Prevention and Treatment of Compassion Fatigue

Report
Compassion Fatigue
THE COST OF CARING
Renee Branson, MA, NCC
Certified Compassion Fatigue Educator
Renee Branson, MA, NCC--Lotus Coaching & Training
What is Compassion Fatigue?
 Anytime someone in the helping profession is exposed to a
primary victim’s experience, that person experiences
Secondary Traumatic Stress. This is normally short-lived.
 Compassion Fatigue is a term that refers to a
helper’s reaction to long term exposure to
Secondary Traumatic Stress.
 Left untreated, compassion fatigue can lead to a state of
physical, emotional & mental exhaustion known as
Burnout. Burnout can be career ending.
Renee Branson, MA, NCC--Lotus Coaching & Training
Is it really problem?
(or, “Come on, but I’m the helper not helpee!”)
 Those who work with child abuse survivors have the
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highest rates of compassion fatigue.
Untreated, compassion fatigue can result in burnout,
depression and anxiety.
Burnout is a leading cause for helping professionals
to leave their careers.
In short….YES! It is a problem and
YES, even the helper needs to ask for help!
Renee Branson, MA, NCC--Lotus Coaching & Training
What makes
us susceptible?
Empathy
can work for us or against us.
Empathy/ Mirroring
What makes us good at
what we do, also makes
us more vulnerable to
Compassion Fatigue.
1. Empathic concern allows us to feel
for another person; “I am often
touched by the things I see
happen.”
2. Empathic contagion makes us feel
with a person; “I cannot continue
to feel ok if people around me are
depressed.”
Renee Branson, MA, NCC--Lotus Coaching & Training
What makes
us susceptible?
Countertransference
Specifically, this relates
to our own personal
connection to our
clients’/ families’
success.
The Counter-transference
Litmus Test
What is your reaction to a clients’
setback?
1. “I wonder if there is another
approach I could have used to help
my client succeed?”
2. “I fail at everything I do! Why
doesn’t that mom like me enough to
listen to my advice!”
Renee Branson, MA, NCC--Lotus Coaching & Training
What makes
us susceptible?
“Self” of therapist/
social worker/
helping professional
We are always affected
by our own personal
situations.
Renee Branson, MA, NCC--Lotus Coaching & Training
What makes
us susceptible?
Situational Factors
The environment
around us—everything
from our relationship
with our colleagues to
the space in which we
work—affect our
resilience to
Compassion Fatigue.
How does it physically and
emotionally feel to be at work?
 Do you have appropriate work
space that is comfortable?
 Do you have the ability to seek
privacy during the day?
 Does your team and supervisor
show their support?
 Are you able to voice concerns
and feel heard?
Renee Branson, MA, NCC--Lotus Coaching & Training
Self-Care Planning
Personal
Professional
Organizational
Renee Branson, MA, NCC--Lotus Coaching & Training
Organizational
Assessments
Intervention
 There are no formal
 Maintain adequate staffing
assessment measures
at the organizational
level.
 This makes is all the
more important for
management to selfassess
Renee Branson, MA, NCC--Lotus Coaching & Training
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levels
Comfort, privacy, safety in
workplace
Respectful environment
Team building
Acknowledgement that
Compassion Fatigue is an
occupational hazard.
Creation of agency-wide
Standards of Self-Care
Guidelines.
Self-Care Planning
Personal
Professional
Organizational
Renee Branson, MA, NCC--Lotus Coaching & Training
Personal
Assessment
Intervention
 Self care/ basic needs
 Physical self care:
assessments-how well do
you already take care of
yourself?
 Life stress measurementwhat events are going on in
your life that cause stress?
 Stress vulnerability/
resiliency measuresidentifies behaviors that
influence how stress affects
us.
Renee Branson, MA, NCC--Lotus Coaching & Training
exercise, nutrition,
adequate breaks.
 Self-soothing:
mindfulness exercises,
relaxation, quiet time
 Support systems: family,
friendships, community
 Personal psychotherapy.
Personal Assessment:
Measuring Life Stress/ Vulnerability to Stress
1. TAKE A MOMENT TO FIND A PARTNER
2. COMPLETE THE PERSONAL ASSESSMENTS:
3. AS MUCH AS YOU FEEL COMFORTABLE, DISCUSS
THE FOLLOWING WITH YOUR PARTNER:
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DOES YOUR SCORE ACCURATELY REFLECT THE
LEVEL OF STRESS IN YOUR LIFE AS YOU SEE IT?
DOES YOUR CURRENT LEVEL OF SELF CARE
ENHANCE YOUR RESILIENCE OR LEAVE YOU
VULNERABLE?
WHAT SURPRISED YOU MOST ABOUT YOUR
RESULTS?
Renee Branson, MA, NCC--Lotus Coaching & Training
Interpretation
Measuring Life Stress
Vulnerability to Stress
If the current level of stress
continues, physical
outcomes can occur:
 Score 150-199: You have a
37% of a minor, stress
related illness.
 Score 200-299: You have a
51% chance of developing a
major illness.
 Score over 300: You have a
79% chance of a major
health breakdown.
To calculate, add up the
figures and subtract 20.
 Score below 10=excellent
resistance to stress.
 Score over 30 = some
vulnerability to stress
 Score over 50 = serious
vulnerability to stress.
Renee Branson, MA, NCC--Lotus Coaching &
Training
Professional
Assessment
Intervention
 Professional Quality of
 Supervision
Life (ProQoL) Scale.
 Checking your basic
needs at work
 Identifying personal
“early warning signs”
 Continued professional
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Renee Branson, MA, NCC--Lotus Coaching & Training
development
Work-life balance
Goal & motivation
awareness.
Peer support
Time management
Assertiveness skills
Professional Assessment
Professional Quality of Life
1. TAKE A MOMENT TO FIND A PARTNER
2. COMPLETE THE PERSONAL ASSESSMENTS:
3. AS MUCH AS YOU FEEL COMFORTABLE,
•
•
DISCUSS THE FOLLOWING WITH YOUR
PARTNER:
WHAT, IF ANYTHING, SURPRISED YOU
ABOUT YOUR RESULTS?
HOW DO YOU DEFINE SATISFACTION,
BURNOUT AND FATIGUE IN YOUR OWN
LIFE? DOES IT SEEM TO MATCH WHAT
YOU’VE ASSESSED YOURSELF ON?
Renee Branson, MA, NCC--Lotus Coaching & Training
ProQoL Score Pattern
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Where do YOU fit?
Low Burnout, Low Compassion Fatigue, High
Satisfaction= Enjoy Your Job!
High Burnout, High Compassion Fatigue, Low
Satisfaction= Change Careers
High Burnout, Low Compassion Fatigue, High
Satisfaction=Change Jobs
Low Burnout, Low Compassion Fatigue, Low
Satisfaction=Change Population Served
Renee Branson, MA, NCC--Lotus Coaching & Training
Setting Self-Care Goals
Reviewing your results
1.
2.
3.
4.
5.
Review the Self-Assessments you have taken today.
Identify the areas for which you are at risk.
In Part A of Setting Goals, list all the areas in which
you want to make changes.
After you have made your list, rank items with 1
being the highest priority.
Discuss your list with your partner.
Renee Branson, MA, NCC--Lotus Coaching & Training
SMART Goals
SMART goals are:
Specific
Measureable
Attainable
Realistic
Time-based
Renee Branson, MA, NCC--Lotus Coaching & Training
Examples:
“During the next 30
days, I will go to the
gym three times per
week for one hour
each time, beginning
this Saturday.”
“Beginning next week I
will turn off my work
phone from 6pm-8am.”
SMART Goals Can Be:
Maintenance Goals
Growth Goals
 Those who currently
 Those who currently
have minimal stressors
or high resiliency may
choose maintenance
goals.
 “I will continue to take the
hour lunch breaks that
help me recharge,
without feeling guilty.”
Renee Branson, MA, NCC--Lotus Coaching & Training
have minimal coping
strategies or multiple
stressors may choose
growth goals.
 “I will practice
mindfulness by doing
deep breathing exercises
at least once a day.”
Life Stress, Resilience & Coping
 Based on your priorities listed in your Self
Assessment Part 1, create three SMART Goals for
personal self care.
 Identify the resources available to you for the
implementation of your goals.
 Identify the loved one/ friend to whom you will turn
for support in the implementation of your goals.
Renee Branson, MA, NCC--Lotus Coaching & Training
Practitioner Stress
 Based on your priorities listed in your Professional
Self Assessments, create three SMART work-related
self care goals.
 Identify the resources available to you for the
implementation of your work related goals.
 Identify a person at work to whom you will turn for
support in the implementation of your goals.
Renee Branson, MA, NCC--Lotus Coaching & Training
Resistance and Obstacles
 Are there resistances/ obstacles to the
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implementation of your plan?
These can be internal or external.
If yes, what are they?
Will any of your resources you have listed help you
overcome the obstacles?
If not, how will you overcome your obstacles to self
care?
Renee Branson, MA, NCC--Lotus Coaching & Training
Compassion Fatigue
TURN AWARENESS INTO ACTION
WORK YOUR PLAN
HELP OTHERS STAY ACCOUNTABLE
ASK FOR AND SEEK ADDITIONAL SUPPORT & TRAINING
Renee Branson, MA, NCC--Lotus Coaching & Training
Lotus Coaching & Training
RENEE BRANSON, MA, NCC
CERTIFIED COMPASSION FATIGUE EDUCATOR
720-220-1152
[email protected]
Renee Branson, MA, NCC--Lotus Coaching & Training

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