Compassion Fatigue Dara Bergel Bourassa, PhD, LSW

Slides:



Advertisements
Similar presentations
Self-Care: An Ethical Obligation for Those Who Care.
Advertisements

S OCIAL W ORK IN M ENTAL H EALTH S ETTINGS M ENDOCINO C OLLEGE HUS 170 – I NTRO TO S OCIAL W ORK P REPARED BY A LESE J ENKINS, LCSW – M ARCH 2013.
Domestic Violence Dr. Audrey Dupree-Sealey, PhD, FNP Assistant Director/ Trauma Coordinator Kings County Hospital Center.
Vicarious Trauma (VT) for Staff: Treatment for Second Order Effects that Improve Outcomes for Children and Young People in Care Romaine Moss
The Psychological Effects of Disaster. Reactions to Disaster NORMAL reactions: –Difficulty concentrating or sleeping –Mild – moderate anxiety/fear –Grief/sadness.
© Beth Hudnall Stamm, [Remove this slide, it is information for you as the presenter] Compassion Satisfaction & Compassion Fatigue.
The Impact of Trauma Teaching Resilience Through Positive Adult Relationships.
Disaster Mental Health Public Health Seattle & King County.
Chapter 5 Secondary Trauma in Military Social Work Secondary Trauma in Military Social Work.
SOAR: Mental Health Trauma Intervention Program Robert Niezgoda, MPH Taney County Health Department September 2014.
PCCYFS 2012 Annual Spring Conference Vicarious Trauma and Therapist Burnout Presented By: Jennifer Adamczyk-Abusomwan, MA, LPC Jennifer Pravlik, M.ED.,
A Response to ACEs in the Health Care Setting Ideas to Assess Trauma & Implement Trauma Informed Care.
Ameliorating the Effects of Vicarious Trauma in the Workplace Romaine Moss
YE BEVERLY DU, M.D., MPH. DONNA AMTSBERG, LCSW OCTOBER 24, 2014 Domestic Violence, Trauma and Mental Health.
COMPASSION FATIGUE AND BURNOUT IN GERIATRIC CARE MANAGERS Dr. Carolyn A. Peck, Associate Professor, Department Chair Human Services Gerontology, Interim.
Compassion Fatigue in Physicians Compassion Fatigue in Physicians: predictive and preventative processes Peter Huggard MPH MEd Senior Lecturer &
Secondary Traumatic Stress in the Workplace Dr. Kim Shackelford, LCSW Deputy Administrator Department of Human Services Division of Family and Children’s.
CARING FOR SELF Increasing positive and productive responses from helpers working with survivors of trauma.
Before we start… O One piece of paper per group O Don’t let other groups hear your answers O Give me as many words or phrases that come to your mind when.
Clinical Stories with Issues of DV: An Open Forum Talking about things that matter with people doing the work Gary Direnfeld,
Mona M. Johnson MA, CDP (360)
1 Integrative Treatment of Complex Trauma (ITCT) and Self Trauma Model for Traumatized Adolescents Cheryl Lanktree, Ph.D. and John Briere, Ph.D. MCAVIC-USC.
Vicarious Trauma In A Traumatized Society Michelle Bonds-McKinnie, LCPC Metropolitan Family Services.
Child Welfare is Not Rocket Science. It’s Harder Than Rocket Science.
Presentation Title 2 Addressing Secondary Trauma.
From: Figley, C. R. (2008). Trauma-informed Counseling: Lessons from the Field and Applications to Licensing Boards. Invited address to the American Association.
Crisis Intervention Spring Situational Crises Material or environmental Personal or physical Interpersonal or social 2.
Finding Your Resilience When dealing with Burnout, Compassion Fatigue and Vicarious Trauma.
Introduction to the Counseling Profession
Disaster and Trauma During Childhood: The Role of Clinicians Stephen J. Cozza, M.D. Professor of Psychiatry Uniformed Services University.
Posttraumatic Stress Disorder by Tom Cole Purpose: To review the condition of PTSD from a nursing perspective, to design a patient care plan using the.
Enlightener: Sahib Karim Khan Facilitator: Humair Mumtaz February 26 th 2011.
 Overview for this evening Seminar!  Anxiety Disorders (PTSD) and Acute Stress  Treatment planning for PTSD  Therapy methods for PTSD and Acute Stress.
The Ethics of Self- Care Deirdre Finney Boylan, LCSW Field Instructor Appreciation April 29, 2015 University of Maine School of Social Work.
Compassion Fatigue Presented by Melissa Danan, LMSW Center Mental Health Consultant Flint/Genesee Job Corps Center.
Compassion Fatigue Compassion Fatigue has been called an occupational hazard (Figley, 1995) for those in the helping profession. Research shows that novice.
Compassion Fatigue Prevention and Recovery Lucy Hammond MA LPC
Caregiver Compassion Fatigue Brian E. Bride, Ph.D., M.S.W., M.P.H. October 22, 2015.
313: Managing the Impact of Traumatic Stress on the Child Welfare Professional.
Causes and Treatments. An illness that affects the mind and reduces a person’s ability to: -function -adjust to change -get along with others Behaviors,
The Problem: Trauma Exposure  More than two thirds of Americans have experienced a significant traumatic event by age 16  More than one third have been.
RESISTING THE RIPPLE EFFECT UNDERSTANDING THE IMPACT OF SECONDARY TRAUMATIZATION AND THE IMPORTANCE OF SELF CARE. JANELLE VON STORCH, LPC ARKANSAS FAMILIES.
Adverse Childhood Experiences (ACEs) Study Kaiser Permanente and Center for Disease Control, 1998 The Study: 17,000, mostly white, college-educated, employed.
Vicarious Traumatization. Definition of Vicarious Traumatization Secondary traumatization is the experience of trauma- related stress caused by working.
Remember Your CDRGP Code: Please Pick Up Your Survey First letter of your middle name (if no middle name, write “z”) First letter of the month you were.
Secondary Trauma RANDY SHIVELY DAVID BERENSON. Job Description for SO Professionals  Protect victims from sexual assault  Hold sexual offenders accountable.
The Effect of an Educational and Self-Care Intervention on Compassion Fatigue Among Oncology Nurses Jeannie Wirth, RN, MSN, AOCN, CNS Cindy Hallman, RN,
1 AMEDD Center & School Soldier & Family Support Branch
1 Resiliency Strengths. 2 Manage your health Be proactive in problem-solving Increase self-strengths: self-esteem, self- confidence, and self-concept.
Surviving The Work How do we stay Engaged Tracy Harvey, MSW, RSW, Clinical Supervisor Addiction and Mental Health.
Compassion Fatigue Workshop 3 Miranda Smith. Review Group / Organizational Coping Strategies Cases Questions Survey
Depression and Suicide Chapter 4.3. Health Stats What relationship is there between risk of depression and how connected teens feel to their school? What.
Vicarious Traumatization (Compassion Fatigue) Marian De Souza, LL.B. Executive Director.
The results of working with Sexual Assault Survivors
Self Care and Burnout of Female Clinicians: Societies Impact
By Konniesha Moulton, LMFT and Kelly Sachter, LCSW
The Value of Self-care in social Work Practice
Figure 1. Traumatic events recalled from clients
Secondary Traumatization
Insecure Attachments & Female Drug Misuse
In service: Compassion Fatigue
Section III: The Nurse: Prevention of Compassion Fatigue
Secondary Traumatic Stress Among Student Affairs Staff
Psychological impact of traumatic brain injury
In service: Compassion Fatigue
Compassion Fatigue: It’s Time to Talk
Compassion Satisfaction and Compassion Fatigue
Russell (Rusty) Meadows, MSMFT, LPC, LADAC
Interventions to Attenuate the Psychological Effects of Trauma on
Presentation transcript:

Compassion Fatigue Dara Bergel Bourassa, PhD, LSW PA Behavioral Health and Aging Coalition May 21, 2013

Is this Compassion Fatigue? http://muttscomics.com/art/dailyarchive.asp June 4, 2007 The Patriot-News

What is Compassion Fatigue? Relatively new concept Also known as Secondary Traumatic Stress Disorder Many professions susceptible Natural behaviors and emotions resulting from learning about a client’s traumatizing event (Figley, 1995) The resulting stress from helping a traumatized person Traumatizing Events: Rape, neglect, abuse, domestic violence, sexual, verbal, financial abuse, natural or man-made disasters Compassion Satisfaction

Risk Factors for Compassion Fatigue

Symptoms and Effects of Compassion Fatigue 27% of professionals who work with traumatized victims experience extreme distress (Meldrum, King, & Spooner, 2002) Symptoms http://www.giftfromwithin.org/html/CFChart.htm Ethical issues May encounter disturbances in degree of empathy Ultimately jeopardizing clients Other ethical issues

Effects of Compassion Fatigue cont. Problems with coping skills More likely to engage in avoidance of client and self Decrease in sense of accomplishment Loss of confidence when working with clientele Damaged spirituality May weaken and destroy one’s faith Personal problems Within personal and professional life Emotionally withdrawn from friends, family, colleagues, & clients

Vicarious Traumatization vs. Compassion Fatigue Vicarious traumatization (McCann & Pearlman, 1999; Jenkins & Baird, 2002) Psychotherapy with sexual assault victims Accumulation over long periods of time and across many clients Involves permanent changes in the cognitive processing of the therapist Based in Constructivist Self- Development Theory Compassion Fatigue (Figley, 1995; Bell, 2003) All professions are susceptible One acute exposure to traumatic material Can be treated if caught early Focuses on PTSD symptomatology

Burnout vs. Compassion Fatigue Burnout (Maslach, 1982) Linked to stressors in the occupational environment Emerges gradually over time Easily identified Can affect any profession regardless of client group Is about being “worn out” (Stamm, 2009-2012) Compassion Fatigue (Figley, 1995) Results from listening to clients’ traumatic stories Can emerge suddenly and without warning May not be easily identified Only affects those who work with traumatized victims Is about being “afraid” (Stamm, 2009-2012)

Ways to Protect Against CF… General Self-Care Develop a “buddy system” among group members to provide constant support (Myers & Wee, 2002) Increasing exercise/activity levels and taking time for yourself (Dutton & Rubenstein, 1995; Myers, 1994) Meditation/yoga (Politsky, 2007) Importance of positive self-talk and self-encouragement (Myers, 1994) Appropriate use of humor (Moran, 2002) Refer to individual counseling if more services are needed

Self-assessment tool for Compassion Fatigue Professional Quality of Life Scale (PROQOL), Version 5 http://www.proqol.org/uploads/ProQOL_5_English_Self- Score_3-2012.pdf Created by B. Hudnall Stamm. Version 5 is copyrighted from 2009-2012. The ProQOL is free to use! A 30 item self report measure of the positive and negative aspects of caring (CF and compassion satisfaction) It is also published in many other languages Check out this web page http://www.proqol.org/ProQol_Test.html for additional languages

Any Questions??? Contact Information: Dara Bergel Bourassa, PhD, LSW dpbourassa@ship.edu 717-477-1969

References Bell, H., Kulkarni, S., & Dalton, L. (2003). Organizational prevention of vicarious trauma. Families in Society, 84(4), 463-470. Cunningham, M. (1999). The impact of sexual abuse treatment on the social work clinician. Child and Adolescent Social Work Journal, 16(4), 277-290. Cunningham, M. (2003). Impact of trauma work on social work clinicians: Empirical findings. Social Work, 48(4), 451-459. Dane, B. & Chachkes, E. (2001). The cost of caring for patients with an illness: Contagion to the social worker. Social Work in Health Care, 33(2), 31-51. Figley, C.R. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. In C.R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 1-20). New York: Brunner/Mazel. Figley, C.R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self care. Journal of Clinical Psychology, 58(11), 1433-1441. Iliffe, G. & Steed, L.G. (2000). Exploring the counselor’s experience of working with perpetrators and survivors of domestic violence. Journal of Interpersonal Violence, 15(4), 393-412.

References cont. Jenkins, S.R. & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: A validational study. Journal of Traumatic Stress, 15(5), 423-432. Jacobson, J. M. (2004). Compassion fatigue among employee assistance program counselors. Unpublished doctoral dissertation, University of Maryland at Baltimore, Baltimore, MD. Leon, A.M., Altholz, J.A.S., & Dziegielewski, S.F. (1999). Compassion fatigue: Considerations for working with the elderly. Journal of Gerontological Social Work, 32(1), 43-62. Maslach, C. (1982). Burnout: The cost of caring. Englewood Cliffs, NJ: Prentice- Hall. McCann, L.I. & Pearlman, L.A. (1999). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. In M.J. Horowitz (Ed.), Essential papers on posttraumatic stress disorder (pp. 498-517). New York: New York University Press. Meldrum, L., King, R., & Spooner, D. (2002). Secondary traumatic stress in case managers working in community mental health services. In C.R. Figley (Ed.), Treating compassion fatigue (pp. 85-106). New York: Brunner-Routledge.

References cont. Mitchell, J. T., & Everly, G. S. (1995). Critical incident stress debriefing: An operations manual for the prevention of trauma among emergency service and disaster workers (2nd ed.). Baltimore, MD: Chevron. Moran, C.C. (2002). Humor as a moderator of compassion fatigue. In C.R. Figley (Ed.), Treating compassion fatigue (pp. 139-154). New York: Brunner-Routledge. Myers, D. (1994). Disaster response and recovery: A handbook for mental health professionals. Rockville, MD: Center for Mental Health Services. Retrieved May 25, 2010 from http://www.empowermentzone.com/disaster.txt Politsky, S. (2007). Revitalizing yourself: Making time 4u. Oncology Nursing Forum, 34(2), 494.

References cont. Nelson-Gardell, D. & Harris, D. (2003). Childhood abuse history, secondary traumatic stress, and child welfare workers. Child Welfare, 82(1), 5-26. Salston, M. & Figley, C.R. (2003). Secondary traumatic stress effects of working with survivors of criminal victimization. Journal of Traumatic Stress, 16(2), 167-174. Stamm, B.H. (2009-2012). The PROQOL: Professional quality of life scale: Compassion satisfaction burnout and fatigue scale-Version V. Retrieved May 13, 2013, from http://www.proqol.org/uploads/ProQOL_5_English_Self- Score_3-2012.pdf Trippany, R.L., Kress, V.E.W., & Wilcoxon, S.A. (2004). Preventing vicarious trauma: What counselors should know when working with trauma survivors. Journal of Counseling and Development, 82, 31-37. Wee, D. & Myers, D. (2003). Compassion satisfaction, compassion fatigue, and critical incident stress management. International Journal of Emergency Mental Health, 5(1), 33-37.