title: Comparative Effectiveness of a Burnout Reduction Intervention for Behavioral Health Providers.
abstract: Prior research found preliminary effectiveness for Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education (BREATHE), a daylong workshop for reducing burnout among behavioral health providers. Using a longer follow-up compared with prior research, this study compared the effectiveness of BREATHE and a control condition.
  
  
  
  Behavioral health providers (N=145) from three U.S. Department of Veterans Affairs facilities and two social service agencies were randomly assigned to BREATHE or person-centered treatment planning. Burnout and other outcomes were compared across groups over time.
  
  
  
  Analyses yielded no significant differences between groups. However, BREATHE participants showed small but statistically significant improvements in cynicism (six weeks) and in emotional exhaustion and positive expectations for clients (six months). Participants in the control condition showed no significant changes over time.
  
  
  
  Although it did not demonstrate comparative effectiveness versus a control condition, BREATHE could be strengthened and targeted toward both distressed providers and their organizations.
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Angela L
authors.initials: AL
authors.lastname: Rollins
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Marina
authors.initials: M
authors.lastname: Kukla
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Gary
authors.initials: G
authors.lastname: Morse
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Louanne
authors.initials: L
authors.lastname: Davis
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Michael
authors.initials: M
authors.lastname: Leiter
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Maria
authors.initials: M
authors.lastname: Monroe-DeVita
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Mindy E
authors.initials: ME
authors.lastname: Flanagan
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Alissa
authors.initials: A
authors.lastname: Russ
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Sara
authors.initials: S
authors.lastname: Wasmuth
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Johanne
authors.initials: J
authors.lastname: Eliacin
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Linda
authors.initials: L
authors.lastname: Collins
authors.affiliation: Dr. Rollins, Dr. Kukla, Dr. Flanagan, Dr. Russ, Dr. Wasmuth, Dr. Eliacin, and Ms. Collins are with the Center for Health Information and Communication, and Dr. Davis is with the Department of Research and Development, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana. Dr. Rollins is also with the Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, where Dr. Salyers is affiliated. Dr. Morse is with Places for People-Community Alternatives for Hope, Health, and Recovery, St. Louis, Missouri. Dr. Leiter is with the Department of Psychology, Acadia University, Wolfville, Nova Scotia, Canada. Dr. Monroe-DeVita is with the Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Send correspondence to Dr. Rollins (e-mail: alrollin@iupui.edu ).
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011613:Psychotherapy / Q000379:methods*; D014481:United States; D014493:United States Department of Veterans Affairs