Mental Heatlh of a Team

Soc Psychiatry Psychiatr Epidemiol (2009) 44:541–549

DOI 10.1007/s00127-008-0480-4


Tanya Nelson Æ Sonia Johnson Æ Paul Bebbington

Satisfaction and burnout among staff of crisis resolution, assertive outreach and community mental health teams
A multicentre cross sectional survey

Received: 12 June 2008 / Accepted: 14 November 2008 / Published online: 12 December 2008

j Abstract Background The NHS Plan required extensive changes in the configuration of mental health services in the UK, including introduction of crisis resolution teams, CRTs. Little is known about the effects of these changes on mental health staff and their recruitment and retention. Aims To assess levels of burnout and sources of satisfaction and stress in CRT staff and compare them with assertive outreach team (AOT) and community mental health team (CMHT) staff. Method Cross sectional survey using questionnaires, including the Maslach Burnout Inventory, the Minnesota Satisfaction Scale and global job satisfaction item from the Job Diagnostic Survey. All staff in 11 CRTs in 7 London boroughs were included. Results One hundred and sixty-nine questionnaires were received (response rate 78%). CRT staff were moderately satisfied with their jobs and scores for the three components of burnout were low or average. Their sense of personal accomplishment was greater than in the other types of team. Conclusion Our results suggest that CRTs may be sustainable from a workforce morale perspective, but longer term effects will need to be assessed.

j Key words crisis resolution – staff satisfaction – burnout – cross-sectional survey

Implementation of the NHS Plan [18], involving a move from institutional care to community care, has required extensive changes throughout the UK mental health system. Many staff have moved into new forms of specialist team, including crisis resolution teams (CRTs), assertive outreach teams (AOTs) and Early Intervention Services....