burnout just as intensely as front line workers. And we further suspect that we "front line workers" fail to recognize burnout in our supervisors as quickly as we recognize it in our same-level peers. But regardless of the reason for mismanagement ... lack of training, lack of experience, lack of insight, etc. ... when we find ourselves poorly treated by a social work supervisor, it seems to have an especially biting sting because it happens at the hands of "one of our own."

  • Schedule Imbalance Many of us are employed in agencies which provide 24 hour services, such as hospitals, crisis centers, protective agencies, etc. It is to be expected that we all have to share the burden of working holidays, weekends, and off-shifts. Some employers, however, repeatedly assign undesirable shifts to the same workers. Additionally, the distinction between being at work and time off from work becomes blurred when we are required to carry beepers and/or make ourselves available for consultation or crisis intervention on an on-call basis during our time away from the work setting.

  • Intense Work Days It is our observation that the most intensely burned out social workers are those with the most relentless work days. Far too many social work employers schedule exhausting shifts with no provision for meal breaks or short-term, essential mental/emotional refreshment. Burnout under these conditions appears quite pervasive to us.

  • Chronic Fear of Downsizing Money is the Targetbottom line for most of our employers. Social workers in mental health, health care, and many public agencies function with constant fears and sometimes threats of staff reduction. Who's next ... me? This type of atmosphere does little to encourage professional autonomy, growth, or performance.

  • Lack of Professional Projects We've discovered from personal experience that when we do nothing but patient care day after day, week after week, month after month, we begin to lose enthusiasm for our job and our profession. Feelings of professional isolation emerge, as well as the decreased ability to contribute meaningfully to the organization. Time and an opportunity to work on projects promoting better care of clients would lead to much more professional satisfaction!

  • Office and Inter-Agency Politics Who doesn't hate this one? We'd all rather Jumping thru hoops just do our jobs and forget the power struggles that take up time needlessly. Many of our work days suffer from reduced productivity caused by the need to jump through internal or inter-agency hoops that are of little value for the care of our clients.

  • Lack of Appreciation This certainly occurs in all professions. But have you ever noticed how social workers are supposed to routinely deal with difficult and stressful situations without so much as a "please" or "thank you?" Management sometimes compounds the our feelings of being unappreciated with last-minute schedule changes, denial of employee benefits, staff reductions, etc.

  • Personal Risk Frequently social workers are expected to perform effectively in hazardous situations without adequate protective measures for our health and safety. Dangerous situations are common for psych social workers and child protective workers. Medical and prison social workers often face patients with an airborne-communicable diseases such as TB without being informed of the risk and without adequate protective masks. Social workers frequently must interact with clients on a crisis basis without security staff or basic safety precautions. In our opinion, nothing else more clearly communicates an employer's lack of appreciation and respect than to jeopardize social workers in this way during the course of our work day.

  • 6 comments:

    David said...

    Those two guys have typically managed to make a maze from a simple physical condition. Cut the crap they spout and leave one word, exhaustion. I've had it three times and is simply caused by continuous unavoidable work until you run out of energy. Cure/treatment, end stress and rest until you recover. The rest is their way of trying to look clever, and I am like you in the business so not just referring to my personal experiences. Unfortunately academics are like journalists and have to produce news even when there is none.

    Anonymous said...

    Mmmm love your cynisism :)but gee, exhaustion just doesnt sound the same really... but its 100% how I feel. Do you realise David there is a whole industry out there just dealing with burn out... its incredible...psycs, counsellors, life coaches, drs, not to mention welfare agencies and drug companies... I would go so far as to agree that you end stress.. but you also dont re engage with the stessor..

    Id be happy to plant tomatos for the rest of my life...lol

    thanks for the comment, will drop by yours for a read as soon as I get the girl child dinner

    David said...

    Thanks Abbey. My main point was burnout is something physical, I've had it three times and the only things that fixed it was healing, ending the cause and lots of sleep. Calling anything psychological burnout is moving the goalposts as that would normally be called a breakdown, may have similar causes but again don't need highfalutin psychobabble to explain something with very clear causes and symptoms that can easily be described in terms everyone can understand.
    Many of my clients know more about transference and projection than we do but it doesn't help them get better!

    Anonymous said...

    Sorry David I missed your 2nd comment...I agree with what you say, though I dont understand the reference to transference and projection..with reference to burn out

    David said...

    What I meant was so many people including the rank amateurs are incredibly good at using long technical words but haven't the foggiest what they refer to. They seem to think by dropping them in every now and again people will assume they're clever but when used totally out of context you can see they're only being pretentious.
    I supervise a number of students, way more qualified than me but kids, and they use terms I've never heard of that refer to things I've always done but didn't know the jargon. It's not like law (my original subject) where you have to know the terms before the meanings, you don't need them at all besides a few basic ones in therapy as it's a practical skill and not academic.

    Anonymous said...

    Im a bit the same, for written work I can do the jargon and waffle for the sake of waffling, but working one on one I tend to use a more simplified and natural way of talking especially as my work is with adolescents, at times I forget and talk with adults in their jargon...lol

    but i know exactly what you mean, some of my colleagues 'waffle' especially those educated later in life (although that is a generalisation)and talk over the top of their adult clients heads (or fellow staff members), which to me defeats the purpose and makes them sound like a pompus ass...lol
    (pst can you tell they dont read this)