Beliefs, boundaries, and burnout: The threat of burnout in the Hispanic Clinic model for delivery of mental health services.
Item
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Title
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Beliefs, boundaries, and burnout: The threat of burnout in the Hispanic Clinic model for delivery of mental health services.
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Identifier
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AAI8914743
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identifier
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8914743
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Creator
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Bermudez, George Stephen.
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Contributor
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Adviser: Lawrence J. Gould
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Date
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1988
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Clinical
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Abstract
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The research focused on the relationship between organizational setting and the syndrome of burnout among mental health workers. This study specifically hypothesized a complex relationship among the variables of ethnicity (Hispanics) of practitioners, organizational structure and incidence of burnout. The model of the "Hispanic Clinic" (bilingual-bicultural clinicians) was viewed as a special case where group psycho-cultural processes are set in motion that idiosyncratically impact on organizational design and promote the incidence of burnout. The research design called for the administration of two survey instruments to all clinicians at two types of outpatient mental health settings serving predominantly hispanic catchment areas. The two types of settings were polar opposites: the first, an "Hispanic Clinic" model, and the second, a primarily non-Hispanic professional staff. One instrument assessed organizational design and surveyed perceptions of organizational roles, decision-making and work-group climate (Michigan Organizational Assessment Questionnaire). The second instrument assessed the frequency and intensity of symptoms of burnout syndrome (Maslach Burnout Inventory). An unconscious "missionary phenomenon" was hypothesized that may generate dysfunctional organizational norms and structures. The prediction of higher incidence of burnout among Hispanic clinicians was not confirmed. Hispanic clinicians, the results indicate, have significantly lower experienced burnout than non-Hispanics. Multiple prediction of burnout reveals four factors predominantly explaining the variance in burnout: ethnicity, a factor designated as internal work motivation, age, and autonomy/influence, in that order. Three possible sources of explanation for the observed interethnic differences in experienced burnout are discussed: (1) patient-therapist linkages, (2) culturally based coping styles, and (3) work group factors.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
