Wood, S. (Stephen), Stride, Chris, Threapleton, Kate, Wearn, Elizabeth, Nolan, Fiona, Osborn, D. (David), Paul, Moli and Johnson, Sonia, 1964-. (2011) Demands, control, supportive relationships and well-being amongst British mental health workers. Social Psychiatry and Psychiatric Epidemiology, Vol.46 (No.10). pp. 1055-1068. ISSN 0933-7954

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Abstract

Purpose: Staff well-being is considered to be a potential problem within mental health occupations, and its variability is in need of investigation. Our starting point is to assess the role of demands, control and supportive relationships that are at the core of Karasek’s model. The study aims to assess the relationship amongst mental health workers of job demands, control and support (from peers and superiors) with multiple measures of well-being. Method: Data were obtained through a self-completion questionnaire from mental health staff in 100 inpatient wards, 18 crisis resolution/home treatment teams and 18 community mental health teams. The data was analysed using multilevel regression analysis. Results: Job demands (negatively), control (positively) and supportive relationships (positively) are each uniquely associated with the five measures of well-being included in the study: namely intrinsic satisfaction, anxiety, depression, emotional exhaustion and personal accomplishment. Non-linear and interaction effects involving these demands, control and supportive relationships are found, but vary in type and strength across well-being measures. Conclusions: The combination of low levels of demands and high levels of control and supportive relationships is good for the well-being of mental health staff. Our results suggest that management initiatives in mental health services should be targeted at creating this combination within the working environment, and particularly at increasing levels of job control.

Item Type:	Journal Article
Subjects:	H Social Sciences > HF Commerce R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions:	Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Mental health personnel -- Job satisfaction -- Great Britain, Mental health personnel -- Job stress -- Great Britain, Well-being
Journal or Publication Title:	Social Psychiatry and Psychiatric Epidemiology
Publisher:	Springer Medizin
ISSN:	0933-7954
Date:	October 2011
Volume:	Vol.46
Number:	No.10
Number of Pages:	14
Page Range:	pp. 1055-1068
Identification Number:	10.1007/s00127-010-0263-6
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/38126

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