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Spiritual Care WHAT IS IT? WHY DO WE DO IT? HOW YOU CAN GET IN ON - - PowerPoint PPT Presentation

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Spiritual Care WHAT IS IT? WHY DO WE DO IT? HOW YOU CAN GET IN ON IT Introductions Introduce yourself Why did you choose this class? What do you hope to get from it? What is the Keystone Disaster Spiritual Care Network? A network of

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Spiritual Care

WHAT IS IT? WHY DO WE DO IT? HOW YOU CAN GET IN ON IT

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Introductions

Introduce yourself Why did you choose this class? What do you hope to get from it?

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What is the

Keystone Disaster Spiritual Care Network?

A network of highly trained and credentialed Disaster Spiritual Care responders who are dedicated to providing the highest level of care to those who have experienced a disaster.

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What is the

Keystone Disaster Spiritual Care Network?

A 501(c)(3) organization Mission Statement

The Keystone Disaster Spiritual Care Network provides effective spiritual care to those who have experienced natural or human-caused disasters. This care is provided to persons of any religious background as well as those without a religious background. All care will be provided in accordance with the highest standards of disaster spiritual care as outlined in the National Voluntary Organizations Active In Disaster (NVOAD) “Spiritual Care Points of Consensus” and “Spiritual Care Guidelines.” Proselytizing and requiring persons we serve to adhere to any specific religious or spiritual beliefs is strictly and explicitly forbidden.

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About this Training

Session One – Introduction

❖ Sunday 6-8

Session Two – Foundations

❖ Monday 9-12

Session Three – Narrative Identity

❖ Monday 1-4

Session Four – Process

❖ 6-8 Monday

Session Five – Wrap Up

❖ 9-12 Tuesday Introduction
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Spirituality: What is it?

Spirituality not the same as religion What does it mean to you?

Introduction
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What is Disaster Spiritual Care?

Two settings

Private

Shared Sacred texts Symbols Traditions Community

Introduction
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What is Disaster Spiritual Care?

Two settings

Public Follow the person into their own spirituality Spirituality does not imply religion Goal: Keep hope alive Prepare for the journey of “Meaning Making”

Introduction
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Religious Response vs. Spiritual Response

Both responses are critical. Yet, they are different.

Introduction
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What is the

Keystone Disaster Spiritual Care Network?

Private Response Public Response Focuses on assisting survivors using shared religious resources (symbols, sacred texts, beliefs) They follow responder Focuses on the survivor’s unique spirituality. Follows them Uses the order suggested in a particular set of beliefs Discovers the order that
  • vercomes that survivor’s chaos
Particular – shared religion Universal – all have spiritual core Uses the resources of the shared religion Draws out the survivor’s resources Equally Vital Introduction
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Naomi Paget

Introduction
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Purpose of Disaster Spiritual Care

To assist the survivor to hold their life’s door

  • pen to hope and

meaning-making

Introduction
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Hope:

The foundation

  • f all resiliency
Introduction
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Meaning-Making :

Bringing the disaster into one’s life as something of meaning rather than trying to exorcize it from life

Introduction
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Key Goal:

Help the affected person to keep the book open to hope for their lives. Stated another way: Help that person find their own inner resources to believe in life before death.

Introduction
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National VOAD Points of Consensus

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 1. It is about Hope

Disaster Spiritual Care helps those affected by disaster to draw upon their own emotional and spiritual resources to find the hope necessary for recovery. WISDOM: “Hope is the foundation of resiliency.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 2. It is about spiritual care

Disaster Spiritual Care provides care to all persons regardless of

  • religion. When possible and welcomed, the care-giver will facilitate

contact with one’s religious community or tradition. WISDOM: “All persons have a spiritual core even if it is not a part of a religious system.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 3. It does not proselytize

Spiritual Care providers recognize that survivors of disaster are

  • ften extremely vulnerable and will not abuse this imbalance of

power to serve any ends except the survivors’ well-being. WISDOM: “It is all about recovery, not recruitment.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 4. It is effective throughout disaster’s life-cycle.

Survivors often go through “why” questions to “how” questions. ❖“Why did this happen?” ❖“How do I go on?” Throughout, these questions have practical levels and deeply spiritual ones. Spiritual care belongs to the entire life-cycle. WISDOM: “Every disaster has a life-cycle and so do its survivors.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 5. It is team-oriented

Spiritual care works cooperatively with other responders – especially Behavioral Health providers and local faith-based leaders. Spiritual care providers are trained to detect underlying psychological and emotional conditions which are referred to specialists in those areas. They also recognize that each faith tradition has intricacies which they may not be qualified to interpret. Those intricacies are best addressed by representatives from the survivor’s own faith tradition.

WISDOM: “No one is everyone. Anything is too often nothing.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 6. It recognizes the power of stories.

Stories can not only knit people together, but can re-knit hope and resiliency within the individual. Spiritual stories (even when not framed in spiritual language) have the power to give shape to individual stories and allow the spiritual provider to accompany survivors on what may well be the most difficult journey of their lives.

WISDOM: “The most powerful accompaniment is being with others

through their stories.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 7. It is about presence

Stories can not only knit people together, but can re-knit hope and resiliency within the individual. Spiritual stories (even when not framed in spiritual language) have the power to give shape to individual stories and allow the spiritual provider to accompany survivors on what may well be the most difficult journey of their lives.

WISDOM: “The most powerful accompaniment is being with others

through their stories.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

  • 8. It is about being well-trained and committed

to common principles.

Wanting to help those in distress is common human nature. But, as in other response disciplines, harm can result from untrained response or compromised principles.

WISDOMS: “Always know how to ‘do no harm.’”

“Wanting to help is eclipsed by knowing how and why.”

Introduction
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8 Things You Should Know About Disaster Spiritual Care

OVERALL WISDOMS

  • “God/The Deity (however understood) always precedes all

responders to the site of a disaster and is always present after those responders have departed.”

  • “Spiritual Care providers are the hands, arms, feet and speech of

God/The Deity and not of themselves.”

Introduction
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Great Resources

from the

National Disaster Interfaiths Network

Field Guide: General information on America’s religious landscape and the role religious communities play in the culture and in disaster recovery Primer: An exhaustive resource featuring details on the beliefs and practices of 24 religious communities in the United States http://www.n-din.org/ndin_resources/FieldGuideSet.php Introduction
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Incident Command Structure

Someone is in charge of each incident. Who it is depends on the scope of the disaster – city, county, state or federal Disaster Spiritual Care responders are a part of this structure and all responders must understand where they belong and to whom they are responsible. ICS 100 and ICS 700 are requirements for credentialing with the Keystone Disaster Spiritual Care Network

https://training.fema.gov/ Search for: ics 100 ics 700 Under no circumstances may anyone ever self-deploy Introduction
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Mission and Calling

Connect

Connect them to loved ones, services, their faith community (if desired)

Pray

Pray with (when desired) and for (afterwords)

Open

Open to Hope, Credo, Quare Credis

Attend

Attend to physical needs

Discern

Discern the who, what, where, when and why

  • f the affected
Embed

Embed yourself (discover command structure and where you fit in and who you report to)

Root

Root yourself in the sacred turf

Center

Center yourself

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SLIDE 29 Introduction
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“Never underestimate the power of your ”

  • - Henri Nouwen
Introduction
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  • 1. 3 Basic Assumptions and what

happens if they are shattered

  • 2. “Another” Chaos Theory
  • 3. Trauma and Da Bear
  • 4. How Stories work

Foundations

Session 2 Foundations
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Shattered Assumptions

chaos

Ronnie Janoff-Bulman, Shattered Assumptions, 1992 Foundations
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“Another” Chaos Theory

chaos

Chaos is a condition that we humans tolerate least well. When we experience chaos, we are very unsettled until we can form some order within it. But, the ordering does not need to be factual or true. It
  • nly has to make things seem to “add up.”
For instance: Katrina explanations When things don’t add up, that is when we experience trauma. Foundations
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Da Bear

Foundations
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If the amygdala only knew!

Foundations
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SLIDE 36 Foundations
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“It was raining, the first time I robbed Tiffany’s.”

John Cheever, “Montraldo,” The New Yorker, 1964 Foundations
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Narrative Listening: beyond simple listening

“The first time I robbed Tiffany’s, it was raining.” What is this story about?

  • A robber’s life or rain?
  • Did robber actually rob Tiffany’s or is he a

grandiose liar?

  • Is the story about how many times he robbed

Tiffany’s or about what he actually took?

  • Something not hinted at in first line?
Foundations
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SLIDE 39 Try this:

With a partner using this first line as a beginning, describe a story.

“It was raining, the first time I robbed Tiffany’s.”

Foundations
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How did your story go?

Cheever’s story featured an old lady, and her maid in an Italian villa that has no toilets, adultery, a priest acting unpriestly – as a start.

“It was raining, the first time I robbed Tiffany’s.”

Foundations
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  • Each time the writer places a

period at the end of a sentence, a crisis is created.

  • There are an unlimited number of

next sentences.

  • The writer has to choose one of

them.

  • The story will go nowhere until

that choice is made and the next period is placed.

  • And it all begins again.
Foundations
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  • Each time the writer places a

period at the end of a sentence, a crisis is created.

  • There are an unlimited number of

next sentences.

  • The writer has to choose one of

them

  • The story will go nowhere until

that choice is made and the next period is placed.

  • And it all begins again.

life

living

Foundations
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SLIDE 43
  • 1. Narrative Identity
  • 2. Narrative Listening (story ears)
  • 3. Thin and Thick Stories
  • 4. Agency & Communion
  • 5. Redemption & Contamination
  • 6. Story Map
  • 7. Tracey and Nikki exercise
Session 3

Narrative Identity

Narrative Identity
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Narrative Identity

  • We understand ourselves in

terms of stories

  • Sacred and Mundane stories
Narrative Identity
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story ears

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thick & thin stories

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agency

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communion

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redemption

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contaminati

  • n
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Narrative Listening:

  • Agency – one’s sense of

individuation and to potency of that individual

  • Communion – one’s sense of being

part of something larger and the strength of that drive

Narrative Identity
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Narrative Listening

  • Redemption – traces a self-story arc

from a generally bad state to a generally good one

  • Contamination – traces a self-story

arc from a generally good state to a generally bad one

Narrative Identity
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Tracey and Nikki Reading of the Tracey an Nikki dialog (see notebook page)

Narrative Identity
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Narrative Listening:

Building a Story Map

Nikki:

  • Agency strong or weak?
  • Communion strong or weak?
In a small group, determine the following for Nikki Narrative Identity
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Narrative Listening:

Building a Story Map

Nikki

  • Redemption or?
  • Contamination?
Narrative Identity
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Nikki

  • Thick or Thin stories with regard to:
  • Agency
  • Communion

Narrative Listening:

Building a Story Map

Narrative Identity
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Nikki and Tracey What would you do differently if you were Tracey?

Narrative Listening:

Building a Story Map

Narrative Identity
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Narrative Listening: Story Map

Short thin line, descending Long thick line, ascending Agency Communion Narrative Identity
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Narrative Listening: Creedal Statement

Assisting the person to use his/her own story to develop a statement of what they believe about their personal resources for recovery experiencing “life before death” Do you see this in the Nikki and Tracey dialog?

Credo – What I believe Quare Credis – Why I believe it

Narrative Identity
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  • 1. Dealing with the imbalance of

power

  • A. Avoiding Thin Answers
  • B. Making Promises and Giving

Information

  • C. “Teach me” – powerful words
  • 2. Spiritual Care Interventions
  • 3. Patience Carter

Process

Session Four Process
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Dealing with the Imbalance of Power

Imbalance of power in a healing relationship is unavoidable

✓ Avoid “Thin” Answers Just as we listen for thin answers, it is important to avoid giving them.

  • Katrina: “This was God’s punishment of New

Orleans”

  • People looking for quick ways to bring order into

their chaos are very susceptible to thin answers which can damage them down the road

Process
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Dealing with the Imbalance of Power

Imbalance of power in a healing relationship is unavoidable

✓ Avoid Making Promises and Giving unverified Information Promises can be harmful to those we serve

  • Too often the very chaos of the setting keeps

responders from keeping even the most sincere promises

  • Sometimes people desperately want information,

but give information very cautiously. What seems certain in one moment may prove to be incorrect in the next. This can break trust.

Process
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Dealing with the Imbalance of Power

Imbalance of power in a healing relationship is unavoidable

✓ Use “Teach me” requests “Teach me about what you’ve been through.”

  • This language tends to lessen the imbalance
  • Client has the freedom to share whatever he/she

wants to share and to whatever depth is comfortable.

Process
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Spiritual Care Interventions

It is impossible to anticipate the concerns and issues you may encounter from those who have experienced

  • disaster. But here are some common ones.
Process
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Trauma and Spirituality in Real Life

Trauma in Real Life

National Voluntary Organizations Active in Disaster (NVOAD) identifies a number of “spiritual dis-ease” symptoms that people may exhibit during and after a disaster:

  • Reconsidering core tenets of religious beliefs
  • Asking questions like “why did God do this?”
  • Questioning justice and meaning
  • Feeling far from previously held beliefs
  • Feeling a need to be cleansed
(National Voluntary Organizations Active in Disaster, "Light Our Way", 2013, p. 7) Spiritual Care Interventions Process
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Trauma and Spirituality in Real Life

Trauma in Real Life (2)

National Voluntary Organizations Active in Disaster (NVOAD) identifies a number of “spiritual dis-ease” symptoms that people may exhibit during and after a disaster:
  • Closing oneself off from loved ones
  • Feeling despair and hopelessness
  • Feeling guilty
  • Wondering about life and death
  • Feeling shame
(National Voluntary Organizations Active in Disaster, "Light Our Way", 2013, p. 7) Spiritual Care Interventions Process
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Questions to Anticipate

Why me? Is this an act of God’s will? Why doesn’t God answer my prayers? Why is there evil in the world? How can I forgive?

Spiritual Care Interventions

Is there life after death? Is there life again before death? Why live in a world full of pain? Why do bad things happen to good people?

Process
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Spiritual Do’s and Don’ts

Don’t try to give definitive answers to spiritual questions Don’t impose religious answers on survivors Do affirm their right to question [their] God’s judgment Do know that they may modify their beliefs Do affirm the wrongness or injustice of what has happened. Injustice often is expressed in anger Do emphasize that everyone finds their own pathway to understanding tragedy

Spiritual Care Interventions Process
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Trauma and Spirituality in Real Life

Patience Carter

The guilt of feeling grateful to be alive is heavy. Wanting to smile about surviving but not sure if the people around you are ready. As the world mourns the victims killed and viciously slain, I feel guilty about screaming about my legs in pain. Because I could feel nothing like the other 49 who weren’t so lucky to feel this pain of mine. I never thought in a million years that this could happen. I never thought in a million years that my eyes could witness something so tragic.

Spiritual Care Interventions Process
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SLIDE 70 Looking at the souls leaving the bodies of individuals, looking at the killer’s machine gun throughout my right peripheral. Looking at the blood and debris covered on everyone’s faces. Looking at the gunman’s feet under the stall as he paces. The guilt of feeling lucky to be alive is heavy. It’s like the weight of the ocean’s walls crushing uncontrolled by levies. It’s like being drug through the grass with a shattered leg and thrown on the back of a Chevy. It’s like being rushed to the hospital and told you’re gonna make it when you laid beside individuals whose lives were brutally taken. The guilt of being alive is heavy.
  • - Patience Carter
Spiritual Care Interventions

Trauma and Spirituality in Real Life

Patience Carter

Process
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Trauma and Spirituality in Real Life

Questions for Discussion

Spiritual Care Interventions 1. What are your overall reactions to Patience’s poem? 2. What are the chances that these feelings will resolve on their own? 3. Refer to the 10 NVOAD “dis-ease” symptoms. Which of those things appear in her poem? 4. Imagine you are talking with Patience. What would you say first after hearing her poem? What additional things would you want to make sure were part of your conversation with her? 5. What internal spiritual resources can you identify in her poem?
  • 6. How would you affirm those resources?
  • 7. What follow up care would you do or
recommend for Patience?
  • 8. Who would you suggest that she stay connected
to?
  • 9. Does Patience’s poem suggest that (at the time it
was written) she has a clear sense of past, present and future?
  • 10. If not, how would you assist her with that?
Process
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Exercise

1. Divide into four groups 2. Listen to the scenario 3. Follow the instructor’s directions 4. Active role play for 15 minutes 5. Debrief for 10 minutes 6. Change groups until each has had a chance to fill all 4 roles 7. Final 30 minute debrief of entire group

Process
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SLIDE 73
  • 1. Care for other responders
  • 2. Self Care
  • 3. KDSCN Credentialing
  • 4. Final Exercise

Wrap Up

Session Five Wrap Up
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Care for other responders

Spiritual Care includes care for other responders on scene. Disaster responders tend to be “hold it in” types, but the stress and trauma of a disaster can affect them with “secondary trauma” and they may not be comfortable admitting it. Things to look for include the same things we look for in primary trauma victims.

Wrap Up
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Care for yourself

You cannot help others if you haven’t cared for yourself. It is very hard to admit this. Once again, the same signs of secondary trauma may show up in you! Self care is not

  • ptional!

Self care includes:

  • Rest
  • Staying hydrated
  • Staying centered
  • Eating properly
  • Taking time off
  • Talking with others
Wrap Up
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SLIDE 76

Credentialing

Credentialing with the Keystone Disaster Spiritual Care Network includes:

  • Complete KDSCN Credentialing Application
  • Letter of recommendation from an appropriate church/congregational authority and/or faith based leader
  • Have a solid personal faith foundation
  • Take a Disaster Spiritual Care course offered by or approved by the Network
  • This training satisfies this requirement
  • Participate in an interview
  • Commit to the standards for Disaster Spiritual Care as detailed by the National Volunteer Organizations Active in
Disaster
  • Complete the requirements for IS-100 (Introduction to Incident Command System) and IS-700 (National Incident
Management System) offered by FEMA
  • Successfully complete an approved Psychological First Aid course
  • Successfully complete and provide documentation of criminal background check, as required
Wrap Up
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SLIDE 77
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SLIDE 78 Wrap Up
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Sharpened Your Observation Skills? Let’s see!

Wrap Up
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Key Points Review

  • Hope
  • Meaning
  • Story-like understanding of life and its meaning
  • Listening and Narrative Listening

✓ Similarities? ✓ Differences?

  • Story Map
  • Credo and Quare Credis (“I believe” and “Why I

believe it”)

Wrap Up
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SLIDE 81

Wrap Up

1. Questions about anything we’ve covered 2. Questions about KDSCN and credentialing 3. What’s next? 4. Thank you!

Wrap Up