title: Why do health professionals work in a community mental health service?
abstract: OBJECTIVE
  The aim of this pilot study was to determine the reasons why mental health professionals work in a community mental health service.
  
  
  METHODS
  A survey of psychiatrists and trainees (n = 13) and other mental health professionals (n = 67) was conducted in an Australian community mental health service with a socioeconomically deprived catchment population. Respondents were asked to list their main reasons for working and to complete measures of job design, well-being, social support, role clarity, teamwork and job satisfaction. The qualitative results were validated using focus groups.
  
  
  RESULTS
  The response rate was 53.7% (43/80). Income (31/43), belonging (21/43), self-esteem (30/43) and self-actualization (9/43) were the main reasons given for working. Mental health professionals, who reported self-actualization as a reason for work, had significantly higher well-being and job satisfaction than other subjects. Mental health professionals who cited self-actualization as a reason for work perceived that their work was more significant and had higher task identity compared with other subjects.
  
  
  CONCLUSIONS
  This study is limited by a small sample size and the inability to exclude confounding variables. Maslow's hierarchy of needs was a useful framework for categorizing reasons for work. Some practical approaches to meet the needs of the mental health workforce are discussed.
authors.affiliation: Peel and Rockingham Kwinana Seniors Mental Health Service, Rockingham, Western Australia, Australia. jon.spear@health.wa.gov.au
authors.forename: Jonathan
authors.initials: J
authors.lastname: Spear
mesh_terms: D002321:Career Choice; D003156:Community Mental Health Services; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D007588:Job Satisfaction; D010348:Patient Care Team / Q000706:statistics & numerical data; D010865:Pilot Projects; D013192:Staff Development / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014904:Western Australia; D000078329:Workforce