Vicarious Trauma (VT) for Staff: Treatment for Second Order Effects that Improve Outcomes for Children and Young People in Care Romaine Moss

Slides:



Advertisements
Similar presentations
Unit 7: Objectives 1.Describe the disaster and post-disaster emotional environment. 2.Describe the steps that rescuers can take to relieve their own stress.
Advertisements

LIFE, LEARNING AND ACHIEVEMENT
Working for mental health MENTAL HEALTH COORDINATING COUNCIL.
Guernsey Mind Guernsey Mental Health and Wellbeing Strategy
Leading Your Organization in the Aftermath of a Crisis Bob VandePol SOMEONE VALUEOPTOINS.
CSE/ Trafficking Safe Accommodation Fostering Provision Rachel Maloney Jane Coppock.
Kinship Care – Client Complexity Preliminary Research Findings ACWA Presenters: Marita Scott & Lynne McCrae.
Chapter Sixteen: Human Services Workers in Crisis: Burnout, Vicarious Traumatization, and Compassion Fatigue.
Visual 7.1 Unit Objectives Describe the disaster and post-disaster emotional environment. Describe the steps that rescuers can take to relieve their own.
Unit 7: Disaster Psychology
Chapter 5 Secondary Trauma in Military Social Work Secondary Trauma in Military Social Work.
PCCYFS 2012 Annual Spring Conference Vicarious Trauma and Therapist Burnout Presented By: Jennifer Adamczyk-Abusomwan, MA, LPC Jennifer Pravlik, M.ED.,
Ameliorating the Effects of Vicarious Trauma in the Workplace Romaine Moss
VICARIOUS TRAUMA WHEN COMPASSION OVERWHELMS THE HELPER.
Compassion Fatigue in Physicians Compassion Fatigue in Physicians: predictive and preventative processes Peter Huggard MPH MEd Senior Lecturer &
Bridgeport Safe Start Initiative Update Meeting September 23, 2004 Bridgeport Holiday Inn.
Secondary Traumatic Stress in the Workplace Dr. Kim Shackelford, LCSW Deputy Administrator Department of Human Services Division of Family and Children’s.
5 Tips for Trauma Advocates: Avoiding Burnout Presented by Meleny Thomas.
Intervention with the Elderly Chapter 8. Background The elderly population is growing in industrialized countries. This is due to: – Improved medical.
Clinical Stories with Issues of DV: An Open Forum Talking about things that matter with people doing the work Gary Direnfeld,
© 2006 CDHS College Relations Group Buffalo State College/SUNY at Buffalo Research Foundation Vicarious and Secondary Trauma and Burnout in Foster Parents:
Mona M. Johnson MA, CDP (360)
Trauma Informed Care Assisted Living Facility Limited Mental Health Training.
Monitoring the Psychological Health of Employees and Conditions at the Workplace Michael Tunnecliffe (Clinical Psychologist)
1 Maximizing Participant Interactions: “Transference” Revealed Welcome Paul Warren, LMSW NDRI, Inc., The Training Institute.
Presentation Title 2 Addressing Secondary Trauma.
Compassion Fatigue: Caring for Professional Caregivers.
Enlightener: Sahib Karim Khan Facilitator: Humair Mumtaz February 26 th 2011.
Strategies for Supporting Young Children Experiencing Homelessness in the Early Childhood Classroom.
Managing Vicarious Trauma Presented by Penny Gordon.
Vicarious Traumatisation What is it? September 2014.
SESSION 5 Working with Refugee Children & Young People Refugee children on the Thai Burma Border.
Self-Care Carlos Torres, MPA August 5, 2015 Austin, TX Welcome!
Respect aging Section 2: PREVENTION Module 12: Self-care for violence prevention helpers Violence Prevention Initiative Respect Aging: Preventing Violence.
Intensive Therapeutic Service A joint initiative by: Berry Street Victoria & the Austin CAMHS In partnership with La Trobe University Faculty of Health.
SALUS RETURN TO WORK SERVICES Nancy Watson Senior Case Manager Salus – NHS Lanarkshire.
The Importance of Addressing the Affective Domain in Child Welfare Training Maureen Braun Scalera MSW, LCSW NSDTA Presentation
 Overview for this evening Seminar!  Anxiety Disorders (PTSD) and Acute Stress  Treatment planning for PTSD  Therapy methods for PTSD and Acute Stress.
Therapeutic Under 13s Program.  In Impact had an increased number of referrals for males under 13 years of age  Presenting behaviours were.
Amy Levin Foundations of Mental Health Counseling Pace University Spring 2010.
Compassion Fatigue Compassion Fatigue has been called an occupational hazard (Figley, 1995) for those in the helping profession. Research shows that novice.
Visual 7.1 Unit 7 – Disaster Psychology. Visual 7.2 Unit Objectives 1.Describe the disaster and post-disaster emotional environment. 2.Describe the steps.
Caregiver Compassion Fatigue Brian E. Bride, Ph.D., M.S.W., M.P.H. October 22, 2015.
MDCH Children’s Trauma Initiative
Name of presentation Improving health in Greenwich: Linking integrated health & social care with primary care.
Children's rights as Victims of Crime Mandy Young, Director Chris Griffiths, Charter Coordinator.
Vicarious Traumatization. Definition of Vicarious Traumatization Secondary traumatization is the experience of trauma- related stress caused by working.
21/06/20161 Department for Children Schools and Families £60 million investment across 3 phases. Aim:  to support the development of innovative.
Vicarious Traumatization (Compassion Fatigue) Marian De Souza, LL.B. Executive Director.
Stronger FamiliesPhase /15 Phase /20 Stronger Families Programme DCLG Troubled Families Programme Identifying, tracking and supporting.
The results of working with Sexual Assault Survivors
Lesson 30 Working with Trauma
Operationalizing Self-Care Strategies
Emergency Service Chaplaincy
Compassion Satisfaction
IRIS – IDENTIFICATION AND REFERRAL TO IMPROVE SAFETY
IRIS – IDENTIFICATION AND REFERRAL TO IMPROVE SAFETY Addressing the health and wellbeing of victims and survivors of domestic abuse and violence Presenter:
Figure 1. Traumatic events recalled from clients
Vicarious Trauma Looking After Ourselves
Resilience: The Science of Hope | 2018 Ann Gaasch, Executive Director
Psychological impact of traumatic brain injury
Vicarious Trauma & Compassion Fatigue
Unit Objectives Describe the disaster and post-disaster emotional environment. Describe the steps that rescuers can take to relieve their own stress and.
CERT Basic Training Unit 7
CERT Basic Training Unit 7
TRAUMA-REDUCTION INTERVENTIONS FOR ADOLESCENTS
Disaster Site Worker Safety
generating signals of safety
Interventions to Attenuate the Psychological Effects of Trauma on
Presentation transcript:

Vicarious Trauma (VT) for Staff: Treatment for Second Order Effects that Improve Outcomes for Children and Young People in Care Romaine Moss

Our Out of Home Care Service Category 6 Intensive Support Service 6 residential care houses -accommodate up to 4 young people (10-18 years) 70 residential care workers – permanent & casual 24/7 rostered Residential Care Workers Staff range in age, educational and employment backgrounds

Background High turnover – loss of knowledge & consistency High number of incident reports Complex and costly workers compensation claims Disempowered Staff – unconsciously identifying as victims

Elements of VT Burnout - long-term exhaustion & diminished interest Secondary Traumatic Stress – similar symptoms to PTSD Compassion Fatigue – gradual lessening of compassion Vicarious Trauma – “The effects of hearing about or witnessing the aftermath of traumatic events” Often suffered in helping professionals where workers are required to take part in empathic interaction with trauma survivors (Pearlman & Saakvitne, 1995)

Vicarious Trauma Detrimental Effects Secondary Traumatic Cognitive Changes Stress Re-experiencing Frame of Reference changes Avoidance Self Capacities Hyper arousal Disruption to psych needs

Pearlman’s ABC Model of Managing VT Awareness of the effects of VT Balance of work and life Connection with people and community

Essential Components of our VT Management Program 1. Education 2. Risk reduction strategies 3. Monitoring for VT symptoms 4. Early Intervention of VT symptoms 5. Promoting longer term wellbeing Aim to retain staff in better psychological health to improve outcomes for Young People in care

1. Education Acknowledge that VT is inevitable in this work Understand the construct of VT Recognise the symptoms of VT Strategies to manage VT 1

2. Risk Reduction Strategies – Leaving work at work Risk Reduction strategies that Reduce exposure to trauma content by building capacity for individual to “leave work at work” Physical & psychological rituals Flexible work arrangements

3. Monitoring for Symptoms Critical incident monitoring VT Testing – Biannual 1. Compassion Fatigue Self Test for Practitioners (CFST – Figley 1995) Scores for risk of Compassion Fatigue & Burnout 2. Trauma Attachment Belief Scale (TABS – Pearlman 2003) Scores for cognitive schemas about self & others 10 subscales – (Safety, trust, esteem, intimacy & control) x (self or others) 1

4. Early Intervention of Symptoms Supervision Defusing/debriefing following critical incidents Employee Assistance Program (EAP) VT Intervention Support Line

5. Promoting Wellness - Self Care Self Care strategies that: Address the individual’s VT profile - target symptoms most experienced or most severely. Actively oppose the results of VT – attempt to offset symptoms & reduce problematic impacts on the worker Funded and non funded

Research Project (2013 – 2015) Methodology Combined quantitative and qualitative methods/2 phases Phase 1: Comparative analysis of VT testing (2 x biannual tests – CFST & TABS) 12 month qualitative survey (closed & open ended questions) 12 month analysis turnover, sick leave & worker’s compensation data. Phase 2: Repeat above analysis in 12 months Evaluation of tailored individual self care plans and VT Intervention Support Line Analysis of Incident report data

Phase 1 - Qualitative Survey results ( ) Supervisors n= 6 & Residential Care Workers n=38 70% engaged in funded & 87% engaged in non funded self care 58% positive impact on team, 52% positive impact on house “by constantly discussing at supervision I am able to talk about things before they get worse” “its positive because workers feel more taken care of..” Being more relaxed at work provides a sense of calm to the children”

Phase 1 - Cognitive Test Results No difference in change in VT levels (n = 34) TABS – average to low average range, slight downward trend but not significant CFST - population at high risk for experiencing secondary traumatic stress symptoms Phase 1 - Organisational bottom line 24 % drop in turnover, 23% drop in sick leave, 48% drop in workers compensation leave

Initial Recommendations to Manage VT Acknowledge the risks – build a culture of inevitability Reduce the risk – Professional development, supervision & shift handover Early Intervention – debriefing, VT Support, EAP. Monitor Symptoms – direct & indirect monitoring Build Resilience – individual nature of VT, tailored self care

Quotes: “Becoming a Therapist: When trying to help a broken person always remember that you will be hurt by their shattered pieces and that is okay.” (Cornercanyoncounselling.com) “In dealing with those who are undergoing great suffering, if you feel “burnout” setting in, if you feel demoralised and exhausted, it is best, for the sake of everyone, to withdraw and restore yourself. The point is to have a long term perspective” Dalai Lama

Thank You... I would like to acknowledge the work & dedication of Michael Cashin (OOHC Manager), our 6 house coordinators & staff for the amazing work that they do. I would like to thank the following organisations for their support of our program. Catholic Social Services Australia (CSSA) Rape and Domestic Violence Services Australia Contact details: Romaine Moss