Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc....
Transcript of Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc....
© Françoise Mathieu 2011 1
Françoise Mathieu, M.Ed., CCC.
Compassion Fatigue Solutions Inc.
www.compassionfatigue.ca
Addressing Compassion Fatigue:
What Works?
All studies come to the same conclusions:
• Affects the most caring • % of traumatic cases on caseload: the more
traumatic the work = higher incidence of VT • Full time vs part time • Availability of social support is protective • Helper’s own trauma history • Adequate training is protective
• 98% strategies we will discuss are free • The “must be nice” phenomenon
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The Four Steps of CF Strategies
Take Stock: Track your Stress (at home and at work)
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In your Workbook:
What’s draining you?
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Take Time for Your Life Cheryl Richardson
• The Ideal Schedule • If you only had to work
10 hours a week?
Enhancing Self Care and Improving work/life balance
MAKING A COMMITMENT TO SELF-CARE
Could you protect one hour/one night or one half day per week to self-care?
Is there anything you could:
•Delegate?
•Trade your time for? (e.g. a babysitting trade, lunch making co-op? What else?)
•For 2 weeks, take note of tasks that could be delegated to someone else.
(This idea comes from Cheryl Richardson, Take time for your life, 1999)
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Self Care - What has been shown to work?
• Deceptively simple strategies • Abcs of basic self care: Sleep, rest, proper
diet, exercise, vacations • Renewal • Activities that replenish you • Working part time/life work balance • Nourishing activities every day • Debriefing process
Self Care Inventory
• Check mark: What I already do • Things I wish I did more often
Developing CF resiliency through stress reduction techniques and more training
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When working hurts: 15 hour ecourse www.compassionfatigue.ca/store
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3 New Videos
www.compassionfatigue.ca
Upcoming events
• Train the Trainer: Two day Retreat. Kingston, March 2012.
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Upcoming events
• Vicarious Trauma Conference, Los Angeles, Nov 8-9th, 2012. CII
• The Annual Compassion Fatigue Conference Kingston, June 2013. www.cfconference.com
• “Randomized trials have shown that mindfulness meditation and reflective writing (narrative work) are effective in reducing CF”
• “Self-awareness involves both a combination of self knowledge and development of dual-awareness, a stance that permits the clinician to simultaneously attend to and monitor the needs of the patient, the work environment, and his or her own subjective experience."
• " Physicians with burnout who use self-care without self-awareness may feel as though they are drowning and barely able to come up for air, whereas self-care with selfawareness is like learning to breathe underwater.”
• From: Kearney, M.K., et al Self-care of physicians caring for patients at the end of life. JAMA, March 18, 2009 - vol 301, no 11.
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Jon Kabat Zinn Part one “Stress Reduction in 6 parts” Video on Youtube
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Let’s Relax
Do Nothing for Two Minutes: www.donothingfor2minutes.com www.donothingfor2minutes.com
Consequences of overworking • Depleted parenting (“can we paint”?) • Depleted friendships & family relationships
Create or restore your social supports
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Stress at Work Develop Strategic Alliances
"the most significant factor associated with compassion satisfaction” (Killian 2008 étude d’intervenants en trauma)
The toxic workplace: The BMWs
Let’s stop blaming the helpers
• Killian: by only focusing on individual self care, we risk falling into the pitfall of blaming the helper for developing CF and VT
• "this focus implies that helping professionals who are hurting are somehow at fault - they are not balancing work and life [...]"
• Far more effective were organizational changes which offered helpers better working conditions, more control over their schedule, good quality supervision and a reduced exposure to trauma.
Killian, K.D. Helping Till it Hurts? A Multimethod Study of Compassion Fatigue, Burnout, and Self-Care in Clinicians Working With Trauma Survivors in Traumatology, Vol 14, No 2, June 2008.
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Managing workplace toxicity
• Feeling wronged & bitter: A sense of helplessness, of persecution
• “We become convinced that others are responsible for our well-being and that we lack the personal agency to transform our circumstances” Lipsky P93
Laura van Dernoot Lipsky (2009) Trauma Stewardship
Get Help Before It’s a Crisis
Making a Commitment to Change
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www.compassionfatigue.ca
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