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Original Articles

Causes, Consequences, and Prevention of Burnout Among Substance Abuse Treatment Counselors: A Rural Versus Urban Comparison

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Pages 17-27 | Published online: 28 Feb 2013

Keep up to date with the latest research on this topic with citation updates for this article.

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Sudershan Pasupuleti, Eric G. Lambert, Susheelabai R. Srinivasa, Terry Cluse-Tolar & Shanhe Jiang. (2024) The Importance of Organizational Justice on Job Burnout Among Midwestern U.S. Social Workers. Studies in Clinical Social Work: Transforming Practice, Education and Research 94:1, pages 67-89.
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Lea Tufford, Barbara Lee, Vivian Thieu & Rose Zhao. (2023) Emotional Regulation in Peer-To-Peer Role-Play in Canadian Social Work Education: The Contribution from Standardized Clients in Medicine. Journal of Teaching in Social Work 43:5, pages 627-643.
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V. B Lushin, E Matthews, V Stanhope, R Rivera, J Rzewinski, R Stewart, J Rees & S Marcus. (2023) Feasibility and acceptability of collaborative documentation tool for implementing medication-assisted treatment in substance use disorder counseling. Journal of Social Work Practice in the Addictions 23:3, pages 179-198.
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Sophie Paroz, Martine Monnat, Francesco Panese, Michael Saraga & Jean-Bernard Daeppen. (2023) Caring for patients with substance use disorders: a qualitative investigation of difficulties encountered by hospital-based clinicians. Journal of Addictive Diseases 0:0, pages 1-12.
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Stephanie Elias Sarabia. (2023) Understanding Certified Peer Recovery Specialists: The Essence is Connection. Journal of Social Work Practice in the Addictions 0:0, pages 1-13.
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Jennifer Murphy & Nathan Kruis. (2023) Emotional Exhaustion and Turnover Intentions among Counselors in Rural Substance Use Disorder Treatment Programs. Substance Use & Misuse 58:2, pages 180-187.
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Raagini Jawa, Jordana Laks, Nivetha Saravanan, Lindsay Demers & Gabriel Wishik-Miller. (2022) Physician trainees’ compassion satisfaction, burnout, and self-efficacy when caring for people who inject drugs. Substance Abuse 43:1, pages 675-681.
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Lindsay Y. Dhanani, Emily L. Harris, Jordan Mirto & Berkeley Franz. (2022) Barriers to Working with Patients Who Misuse Opioids and Physician Burnout: Implications for Medical Education. Substance Use & Misuse 57:8, pages 1177-1184.
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Randi Sokol, Mark Albanese, Chiara Albanese, Gerard Coste, Ellie Grossman, Diana Morrill, David Roll, Amy Sobieszczyk & Zev Schuman-Olivier. (2020) Implementing group visits for opioid use disorder: A case series. Substance Abuse 41:2, pages 174-180.
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Julia C. M. Greenham, Gregory E. Harris, Kayla B. Hollett & Nicholas Harris. (2019) Predictors of turnover intention in school guidance counsellors. British Journal of Guidance & Counselling 47:6, pages 727-743.
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Marissa O’Neill, Greta Yoder Slater & Deric Batt. (2019) Social Work Student Self-Care and Academic Stress. Journal of Social Work Education 55:1, pages 141-152.
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Mark Beitel$suffix/text()$suffix/text(), Lindsay Oberleitner$suffix/text()$suffix/text(), Dharushana Muthulingam$suffix/text()$suffix/text(), David Oberleitner$suffix/text()$suffix/text(), Lynn M. Madden$suffix/text()$suffix/text(), Ruthanne Marcus$suffix/text()$suffix/text(), Anthony Eller$suffix/text()$suffix/text(), Madeline H. Bono & Declan T. Barry. (2018) Experiences of burnout among drug counselors in a large opioid treatment program: A qualitative investigation. Substance Abuse 39:2, pages 211-217.
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Cory Viehl, Franco Dispenza, Jennifer Smith, Melanie Varney, Kan Guvensel, Mackenzie Suttles, Rafe McCullough, Catherine Chang, Jane Brack & Jodi Kaufmann. (2018) How do sexual minority men experience burnout in the mental health field: A grounded theory study. Journal of Gay & Lesbian Mental Health 22:1, pages 52-70.
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Cory Viehl & Franco Dispenza. (2015) Burnout and Coping: An Exploratory Comparative Study of Heterosexual and Sexual Minority Mental Health Practitioners. Journal of LGBT Issues in Counseling 9:4, pages 311-328.
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Articles from other publishers (47)

Geoffrey Muriithi Maina, Ghazal Mousavian, Barbara Twum-Antwi, Jackline Mwangi & Sarah Kanana Kiburi. (2024) Healthcare provider perspectives on the facilitators, barriers and unexplored opportunities to support the recovery of clients on medications for opioid use disorder in Kenya. Discover Health Systems 3:1.
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K. Michelle Peavy, Angela Klipsch, Christina S. Soma, Brian Pace, Zac E. Imel, Michael J. Tanana, Sean Soth, Esther Ricardo-Bulis & David C. Atkins. (2024) Improving the quality of counseling and clinical supervision in opioid treatment programs: how can technology help?. Addiction Science & Clinical Practice 19:1.
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Justyna Klingemann, Łukasz Mokros, Halina Sienkiewicz-Jarosz & Piotr Świtaj. (2024) The prevalence of occupational burnout and its individual and situational predictors among addiction therapists. Alcohol and Alcoholism 59:1.
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Anna Yu Lee, Curtis Lehmann, Pengchong Zhou, Bin Xie, Kim D. Reynolds & Alan W. Stacy. (2023) A quantitative survey measure of moral evaluations of patient substance misuse among health professionals in California, urban France, and urban China. Philosophy, Ethics, and Humanities in Medicine 18:1.
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Michelle L. Pennington, Jessica Dupree, Kristy Hoffman, Emily H. Beattie, Elizabeth Coe, William Ostiguy, Nathan A. Kimbrel, Eric C. Meyer & Suzy B. Gulliver. (2023) First Responder Attitudes Regarding Working Near a Supervised Injection Facility: Relationship to Burnout, Secondary Traumatic Stress, and Compassion Satisfaction. Workplace Health & Safety 71:11, pages 543-550.
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Natalie Skinner & Ann Roche. (2021) R-E-S-P-E-C-T: Psychosocial Factors Outdo Employment Conditions in Predicting Job Satisfaction and Turnover Intentions for AOD Nurses and Counsellors. International Journal of Mental Health and Addiction 21:3, pages 1534-1549.
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Eleanor R. Turi, Amy McMenamin, Courtney Benjamin Wolk & Lusine Poghosyan. (2023) Primary care provider confidence in addressing opioid use disorder: A concept analysis. Research in Nursing & Health 46:2, pages 263-273.
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Elisabeth A. Stelson, Lauren L. Sabbath-Clayton, Glorian Sorensen, Laura D. Kubzansky, Lisa F. Berkman & Erika L. Sabbath. (2022) Residential addiction treatment providers: Identifying the role of social context in worker health and turnover. Social Science & Medicine 314, pages 115462.
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Benjamin Israel, Alicia E. Wiprovnick, Annabelle M. Belcher, Mary B. Kleinman, Avinash Ramprashad, Max Spaderna & Eric Weintraub. (2022) Practical Considerations for Treating Comorbid Posttraumatic Stress Disorder in the Addictions Clinic. Psychiatric Clinics of North America 45:3, pages 375-414.
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Octavian Vasiliu. (2022) Work-related stress in medical personnel: A new instrument for screening and evidence-based recommendations for therapeutic management. Romanian Journal of Military Medicine 125:3, pages 523-530.
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Jennifer Murphy. (2022) Improving the Recruitment and Retention of Counselors in Rural Substance Use Disorder Treatment Programs. Journal of Drug Issues 52:3, pages 434-456.
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Yingying Shang, Yunfang Yang, Guowei Zheng, Ziyang Zhao, Yin Wang, Lin Yang, Lin Han, Zhijun Yao & Bin Hu. (2022) Aberrant functional network topology and effective connectivity in burnout syndrome. Clinical Neurophysiology 138, pages 163-172.
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Amy D. Habeger, Tana D.J. Connell, Rona L. Harris & Chanda Jackson. (2022) Promoting Burnout Prevention Through a Socio-Ecological Lens. Delaware Journal of Public Health 8:2, pages 70-75.
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Courtney O'Donnell, Sean Popovich, Nicole Lee & Leanne Hides. (2022) Barriers and facilitators to accessing effective clinical supervision and the implementation of a clinical supervision exchange model in the Australian alcohol and other drugs sector. Drug and Alcohol Review 41:4, pages 988-1002.
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Siân M. Davies, Shamini Sriskandarajah, Aleksandra S. Staneva, Helena C. M. Boulton, Chelsey Roberts, Shereen H. Shaw & Sergio A. Silverio. (2021) Factors influencing ‘burn‐out’ in newly qualified counsellors and psychotherapists: A cross‐cultural, critical review of the literature. Counselling and Psychotherapy Research 22:1, pages 64-73.
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Kelli Scott, Shelly Jarman, Samantha Moul, Cara M. Murphy, Kimberly Yap, Bryan R. Garner & Sara J. Becker. (2021) Implementation support for contingency management: preferences of opioid treatment program leaders and staff. Implementation Science Communications 2:1.
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Lindsay Y. Dhanani, Berkeley Franz & Taylor K. Hall. (2021) Revisiting the relationship between contact and physician attitudes toward patients with opioid use disorder. Addictive Behaviors Reports 14, pages 100372.
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Zejun Hao, Liangyi Jin, Jinzi Huang, Ruibo Lyu & Qian Cui. (2021) Academic Burnout and Problematic Smartphone Use During the COVID-19 Pandemic: The Effects of Anxiety and Resilience. Frontiers in Psychiatry 12.
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Natalie Skinner & Ann M. Roche. (2021) ‘Very demanding. Extremely rewarding’: Exploring the co‐occurrence of burnout and engagement in alcohol and other drug workers. Drug and Alcohol Review 40:6, pages 989-997.
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Lauren Caton, Hannah Cheng, Hélène Chokron Garneau, Tammy Fisher, Briana Harris-Mills, Brian Hurley, Sandra Newman & Mark P. McGovern. (2021) COVID-19 Adaptations in the Care of Patients with Opioid Use Disorder: a Survey of California Primary Care Clinics. Journal of General Internal Medicine 36:4, pages 998-1005.
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Paula Cristina Gomes Alves, Fiona A Stevenson, Sophie Mylan, Nuno Pires, Adam Winstock & Chris Ford. (2021) How do people who use drugs experience treatment? A qualitative analysis of views about opioid substitution treatment in primary care (iCARE study). BMJ Open 11:2, pages e042865.
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Angela I. Sheely-Moore & Adam Daniel. 2021. Techniques and Interventions for Play Therapy and Clinical Supervision. Techniques and Interventions for Play Therapy and Clinical Supervision 38 55 .
Emre ŞENOL DURAK & Mithat DURAK. (2020) Psychometric Evaluation of the Turkish Version of the Housewives Burnout Questionnaire (CUBAC)Ev Hanımlarında Tükenmişlik Ölçeğinin (EHTÖ) Türkçe Versiyonunun Psikometrik Değerlendirmesi. AYNA Klinik Psikoloji Dergisi 7:2, pages 128-145.
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Gayle Rhineberger-Dunn & Kristin Y. Mack. (2019) Predicting Burnout Among Juvenile Detention and Juvenile Probation Officers. Criminal Justice Policy Review 31:3, pages 335-355.
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Connie T. Jones & Susan F. Branco. (2020) Trauma‐Informed Supervision: Clinical Supervision of Substance Use Disorder Counselors. Journal of Addictions & Offender Counseling 41:1, pages 2-17.
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Vinita Duraisingam, Ann M. Roche, Victoria Kostadinov, Sianne Hodge & Janine Chapman. (2020) Predictors of work engagement among Australian non-government drug and alcohol employees: Implications for policy and practice. International Journal of Drug Policy 76, pages 102638.
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Maryam Ebrahimi. 2020. Qualitative Exploration of Grounded Theory in Organizational Research. Qualitative Exploration of Grounded Theory in Organizational Research 176 200 .
Randi Sokol, Mark Albanese, Aaronson Chew, Jessica Early, Ellie Grossman, David Roll, Greg Sawin, Dominic J. Wu & Zev Schuman-Olivier. (2019) Building a Group-Based Opioid Treatment (GBOT) blueprint: a qualitative study delineating GBOT implementation. Addiction Science & Clinical Practice 14:1.
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Daniel Gutierrez, C. Missy Butts, Katie A. Lamberson & Pamela S. Lassiter. (2019) Examining the Contributions of Trait Emotional Intelligence on Addiction Counselor Burnout. Journal of Addictions & Offender Counseling 40:1, pages 52-64.
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Shengli Dong, Linda Miles, Neil Abell & Jadelyn Martinez. (2018) Development of Professional Identity for Counseling Professionals: A Mindfulness-Based Perspective. International Journal for the Advancement of Counselling 40:4, pages 469-480.
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Julie Bailly, Olivier Taïeb, Marie Rose Moro, Thierry Baubet & Aymeric Reyre. (2018) “If walls could talk”: A photo-elicitation-based observation of service users' perceptions of the care setting and of its influence on the therapeutic alliance in addiction treatment. Health & Place 54, pages 69-78.
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David A. Patterson Silver Wolf, Braden K. Linn & Catherine N. Dulmus. (2018) Are Grittier Front-Line Therapists More Likely to Implement Evidence-Based Interventions?. Community Mental Health Journal 54:7, pages 959-966.
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Christina Samios. (2017) Burnout and Psychological Adjustment in Mental Health Workers in Rural Australia: the Roles of Mindfulness and Compassion Satisfaction. Mindfulness 9:4, pages 1088-1099.
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Juliana B. Hilgert, Augusto B. Bidinotto, Mayra P. Pachado, Letícia S. Fara, Lisia von Diemen, Raquel B. De Boni, Mary C. Bozzetti & Flávio Pechansky. (2018) Satisfaction and burden of mental health personnel: data from healthcare services for substance users and their families. Revista Brasileira de Psiquiatria 40:4, pages 403-409.
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Trent E. Hammond, Andrew Crowther & Sally Drummond. (2018) A Thematic Inquiry into the Burnout Experience of Australian Solo-Practicing Clinical Psychologists. Frontiers in Psychology 8.
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Germaine D. Washington & Libi Shen. 2018. Social Issues in the Workplace. Social Issues in the Workplace 206 228 .
Sabina Mazoruk, Adam Huxley, Camille Alexis-Garsee & Fabrizio Schifano. (2017) Prevalence of somatisation as a determinant of burnout amongst staff working in drug and alcohol services. Drugs and Alcohol Today 17:4, pages 242-249.
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Abby L. Mulay, Elspeth Kelly & Nicole M. Cain. (2017) Psychodynamic Treatment of the Criminal Offender: Making the Case for Longer-Term Treatment in a Longer-Term Setting. Psychodynamic Psychiatry 45:2, pages 143-173.
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Gary Tzu, Brittany Bannerman & Nicole Hill. (2016) From Grey Nothingness to Holistic Healing: A Non-Dual Approach to the Treatment of Burnout. International Journal of Mental Health and Addiction 15:3, pages 652-669.
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Aymeric Reyre, Raphaël Jeannin, Myriam Largueche, Marie Rose Moro, Thierry Baubet & Olivier Taieb. (2017) Overcoming professionals’ challenging experiences to promote a trustful therapeutic alliance in addiction treatment: A qualitative study. Drug and Alcohol Dependence 174, pages 30-38.
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Germaine D. Washington & Libi Shen. 2017. Handbook of Research on Human Factors in Contemporary Workforce Development. Handbook of Research on Human Factors in Contemporary Workforce Development 226 248 .
Daniel Gutierrez & Patrick R. Mullen. (2016) Emotional Intelligence and the Counselor: Examining the Relationship of Trait Emotional Intelligence to Counselor Burnout. Journal of Mental Health Counseling 38:3, pages 187-200.
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Marc Vogel, Carlos Nordt, Kenneth M. Dürsteler, Undine E. Lang, Erich Seifritz, Michael Krausz & Marcus Herdener. (2016) Evaluation of medication-assisted treatment of opioid dependence—The physicians’ perspective. Drug and Alcohol Dependence 164, pages 106-112.
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Carrie B. Oser & Kathi L.H. Harp. (2015) Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance. Journal of Substance Abuse Treatment 48:1, pages 77-84.
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Deirdre O’Sullivan & Julie K. Bates. (2014) The Relationship Among Personal and Work Experiences: Implications for Rehabilitation Counselor Well-Being and Service Provision. Rehabilitation Research, Policy, and Education 28:1, pages 45-60.
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Elisabeth Anne Stelson, Lauren L. Sabbath, Glorian Sorensen, Laura Kubzansky, Lisa Berkman & Erika L. Sabbath. (2022) Worker Health and Client Care in Residential Addiction Treatment: Identifying the Role of Social Context. SSRN Electronic Journal.
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