Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.

Consistently engaging with client distress can negatively impact mental health workers (MHWs). This has been described by the concept of empathy-based stress (EBS) (which encompasses burnout; secondary traumatic stress; compassion fatigue and vicarious trauma). Previous reviews of interventions to r...

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Main Authors: Hannah May, Josie Millar, Emma Griffith, Chris Gillmore, Mhairi Kristoffersen, Ross Robinson, Michael West
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0306757
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author Hannah May
Josie Millar
Emma Griffith
Chris Gillmore
Mhairi Kristoffersen
Ross Robinson
Michael West
author_facet Hannah May
Josie Millar
Emma Griffith
Chris Gillmore
Mhairi Kristoffersen
Ross Robinson
Michael West
author_sort Hannah May
collection DOAJ
description Consistently engaging with client distress can negatively impact mental health workers (MHWs). This has been described by the concept of empathy-based stress (EBS) (which encompasses burnout; secondary traumatic stress; compassion fatigue and vicarious trauma). Previous reviews of interventions to reduce EBS have not addressed MHWs as a distinct group, despite evidence suggesting they are particularly vulnerable to it. In the context of rising demand for mental health services, it is especially important to understand how to mitigate the impact of EBS on MHWS. This scoping review therefore aimed to identify and describe available interventions to reduce or prevent EBS in MHWs. A systematic scoping review of the literature between 1970 and 2022 was undertaken using five electronic databases. A total of 51 studies were included, which varied significantly with regards to: interventions used; study methodology and theoretical underpinnings. Studies were grouped according to the level at which they aimed to intervene, namely: individual; team or organisational. The review concluded that most studies intervened at the level of the individual, despite the proposed causes of EBS being predominantly organisational. Furthermore, theoretical links to the origins of EBS were largely unclear. This suggests a lack of empirical evidence from which organisations employing MHWs can draw, to meaningfully prevent or reduce EBS in their staff. A dedicated research agenda is outlined to address this, and, other pertinent issues in the field and signifies a call for more theoretically grounded research.
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spelling doaj-art-e23bef8d102049efb676465941a718312025-02-05T05:32:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e030675710.1371/journal.pone.0306757Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.Hannah MayJosie MillarEmma GriffithChris GillmoreMhairi KristoffersenRoss RobinsonMichael WestConsistently engaging with client distress can negatively impact mental health workers (MHWs). This has been described by the concept of empathy-based stress (EBS) (which encompasses burnout; secondary traumatic stress; compassion fatigue and vicarious trauma). Previous reviews of interventions to reduce EBS have not addressed MHWs as a distinct group, despite evidence suggesting they are particularly vulnerable to it. In the context of rising demand for mental health services, it is especially important to understand how to mitigate the impact of EBS on MHWS. This scoping review therefore aimed to identify and describe available interventions to reduce or prevent EBS in MHWs. A systematic scoping review of the literature between 1970 and 2022 was undertaken using five electronic databases. A total of 51 studies were included, which varied significantly with regards to: interventions used; study methodology and theoretical underpinnings. Studies were grouped according to the level at which they aimed to intervene, namely: individual; team or organisational. The review concluded that most studies intervened at the level of the individual, despite the proposed causes of EBS being predominantly organisational. Furthermore, theoretical links to the origins of EBS were largely unclear. This suggests a lack of empirical evidence from which organisations employing MHWs can draw, to meaningfully prevent or reduce EBS in their staff. A dedicated research agenda is outlined to address this, and, other pertinent issues in the field and signifies a call for more theoretically grounded research.https://doi.org/10.1371/journal.pone.0306757
spellingShingle Hannah May
Josie Millar
Emma Griffith
Chris Gillmore
Mhairi Kristoffersen
Ross Robinson
Michael West
Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
PLoS ONE
title Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
title_full Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
title_fullStr Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
title_full_unstemmed Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
title_short Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda.
title_sort interventions to address empathy based stress in mental health workers a scoping review and research agenda
url https://doi.org/10.1371/journal.pone.0306757
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