Compassion Fatigue Compassion Satisfaction Burnout and Compassion Fatigue

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Compassion Fatigue Compassion Satisfaction, Burnout and Compassion Fatigue Minnesota Therapeutic Recreation Conference 2019 Sharon

Compassion Fatigue Compassion Satisfaction, Burnout and Compassion Fatigue Minnesota Therapeutic Recreation Conference 2019 Sharon Mc. Gloin, MSOD, MS, CTRS Certified Life Coach

Agreements l l l Come to the table as your authentic self. No side

Agreements l l l Come to the table as your authentic self. No side talking. Confidentiality Turn cell phones off or on vibrate. Give full attention when a colleague is sharing.

Learning from Calvin and Hobbes…

Learning from Calvin and Hobbes…

Introductions Why did you choose to attend this seminar today?

Introductions Why did you choose to attend this seminar today?

The Pro. QOL l The Professional Quality of Life Scale l 3 subscales –

The Pro. QOL l The Professional Quality of Life Scale l 3 subscales – Compassion Satisfaction – Burnout – Compassion Fatigue

Designed by l B. Hudnall Stamm, Ph. D. Institute of Rural Health Idaho State

Designed by l B. Hudnall Stamm, Ph. D. Institute of Rural Health Idaho State University www. isu. edu/~bhstamm Collaboration with Sidran Press www. sidran. org

What is Trauma?

What is Trauma?

What is trauma con’t l l Trauma is any event that overwhelms a person’s

What is trauma con’t l l Trauma is any event that overwhelms a person’s ability to cope. When a person experiences a situation that is overwhelming, the event is said to be traumatic.

The ACES Study l A STUDY OF 17, 000 EMPLOYEES OF KAISER PERMANENTE BY

The ACES Study l A STUDY OF 17, 000 EMPLOYEES OF KAISER PERMANENTE BY THE INSURANCE COMPANY AND THE CENTERS FOR DISEASE CONTROL CONDUCTED BETWEEN 1995 AND 1997 LOOKED AT THE HEALTH AND SOCIAL IMPACT OF ACE’s OVER THE LIFESPAN. IT WAS THE LARGEST STUDY OF ITS KIND EVER.

ACES Pyramid

ACES Pyramid

ACES con’t • WHILE SOME PEOPLE CAN BOUNCE BACK FROM ADVERSE CHILDHOOD EXPERIENCES, OTHERS

ACES con’t • WHILE SOME PEOPLE CAN BOUNCE BACK FROM ADVERSE CHILDHOOD EXPERIENCES, OTHERS DEVELOP NEGATIVE HEALTH BEHAVIORS. PEOPLE WITH SEVERAL TYPES OF ADVERSE CHILDHOOD EXPERIENCES WERE:

ACES con’t • • • TWICE AS LIKELY TO SMOKE; SEVEN TIMES MORE LIKELY

ACES con’t • • • TWICE AS LIKELY TO SMOKE; SEVEN TIMES MORE LIKELY TO BE ALCOHOLICS; TEN TIMES MORE LIKELY TO HAVE INJECTED STREET DRUGS; SIX TIMES MORE LIKELY TO HAVE HAD SEX BEFORE THE AGE OF 15; MORE LIKELY TO EXPERIENCE INTIMATE PARTNER VIOLENCE AND HAVE MULTIPLE SEXUAL PARTNERS; AND TWELVE TIMES AS LIKELY TO HAVE ATTEMPTED SUICIDE

What is the connection between ACES and you? l l All of us have

What is the connection between ACES and you? l l All of us have an ACES score. Whether the score is high or low, the impact of our adverse childhood experiences is directly related to life choices and outcomes as we age. The key is resilience. How resilient we are is related to how we cope with compassion fatigue and burnout.

Compassion Satisfaction l “Compassion Satisfaction is about the pleasure you derive from being able

Compassion Satisfaction l “Compassion Satisfaction is about the pleasure you derive from being able to do your work well. You may feel it is a pleasure to help others through your work.

Compassion Satisfaction con’t l You may feel positively about your colleagues or your ability

Compassion Satisfaction con’t l You may feel positively about your colleagues or your ability to contribute to the work setting or even the greater good of society. Higher scores represent a greater satisfaction related to your ability to be effective in your job. ”

Compassion Satisfaction l l Average sum of the questions is 50 25% score above

Compassion Satisfaction l l Average sum of the questions is 50 25% score above 57 and 25% score below 43 If you are in the higher range, you derive a good deal of satisfaction from your position.

Burnout l“ Burnout is associated with feelings of hopelessness and difficulties in dealing with

Burnout l“ Burnout is associated with feelings of hopelessness and difficulties in dealing with work or in doing your job effectively. These negative feelings usually have a gradual onset.

Burnout l They can reflect the feeling that your efforts make no difference, or

Burnout l They can reflect the feeling that your efforts make no difference, or they can be associated with a very high workload or a non-supportive work environment. Higher scores mean that you are at higher risk for burnout. ”

Simply stated: l Highly motivated and committed individuals lose their spirit

Simply stated: l Highly motivated and committed individuals lose their spirit

Burnout l l Average sum of the questions is 50 25% score above 57

Burnout l l Average sum of the questions is 50 25% score above 57 and 25% score below 43 If you score above 57, you may wish to think about what makes you feel you are not effective in your position.

Compassion Fatigue l “Compassion Fatigue (CF), is also called secondary trauma (STS) and related

Compassion Fatigue l “Compassion Fatigue (CF), is also called secondary trauma (STS) and related to vicarious trauma (VT), is about your work-related, secondary exposure to extremely stressful events. For example:

Compassion Fatigue con’t l You may repeatedly hear stories about the traumatic things that

Compassion Fatigue con’t l You may repeatedly hear stories about the traumatic things that happen to other people, commonly called VT. If you are exposed to others’ traumatic events as a result of your work, this is secondary exposure.

Compassion Fatigue con’t l The symptoms are usually rapid in onset and associated with

Compassion Fatigue con’t l The symptoms are usually rapid in onset and associated with a particular event. They may include being afraid, having difficulty sleeping, having images of the upsetting event pop into your mind, or avoiding things that remind you of the event. ”

Compassion Fatigue l l Average sum of the questions is 50 25% score above

Compassion Fatigue l l Average sum of the questions is 50 25% score above 57 and 25% score below 43 If your score is above 57, you may want to examine how you feel about you work and your work environment.

What’s on your plate?

What’s on your plate?

What is stress? l The body’s non-specific response to any demand placed on it,

What is stress? l The body’s non-specific response to any demand placed on it, whether that demand is pleasant or not. l Stress is your body’s physical, mental or chemical reactions to

What is stress con’t? l circumstances that frighten, excite, confuse, endanger or irritate you.

What is stress con’t? l circumstances that frighten, excite, confuse, endanger or irritate you.

What are symptoms or warning signs? l Physical-pain, sleep, teeth grinding l Emotional-anger, irritable,

What are symptoms or warning signs? l Physical-pain, sleep, teeth grinding l Emotional-anger, irritable, moody l Mental-confused, concentration l Behavioral-drinking/drugging, late to appointments, argumentative, decline in appearance

Sources of Stress, Compassion Fatigue and Burnout l People-relationships, interactions l Places-work, home, leisure,

Sources of Stress, Compassion Fatigue and Burnout l People-relationships, interactions l Places-work, home, leisure, school l Things- stuff- computers, cars etc. . . l Self- values, beliefs, attitudes, emotions, coping style (personality)

Activity l What area in your life is not working as well as you

Activity l What area in your life is not working as well as you would like?

Prevention and Management l Don’t go it alone l Listen and share your concerns

Prevention and Management l Don’t go it alone l Listen and share your concerns of and with colleagues and friends l Conduct periodic self assessments l Reduce isolation by maintaining regular supervision and network

Prevention and Management con’t l with colleagues l Take needed “mental health days” and

Prevention and Management con’t l with colleagues l Take needed “mental health days” and use stress reduction techniques l Arrange for reassignment at work l Seek professional help if needed

Physical Strategies l Physical Activity: exercise, walk, run, swim, bicycling, write/journal l Progressive relaxation:

Physical Strategies l Physical Activity: exercise, walk, run, swim, bicycling, write/journal l Progressive relaxation: tensing and relaxing of the major muscles of the body l Breathing: slow, deep breathing

Physical Strategies con’t l Good Nutrition: eat a balanced diet and not skip more

Physical Strategies con’t l Good Nutrition: eat a balanced diet and not skip more than one meal a day l Do something for someone else.

Emotional Strategies: l Support System: having a network of friends, co-workers, family, feedback and

Emotional Strategies: l Support System: having a network of friends, co-workers, family, feedback and support l Break time: removing yourself from a highly emotionally charged situation temporarily

Emotional Strategies: l Humor: the art of laughter at self and problems l Assertiveness:

Emotional Strategies: l Humor: the art of laughter at self and problems l Assertiveness: being direct about your needs, rights without blaming or threatening or infringing on the rights of others

Emotional Strategies: l Expression of feelings: discussing/describing a variation of feelings (sad, glad, mad,

Emotional Strategies: l Expression of feelings: discussing/describing a variation of feelings (sad, glad, mad, scared)

Mental Strategies: l Change your Mind: letting the mind be diverted by different thoughts

Mental Strategies: l Change your Mind: letting the mind be diverted by different thoughts l Re-labeling: the art of seeing a promise in every problem

Mental Strategies: l Whispering: the art of giving yourself positive messages when things are

Mental Strategies: l Whispering: the art of giving yourself positive messages when things are going wrong l Imagination: guided fantasy or visual imagery

Mental Strategies: l Letting Go: Why hold on to pain, anxiety or frustration, fear

Mental Strategies: l Letting Go: Why hold on to pain, anxiety or frustration, fear or anger? You can’t control anything or anyone except yourself. l Time Management: reorganize yourself. What are your priorities?

Mental Strategies con’t: l Make a PLAN and make it work. l Positive Self

Mental Strategies con’t: l Make a PLAN and make it work. l Positive Self Talk-approaching a difficult or negative situation in a self-appreciating, positive way l Brainstorming- generating ideas as solutions to a difficult problem

Options to Responding to a Problem: l SOLVE THE PROBLEM l FEEL BETTER ABOUT

Options to Responding to a Problem: l SOLVE THE PROBLEM l FEEL BETTER ABOUT THE PROBLEM l TOLERATE THE PROBLEM l STAY MISERABLE

DON’T l Blame others l Buy a new car, get a divorce or have

DON’T l Blame others l Buy a new car, get a divorce or have an affair l Fall into the habit of complaining with colleagues l Work harder and longer.

DON’T l Self-medicate l Neglect your own needs and interests

DON’T l Self-medicate l Neglect your own needs and interests

DO l Find someone to talk to. l Understand that the pain you feel

DO l Find someone to talk to. l Understand that the pain you feel is normal. l Start exercising and eating properly. l Get enough sleep.

DO l Take some time off. l Develop interests outside your field of interest.

DO l Take some time off. l Develop interests outside your field of interest. l Identify what’s important to you.

Who? l. Who is the most important person in your life?

Who? l. Who is the most important person in your life?

Take 100% Responsibility for your Life

Take 100% Responsibility for your Life

Responsibility con’t l You can’t hire other people to do your push-ups for you.

Responsibility con’t l You can’t hire other people to do your push-ups for you. Jim Rohn

Activities for Prevention and Management l Exercise l If you were to take 10%

Activities for Prevention and Management l Exercise l If you were to take 10% more responsibility for…you would…

Activities for Prevention and Management l What do you love, honor and appreciate about

Activities for Prevention and Management l What do you love, honor and appreciate about yourself?

Activities for Prevention and Management l Guided Imagery l What would you like to

Activities for Prevention and Management l Guided Imagery l What would you like to hear? l There’s a Hole in My Sidewalk l For a New Beginning l CALM App

In Closing l Questions l Information provided from the Center for Applied Behavioral Sciences-

In Closing l Questions l Information provided from the Center for Applied Behavioral Sciences- Edward G. Silverhardt, BCD, LCSW, LSCSW

Follow-Up Information Sharon Mc. Gloin, MSOD, MS, CTRS Certified Life Coach 816 -309 -8543

Follow-Up Information Sharon Mc. Gloin, MSOD, MS, CTRS Certified Life Coach 816 -309 -8543 www. experientialalternatives. com Sharon. [email protected] com Twitter-mcgloinsa Find me on Facebook and Linked In