Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

Aims and MethodA postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress.ResultsA response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion.Clinical ImplicationsA multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.

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Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

Psychiatric Bulletin ◽

10.1192/s0955603600001434 ◽

2003 ◽

Vol 27 (02) ◽

pp. 61-67 ◽

Cited By ~ 1

Author(s):

S. Littlewood ◽

P. Case ◽

R. Gater ◽

C. Lindsey

Keyword(s):

Psychological Distress ◽

Job Stress ◽

Management Training ◽

Child And Adolescent ◽

Postal Survey ◽

Self Management ◽

Clinical Implications ◽

The Uk ◽

Staffing Requirements ◽

Safe Access

Aims and Method A postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress. Results A response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion. Clinical Implications A multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.

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Sources of stress, psychological distress and burnout in psychiatrists

Psychiatric Bulletin ◽

10.1192/pb.23.4.207 ◽

1999 ◽

Vol 23 (4) ◽

pp. 207-212 ◽

Cited By ~ 53

Author(s):

Elspeth Guthrie ◽

Teresa Tattan ◽

Edwina Williams ◽

Dawn Black ◽

Himant Bacliocotti

Keyword(s):

Psychological Distress ◽

Job Stress ◽

Overall Response Rate ◽

Response Rate ◽

Psychological Morbidity ◽

Teaching Hospitals ◽

Clinical Implications ◽

Overall Response ◽

Working Environments ◽

Significant Difference

AimsTo assess the degree of psychological morbidity and burnout in 138 psychiatrists in three Manchester teaching hospitals.ResultsThe results for senior house officers (SHOs), registrars, senior registrars and consultants were compared. The overall response rate was 76.8%. There was no significant difference in psychological morbidity between the three training grades, but SHOs and registrars reported significantly higher levels of burnout than either senior registrars or consultants. Dealing with violent patients was stressful for all psychiatrists, no matter what the grade.Clinical implicationsFactors related to job stress in psychiatry need to be addressed. In particular, the provision of safer working environments needs to be considered for psychiatrists at all levels of training.

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Availability and acceptability of home treatment for acute psychiatric disorders

Psychiatric Bulletin ◽

10.1192/pb.24.5.169 ◽

2000 ◽

Vol 24 (5) ◽

pp. 169-171 ◽

Cited By ~ 8

Author(s):

Andrew J. Owen ◽

S. P. Sashidharan ◽

Lyse J. Edwards

Keyword(s):

Mental Health ◽

Response Rate ◽

Postal Survey ◽

Home Treatment ◽

Clinical Implications ◽

Health Authorities ◽

Low Levels ◽

The Uk ◽

Do So ◽

Future Plans

Aims and MethodsTo ascertain current levels of access to home treatment for those with acute mental illness and future plans of trusts and purchasing authorities to provide such services. Also, to assess the attitudes of these organisations towards this form of treatment. A postal survey of all mental health trusts and purchasing authorities within the UK was carried out.ResultsOne hundred and seventy-two trusts and 82 health authorities returned questionnaires, representing a response rate of 75% and 67% respectively. Only 27 (16%) of trusts provided home treatment but 58 (40%) had plans to do so. All health authorities and 97% of trusts were in favour of the principle of providing home treatment.Clinical ImplicationsDespite the low levels of provision of home treatment trusts and health authorities were strongly in favourof it. There is likely to be a large increase in its availability over the next 12 months.

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A survey of training experiences and attitudes of higher specialist trainees in child and adolescent psychiatry

Psychiatric Bulletin ◽

10.1192/pb.24.8.302 ◽

2000 ◽

Vol 24 (8) ◽

pp. 302-304 ◽

Cited By ~ 11

Author(s):

Siobhan Smart ◽

David Cottrell

Keyword(s):

Adolescent Psychiatry ◽

Child And Adolescent ◽

Child And Adolescent Psychiatry ◽

Clinical Implications ◽

Specialist Training ◽

Research And Teaching ◽

The Uk

Aims and MethodChanges in higher specialist training in the UK have led to a revision of training guidelines in child and adolescent psychiatry. This survey studies trainees' experiences and attitudes in the light of these changes. A questionnaire covering training attitudes and experiences was distributed to all higher specialist trainees in child and adolescent psychiatry via their programme directors.ResultsEighty-eight per cent of trainees responded. Although most training experiences are well provided, there are gaps in provision in specific areas, including research and teaching. Dissemination of information about aspects of training requires improvement and clearer feedback on training could be given.Clinical ImplicationsThe implications for training in child and adolescent psychiatry and higher specialist training in general are discussed.

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Determining whether senior and specialist registrars choose or reject a career in general adult psychiatry

Psychiatric Bulletin ◽

10.1192/pb.23.10.607 ◽

1999 ◽

Vol 23 (10) ◽

pp. 607-609 ◽

Cited By ~ 2

Author(s):

Mark Davies ◽

Tom Schlich

Keyword(s):

Working Conditions ◽

Postal Survey ◽

Clinical Implications ◽

The Future ◽

High Workload ◽

Adult Psychiatry ◽

The Uk

Aims and methodFollowing concerns over recruitment into general adult psychiatry, this study was undertaken to determine which factors influence senior trainees in psychiatry with regard to whether or not they choose a career in general adult psychiatry. The method used was by postal survey of all senior and specialist registrars in the UK.ResultsOf those responding, 32.6% had chosen a career in general adult psychiatry, while 38.9% had actively rejected such a career. Twenty-six per cent of respondents had chosen another speciality without actively rejecting general adult psychiatry. For those actively rejecting general adult psychiatry, the top three factors cited were poor resources (57.6%), high workload (43.2%) and poor working conditions (30.7%).Clinical implicationsThrough an awareness of why senior trainees reject general adult psychiatry as a possible career, resources can be targeted more specifically in the future at the factors responsible, and thereby improve recruitment into this speciality.

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Psychotherapy training and the Calman reforms

Psychiatric Bulletin ◽

10.1192/pb.25.8.321 ◽

2001 ◽

Vol 25 (8) ◽

pp. 321-322

Author(s):

Katharine E. Logan ◽

Nabila Muzaffar

Keyword(s):

Psychotherapy Training ◽

Postal Survey ◽

Clinical Implications ◽

Specialist Training ◽

Ongoing Debate ◽

Psychotherapy Trainees ◽

The Future ◽

The Uk ◽

Training Modalities

Aims and MethodThere have been major changes in the duration and the requirements of higher specialist training in psychotherapy in the UK. A postal survey was sent to all higher specialist trainees in psychotherapy to study their attitudes to, and experience of, these changes.ResultsEighty-nine per cent of trainees responded. The majority of trainees expressed concern about the reduction in length of training. There were gaps in provision of some essential training modalities. A substantial group of trainees did not have protected research time.Clinical ImplicationsPsychotherapy trainees believe the changes in training sacrifice depth for breadth. This highlights the ongoing debate about the future of psychotherapy within the NHS.

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‘Should I Stay, or Should I Go?’ Psychological Distress Predicts Career Change Ideation among Intensive Care Staff in Lithuania and the UK Amid COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052660 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2660

Author(s):

Ieva Norkiene ◽

Lina Jovarauskaite ◽

Monika Kvedaraite ◽

Encarl Uppal ◽

Mandeep Kaur Phull ◽

...

Keyword(s):

Psychological Distress ◽

Healthcare Professionals ◽

Psychosocial Support ◽

Career Change ◽

Well Being ◽

Self Report ◽

Care Staff ◽

Psychological Well Being ◽

The United Kingdom ◽

The Uk

The COVID-19 pandemic had a significant effect on healthcare globally. Additional pressure created by coronavirus adversely affected the mental health and psychological well-being of healthcare workers, leading many to question their desire and willingness to continue working in healthcare. This study aimed to identify predictors for career change ideation among healthcare professionals in two countries; Lithuania and the United Kingdom amid the coronavirus pandemic. In total, 610 healthcare professionals from Lithuania and the UK (285 and 325, respectively) participated in a survey from May to August 2020. Psychological distress and psychological well-being were measured using the self-report scales “DASS-21” and “WHO-5”. Almost half of the sample (49.2%), 59.6% and 40.0% in Lithuanian and the UK, respectively, exhibited career change ideation, the country effect was significant (AOR = 2.21, p < 0.001). Stronger ideation to leave healthcare was predicted by higher levels of depression (AOR = 1.10, p = 0.005), stress (AOR = 1.10, p = 0.007), anxiety surrounding inadequate personal protective equipment (AOR = 2.27, p = 0.009), and lower psychological well-being scores (AOR = 1.10, p = 0.007). We conclude that psychosocial support must be provided for healthcare professionals to prevent burnout and loss of staff amid the pandemic.

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