ArticleProfessional psychology, research and practice2018
Predictors of Burnout among Community Therapists in the Sustainment Phase of a System-Driven Implementation of Multiple Evidence-Based Practices in Children's Mental Health.
Article in Professional psychology, research and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- ¿Está disponible en español? A Systematic Review of Preventive Parenting Interventions Delivered in a Language Other Than English in the United States.Prevention science : the official journal of the Society for Prevention Research · 2025Pooled it
- Doctors and Nurses: A Systematic Review of the Risk and Protective Factors in Workplace Violence and Burnout.International journal of environmental research and public health · 2021Pooled it
- Implementing Parent-Teen Motivational Interviewing + Behavior Therapy for ADHD in Community Mental Health.Prevention science : the official journal of the Society for Prevention Research · 2021Trial
- Understanding compassion fatigue among child and adolescent psychotherapists: insights from a thematic analysis.BMC psychology · 2026Article
- Policy actors' perspectives on improving federal grants to promote the implementation success of evidence-based behavioral health practices.Implementation science communications · 2026Article
- AI-driven mental health decision support linked to clinician resilience and preparedness.Frontiers in digital health · 2026Article
- Managers' Micro-Communities Matter: The Impact of Clinical Supervision Team on Therapist Perception of the Organization.Administration and policy in mental health · 2025Article
- MMPI analysis of 12345 convenience hotline operators.Frontiers in psychiatry · 2025Article
- Provider Use of, Attitudes Towards, and Self-efficacy with Key Measurement-based Care Practices in Youth Mental Health Treatment: A Multi-site Examination.Administration and policy in mental health · 2025Article
- From plan to practice: A qualitative study of public mental health therapists' session-planning practices.Psychological services · 2024Article
- Closing the gap in access to child mental health care: provider feedback from the Wisconsin Child Psychiatry Consultation Program.BMC primary care · 2024Article
- Role of Institutional Support for Evidence-Based Psychotherapy in Satisfaction and Burnout Among Veterans Affairs Therapists.Psychiatric services (Washington, D.C.) · 2024Article
- Outside the Clinic Door: How Neighborhood Sociodemographic Disadvantage is Associated with Community Therapist Secondary Traumatic Stress and Emotional Exhaustion.Evidence-based practice in child and adolescent mental health · 2024Article
- "It's real. It's a thing:" Mental health counselors' listening exhaustion during COVID-19.Qualitative research in medicine & healthcare · 2023Article
- Observed Engagement in Community Implemented Evidence-Based Practices for Children and Adolescents: Implications for Practice Delivery.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023Observational
- Implementation context and burnout among Department of Veterans Affairs psychotherapists prior to and during the COVID-19 pandemic.Journal of affective disorders · 2023Article
- Predicting compassion fatigue among psychological hotline counselors using machine learning techniques.Current psychology (New Brunswick, N.J.) · 2023Article
- Professional wellbeing and turnover intention among child therapists: a comparison between therapists trained and untrained in Trauma-Focused Cognitive Behavioral Therapy.BMC health services research · 2022Article
- Mental Health in the Transit Context: Evidence from 10 Countries.International journal of environmental research and public health · 2022Article
- Coordination of sustainable financing for evidence-based youth mental health treatments: protocol for development and evaluation of the fiscal mapping process.Implementation science communications · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
Burnout among community mental health (CMH) therapists has been associated with poorer therapist health, high agency turnover, poorer client outcomes, and compromised quality of care. Recent mandates to learn and implement multiple evidence-based practices (EBPs) within CMH settings are intended to improve the quality of community care, yet there is mixed evidence concerning the impacts on workforce burnout. The current study sought to identify correlates of therapist emotional exhaustion, a key aspect of burnout, during the sustainment phase of a system-driven implementation of multiple EBPs in children's mental health services. We hypothesized that high workload and unfavorable organizational climate would relate to therapist emotional exhaustion, but that positive experiences with EBPs adopted would relate to lower exhaustion. Although agency-level indices of organizational climate were unrelated to exhaustion, a multilevel model revealed that therapists' weekly work hours, caseload, and number of EBPs delivered were associated with increased emotional exhaustion. Additionally, activities associated with the EBP implementation efforts (e.g., hours spent in EBP-related activities, supervision or consultation, or outcome monitoring), were not associated with emotional exhaustion. Therapists' knowledge and confidence delivering EBPs and their positive perceptions of EBPs were protective against emotional exhaustion, but these perceptions did not buffer the risks associated with heavy workload. Findings point to implementation strategies to prevent burnout and associated turnover that compromise the returns on investments in EBP implementation.
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Registered trials
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.