Managing Vicarious Autumn Roppolo, CISM Trauma - … Trauma.pdf · Autumn Roppolo, CISM ......
Transcript of Managing Vicarious Autumn Roppolo, CISM Trauma - … Trauma.pdf · Autumn Roppolo, CISM ......
Concetta Hollinger, LCSW, NCA
Autumn Roppolo, CISM
Sarasota County Sheriff ’s Office
Victim Assistance Unit
Managing
Vicarious
Trauma &
Compassion
Fatigue
• Understand core concepts of vicarious
trauma, compassion fatigue, and burnout
and their respective “symptoms”
• Learn about self-assessment tools
• Identify strategies for management and
prevention
Spiritual
Psychological
And inevitable
stress results in
fatigue and
trauma. Emotional
Physical
Compassion
Fatigue
Burnout Vicarious
Traumatization
Within compassion fatigue, you may also hear of two other terms: burnout
and vicarious traumatization. These three terms are interconnected and
there is some crossover in the symptoms you might experience. However,
you do not have to be compassion fatigued to be burnt out or vicariously
traumatized to be compassion fatigued and by contrast you could be all
three of these classifications at the same time.
Compassion satisfaction
is about the pleasure you
derive from being able to
do your work.
• Vicarious Trauma is what happens to your neurological (or cognitive), physical, psychological, emotional and spiritual health when you listen to traumatic stories day after day or respond to traumatic situations while having to control your reaction.
www.vicarioustrauma.com
Physical Work
Impact Emotional and
Reaction-
Based Relational
Habits of Daily Living
• Compassion fatigue
• Headaches
• Sleeplessness
• Increased blood pressure
• Digestion problems
• Depression
• Flashbacks of cases
• Hyper vigilance
• Stress dreams or nightmares
• Poor decision making
• Oversensitive feelings
• Desensitization/numbness
• Memory Loss
• Difficulty concentrating
• Irritability
• Anger
• Fear
• Guilt
• Low motivation
• Self-medication
Denver Center for Victims of Crime
• Gradual lessening of compassion over time • Fatigue, emotional distress, apathy, lack of sympathy,
negative attitude
• Compassion fatigue is the result of secondary traumatic stress to those in caregiving roles • it results when people in caregiving roles (professionally or
personally) endure too much “other-directed” caregiving and not enough self-directed caregiving
• When caring too much hurts
• Normal displays of chronic stress
• “Burnout”
• “Secondary Traumatic Stress”
Physical
Behavioral
Psychological
Spiritual
Organizational
• Psychological exhaustion
• Diminished efficiency
• Tiredness, loss of interest, or frustration
that interferes with job performance
• Feeling tired and drained most of the
time
• Lowered immunity, prone to illness or
feeling sick often
• Frequent headaches, back pain, muscle
aches
• Changes in appetite or sleeping habits
• Using food, drugs, or alcohol to cope
• Taking out your frustrations on others
• Skipping work, coming in late, leaving
early
• Sense of failure and self-doubt
• Feeling helpless, trapped, and defeated
• Detachment, isolation, feeling alone
• Loss of motivation
• Increasingly cynical and negative outlook
• Withdrawing from responsibilities
• Procrastination
• Decreasing satisfaction and sense of accomplishment
It is also very
normal, can be
treated, and can
be prevented.
Self assessment might be
something as simple as checking
in with yourself and
acknowledging where you are
with compassion fatigue, burn
out, vicarious trauma, or your
professional world in general.
Listening…not just hearing, but
LISTENING to what your friends
and family are telling you about
how work is impacting you or
any reactions you may be
subconsciously showing.
You might also choose to utilize
a more formal assessment
measure such as an assessment
tool. (Please see other
attachments for this training.)
How honest are you being?
• Where do the stories go?
• Were you trained for this?
• What are your particular vulnerabilities?
• How do you protect yourself from this challenging work?
Kent Kauffman, Sarasota Memorial Hospital, 2013
These are four
questions to
examine within
yourself.
Finding BALANCE is necessary in order to
SURVIVE this work and to maintain the ability to
THRIVE in it!
Awareness
Prevention
Intervention
Rest
Recreation
Relaxation
Authentic and Sustainable Self Care Begins With You:
• Be kind to yourself.
• Enhance your awareness with education.
• Accept where you are on your path at all times.
• Understand that those close to you may not be there when you need them most.
• Exchange information and feelings with people who can validate you.
• Listen to others who are suffering.
• Clarify your personal boundaries. What works for you; what doesn't.
• Express your needs verbally.
• Take positive action to change your environment.
www.compassionfatigue.org
• Compassion satisfaction is about the
pleasure you derive from being able to
do your work. • You may feel like it is a pleasure to help others through what
you do at work.
• You may feel positively about your colleagues or your ability
to contribute to the work setting
• You may feel positively about the greater good of society
through your work with people who need care.
www.compassionfatigue.org
• Books and publications by Dr. Charles Figley
• Office of Justice Programs – National Criminal
Justice Reference Service
Online Resources:
• www.compassionfatigue.org
• www.proqol.org
• www.helpguide.org (Search for “burnout”)
• www.vicarioustrauma.org
Concetta Hollinger, LCSW, NCA
Office: (941) 861-4942
Cell: (941) 587-0460
Cell: (941) 504-8599
Email: [email protected]
Autumn Roppolo, CISM
Office: (941) 861-4961
Cell: (941) 544-7235
Email: [email protected]