Evidence map›Paper›PMID 23662328›Full record

ArticleJournal of psychoactive drugs

Causes, consequences, and prevention of burnout among substance abuse treatment counselors: a rural versus urban comparison.

Carrie B Oser, Elizabeth P Biebel, Erin Pullen, Kathi L H Harp

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of psychoactive drugs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
9.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 102 citations in OpenAlex.

  1. Article
  2. Why All Behavioral Health Providers Need Addiction Training.The journal of behavioral health services & research · 2025
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  9. Promoting Burnout Prevention Through a Socio-Ecological Lens.Delaware journal of public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Carrie B OserUniversity of Kentucky, Department of Sociology, Center on Drug & Alcohol Research, 1531 Patterson Office Tower, Lexington, KY 40508, USA. cboser0@uky.edu
Elizabeth P Biebel
Erin Pullen
Kathi L H Harp
University of Kentucky · USMorehead State University · US

Funding

Research Training in Drug Abuse BehaviorT32DA035200 · NIDA · UNIVERSITY OF KENTUCKY · PI CRAIG R RUSH, William Walton Stoops · 2013 to 2026
$4.4M
Rural Drug Abuse Treatment: Organizations, Counselors, and Client OutcomesK01DA021309 · NIDA · UNIVERSITY OF KENTUCKY · PI OSER, CARRIE BETH · 2007 to 2011
$737k
Longitudinal effects of custody loss on drug use and crime of African American woF31DA030061 · NIDA · UNIVERSITY OF KENTUCKY · PI HARP, KATHI LH · 2011 to 2012
$64k
NIDA NIH HHS F31 DA030061NIDA NIH HHS K01 DA021309NIDA NIH HHS K01-DA21309NIDA NIH HHS T32 DA035200
6 · The paper itself

Abstract

Substance abuse counselors are vulnerable to burnout, which has negative repercussions for the counselor, employing organization, and clients. However, little is known about differences in counselor burnout from the counselors' perspective in rural versus urban treatment centers. In 2008, focus group data from 28 rural and urban counselors in a southern state were analyzed, revealing three burnout themes across all counselors: causes, consequences, and prevention. However, there were various differences between rural and urban counselors in subthemes, with only rural counselors citing office politics and low occupational prestige as causes of burnout. Only urban counselors reported responses endorsing the subthemes of role reversal, clients trying to choose their counselors, and changing jobs as consequences of burnout. All counselors cited coworker support, clinical supervision, and self-care as important strategies for managing burnout. In sum, context clearly matters as rural counselors cited more causes of burnout; yet, the implications of burnout are universal in that they often lead to poor quality clinical care. There is a continued need for greater understanding of addiction as a disease, which would reduce stigma, especially in rural areas, as well as increase the prestige and earning potential of the substance abuse counseling occupation.

Indexed as

Burnout, ProfessionalFemaleFocus GroupsHumansMalePoliticsRural Health ServicesSelf CareSocial SupportSubstance Abuse Treatment CentersSubstance-Related DisordersUnited StatesUrban Health Services

Identifiers

PMID23662328
PMCPMC3652635
OpenAlexW2101317266

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.