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Ethics, Burnout, and Self-Care
Dr. Dawn-Elise Snipes, Ph.D., LPC-MHSP
Goals
Identify the signs and causes of burnout
Explore burnout prevention techniques
Burnout is associated with suboptimal care and reduced patient safety. 1, 3, 4
High demands are associated with an increased risk of burnout, regardless of the level of other work supports. 2
Suboptimal care can negatively impact public opinion of the profession and deter people from seeking treatment
26% of MAT counselors in one study reported burnout
Depersonalization is characterized by a loss of empathy and
Your brain under stress
Even mild, uncontrollable acute stress can cause
Prolonged exposure to stress Anatomical changes in prefrontal nerve cells and hypertrophy of the amygdala
Concentration, Attention
Self-control of behavior and speech
Plan and organize
Perspective taking
Cognitive flexibility
Medical and other decision making
Ability to delay gratification
Time estimation
Working memory
Ethics
In 1996, the National Association of Social Workers updated the NASW Code of Ethics to cover professional impairment issues (Section 4.05).
Social workers who encounter these problems should “immediately seek professional advice and take appropriate corrective action” by seeking professional help, adjusting their workload, terminating their practice, or taking other necessary action to protect clients and others.
Social workers with direct knowledge of another social worker's impairment should, where possible, consult and assist the social worker in taking corrective action.
Signs of burnout
Physical and emotional exhaustion
Insomnia
Difficulty concentrating or remembering
Physical symptoms (heart palpitations, high blood pressure)
Changes in appetite
Increase in diseases
Increased depression and/or anxiety
Lack of positive emotions
Cynicism and disillusionment
Lack of patience
Lack of resilience (everything is a crisis)
Deterioration of relationships
Substance abuse
Giving up important personal activities
Malasch Burnout Inventory
The Maslach Burnout Inventory (MBI) is the most commonly used self-assessment tool for burnout.
The MBI explores three components: exhaustion, depersonalization and personal accomplishment.
MBI pdf C. Maslach, SE Jackson, MP Leiter (eds.), Maslach Burnout Inventory Manual (3rd ed.), Consulting Psychologists Press (1996)
Abbreviation of MBI from SAMHSA
Causes of burnout
Excessive workload
Emotionally exhausting work
Lack of support
Lack of resources
Lack of rewards
Lack of sense of control/power to say
Unclear or constantly changing requirements
Serious consequences of errors
Work-life imbalance
Perfectionist tendencies; nothing is ever good enough
Pessimistic view of yourself and the world
The need to control; reluctance to delegate to others
High-achieving Type A personality
Poor job/person fit
Value conflicts
Lack of debriefing (See Restoring Sanctuary by Sandra L. Bloom)
Unpleasant environment
Cultural differences
Efficiency audit
Morale audit
Individual interventions
Conduct periodic self-assessments
Participate in enjoyable activities
Exercise
Take breaks during the work day
Reduce isolation by maintaining regular supervision and networking with colleagues
Describe why you got into this field and visualize this intention (collage, etc.): money, help, adrenaline, status/power
Use psychological flexibility
Cognitive restructuring
Identify the strengths and resources you have
Practice mindfulness
Journal
Limit your contact with negative people
Connect with a cause or community group that is personally important to you
Interventions (GODIVA)
Put the pieces together
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Live Interactive Webinars ($5)
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