1. Compassion Fatigue INFORMATION ADAPTED FROM KRISTEN RECTOR’S PRESENTATION, NATIONAL RESOURCE CENTER FOR ADOPTION AND SPAULDING FOR CHILDREN This project is funded through a contract with the Tennessee Department of Human Services; Tennessee Department of Health, Division of Family Health and Wellness, and Signal Centers, Inc.

2. Definition of Compassion Fatigue. Feelings of physical, emotional and spiritual exhaustion How it causes a decline in a person’s ability to experience joy or to feel and care for others Terms synonymous with Compassion Fatigue. What prolonged occurrence of the natural behaviors and emotions can cause A one-way street to hopelessness Preventable (Figley, 1995; Friedman, 2002)

3. After Work

4. The Next Morning……

5. Then the work day……

6. IT IS THIS CONSTANT OUTPUTTING OF COMPASSION AND CARING OVER TIME THAT CAN LEAD TO THESE FEELINGS OF TOTAL EXHAUSTION. Compassion Fatigue

7. Vicarious Trauma

8. Compassion Fatigue VS. Burnout "WE BURN OUT NOT BECAUSE WE DON’T CARE BUT BECAUSE WE DON’T GRIEVE. WE BURN OUT BECAUSE WE’VE ALLOWED OUR HEARTS TO BECOME SO FILLED WITH LOSS THAT WE HAVE NO ROOM LEFT TO CARE." - RACHEL REMEN

10. TIME IS THE ENEMY

12. WE FORGET TO PUT OUR OXYGEN MASK ON SO THAT WE CAN SAVE OTHERS!

13. Who is at risk? Health care and mental health care professionals. Clergymen. Professionals in child care and child welfare practitioners. Any caregiver. People within their personal lives.

14. Causes of Compassion Fatigue  VARIETY OF SOURCES  CAN AFFECT ANY PERSON GIVING CARE PROFESSIONALLY OR PERSONALLY  STRESS  PREVENTABLE! (Figley, 1995; Friedman, 2002)

15. Compassion Fatigue Questionnaire http://www.tapartnership.org/docs/presentations/JMATE2008/compassionFatiqueSe lfTest.pdf Florida State University Psychosocial Stress Research Program/Traumatology Institute.

16. Noticeable Behaviors of Compassion Fatigue in Colleagues What physical, biological, psychological, or social behaviors would you see in a colleague or yourself experiencing compassion fatigue?

17. Other Symptoms of Compassion Fatigue

18. How to Decrease Your Vulnerability to Compassion Fatigue

19. Coping Styles Avoidance Style- rather than experiencing the emotions of the moment during a stressful event, these people go into task mode and start trying to figure out what to do, how to solve the problem. Ruminative Style- these are the people who feel the emotions of the event in the moment and then continue to ruminate one the event after it is over. Hypervigilant Style- This style goes into fight or flight mode, quickly processing all the information and then making a decision.

20. Avoidance Style Tend to be problem solvers Are often hit with the emotion of the event hours or even days later when they allow themselves to “feel” HOW YOU RECHARGE If you are this coping style you need to incorporate regular down time, free of work where you can process through your feelings.

21. Ruminative Style Tend to be creative and big picture thinkers Often “feel” the emotions of an event for long periods and obsess HOW YOU RECHARGE If you are this style you also need consistent down time but it needs to be focused away from the things that you ruminate on. Change the channel!

22. Hypervigilant Style Tend to be excellent decision makers and quick to action Have hypersensitive stress response HOW YOU RECHARGE You need exercise every day to help you keep your stress in check.

23. Self-awareness and Self-care

24. Mindfulness

25. Strategies for Combating Secondary Traumatic Stress Self-care is not selfish! Build your self-care toolbox!

26. How to Build Your Self-Care Toolbox PHYSICAL SELF CARE EMOTIONAL SELF CARE PSYCHOLOGICAL SELF CARE SPIRITUAL SELF CARE WORKPLACE OR PROFESSIONAL SELF CARE

27. Physical Self-Care

28. Live a Healthy, Balanced Life

29. Emotional Self-Care

30. Recharge your Batteries Daily

31. Psychological Self-Care

32. Self awareness means being “aware of both our mood and our thoughts about our mood”. (Mayer, 1993)

33. Ask For and Accept Help from Others http://www.bing.com/videos/search?q=brene%20brown%20rising%20strong%20t ed.com&qs=n&form=QBVR&pq=brene%20brown%20rising%20strong%20ted.com &sc=0-30&sp=- 1&sk=#view=detail&mid=40548622B1834D85D1D440548622B1834D85D1D4http://www.bing.com/videos/search?q=brene%20brown%20rising%20strong%20t ed.com&qs=n&form=QBVR&pq=brene%20brown%20rising%20strong%20ted.com &sc=0-30&sp=- 1&sk=#view=detail&mid=40548622B1834D85D1D440548622B1834D85D1D4 Empathy vs. Sympathy

34. Spiritual Self-Care

35. Spend Some Quiet Time Alone Mindfulness meditation to ground yourself in the moment Allow yourself to "close your eyes and picture this...” https://www.youtube.com/watch?v=-yJPcdiLEkI

36. Grounding Exercise

37. Reframe Determine other approaches to the issue or concern or look at an action/event through the lens of others. Think outside the box.

38. Workplace or Professional Self- Care And “We-Care”

39. Know when you’ve reached your limit!

40. Things to Avoid when Experiencing Compassion Fatigue Avoid making big decisions. Avoid blaming others. Avoid expending energy complaining. Avoid trying a quick fix.

42. Just remember even Superman has Kryptonite….

43. THANK YOU FOR ALL YOU DO! PLEASE, REMEMBER TO TAKE CARE OF YOURSELF!