Building Resiliency To Address Compassion Fatigue - Doris Perdomo-Johnson, M.A., LMFT
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Building Resiliency
To Address
Compassion Fatigue
Doris Perdomo-Johnson, M.A., LMFT
dperdomo-johnson@ndci.org
Disclaimer This project was supported by Grant No. 2019-DC-BX-K012 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Department of Justice’s Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the Office for Victims of Crime, and the SMART Office. Points of views or opinions in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice.
Learning Objectives: • Understand the distinction and connection between burnout, compassion fatigue, and vicarious trauma. • Understand how compassion fatigue in some professions can be more likely and, therefore, the importance to build resiliency. • Gain knowledge of how the workplace can assist in improving compassion fatigue and building resiliency. • Identify some possible barriers to self-care. • Identify at least one self-care method that you can realistically put into practice
This Photo by Unknown Author is licensed under CC BY-SA-NC
Individual trauma results from
an EVENT, series events or set of
circumstances that is EXPERIENCED
TRAUMA by an individual as physically or
emotionally harmful or threatening
the AND that has lasting adverse EFFECTS
three on the individual’s functioning and
physical, social, emotional or spiritual
E’s well-being.How does all this pertain to me?
Understanding Who is at RISK
• First responders • Crisis workers
• Medical personnel • Military personnel
• Veterinarians • Law enforcement
• Judges • Hospice workers
• Lawyers • CPS Personnel
• Social • Teachers
workers/counselors •
• HOW ABOUT YOU?Understanding Who is at RISK • Those with in the field of helping, especially newcomers • Those with a history of personal trauma • Those who interact with many people/clients/participants • Those who work long hours • Those who may have difficulty managing a healthy work-home balance • Those who are in a work environment that is not trauma-informed • Those who may keep emotions bottled up
This Photo by Unknown Author is licensed under CC BY-NC-ND
Compassion Fatigue
COMMON
RELATED Vicarious trauma
TERMINOLOGY
BurnoutCompassion Fatigue = $$$$ Cost of Caring
“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“ We have not been directly exposed to the trauma
scene, but we hear the story with such intensity, or we
hear similar stories so often, or we have the gift and
curse of extreme empathy and we suffer. We feel the
feelings of our clients. We experience their fears. We
dream their dreams. Eventually, we lose a certain
spark of optimism, humor and hope. We tire. We
aren’t sick, but we aren’t ourselves.”
- C. Figley, 1995Compassion Satisfaction We are in this field because we want to make a difference. We want to help others. It can be on an individual level or a greater scale like the community. Having compassion means we have an emotional connection with others.
Vicarious trauma The transmission of traumatic stress though observation and/or hearing others’ stories of traumatic events and results in a shift in your world view and sense of meaning, “no one can be trusted” or “the world is completely dangerous”. Second- hand trauma, (indirect trauma) through our interaction with others. -- Saakvine & Pearlman, 1996
Stages of Compassion Fatigue 1. Compassion Satisfaction 2. Compassion Satisfaction - Compassion Fatigue 3. Compassion Fatigue 4. Compassion Fatigue- Burnout 5. Burnout www.caringsafetly.org
BURNOUT Feeling overwhelmed at work Overload of responsibility Low job satisfaction Perception that there is lack of compensation Inadequate support or training
Compassion Fatigue- Signs and Symptoms
Physical Emotional Behavioral Spiritual Professional Relational Psychological
Aches Numbness Irritable Loss of faith Dread- work Isolating Concentration
Exhausted Sad or depressed Moody Loss of Diminished Decreased Easily distracted
purpose satisfaction intimacy
Digestive Hypersensitive Appetite Increased Changes- Parenting Lack of focus
problems changes hopelessness functioning changes
Sleep Fearful Forgetful Questioning Snappy with Distrusting
problems co-workers
Rapid Feelings of Nightmares Spiritual- lost Less empathy Increase in Self- doubt
Heartbeat powerlessness tensionWHAT CAN BE DONE ABOUT THIS?
Trauma-informed Approach Build on your increased awareness and understanding Use your experience in developing a self care plan
Professional Quality of Life Scale-(ProQOL) V. 5 • The ProQOL is the most widely used measure of the positive and negative aspects of helping in the world • Survey of 30 questions • The ProQOL has proven to be a valid measure of compassion satisfaction and fatigue • It has been used for over 15 years • The measure was developed with data from over 3000 people Beth Hudnall Stamm.2009. www.ProQOL.org
Professional Quality of Life Compassion Satisfaction Compassion Fatigue • The positive aspects • The negative aspects of helping of helping • “The bad stuff’ • “The good stuff” Beth Hudnall Stamm.2009. www.ProQOL.org
RESILIENCE This Photo by Unknown Author is licensed under CC BY-ND
From the top: • Acknowledge the difficulty of the work at hand • Acknowledge every person doing the work is an individual • Support and encourage employers/caregivers/helpers to take their time off/breaks/lunches • Offer opportunities for support with qualified personnel • Trauma-informed courtrooms or work environments should also have the employees in mind • Work to make supervision available and effective • Set a good example
The Balance - Setting up your ACTION PLAN
MIND BODY
EMOTIONS BEHAVIOR
nadcp.org 25Your Wellness Wheel www.nationalwellness.org
SPIRITUAL EMOTIONAL PHYSICAL MENTAL SOCIAL/ WORK
FAMILY
KEEP A KEEP A KEEP A KEEP A KEEP A USE BREAKS
HEALTHY HEALTHY HEALTHY HEALTHY HEALTHY
ROUTINE ROUTINE ROUTINE ROUTINE ROUTINE
ON-LINE SUPPORT REDUCE
PRACTICE GROUPS HEALTHY SNACKS UNPLUG FROM PLAY BOARD TRAUMA
FORGIVENESS TECHNOLOGY FOR A BIT GAMES WITH EXPOSURE
KIDS
PRAYER JOURNALING INCREASE WATER KEEP SHORT TO-DO- TIME WITH SET
TIME/ON-LINE INTAKE LISTS PETS BOUNDARIES
SERVICES
MONITOR YOUR HOBBY-
BREATHING POWER MEDICATION LEARN A NEW HOBBY ART/FISHING BREATHING
EXERCISES NAPS/RESTFUL REGIME/EFFECTS EXERCISES-
SLEEP STOP
COMPLIMENT LET YOUR EXERCISE DATE EFFECTIVE
OTHERS CREATIVITY FLOW ADD SOME NIGHT/MOVIE SUPERVISION
SPONTANEITY NIGHT
27 nadcp.orgIdentify your barriers to self care 1. 2. 3.
This Photo by Unknown Author is licensed under CC BY
Mindfulness Exercises Brief Body Scan Attention & Awareness to Your Environment Acknowedge Thoughts & Emotions S.T.O.P 30 nadcp.org
Mindfulness: S T O P
S = Stop
T = take a breath
O = Observe within you
and around you
P = Proceed with what
you are doing
31 nadcp.orgMindfulness • Benefit anyone, everyone, anywhere, anytime • Easy to accommodate time-wise • Non-religious • Is not related to repressed feelings or thoughts • Helps GROUND YOU!
If you think you are, OR you
could me, OR you might be
Important
suffering from either one of
to these
Remember
get support, seek out helpHELPERS POCKET CARD
RESOURCES • https://www.samhsa.gov/gains-center • https://store.samhsa.gov/product/tips-healthcare-professionals- coping-with-stress-compassion-fatigue-spanish-version/ • www.proqol.org • Employee Assistance Programs (EAP)
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