Child Protection Summit 2016

Christy Parker, MA, CFE

Sherry Todd, PhD, LPC, ATR-BC, CTS

Alexandra Noel, MA, CADC, MAC

Definitions

Discuss Signs and Symptoms of Compassion Fatigue

Explore Self- Tests

Complete ProQoL

Recovery and Prevention

Self-Care Planning

Overview

Stress

Burnout

Compassion Fatigue

Definitions

A response characterized by physical and

psychological arousal arising as a direct result of an exposure to any demand

or pressure on a living

organism

Good and Bad Stress

“The absence of

stress is…”

- (Selye)

Stress

The stress response is activated by our perception of

events

Our ability to change our interpretation of stressful events is a key to stress resilience!

Drew Lynch

Perception

A state of extreme dissatisfaction

with one’s work (boss, work load,

not enough support, etc.)

Cumulative

Relatively predictable

Manifests in a variety of ways:

Depressive, Avoidant, Irritable

Rooted in Stress

Burnout

Burnout is not the same as Stress

Stress can lead to burnout

Stress is about TOO MUCH

Burnout is about NOT ENOUGH

Inability to care

Feeling empty

Devoid of motivation

Burnout

“Compassion Fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper.”

Dr. Charles Figley

Does this sound familiar?

Compassion Fatigue

“Helping” professions are most vulnerable

Cumulative in nature

Forgetting why you wanted to help in the first place

“Well is dry”

Like burnout – too drained

Differs from burnout – impacted by kind of work, specific clients; tension and preoccupation with client’s experiences;

Compassion Fatigue

The Cost of Caring (Figley, 1995)

“Sometimes we feel we are losing ours

sense of self to those we serve.”

Compassion Fatigue

Tension and preoccupation with client’s experiences;

manifested in one or more of the following:

Re-experiencing our client’s traumas, not being able to “let go”

Avoidance or numbing of reminders

Persistent arousal or hyper-alertness

(Symptoms are same as Post Traumatic Stress)

Compassion Fatigue

ACTIVITY:

You have been given a notecard.

List 3 ways your job has negatively impacted you

Think about changes emotionally, physically, relationally, etc

Specific Symptoms

COGNITIVE

Intrusive thoughts/images

Lowered concentration

Rigidity

Disorientation

CF Symptoms

EMOTIONAL

Guilt

Sadness

Powerlessness

Diminished sense of purpose

Numbness/apathy

Helplessness

Hopelessness

Diminished sense of safety

CF Symptoms

BEHAVIORAL

Avoiding certain clients/populations

Pulling away from social functions

Change in routine(s)

Decrease in usual activity

CF Symptoms

PHYSICAL

Lower energy

Lower productivity

Change in activity

Sleep/Eat disturbances

Medical problems

Blood pressure/hypertension

Racing heart

CF Symptoms

RELATIONAL

Distancing from support network

Distancing from family/friends

Change in significant relationships

Claudia Robs a Bank

CF Symptoms

WORK PERFORMANCE

Task avoidance

Low morale

Sense of having no purpose

Sense of not being effective

CF Symptoms

Life Stress Test

Compassion Fatigue Self-Test

Ego Resilience Scale

14-Item Resilience Scale

Secondary Traumatic Stress Scale

Interpersonal Reactivity Index

ProQoL

Self- Tests

This is a very serious scientific test

Please pay close attention

Focus on the screen

Rapid Stress Test

Each of you should have a copy of the ProQoL

Please take some time to complete it

And then score it

ProQoL

Self-Awareness

Stress Management

Building Resilience

Wellness Plan

Recovery & Prevention

Know yourself!

Ask your:

family

friends

colleagues

Self-assessments

Self- Tests

Various Apps

Self-Awareness

Provider Resilience

Psychological First Aid Mobile

Stress First Aid Mobile

Apps

Shaken Parent Syndrome

Laughing gas instead of mace

Valium saltlicks

Punching Therapy

Just kidding!!

Stress Management

Breathing

Meditation Guided Meditation

Mindfulness

Laughter

Progressive Relaxation

Emotional Freedom Technique

Exercise

Balance!!!

Stress Management

Breathing in naturally increases heart-rate; Exhaling

naturally decreases heart-rate

Consciously breathing

Example: Combat Breathing

Counts of 4 for Inhale, Hold, Exhale, Hold for 4 cycles

Breathing

Guided Meditation

“Meditation with the help of a guide.”

-The Guided Meditation Site

Mindfulness Meditation

“…helps to focus on the real present and develop concentration.”

-Meditation Guidance

Meditation

Bubbles

Paper

Animals

Eat a Snickers

Laughter

Previous generations laughed 20 minutes / day

Now the average is down to

5 minutes/day

Gentle exercise

Fills the lungs with oxygen

Clears breathing passages

Movement exercises the lungs

It’s contagious

Laughter yoga…a real thing!

Laughter

“Progressive relaxation is based on a fact that complete physical relaxation is the absence of tension.”

- www.stress-relief-tools.com

Progressive Relaxation

Emotional Freedom

Technique

www.emofree.com

EFT

Principles

Intensity

Duration

20-30 minutes/session

Frequency

3-4 times/week

Aerobic vs Anaerobic

Exercise

Balance!

Career

Physical

Emotional

Social

Spiritual

Other

Family

Mental

Financial

Qualities of Resilient People

Optimism, Faith

Integrity

Social support

Foster group identity and cohesion

Perseverance

Responsibility

Building Resilience

From National Council for Behavioral Health

Building Resilience

Personal

Exercise

Maintaining medical appointments

Adequate rest

Creative projects

socializing

Exposure to the arts/performance

Spa/wellness treatment

Healthy eating

Hobbies

From National Council for Behavioral Health

Professional

Pursuing professional development opportunities

Taking a real lunch break (away from your desk!)

Maintaining regular supervision meetings

Arranging group lunches or other meetings with coworkers

Building Resilience

From National Council for Behavioral Health

Organizational

Attending regular staff and supervision meetings

Developing a team effort

Facilitating recognition of achievements and/or expressing appreciation

Involvement in organizational wellness policy development

Personalization of office space or work area

Building Resilience

From National Council for Behavioral Health

Community

Attendance at religious or spiritual services

Involvement in community effort such as a community clean up day

Neighborhood gatherings

Involvement in a chosen political activity or cause, such as writing a legislator or attending a rally

Building Resilience

From National Council for Behavioral Health

Self-Regulation Identify ways you can relax your body and combat stress

reactions

Intentionality- list specific situations you need to employ self-regulation techniques

Perceptual Maturation Shifting how you perceive tasks/situations

Connection/Support List and Employ specific people to help support you and

hold you accountable

Self-Care List specific ways of self-care and when to employ them

Wellness Plan

Questions?

Websites with specific information related to

Compassion Fatigue

http://www.giftfromwithin.org/html/What-is-Compassion-Fatigue-Dr-Charles-Figley.html This site has resources for Survivors and Caregivers to include information on Compassion Fatigue, Addiction, PTSD, etc.

http://www.compassionfatigue.org/ This site has specific links to the Self-Tests ProQol, Compassion Fatigue, and Life Stress

CF Toolkit:

Specific Stress Relieving Techniques:

Emotional Freedom Technique- for more information and access to free training, go to www.emofree.com or you can view this sample video on You Tube EFT video- https://www.youtube.com/watch?v=1wG2FA4vfLQ

Stress relief tools- This site has information on stress as well as some resources on various stress relieve techniques including breathing techniques, progressive relaxation, yoga, etc. http://www.stress-relief-tools.com

CF Toolkit:

Specific Stress Relieving Techniques, Meditation: The Guided Meditation Site- this site has some guided

meditations you can download http://www.the-guided-meditation-site.com/ There are also lots of free demonstrations on You Tube of varying lengths of time and different scenes to focus on

Meditation Guidance site- this site has information specifically on types of meditation but also offers some simple meditation tracks that simply mark time http://www.meditationguidance.com/ There are also lots of free demonstrations on You Tube

CF Toolkit:

Information for additional Self – Tests

Ego Resilience Scale, 14-Item Resilience Scale, and Secondary Traumatic Stress Scale can all be found here: http://ja.cuyahogacounty.us/pdf_ja/en-us/defendingchildhood/drcharlesfigley-scoring-scalesheets.pdf

Interpersonal Reactivity Index- http://fetzer.org/sites/default/files/images/stories/pdf/selfmeasures/EMPATHY-InterpersonalReactivityIndex.pdf

CF Toolkit

Wellness planning: This is a short instructional page with tips on things to consider when

making a wellness plan http://www.wikihow.com/Create-a-Wellness-Plan

This is a link through National Alliance on Mental Illness (NAMI). It gives much more detailed descriptions about different areas to consider when formulating a wellness plan. While it is geared to individuals and their family members regarding more serious mental illness, the sections talking about triggers and self-care are worth considering! http://www.namihelps.org/Crisis-Booklet-Adults.pdf

Simpler description/plan http://www.livestrong.com/article/297582-how-to-start-a-personal-wellness-program/

CF Toolkit