Risk of Compassion Fatigue and Burnout and Potential for Compassion Satisfaction Among Employee Assistance Professionals

Abstract

Employee Assistance Program (EAP) professionals provide a majority of the mental health services to adults within the workplace. With increased traumatic events at work, including workplace violence and natural disasters, employers are relying more on their EAPs to provide crisis intervention and short-term counseling; however, trauma work contributes to compassion fatigue and burnout among professionals. This study assessed the risk of compassion fatigue and burnout, and the potential for compassion satisfaction among a national sample of EAP professionals. Results suggest EAP professionals are at moderate risk for compassion fatigue, low risk for burnout, and have high potential for compassion satisfaction. Relationships between personal characteristics, including coping behaviors are discussed with implications for clinical practice, professional education, and future research.

Keywords

compassion fatigue compassion satisfaction burnout employee assistance program (EAP)coping

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References

Adams

K. B.

Matto

H. C.

Harrington

(2001). The Traumatic Stress Institute Belief Scale as a measure of vicarious traumatization in a national sample of clinical social workers. Families in Society, 82, 363-371. doi:10.1606/1044-3894.17810.1606/1044-3894.178

Adams

R. E.

Boscarino

J. A.

Figley

C. R.

(2006). Compassion fatigue and psychological distress among social workers: A validation study. American Journal of Orthopsychiatry, 76(1), 103-108. doi:10.1037/0002-9432.76.1.10310.1037/0002-9432.76.1.103

Adams

R. E.

Figley

C. R.

Boscarino

J. A.

(2008). The Compassion Fatigue Scale: Its use with social workers following urban disaster. Research on Social Work Practice, 18, 238-250. doi:10.1177/10497315073109010.1177/104973150731090

Attridge

VandePol

(2010). The business case for workplace critical incident response: A literature review and some employer examples. Journal of Workplace Behavioral Health, 25(2), 132-145. doi:10.1080/1555524100376100110.1080/15555241003761001

Bober

Regehr

(2006). Strategies for reducing secondary or vicarious trauma: Do they work? Brief Treatment and Crisis Intervention, 6, 1-9. doi:10.1093/brief-treatment/mhj00110.1093/brief-treatment/mhj001

Bride

B. E.

(2007). Prevalence of secondary traumatic stress among social workers. Social Work, 52, 63-70.

Brown

O’Brien

D. M.

(1998). Understanding stress and burnout in shelter workers. Professional Psychology: Research and Practice, 29, 383-385. doi:10.1037/0735-7028.29.4.38310.1037/0735-7028.29.4.383

Carson

Maal

Roche

Fagin

DeVilliers

O’Malley

. . . Holloway

(1999). Burnout in mental health nurses: Much ado about nothing? Stress Medicine, 15, 127-134. doi:10.1002/(SICI)1099-1700(199904)15:2<127::AID-SMI807>3.0.CO;2-310.1002/(SICI)1099-1700(199904)15:2<127::AID-SMI807>3.0.CO;2-3

Carver

C. S.

(1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4, 92-100.

10.

Chrestman

K. R.

(1999). Secondary exposure to trauma and self-reported distress among therapists. In Stamm

B. H.

(Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, & educators (pp. 29-36). Lutherville, MD: Sidran Press.

11.

Cornille

T. A.

Woodard Meyers

(1999). Secondary traumatic stress among child protective service workers: Prevalence, severity and predictive factors. Traumatology, 5(1), 15-31. doi:10.1177/1534765990050010510.1177/15347659900500105. Retrieved from http://www.fsu.edu/~trauma/art2v5i1.htm

12.

Conrad

Keller-Guenther

(2006). Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse & Neglect, 30, 1071-1080. doi:10.1016/j.chiabu.2006.03.00910.1016/j.chiabu.2006.03.009

13.

Creamer

T. L.

Liddle

B. J.

(2005). Secondary trauma among disaster mental health workers responding to the September 11th attacks. Journal of Traumatic Stress, 18, 89-96. doi:10.1002/jts/20000810.1002/jts/200008

14.

Employee Assistance Professionals Association. (2010). EAPA Standards and Professional Guidelines for Employee Assistance Programs. Arlington, VA: Author. Retrieved from http://www.eapassn.org

15.

Ersing

R. L.

(2009). Responding to natural catastrophes and pandemics—Challenging opportunities for EAPs to help. In Richard

M. A.

Emener

W. G.

Hutchinson

W. S.

(Eds), EAPs: Wellness/enhancement programming (4th ed., pp. 148-153). Springfield, IL: Charles C. Thomas.

16.

Fahy

(2007).The unbearable fatigue of compassion: Notes from a substance abuse counselor who dreams of working at Starbucks. Clinical Social Work Journal, 35, 199-205. doi:10.1007/s10615-007-0094-410.1007/s10615-007-0094-4

17.

Figley

C. R.

(2002a). Compassion fatigue: Psychotherapists’ chronic lack of self-care. Journal of Clinical Psychology, 58, 1433-1441. doi:10.1002/jclp.109010.1002/jclp.1090

18.

Figley

C. R.

(Ed.). (2002b). Treating compassion fatigue. New York, NY: Brunner-Routledge.

19.

Figley

C. R.

Stamm

B. H.

(1996). Psychometric review of Compassion Fatigue Self Test. In Stamm

B. H.

(Ed.), Measurement of stress, trauma, and adaptation (pp. 127-130). Lutherville, MD: Sidran Press.

20.

Freidman

M. J.

(1996). PTSD diagnosis and treatment for mental health clinicians. Community Mental Health Journal, 32, 173-189. doi:10.1007/BF0224975510.1007/BF02249755

21.

Fullerton

C. S.

Ursano

R. J.

Epstein

R. S.

Crowley

Vance

Kao

T. C.

. . . Baum

(2001). Gender differences in posttraumatic stress disorder after motor vehicle accidents. American Journal of Psychiatry, 158, 1486-1491.

22.

Ghahramanlou

Brodbeck

(2000). Predictors of secondary trauma in sexual assault trauma counselors. International Journal of Emergency Mental Health, 2, 229-240.

23.

Good

D. A.

(1996). Secondary traumatic stress in art therapists and related mental health professionals (Unpublished doctoral dissertation). University of New Mexico, Albuquerque, NM.

24.

Hollingsworth

M. A.

(1993). Responses of female therapists to treating adult female survivors of incest (Unpublished doctoral dissertation). Western Michigan University, Kalamazoo, MI.

25.

Jenkins

S. R.

Baird

(2002). Secondary traumatic stress and vicarious trauma: A validational study. Journal of Traumatic Stress, 15, 423-432. doi:0894-9867/02/1000-0423/10894-9867/02/1000-0423/1

26.

Kassam-Adams

(1999). The risks of treating sexual trauma: Stress and secondary trauma in psychotherapists. In Stamm

B. H.

(Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers and educators (2nd ed., pp. 37-50). Lutherville, MD: Sidran Press.

27.

Killian

K. D.

(2008). Helping till it hurts? A multimethod study of compassion fatigue, burnout and self-care in clinicians working with trauma survivors. Traumatology, 14(2), 32-44. doi:10.1177/153476560831908310.1177/1534765608319083

28.

Maslach

(1982). Understanding burnout: Definitional issues in analyzing a complex phenomenon. In Paine

W. S.

(Ed.), Job stress and burnout (pp. 29-40). Beverly Hills, CA: SAGE.

29.

McCann

I. L.

Pearlman

L. A.

(1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3, 131-149. doi:10.1002/jts.249003011010.1002/jts.2490030110

30.

Meldrum

King

Spooner

(1999, March). Secondary traumatic stress among Australian mental health care managers. Paper presented at the meeting of the APA- NIOSH Joint Conference, on Work, Stress and Health 1999: Organization of Work in a Global Economy, Baltimore, MD.

31.

Munroe

J. F.

(1999). Ethical issues associated with secondary trauma in therapists. In Stamm

B. H.

(Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers and educators (pp. 211-229). Lutherville, MD: Sidran Press.

32.

Newell

J. M.

MacNeil

G. A.

(2011). A comparison analysis of burnout and professional quality of life in clinical mental health providers and health care administrators. Journal of Workplace Behavioral Health, 26(1), 25-43. doi:10.1080/15555240.2011.54097810.1080/15555240.2011.540978

33.

Ortlepp

Friedman

(2002). Prevalence and correlates of secondary traumatic stress in workplace lay trauma counselors. Journal of Traumatic Stress, 15, 213-222. doi:10.1023/A:101520332776710.1023/A:1015203327767

34.

Paul

Thompson

(2006). EAP responses to large scale traumatic events: Lessons learned and future opportunities. Journal of Workplace Behavioral Health, 21, 1-19. doi:10.1300/J490v21n03_0110.1300/J490v21n03_01

35.

Pearlman

L. A.

Mac Ian

P. S.

(1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26, 558-565. doi:10.1037/0735-7028.26.6.55810.1037/0735-7028.26.6.558

36.

Pearlman

L. A.

Saakvitne

K. W.

(1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York, NY: W.W. Norton.

37.

Pines

A. M.

(1983). Burnout. In Goldberger

Breznitz

(Eds.), Handbook of stress: Theoretical and clinical aspects (2nd ed., pp. 386-402). New York, NY: Free Press.

38.

Radey

Figley

C. R.

(2007). The social psychology of compassion. Clinical Social Work, 35, 207-214. doi:10.1007/s10615-007-0087-310.1007/s10615-007-0087-3

39.

Rudolph

J. M.

Stamm

B. H.

Stamm

H. E.

(1997, November). Compassion fatigue: A concern for mental health policy, providers, and administration. Poster presented at the 13th Annual Conference of the International Society for Traumatic Stress Studies, Montreal, Ontario, Canada. Retrieved from http://www.onehealth.ca/r_alberta_nwt/video_conferences/R070925A-HO5.pdf

40.

Salston

M. D.

Figley

C. R.

(2003). Secondary traumatic stress effects of working with survivors of criminal victimization. Journal of Traumatic Stress, 16, 167-174. doi:10.1023/A:102289920720610.1023/A:1022899207206

41.

Schauben

L. J.

Frazier

P. A.

(1995). Vicarious trauma: The effects on female counselors of working with sexual violence survivors. Psychology of Women Quarterly, 19, 49-64. doi:10.1111/ j.147-1-6402.1995.tb00278.x10.1111/ j.147-1-6402.1995.tb00278.x

42.

Society for Human Resource Management. (2008). 2008 Employee benefits: How competitive is your organization. Alexandria, VA: Society for Human Resource Management.

43.

Stamm

B. H.

(1998). Traumatic stress secondary traumatic stress webs site. Retrieved from http://www.isu.edu/~bhstamm/

44.

Stamm

B. H.

(Ed.). (1999). Secondary traumatic stress: Self-care issues for clinicians, researchers, & educators (2nd ed.). Washington, DC: Sidran Press.

45.

Stamm

B. H.

(2002). Measuring compassion satisfaction as well as fatigue: Developmental history of the compassion fatigue and satisfaction test. In Figley

C. R.

(Ed.), Treating compassion fatigue (pp. 107-122). New York, NY: Brunner/Mazel.

46.

Stamm

B. H.

Rudolph

J. M.

Dewane

Gaines

Gorton

Paul

. . . Ercolano

(1996). Psychometric review of Stressful Life Experiences Screening. In Stamm

B. H.

(Ed.), Measurement of stress, trauma, and adaptation (pp. 317-319). Lutherville, MD: Sidran Press.

47.

Terry

M. J.

(1999). Kelengakutelleghpat: An arctic community-based approach to trauma. In Stamm

B. H.

(Ed.), Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators (pp. 149-178). Lutherville, MD: Sidran.

48.

Van der Ploeg

Dorresteign

S. M.

Kleber

R. J.

(2003). Critical incidents and chronic stressors at work: Their impact on forensic doctors. Journal of Occupational Health Psychology, 8, 157-166. doi:10.1037/1076-8998.8.2.15710.1037/1076-8998.8.2.157

49.

Wee

D. F.

Myers

(2003). Compassion satisfaction, compassion fatigue, and critical incident stress management. International Journal of Emergency Mental Health, 5(1), 33-37.