The Copenhagen Burnout Inventory: A new tool for the assessment of burnout

So far, the large majority of studies on burnout in the international literature have employed the Maslach Burnout Inventory (MBI). In this paper we criticize the MBI on a number of points and present a new tool for the measurement of burnout: the Copenhagen Burnout Inventory (CBI). The CBI consists of three scales measuring personal burnout, work-related burnout, and client-related burnout, for use in different domains. On the basis of an ongoing prospective study of burnout in employees in the human service sector, the PUMA study (Project on Burnout, Motivation and Job Satisfaction; N=1914 at baseline), we analysed the validity and reliability of the CBI. All three scales were found to have very high internal reliability, and non-response rates were small. The scales differentiated well between occupational groups in the human service sector, and the expected pattern with regard to correlations with other measures of fatigue and psychological well-being was found. Furthermore, the three scales predicted future sickness absence, sleep problems, use of pain-killers, and intention to quit. Analyses of changes over time showed that substantial proportions of the employees changed with regard to burnout levels. It is concluded that the analyses indicate very satisfactory reliability and validity for the CBI instrument. The CBI is being used in a number of countries and translations into eight languages are available.     

Factor structure of quality of life: The Lehman interview

This study of 67 chronically mentally ill outpatients with psychotic disorders examined subjective quality of life scores from Lehman's Quality of Life (QOL) interview. Factor analyses identified ‘Affiliative’ and ‘Instrumental’ dimensions which accounted for 67% of the variance in subjective satisfaction ratings. The results suggest a model in which instrumental and affiliative needs comprise significant portions of subjective life satisfaction and that global QOL satisfaction is related more to instrumental than affiliative needs. These findings further clarify the concept of life satisfaction in this population of severely mentally ill individuals and suggest modifications in how quality of life information is evaluated.     

Collegiate-Based Emergency Medical Service: Impact on Alcohol-Related Emergency Department Transports at a Small Liberal Arts College

Abstract

Objective: The authors examined the impact of a collegiate-based emergency medical service (CBEMS) on the frequency of emergency department (ED) transports. Participants: Students transported to the ED for acute alcohol intoxication during the Fall 2008 and the Fall 2009 semesters (N = 50). Methods: The frequency of students receiving transportation to a hospital ED and the reported blood alcohol content (BAC) levels during the initial operational semester of the CBEMS were compared to those values over the same time period the previous year. Results: More than twice the number of students was transported to the ED following the introduction of CBEMS. There was no change in mean BAC levels. Conclusions: CBEMS could promote a culture conducive to increased reporting behavior, which makes the campus safer. Similar BAC levels suggest that the degree of intoxication was similar for the 2 reporting periods, but students sought emergency assistance more frequently following the inception of CBEMS.     

A Mutual Aid Group Program for Women Who Use Violence

This article presents the development of a group program for women who use violence. A review of the North American literature and research into Quebec practices led the authors to adopt an intersectional feminist analysis of women’s violence and to choose the mutual aid group model. The program’s main objective is to help women find alternatives to the use of violence by working on three main themes: (1) violence, (2) socialization, and (3) life conditions. The program also aims to increase women’s empowerment through concrete experiences of group solidarity, such as by helping one another. Challenges that were encountered in its development and that are anticipated in its evaluation are discussed.     

Adolescent Gambling and Problem Gambling: Does the Total Consumption Model Apply?

This study describes the extent and distribution of gambling among Norwegian adolescents. The study assesses whether gambling frequency and expenditures and prevalence of problem gambling are associated both at the individual and aggregate (school) level, and in particular whether the total consumption model applies to gambling behaviour. Data comprised a national representative sample of 11,637 13- to 19-year-old students in 73 schools (response rate 92.3%). The Lie/Bet Questionnaire and an additional DSM-criterion on chasing the losses were applied to assess problem gambling. A majority (78.5%) had gambled during the last year and 3.1% met all three criteria for problem gambling. Gambling frequency and expenditures were much higher among problem gamblers and increased proportionally with the degree of problem gambling. The 6.1% who scored on both Lie/Bet items accounted for 59% of all gambling expenditures on slot machines. Positive and significant correlations between various indicators of problem gambling and the overall amount of gambling at the aggregate (school) level imply that the higher the overall amount of gambling and gambling expenditures are, the higher the prevalence of problem gambling, which indicates that the total consumption model also applies to gambling behaviour among adolescents.     

Promising practices in understanding and treating child neglect

Child neglect is the most common type of child maltreatment in the United States. However, services provided to families who neglect often fail to address and treat the primary concerns associated with child neglect. The information provided in this paper identifies the primary problems contributing to child neglect, and some promising practices in child welfare casework that address these problems and show positive outcomes for the children and families who experience child neglect. Knowledge pertaining to assessment skills, treatment abilities, and model programmes is provided.     

Time Out for Childcare: Signalling and Earnings Rebound Effects for Men and Women

ABSTRACT: The wage cost of time out of the labor force for childcare is important in order to understand the functioning of labor markets and for public policy. This paper reviews the literature and identifies several limitations. Using employment records of a large Swedish company over the period 1983-88, we demonstrate an alternative approach for estimating earnings effects and find a year out costs 1.7 percent of earnings for a woman and 5.2 percent for a man. This large effect for men raises questions of signalling costs. For both men and women, earnings‘'rebound'’for time out in the more distant past.