Support for staff when working with complex traumas and complex patients. Melissa Coates- Safe Start C/L Clinician SESAHS

We are exposed to traumatic stories via others or observe difficult interactions

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Emotional response to a cognitive event

Effective clinical work required empathy giving a part of yourself Poorly integrated interpersonal challenges vulnerabilities can impact on ability to be therapeutic

Counter transference is a term broadly applied to the personal reactions of a therapist as a result of interaction with a client in therapy. Boundary violations Rescue fantasies

Supervision Self Care

acquisition of skills and knowledge reflective practice development of professionalism confidence and competence in clinical practice professional growth and development

Working to increase clinician reflective capacity at the same time as the clinician is working to increase the parents’

Bigger Stronger Wiser Kind ( C of S)

Process difficult emotions Resistance Boundaries

 “Hands-on” supervision — when the supervisor is directly involved in monitoring or helping the supervised clinician as he/she performs tasks.  “Hands-off” supervision — when the supervisor trusts the supervised clinician to act independently, leaving space for the supervisee to deploy emerging skills and test growing clinical abilities. However, “hands-off” supervision is not the absence of supervision!

Self monitoring and reflection on comparative work performance ie: is my work deteriorating or am I happy with my performance? Put preferred self-care strategies into place on a regular basis, incorporating a tolerable work/life balance Utilize time off Work through traumatic memories- from current or past experiences- with personal support or professional intervention Provide feedback to line managers regarding concerns for ourselves or colleagues Isolation is unhelpful, connection is important © Australian Childhood Foundation, 2007