Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice...

58
Developing Healthier Work Environments Addressing Burnout and Secondary Trauma in Treatment Courts Travis Bosanac, BA Carmen Bivins, BS

Transcript of Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice...

Page 1: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Developing

Healthier Work

EnvironmentsAddressing Burnout and

Secondary Trauma in

Treatment CourtsTravis Bosanac, BA

Carmen Bivins, BS

Page 2: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion
Page 3: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion
Page 4: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Objectives

Understand the concept of compassion fatigue and the affect on those in helping professions

Assessment of compassion fatigue in a criminal justice setting

Ability to utilize assessments to address compassion fatigue

Practical application of assessment analysis

Page 5: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Common Symptoms

Exhaustion

Insomnia

Headaches

Irritability

Avoidance

Depression

Reduction in ability

to feel empathy

Resentment

Page 6: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

VIDEO Clip

Page 7: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

VIDEO Clip

Page 8: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Why Should We Address

Compassion Fatigue?

Page 9: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Commonly Associated Health Care Providers

Teachers

Police Officers

Firefighters

Disaster Responders

Page 10: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Criminal Justice

Compassion Fatigue

Under Studied

Highly Impacted

Page 11: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Compassion

Satisfaction/Compassion

Fatigue Model

Page 12: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

CS-CF Model

Burnout

Page 13: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion
Page 14: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

CS-CF Model

BurnoutSecondary Traumatic

Stress

Page 15: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

CS-CF Model

Compassion Fatigue

BurnoutSecondary Traumatic

Stress

Page 16: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Compassion Fatigue:

The 2 Causes

Burnout

Work-related

hopelessness

Feelings of

inefficacy

Feeling Worn-Out

Secondary Traumatic Stress

Work-related

secondary

exposure to

traumatic events

Feeling Frightened

or Traumatized

Page 17: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

CS-CF Model

Compassion Satisfaction

Compassion Fatigue

BurnoutSecondary Traumatic

Stress

Page 18: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

CS-CF Model

Professional Quality of Life

Compassion Satisfaction

Compassion Fatigue

BurnoutSecondary Traumatic

Stress

Page 19: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Looking Deeper into

Professional Quality of Life

Professional Quality of Life

Work Environment

Client Environment

Personal Environment

Page 20: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Risk Factors (internal) Personal history of trauma

Amount of exposure to traumatic material

Level of empathy

Inexperience working with trauma

Countertransference

Page 21: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Contributing Factors (external) Role conflict

Role ambiguity

Role overload

Perceived dangerousness of job

Contact time with offenders

Lack of input in decision making

Page 22: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Impact on the Individual

Physical

Unable to sleep

Poor self-care

Psychological

Bottled emotions

Isolating oneself

Extreme cynicism

Difficulty concentrating

Page 23: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Impact on the Organization Short Term

Increase in absenteeism

Diminishing coworker relationships

Aggressive actions

Long Term

High turn-over/high cost

Negative thoughts on change and improvement

Lack of vision for future

Page 24: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

How Do We Begin

Addressing Compassion

Fatigue?

Page 25: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

•Develop a plan

Plan

Page 26: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Back to the Basics

Who?

What?

When?

Where?

Why?

How?

Page 27: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

What and Why?

Our goal

Assess Compassion Fatigue in the

workplace

Management Directive

Executive Vice President

Director of Org Development

Page 28: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Who?

Entire Staff – Broken down by the following demographic variables

Gender

Age

Race

Level of Education

Level of Experience

Geographic Location

Job Function

Page 29: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Where and When?

Our entire agency

Over 700 employees

2 weeks

Allowing a longer time frame gave staff

more flexibility in completing the survey.

Page 30: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

How?

Professional Quality of Life (ProQOL)

Assesses 3 major components to address our goal

Compassion Satisfaction

Burnout

Secondary Traumatic Stress

Ways for staff to take assessment

Online platform

Paper assessments

~200 Staff members without email

Page 31: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

• Make notes on progress

Plan

Do

Page 32: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Do: Electronic Survey Created

Paper OMR Survey Created

Staff with email received a link

Paper Surveys sent to Program Management

Management staff was sent an email to make them aware of the necessity for us to receive paper surveys back

Page 33: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Running the Assessment

If you plan well, doing should be easy

Follow the steps you created in your plan

Track your progress

Page 34: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion
Page 35: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Evaluate

• Evaluate to see what is working

Plan

DoEvaluate

Page 36: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Analyzing Your Data

What was your goal?

Assessing individuals

Assessing the organization

Look Small – Think Big

Use your demographics

Don’t miss the big picture

Page 37: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

80th

58th

58th

0 100

STS

Burnout

CS

Oriana House, Inc. Percentiles

Page 38: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

North Central Ohio Facilities responded

having far less STS and Burnout

81st

58th

59th

82nd

60th

56th

72nd

52nd

57th

0 100

STS

Burnout

CSNC (n=55)

Cuyahoga (n=140)

Summit (n=186)

Page 39: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Caseworkers responded as having the most STS

and Burnout among 3 major position groups

76th

53rd

62nd

87th

76th

40th

83rd

57th

71st

0 100

STS

Burnout

CSTreatment (n=52)

Caseworker (n=47)

Resident Supervisor

(n=77)

Page 40: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Individuals that have been with Oriana House for

under 2 years reported low burnout by comparison

81st

60th

54th

81st

61st

56th

77th

46th

69th

0 100

STS

Burnout

CS

0-1 Year

2-4 Years

5+ Years

Page 41: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Evaluate

• Act upon those results

Act Plan

DoEvaluate

Page 42: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Now That You Know What

The Data Says, What Can

You Do With It?

Page 43: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Presenting Data

Know your audience

KIS(S)

5 Second Rule

1:1:1 Rule

Page 44: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Presenting Our Data

Presented the information to middle Management and Executive Staff

Created a concise report with the results for each demographic

Created a second report with more aggregated data to not single out certain job functions

Page 45: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Actions We Took Specialized trainings on Compassion Fatigue

Dr. Sandra Selby

Posted articles on Compassion Fatigue for training credit

Began a Culture Change Initiative at our organization

Agency Wellness Committee actively engaging employees

Running2bWell

Increased employee incentives

Page 46: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Organizational Culture

OCAI Culture Profile done in facilities

Picture:

Where we are at now

Where we want to go

Culture types Include:

Clan

Hierarchical

Market

Adhocracy

Page 47: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Organization Assessment

Actions

Three teams based on assessment results

Communications

Staff Empowerment

Policy and Rule Enforcement

Engaged employees in creating bottom

up improvements to the facility

Page 48: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Takeaways

Our Results Came with Drawbacks

ProQOL is for ALL helping professions

This year we are able to compare our

results to our previous performance

All Staff participated

We separated staff

Residential vs Non Residential vs NA

Page 49: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Follow-Up Survey Results Initial Survey had 381 responses

Follow up only contained 273

All online

All questions must be answered

Major Changes in Demographics

140 respondents from Cuyahoga County

dropped to 28

Resident Supervisor Response rate dropped

by just over 50%

Page 50: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

83rd

69th

46th

0 100

STS

Burnout

CS

Percentile Rankings for OHI vs ProQOL Database December 2017

Page 51: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Resident Supervisor Comparison

89th

75th

36th

76th

53rd

62nd

0 100

STS

Burnout

CS Resident Supervisor Feb

2017

Resident Supervisor Dec

2017

Page 52: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Caseworker Staff Comparison

89th

78th

28th

87th

76th

40th

0 100

STS

Burnout

CS Caseworker Feb 2017

Caseworker Dec 2017

Page 53: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Treatment Staff Comparison

86th

69th

49th

83rd

57th

71st

0 100

STS

Burnout

CSTreatment Feb 2017

Treatment Dec 2017

Page 54: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Lessons Learned

Methods of distributing the ProQOL

Sent to each facility for line staff

Online survey for staff with access

Making it more beneficial to the individual

Time point 1 was strictly for organization

Time point 2 staff have the option to

receive their results

Page 55: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Other Ways to Address Compassion

Fatigue in Your Organization

Structural change

Changing job functions

Technical change

Adjusting systems

Behavioral change

Emotional Intelligence

Page 56: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Emotional Intelligence

The Power Of Empathy

Increases Compassion Satisfaction

Decreases Compassion Fatigue

Self-Awareness

Understanding when your are experiencing

Burnout and STS

Wagaman et al., 2015

Page 57: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Replicate our Study

ProQOL is Free!

Page 58: Developing Healthier Work Environments · Assessment of compassion fatigue in a criminal justice setting ... CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion

Thank You!

Carmen Bivins

[email protected]

(330) 996-2225 ext. 3008

Travis Bosanac

[email protected]

330-535-8116 ext. 4815

Rev. Sandra Selby, D.Min., MBA

[email protected]

330-310-5459