Compassion Fatigue

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Cordelia Anderson, MA

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<ul><li> 1. Cordelia Anderson, MA www.cordeliaanderson.com Sensibillities, Inc. Cordelia@visi.com </li></ul> <p> 2. Exposure to Trauma has an impact on the most highly skilled professionals Trauma stewardship is ethical issue (Laura van Dernoot Lipsky) Occupational hazard of the work toxic stress Organizational &amp; Individual Strategies both matter Sensibillities, Inc. Cordelia@visi.com 3. No magic pill; No ONE thing There are symptoms: Pay attention to what degree - normal to feel it NORMALIZE the difficulty of the topic &amp; situation Figure out your current level of stress: Stress (helpful/good stress or at least not harmful) Over stressed (Pay attention) Burnout Dis-ease (Crispy, Crossed Over) (TOXIC) Sensibillities, Inc. Cordelia@visi.com 4. As a catalyst to do what you can about any toxic conditions Define the extent of the problem, restoration or transformation &amp; practicing prevention Important to start with yourself Sensibillities, Inc. Cordelia@visi.com 5. Cordelia@visi.com Concept of Trauma Stewardship &amp;Resource Look for more resources on traumastewardship .com 6. Issue: What is an individual vs situation/systemic problem? Sensibillities, Inc. Cordelia@visi.com 7. Most stress from organization/political/systemic issues Toxic exposure Overload from multiple sources Sensibillities, Inc. Cordelia@visi.com 8. The exhaustion of physical and psychological resources caused by excessive striving for unrealistically high expectations (Update on Human Behavior, Vol 7, No. 4, 1987) Sensibillities, Inc. Cordelia@visi.com 9. Sensibillities, Inc. Cordelia@visi.com 10. Burnout is a grief response Grief that you arent as effective as you want to be Sensibillities, Inc. Cordelia@visi.com 11. Preoccupation with work-related problems or job security * a depressed immune system * stomach problems * lack of appetite * insomnia * high blood pressure * Irritability * sadness Anxiety * chemical excuse/abuse Sensibillities, Inc. Cordelia@visi.com 12. * Overtime * Negativism * Cynicism *** * Pessimism * Hopeless is hip * If "seasoned", then cynical Sensibillities, Inc. Cordelia@visi.com 13. Burnout &amp; Secondary Trauma = Compassion fatigue (Figley) Empathy is key to induction Response is to shut down emotionally Sensibillities, Inc. Cordelia@visi.com 14. Intrusive symptoms Avoidance symptoms Arousal symptoms (Figley, 1995) Sensibillities, Inc. Cordelia@visi.com 15. Sensibillities, Inc. Cordelia@visi.com Use to need adaptive reaction thats now a maladaptive response 16. Release of powerful chemicals Only intended to be used for extreme emergencies Not intended to experience repeat life threats PTSD = constant/chronic release of brains emergency warning system Learned response to warning signs &amp; associations Reflex happens from sensory stimuli in absence of real threat Sensibillities, Inc. Cordelia@visi.com 17. Sensibillities, Inc. 2005 Cordelia@visi.com Is what is coming at me really coming from me? Lo Lo 18. 1995-1997 data collection, 17K, 1st published in 98; 2013 MN ACES Data What creates health and life success? Develop a common language about the problem, risks, protections and compassion ACES, neurobiology, stress and resilience Plan together in a new way Adversity add up &amp; creates enduring effects ACES are common, UNACCEPTABLE, the earlier exposure the more the harms, yet they Sensibillities, Inc. Cordelia@visi.com 19. Clients/Students you work with You/Other Staff Sensibillities, Inc. Cordelia@visi.com 20. Do you prioritize time/energy/relationships? (partner, friends) What is the affect/effect on intimacy? Sensibillities, Inc. Cordelia@visi.com 21. Are you suspicious of everyone? Do your children wish they had a normal parent that didnt always see/expect the worst? Are you increasingly protective? Sensibillities, Inc. Cordelia@visi.com 22. Sensibillities, Inc. Cordelia@visi.com Diminished emotional responsiveness to a negative or aversive stimulus after repeated exposure to it. -To make less sensitive -NUMB 23. Sensibillities, Inc. Cordelia@visi.com Impact of Technology 24. Be Intentional Ecological/ Strategic Personal &amp;Institutional Not a Technique but a way of life CHANGE OF HEART Sensibillities, Inc. Cordelia@visi.com 25. Exploited Child Unit Study of Impact; Proactive weekly group meetings Opportunities for private sessions Hiring assessment based on learnings Debrief at departures (Occupational Hazard) Sensibillities, Inc. Cordelia@visi.com 26. www.shiftwellness.org; Research shows the impact Innocent justice Foundation with OJJDP, ICACs and MH expert in CSA Images developed Supporting Heroes in MH Foundational Training (SHIFT) ICAC BCA MN Own Program Sensibillities, Inc. Cordelia@visi.com 27. 28 federal LE who investigate Internet CP High % of STSD (secondary traumatic stress disorder) &amp; Cynicism STSD &amp; burnout scores related to: Increased protectiveness of family Turnover intentions Reliance on co-workers (not outside of work) General distrust Sensibillities, Inc. Cordelia@visi.com 28. Cultivation of Organizational Support: Training prior to entry &amp; supplemented Attention to cohesive collegial unit (COMMUNITY MATTERS) Enhanced support network Recruitment willingness and screening (wrong reasons for willingness) Past trauma, addressed Escape other duties What fits? What doesnt? What else? Sensibillities, Inc. Cordelia@visi.com 29. Is the environment one in which the health, self- care of those who work in it is LIKELY? Why or why not? Who is responsible? What can you do? Are systems in place to help individuals/groups bounce back after harm? Are processes restorative/transformative? Is it Solution focused? Sensibillities, Inc. Cordelia@visi.com 30. To Counter Professional Negativity and Fatigue ask: What are your successes? What do you have to celebrate? (Do you mostly talk about your challenges?) Sensibillities, Inc. Cordelia@visi.com 31. Review of workplace practices and policies Do they include proactive measures at employee / volunteer health &amp; well-being &amp; organizational support for the reality of trauma? Are there reactive supports (debriefings, counseling support) Assessment upfront, proactive check-ins, exit interviews Check for signs of health: moral, tone of humor collaboration/support/creative thinking, physical wellness, mental health Sensibillities, Inc. Cordelia@visi.com 32. Sensibillities, Inc. Cordelia@visi.com Make their day Be present Choose your attitude Play &gt; Have Fun 33. Sensibillities, Inc. 2005 Cordelia@visi.com Detaching Feeling Effective On The Job Past Childhood Experiences With Bonding 34. Name It Make a plan to change Make the change Build a team Evaluate Celebrate Success Sensibillities, Inc. Cordelia@visi.com 35. SIGN: Loose our ability to be present so we do not know the harm to self or others NOTE: How do we not add to the trauma we see? Sensibillities, Inc. Cordelia@visi.com 36. Focus and Identify what you can do to feel better at the really hard times; Impact can be TRANSFORMED by layering in new positive experiences; Mindfulness, Meditation &amp; the neurobiology of trauma - studies show increased activation of frontal and pre-fontal cortical areas Sensibillities, Inc. Cordelia@visi.com 37. Sensibillities, Inc. 2005 Cordelia@visi.com Laughter is an instant vacation. Laughter: Reduces the level of stress hormones Perks up the immune system Relaxes muscles Clears the respiratory tract Increases circulation Eases perceived pain Feel good endorphins flow Laughter both stimulates and soothes 38. Sensibillities, Inc. Cordelia@visi.com 39. Sensibillities, Inc. Cordelia@visi.com We burn out because weve allowed our hearts to become so filled with loss that we have not room left to care. Grieving is a way of self-care, the antidote to professionalism. Health professionals dont cry. Unfortunately. 40. Sensibillities, Inc. Cordelia@visi.com The difference between stumbling blocks and stepping stones is how you use them ~ Source Unknown ~ 41. www.cordeliaanderson.com 42. Sensibillities, Inc. Cordelia@visi.com 43. Cordelia Anderson Cordelia@visi.com www.cordeliaanderson.com; Sensibillities, Inc. Cordelia@visi.com </p>