Magazine article Addiction Professional

Clinicians Adjust Priorities to Ward off Burnout

Magazine article Addiction Professional

Clinicians Adjust Priorities to Ward off Burnout

Article excerpt

Career obstacles ranging from lagging salaries to soaring paperwork demands in treatment centers generally won't drive the clinicians participating in Addiction Professionals Quality of Life Survey from the profession. Interviews with several of the respondents to the second annual survey do indicate, however, a degree of restlessness that in some cases has led to diversifying one's work experience or taking greater control by moving into private practice.

Erika Lohmiller, a certified addiction counselor in Chicago, now splits her time between work in a community behavioral health center and private counseling, keeping her skills sharp by being able to address a broader range of patient needs. Once in a full-time role in community behavioral health, "I was getting burned out from the crisis aspect," Lohmiller says. "I felt my skills really weren't getting put to use as much."

This year's online survey, conducted in September, generated more than 900 responses from Addiction Professional's audience.

Although the overall composition of respondents differed in years one and two, the responses generally offered a similar profile: Clinicians face significant time demands at work and often are left to their own devices to keep self-care as a priority, but they remain committed to a profession that many see as a calling.

"I don't think there's any other work that could be more rewarding than to sit in the same room with another person while they reveal their troubles and worries, and you get to witness them come to terms and eventually gain dominance over them," says Maggie Pike-Thomson, a licensed clinical social worker at High Point Treatment CUITGIlt CdSGlOdd Center in Taunton, Mass. "It's a blessing."

Growing caseloads

Being asked to do more with less continues to be a prominent theme among the survey respondents interviewed for this feature.

Overall, 22.3% of survey respondents characterized their current caseload as too heavy, and 31.3% said their caseload had increased in the past two years. Both figures are slightly higher than the numbers from the 2015 survey.

In addition, around four in 10 surveyed individuals reported working at least four extra unexpected hours in a typical workweek, with only one in five respondents saying they don't tend to work any extra hours.

Pike-Thomsen says the expanded hours surface in part because of a growing complexity of problems that patients bring to treatment. "There are more bodies of knowledge that we re required to stay up on," she says.

Rachel English has worked in private practice in Denver for the past two years, having moved from a residential treatment center in part to gain more control over her schedule and workload. As a supervisor in a residential facility, she oversaw multiple programs and more than 35 staff members, and carried her cellphone everywhere she went.

"I was on call 24/7, even when I was on vacation." says English.

The atmosphere was dysfunctional in other ways, she says, as the pressures on some clinicians who were in recovery would lead to their relapse, or to the emergence of problematic alcohol use that had not been a concern before.

Lohmiller senses that the pressures on clinicians were less intense in the early 2000s, when funding levels for treatment were somewhat healthier and there was less of an emphasis on employing brief therapy strategies (her home state of Illinois has been hit particularly hard by cuts in public funding support for behavioral health services). …

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