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. 2025 Oct 13.
doi: 10.1007/s11126-025-10215-w. Online ahead of print.

Health System Strategies to Address Behavioral Health Provider Burnout: A Modified Delphi Method

Jennifer Burgess  1   2 , Molly Harrod  3 , Linda Takamine  3 , Rebecca K Sripada  3   4 , Brittany R Porath  3 , Veronica Ortolan  3 , Kara Zivin  3   4
Affiliations

Health System Strategies to Address Behavioral Health Provider Burnout: A Modified Delphi Method

Jennifer Burgess et al. Psychiatr Q. .

Abstract

We convened a two-round, modified Delphi panel to reach consensus on potential organizational-level strategies that health systems could employ to address behavioral health provider (BHP) burnout. We selected 11 potential burnout interventions, based on priority rankings by BHPs during interviews and focus groups, for inclusion in the panel. Ten panelists rated the interventions on potential impact, acceptability to leadership and providers, and feasibility of implementation (a total of 33 items) using a 9-point Likert scale, where a higher score indicated a more favorable rating. We collected data using an online survey platform and virtual group discussion. We defined consensus as ≥ 60% of the panelists responding within a three-point range surrounding the median. An intervention domain achieved relevance when the panel reached consensus and a median rating of ≥ 7. Twenty-seven items achieved consensus, with 10 reaching relevance with a median ≥ 7. Four interventions (Human Resources [HR] could help with time-to-hire, flexibility regarding telework, recognize and support providers, and mentorship) reached relevance on two domains. No intervention reached relevance on all three domains. The interventions HR could help with time-to-hire and flexibility regarding telework reached relevance on both impact and feasibility, but did not reach relevance on acceptability to leadership and providers. Our panel reached consensus on the large impact and high feasibility of several burnout interventions. In particular, they agreed that HR could help with time-to-hire and health systems could provide more flexibility regarding telework. Health systems could consider these interventions for implementation to address BHP burnout.

Keywords: Burnout; Delphi; Mental Health Care; Providers.

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Conflict of interest statement

Declarations. Ethics Approval: The VA Ann Arbor Healthcare System Institutional Review Board (IRBNet ID 15975568) approved this study. This study was performed in line with the principles of the Declaration of Helsinki. Consent: This study was approved with a waiver signed informed consent. Competing Interests: The authors have no relevant financial or non-financial interests to declare.

References

    1. Gilles I, Burnand B, Peytremann-Bridevaux I. Factors associated with healthcare professionals’ intent to stay in hospital: a comparison across five occupational categories. Int J Qual Health Care. 2014;26(2):158–66. - PubMed
    1. Spinelli WM. The phantom limb of the triple aim. Mayo Clin Proc. 2013;88(12):1356–7. - PubMed
    1. Maestas N, Li X. Discouraged workers? Job search outcomes of older workers. Ann Arbor: Michigan Retirement Research Center, University of Michigan2007 contract no.: WP 2006 – 133.
    1. Maestas N, Li X. Burnout and the retirement decision. Ann Arbor: Michigan Retirement Research Center - University of Michigan; 2007.
    1. McGeary CA, Garcia HA, McGeary DD, Finley EP, Peterson AL. Burnout and coping: veterans health administration posttraumatic stress disorder mental health providers. Psychol Trauma Theory Res Pract Policy. 2014;6(4):390–7.

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