Walking the Walk: Creative Tools for Transforming Compassion Fatigue - - PowerPoint PPT Presentation

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Walking the Walk: Creative Tools for Transforming Compassion Fatigue - - PowerPoint PPT Presentation

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Walking the Walk: Creative Tools for Transforming Compassion Fatigue Franoise Mathieu, M.Ed., RP. Co-executive Director Secondary Trauma www.tendacademy.com www.tendacademy.com www.tendacademy.com Crisis intervention Prior Training on

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Françoise Mathieu, M.Ed., RP. Co-executive Director

Walking the Walk: Creative Tools for Transforming Compassion Fatigue

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Secondary Trauma

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www.tendacademy.com

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www.tendacademy.com

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www.tendacademy.com

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  • Crisis intervention
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Prior Training on CF/VT/STS?

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Years of Experience?

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What to expect from today

  • Low impact disclosure
  • Focus on what we can control
  • Self-Compassion
  • An open mind
  • Invitation to make one commitment to

change one thing

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99% of the strategies we will discuss are free

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“Horizontal violence”: a direct result of Compassion fatigue and role overload

Must be nice…

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Offering ourselves compassion and forgiveness

Picture of hand on heart

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This is a moment of suffering Suffering is part of life May I be kind to myself

Self compassion break

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The high stress & trauma-exposed workplace

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The complex stress model

Complex Stress Model Systemic Stress Job Stress Burnout Harassment & Discrimination Traumatic Stress Primary Trauma Vicarious Trauma

Dr Patricia Fisher, www.fisherandassociates.org

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Awareness of the impact

  • f psychological trauma:

a fairly new concept

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Primary Trauma

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Ground Zero 9/11

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The secondary impact on helping professionals: Vicarious Trauma/Compassion Fatigue

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1995 Dr Charles Figley

“The cost of caring”

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Multiple Exposure: Increased Risk

Prior Trauma Traumatic Grief/Loss Direct Exposure Indirect Trauma Compassion Fatigue Systems Failure Burnout

Image courtesy of Dr Leslie Anne Ross, Children’s Institute Inc. Los Angeles

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Moral Distress

“[…] happens when there are inconsistencies between a [helper’s] beliefs and his or her actions in practice” (Baylis 2000)

  • “when policies or routines conflict with […]

beliefs about […] patient care” (Mitchell 2000)

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Moral distress discussion

  • Example of a situation that creates moral

distress for you

  • How have you dealt with this?
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The Ripple Effect

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The reality…

  • Deeply compromised system
  • Difficult stories
  • Losses
  • Lack of resources
  • Public misconception of the work that you do
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The work that you do

  • Where do those stories

go at the end of your day?

  • What are your

vulnerabilities?

  • How do you protect

yourself? Were you trained to do this work?

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Addressing CF & VT: Key Strategies

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Bober & Regehr Study, 2006

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Bober & Regehr (2006) Although subjects believed that leisure and self care would reduce their STS symptoms, that was not in fact the case: Therapists did not engage in these self care practices more often when they believed in them, and when they did take better care of themselves, it did not reduce their trauma scores.

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“If you had better self care, and work-life balance….”

Bober & Regehr (2005)

Blaming the service providers

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We are an enthusiastic self-help culture…

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Problem is….

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We don’t always follow through…

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Many Workplaces embraced Self-Care Initiatives with enthusiasm

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Employees stayed away

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Research started showing that reducing workload was a good place to start…

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Problem is….

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Trauma exposure continued…

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Occupational Stressors: Direct Exposure and Prior History

CPS-Related Stressor % witnessing event (N=49) Dangerous neighborhood 92 Drug abuse by client 90 Poverty and homelessness 86 Physical abuse of child 84 Educational neglect 84 Poverty and lack of food 80 Sexual abuse of child 78 Criminal activity by client 76 Poverty and lack of healthcare 69 Death of a client due to illness 47 Death of a client due to accident 33 Death of a client due to unknown cause 33 Death of a client due to murder 24 From: ACS-NYU Children’s Trauma Institute

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SO, is Self Care Enough…?

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So, it turns out that….

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+

≠

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How do we fix this?

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Your Balance Map

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My Map

Simplifying Physical Health Stress relief

Understanding how I react to change Social/Emotional supports Stimulating & engaging work and hobbies “Trauma stewardship” Managing

  • ccupational

stress/resentment

Giving Back

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Take stock of stressors and self care…Warning signs

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The Warning Signs Continuum

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My Yellow Zone…

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Physical Symptoms

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Behavioural Signs and Symptoms

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How we transition…

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Behavioural Signs and Symptoms

Increased use of alcohol and drugs Anger and Irritability Avoiding clients Absenteeism Impaired ability to make decisions Problems in personal relationships Attrition Compromised care for clients Forgetfulness

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Blurred Boundaries

  • Rescuing
  • Overfunctioning
  • Intense

preoccupation with a particular case

  • Minimizing
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Psychological signs and symptoms

  • Distancing
  • Negative self image
  • Depression
  • Reduced ability to feel

sympathy and empathy

  • Cynicism &

resentment

  • Dread of working

with certain clients

  • Feeling professional

helplessness

  • Depersonalization
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Psychological signs and symptoms Con’t

  • Problems with

Intimacy

  • Intrusive

imagery

  • Heightened

anxiety or irrational fears

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Psychological signs and symptoms Con’t

  • Hypersensitivity/insensi

tivity to emotionally charged stimuli

  • Loss of hope
  • Difficulty separating

personal and professional lives

Sources: Saakvitne, Figley, Gentry, Baranowsky & Dunning (1997).

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“Grandiosity – an inflated sense of importance related to one's work”

van Dernoot Lipsky (2009) Trauma Stewardship

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Warning Sign?

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Burnout, depression and addiction continue to be taboo topics

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Stigma

John Bradford

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What works?

Feeling effective

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Are we trained to do the work that we do?

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Ted Talk: Nadine Burke Harris

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Adverse Childhood Experiences Study

From Trauma Informed Care Stakeholders Group Training Subcommittee

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“Changing the Paradigm from What Is Wrong with You To… What Happened to You?” From the www.traumainformedcare project

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Self Assessment Tool The ProQol www.proqol.org

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The ProQol www.tendacademy.ca

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The ProQol

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“Compassion Satisfaction”

(Stamm, 1999) “The pleasure you derive from being able to do your work well.”

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Post Traumatic Growth

“…positive change experienced as a result of the struggle with a major life crisis or a traumatic event.”

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“Vicarious Resilience”

Family Process, Vol. 46, No. 2, 2007

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Rewards of the work?

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Access to timely and good quality debriefing & supervision

Killian (2008)

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Debriefing and Supervision

Critical events? Day to day?

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“Hot Walk and Talk”

Dr Patricia Fisher, www.fisherandassociates.org

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Water and Stress Reduction

Drinking water lowers Cortisol levels

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Do we always need to share all the gory details?

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Low Impact Debriefing

Step One: Self Awareness

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Low Impact Debriefing

Step Two: Fair Warning

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Low Impact Debriefing

Step Three: Consent

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Low Impact Debriefing Step Four: Low Impact Disclosure

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Laura Van Dernoot Lipsky

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What works?

Cultivating Resiliency

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Mindfulness Stress Reduction

www.soundstrue.com

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Mindfulness App

Headspace.com

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Window of Tolerance Framework

Ogden et al 2006, Corrigan et al 2010

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Free iChill App

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“Mindlight”

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Margins

Financial Time Energy

Dr Karyn Gordon

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What’s draining you?

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Making a 1% change

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Your support System?

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Your Action Plan

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  • Get more training in trauma-

informed care

  • Develop and enhance your social

supports

  • Identify your warning signs
  • Develop a wellness practice and

grounding skills

  • Advocate for change
  • Decide what you can control
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Making a Plan

  • First step?
  • Further training?
  • Book to read/Resource to

purchase/Research?

  • Ted Talk?
  • Partnering-support?
  • Accountability/Follow through
  • What else?
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info@tendacademy.ca

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Compassion Fatigue Train the Trainer

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TORONTO, June 2017

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Get in touch

info@tendacademy.ca

www.tendacademy.ca