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Stress and Burnout Among Rehabilitation Counsellors Within the Context of Insurance-Based Rehabilitation: An Institutional-Level Analysis

Published online by Cambridge University Press:  27 August 2015

Nicholas Buys
Affiliation:
Center for Human Services, Griffith University
Elizabeth Kendall*
Affiliation:
Center for Human Services, Griffith University
*
Center for Human Services, Faculty of Health Sciences, Griffith University, Nathan QL D 4111, Australia.
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Abstract

Work stress and burnout are common problems in rehabilitation services. Usually, attempts to account for stress and burnout focus on the qualities of the individual and the demands of the organisational environment. However, the current paper has responded to recent demands in the occupational stress literature to examine burnout from a third perspective, namely the institutional level. This level of analysis transcends the boundaries of organisations and can be defined by the various political, economic, social and legal constraints that characterise a broad area. It is argued that the rapid growth of insurance-based rehabilitation in Australia has created a unique institutional context that has significant implications for the development of stress and burnout among rehabilitation counsellors. Rehabilitation counsellors in this context face a diverse array of conflicting demands within a system that often does not support the goals of rehabilitation. It is proposed that the development of strategies to reduce stress and burnout in this area would benefit from an institutional-level analysis. While individualised stress management training clearly has a role in the minimisation of stress and burnout, it is proposed in the current paper that this issue has human resource management and educational implications that must be addressed.

Type
Articles
Copyright
Copyright © Cambridge University Press 1998

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References

Arches, J. (1991). Social structure, burnout and job satisfaction. Social Work, 36: 202206.Google ScholarPubMed
Berle, J.O., Haver, B., & Karterud, S.W. (1994). Group reactions in a hospital crisis intervention programme. Group Analysis, 27: 159171.CrossRefGoogle Scholar
Buys, N. (1996). The Woodhouse Report 22 years on. The Australian Journal of Rehabilitation Counselling, 2, iiiii.Google Scholar
Cherniss, C. (1980). Professional burnout in human service organisations. NY: Praeger.Google Scholar
Cherniss, C. (1991). Institutional versus organisational levels of analysis: Commentary on Leiter. Canadian Psychohgy, 32: 559561.CrossRefGoogle Scholar
Chinnery, D., Campbell, A., Churches, S., Houston, D., King, T., & Prophet, G. (1995). Is counselling a health hazard to counsellors? Occupational stress and occupational health for counsellors. The Australian Journal of Rehabilitation Counselling, 1: 6172.CrossRefGoogle Scholar
Crimando, W., Riggar, T.F., & Hansen, G. (1986). Personnel turnover: The plaguue of rehabiliation facilities. Journal of Applied Rehabilitation Counseling, 17: 1720.CrossRefGoogle Scholar
Curl, R.M., & Sheldon, J.B. (1992). Achieving reasonable choices: Balancing the rights and responsibilities of consumers with those of rehabilitation counsellors. Rehabilitation Education, 6: 195205.Google Scholar
Flett, R., Biggs, H, & Alpass, F. (1995). Job stress and professional practice: Implications for rehabilitation educators. Rehabilitation Education, 9: 275291.Google Scholar
Gilbride, D.D., Connolly, M., & Stensrud, R. (1990). Rehabilitation education for the private-for-profit sector. Rehabilitation Education, 4: 155162.Google Scholar
Habeck, R., Kress, M., Scully, S., & Kirchner, K. (1994). Determining the significance of the disability management movement for rehabilitation counselor education. Rehabilitation Education, 8: 195240.Google Scholar
Harris, P. (1994). Promoting rehabilitation: New directions for insurers. In Proceedings of the Advancing Rehabilitation: Conference of the Faculty of Health Sciences, (pp. 164173). Melbourne: La Trobe University.Google Scholar
Havranek, J.E., & Brodwin, M.G. (1994). Rehabilitation counselor curricula: Time for a change. Rehabilitation Education, 8: 369379.Google Scholar
Hawkins, R. (1993). There was movement at the station: Occupational rehabilitation and the changing nature of Australian workplaces. In Proceedings of the Second National Rehabilitation Conference, (pp. 239244). Sydney: CRS.Google Scholar
Heads of Workers' Compensation Authorities. (1997). Promoting excellence: National consistency in Australian Workers' Compensation. Melbourne: Labour Ministers Council.Google Scholar
Himle, D.P., Jayarantne, S., & Thyness, P. (1991). Buffering effects of four social support types on burnout among social workers. Social Work Research and Abstracts, 27: 2227.CrossRefGoogle ScholarPubMed
Hursh, N.C. (1995). Essential competencies in industrial rehabilitation and disability management practice. In Shrey, D. and Lacerte, M. (Eds.). Principles and practices of disability management in industry, (pp. 303352), Florida: GR Press.Google Scholar
Industry Commission (1994). Workers' compensation in Australia. Canberra: AGPS.Google Scholar
Inglehart, A.P. (1990). Turnover in the social services: Turning over to the benefits. Social Service Review, December, 649657.Google Scholar
Jones, F., Fletcher, B.C., & Ibbetson, K. (1991). Stressors and strains among social workers: Demands, supports, constraints and psychological health. British Journal of Social Work, 21, 443469.Google Scholar
Kendall, E., Buys, N., & Lamer, J. (1996). Community-based rehabilitation: The promise and the paradox. Manuscript submitted for publication.Google Scholar
Kendall, E., & Terry, D. (1996). Psychosocial adjustment following closed head injury: A model for understanding individual differences and predicting outcome. Neuropsychological Rehabilitation, 6: 101132.CrossRefGoogle Scholar
Kenny, D.T. (1995). Occupational rehabilitation in New South Woks. Lidcombe: Workcover Australia.Google Scholar
Kilbury, R.F., Benshoff, J.J., & Riggar, T.F. (1990). The expansion of private sector rehabilitation: Will rehabilitation education respond. Rehabilitation Education, 4: 163170.Google Scholar
Kruger, L.J., Bernstein, G., & Botman, H. (1994). The relationship between team friendships and burnout among residential counselors. The Journal of Social Psychology, 135: 191201.CrossRefGoogle Scholar
Lazarus, R., & Folkman, S. (1984). Stress, appraisal and coping. NY: Springer.Google Scholar
Leiter, M.P. (1991). Coping patterns as predictors of burnout: The function of control and escapist coping patterns. Journal of Organisational Behavior, 12: 123144.CrossRefGoogle Scholar
Lynch, R. K., Lynch, R. T., & Beck, R.R. (1992). Rehabilitation counseling in the private sector. In Parker, M. R. & Szymanski, E. M. (Eds.). Rehabilitation counseling: Basics and beyond. Texas: Pro-ed.Google Scholar
Maslach, C. (1982). The cost of caring. NJ: Prentice Hall.Google Scholar
Matkin, R.E., & Bauer, L.L. (1993). Assessing predeterminants of job satisfaction among certified rehabilitation counselors in various work settings. Journal of Applied Rehabilitation Counseling, 24: 2633.CrossRefGoogle Scholar
Mitchell, T. (1994). A study of job satisfaction and occupational stress among Australian rehabilitation counsellors. In Proceedings of the Conference of the Faculty of Health Sciences, (pp. 350356). Melbourne: La Trobe University.Google Scholar
Mitchell, T. (1996). Keeping the plates spinning: A qualitative study of job satisfaction and occupational stress among South Australian rehabilitation counsellors. Manuscript submitted for publication.Google Scholar
Munday, R.Windham, R., Cartwright, C., & Bodenhamer, R. (1995). Stress management training for preservice secondary teachers. Journal of Instructional Psychology, 22, 141145.Google Scholar
Price, L., & Spence, S.H. (1994). Burnout symptoms amongst drug and alcohol service employees. Anxiety Stress and Coping, 7: 6784.CrossRefGoogle Scholar
Raphael, B. (1986). When disaster strikes. NY: Basic Books.Google Scholar
Reynolds, S., & Shapiro, D. (1991). Stress reduction in transition: Conceptual problems in the design, implementation and evaluation of worksite stress management interventions. Human Relations, 44: 717733.CrossRefGoogle Scholar
Reynolds, S., Taylor, E., & Shapiro, D. (1993). Session impact on outcome in stress management training, Journal of Community and Applied Social Psychology, 3: 325327.CrossRefGoogle Scholar
Reynolds, S., & Briner, R.B. (1994). Stress management at work: With whom, for whom and to what ends?. British Journal of Guidance and Counselling, 22: 7589.CrossRefGoogle Scholar
Riggar, T.F., Godley, S.H., & Hafer, M. (1984). Burnout and job satisfaction in rehabilitation administrators and direct service providers. Rehabilitation Counseling Bulletin, 27: 151160.Google Scholar
Riggar, T.F., Hansen, G., & Crimando, W. (1987). Rehabilitation employee organisational withdrawal behavior. Rehabilitation Psychology, 32: 121124.CrossRefGoogle Scholar
Roberts, J.K. (1987). The life management model: Coping with stress through burnout. The Clinical Supervisor, 51: 107117.CrossRefGoogle Scholar
Roessler, R. T., & Rubin, S.E. (1992). Case management and rehabilitation counseling: Procedures and techniques. (2nd Ed.). Texas: Pro-ed.Google Scholar
Rosse, J., Boss, R.W., Johnson, A.E., & Crown, D.F. (1991). Conceptualising the role of self-esteem in the burnout process. Group and Organisational Studies, 16: 428451.CrossRefGoogle Scholar
Schaubroeck, J. & Jennings, K. (1991). A longitudinal investigation of the factors mediating the participative decision-making job satisfaction linkage. Multivariate Behavior Research, 26, 4968.CrossRefGoogle ScholarPubMed
Schmidt, M.J., Riggar, T.F., Crimando, W., & Bordieri, J.E. (1992). Staffing for success: A guide for health and human service professionals. London: Sage.Google Scholar
Schulz, R., Greenley, J.R., & Brown, R. (1995). Organisation, management and client effects on staff burnout. Journal of Health and Social Behavior, 36: 333345.CrossRefGoogle ScholarPubMed
Stewart, M., & Hodgkinson, P. (1994). Post-traumatic stress reactions in the professional. In Watts, R., and Home, D.J. de L (Eds). Coping with trauma: The victim and the helper. Brisbane: Aust. Academic Press.Google Scholar
Terry, D., Callan, V., & Sartori, G. (1996). Employee adjustment to an organisational merger: Stress, coping and intergroup differences. Stress Medicine, 12: 105122.3.0.CO;2-Q>CrossRefGoogle Scholar
Toohey, J. (1993). Quality of working life project: Report on a study of occupational stress in Commonwealth Government employment. In Proceedings of the Second National Rehabilitation Conference, (pp. 312325). Sydney: CRS.Google Scholar
Urspring, A.W. (1986). Burnout in the human services: A review of the literature. Rehabilitation Counseling Bulletin, 29: 190199.Google Scholar
Williams, A. (1993). Meeting the demands of occupational rehabilitation in the 1990s. In Proceedings of the Second National Rehabilitation Conference, (pp. 454467). Sydney: CRS.Google Scholar
Workers' Compensation and Rehabilitation Commission (1997). Review of Rehabilitation: Report to the Workers' Compensation and Rehabilitation Commission. Perth, WA: Author.Google Scholar