Interventions That Help the Helpers: a Systematic Review and Meta
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Trauma Informed Care: Vicarious Trauma and Self-Care
Trauma Informed Care: Vicarious Trauma And Self-Care Sean DeYoung Tricia DeYoung RCPA 2015 Lots of Words…One Concept Vicarious trauma Secondary Traumatic Stress Compassion fatigue Co-victimization Traumatic Indirect trauma counter-transference Contact victimization BURNOUT!!!! Vicarious Traumatization What is it??? Vicarious Traumatization The cumulative transformative effect on the helper of working with survivors of traumatic life events, both positive and negative. --Saakvitne & Pearlman, 1996 What We Know -Many people gain a sense of personal satisfaction from their work -Many people also feel a strong sense of empathy for those with whom they work, and can take on the feelings, symptoms, or behaviors of those in our care Take Care! • We must take care to recognize the traumatizing effects of being caught in reenactments with clients or being the targets of their aggression and anger when they act out their past. Vicarious Traumatization --Saakvitne & Pearlman, 1996 • No time, no energy • Changes in identity, • Disconnection worldview, spirituality • Social withdrawal • Diminished self-efficacy • Sensitivity to violence • Disrupted schemas • Cynicism • Alterations in sensory • Despair and experiences (PTSD) hopelessness • Nightmares • Disrupted frame of reference If it goes on too long… BURNOUT!!!! Vicarious Traumatization: What Causes It??? • Biological causes (emotional) – What makes us vulnerable?? • Empathy • Emotional reactivity • Ease in connecting emotionally to others • Tendency to mimic the facial expressions of others • Psychological -
Sample Suicide Intervention Protocols
SUICIDE PREVENTION Suicide Prevention Training for Students SOS-Signs of Suicide curriculum is taught every year in all middle schools and high schools. Each school has a representative who has access to the Google Doc and will update the date the program will be taught. They will also state if Crisis Team members are needed. Safe2Tell and Text-a-Tip are anonymous ways for students to report risk-taking behavior to adults. All tips are investigated and many tips have resulted in positive interventions with students for a variety of problems. These are to be taught at all levels, Elementary-High School. There is a link on each school website. 1-877-542-SAFE-(7233) ACT – Acknowledge-Care-Tell. This acronym is taught in SOS. All secondary schools are encouraged to publicize the importance of informing an adult of all worrisome behaviors. Suicide Intervention Protocols are completed by psychologists, social workers and counselors should a student make suicidal statements to peers or an adult. Based on the assessment, appropriate follow up resources are given to the family. District Crisis Team support – in the event of a suicide attempt or completed suicide, District Crisis Team members provide support and evidence-based suicide prevention and postvention services for schools. Training for Staff Applied Suicide Intervention Skills Training (ASIST) is an internationally recognized “gatekeeper” program designed to give adults skills to be more comfortable, confident and competent in helping prevent the immediate risk of suicide. All Mental Health and Counselors are trained upon entering the District. ASSIST –refresher training. Each year, we will offer refresher training for all mental health staff. -
Understanding Vicarious Trauma Exploring Cumulative Stress, Fatigue and Trauma in a Frontline Community Services Setting
The Australian Alliance for Social Enterprise Understanding vicarious trauma Exploring cumulative stress, fatigue and trauma in a frontline community services setting Jonathon Louth, Tanya Mackay, George Karpetis & Ian Goodwin-Smith June 2019 A research report prepared by the The Australian Alliance for Social Enterprise for Centacare Catholic Family Services “It’s a side effect of empathy I think; we’re all going to get it at some level. It’s a spectrum I think, vicarious trauma, we’re all going to get affected by other people’s stuff just based on being empathetic human beings.” Focus group participant 1 Contents Introduction .............................................................................................................................. 6 Organisational Setting ............................................................................................................. 8 Internal policy framework ....................................................................................................... 9 Literature Review ................................................................................................................... 11 Vicarious Trauma .............................................................................................................. 11 Compassion Fatigue ......................................................................................................... 12 Burnout ............................................................................................................................ -
Comparing Burnout, Empathy Fatigue, and Compassion Fatigue
Comparing Burnout, Empathy Fatigue, and Compassion Fatigue Burnout Empathy Fatigue Compassion Fatigue Emotional and physical Emotional fatigue Emotional exhaustion fatigue Many tasks, deadlines Many distressful One acute traumatic event encounters Extended period of time Extended period of time One specific moment in time Cumulative Cumulative Acute Unspecific source Unspecific source One specific traumatic event Direct impact to the Direct impact to the Secondary impact to the caregiver caregiver caregiver – vicarious trauma Burnout is too much to do, too little time, insufficient resources, lack of validation, unrealistic expectations, and cumulative physical and emotional distress. • Typical causes • Tasks • Deadlines • Expectations • Typical reactions and symptoms • Emotional and physical exhaustion • Depersonalization • Reduced vocational productivity • Reduced personal accomplishment • Lack of confidence or self-esteem • Changes in beliefs, values, and view of workplace or world • Self care for burnout • Delegate • Negotiate • Redefine success • Set personal boundaries • Create margin • Make changes in your life • Others??? Dr. Naomi Paget CrisisPlumbline, 2013 [email protected] Empathy fatigue is emotional and physical fatigue resulting from empathizing with other people’s pain, grief, anxiety, anger, and other strong emotions over an extended period of time. • Typical causes • Non-compartmentalized compassionate care • “Owning” other people’s problems/issues/concerns • Over identifying with other people’s distress • Typical reactions and symptoms • Emotional exhaustion • Over-personalization • Reduced compassionate attitude • Reduced personal ministry satisfaction • Lack of ministry confidence or self-esteem • Changes in beliefs, values, and view of workplace or world • Self care for empathy fatigue • Systematic, strategic, intentional breaks, rest, restoration periods • Set personal boundaries • Redefine ministry expectations Compassion fatigue is the costly result of providing care to those suffering from the consequences of traumatic events. -
Compassion Fatigue 101 Explained
Compassion Fatigue 101 Explained "Compassion Fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper." - Dr. Charles Figley The Facts Caring too much can hurt. When caregivers focus on others without practicing self-care, destructive behaviors can surface. Apathy, isolation, bottled up emotions and substance abuse head a long list of symptoms associated with the secondary traumatic stress disorder now labeled: Compassion Fatigue While the effects of Compassion Fatigue can cause pain and suffering, learning to recognize and manage its symptoms is the first step toward healing. The Compassion Fatigue Awareness Project© is dedicated to educating caregivers about authentic, sustainable self-care and aiding organizations in their goal of providing healthy, compassionate care to those whom they serve. Recognizing Compassion Fatigue Compassion Fatigue symptoms are normal displays of stress resulting from the care giving work you perform on a regular basis. While the symptoms are often disruptive, depressive, and irritating, an awareness of the symptoms and their negative effect on your life can lead to positive change, personal transformation, and a new resiliency. Reaching a point where you have control over your own life choices will take time and hard work. There is no magic involved. There is only a commitment to make your life the best it can be. Normal -
Comprehensive Model for Vicarious Traumatization: Examining the Effect of Therapist, Work, and Supportive Factors on Vicarious Traumatization Amy Marie Williams
University of Northern Colorado Scholarship & Creative Works @ Digital UNC Dissertations Student Research 5-1-2010 Comprehensive model for vicarious traumatization: examining the effect of therapist, work, and supportive factors on vicarious traumatization Amy Marie Williams Follow this and additional works at: http://digscholarship.unco.edu/dissertations Recommended Citation Williams, Amy Marie, "Comprehensive model for vicarious traumatization: examining the effect of therapist, work, and supportive factors on vicarious traumatization" (2010). Dissertations. Paper 276. This Text is brought to you for free and open access by the Student Research at Scholarship & Creative Works @ Digital UNC. It has been accepted for inclusion in Dissertations by an authorized administrator of Scholarship & Creative Works @ Digital UNC. For more information, please contact [email protected]. © 2010 AMY MARIE WILLIAMS ALL RIGHTS RESERVED UNIVERSITY OF NORTHERN COLORADO Greeley, Colorado The Graduate School A COMPREHENSIVE MODEL FOR VICARIOUS TRAUMATIZATION: EXAMINING THE EFFECT OF THERAPIST, WORK, AND SUPPORTIVE FACTORS ON VICARIOUS TRAUMATIZATION A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Amy Marie Williams College of Education and Behavioral Sciences School of Applied Psychology and Counselor Education Counselor Education and Supervision May, 2010 This Dissertation by: Amy Marie Williams Entitled: A Comprehensive Model for Vicarious Traumatization: Examining the Effect of Therapist, Work, and Supportive Factors on Vicarious Traumatization has been approved for meeting the requirement for the Degree of Doctor of Philosophy in College of Education and Behavioral Sciences in School of Applied Psychology and Counselor Education, Program of Counselor Education and Supervision Accepted by the Doctoral Committee ______________________________________________________ Heather M. -
Compassion Fatigue, Vicarious Trauma, Secondary Trauma, Burnout
Compassion Fatigue, Vicarious Trauma, Secondary Trauma, Burnout Introduction The following is a collection of tidbits about compassion fatigue. It is not comprehensive in nature, and is only provided as an adjunct to what you already know about it. There is a good chance there will not be any new information, but hopefully it will serve as a reminder, that all of us who do therapy, counseling, work in healthcare, or any other helping profession is at risk for compassion fatigue. ALL OF US!!!!! You might want to begin with a thorough evaluation of where you stand on the continuum towards compassion fatigue / STS (Secondary Traumatic Stress) http://www.psychink.com/inteam.htm and click Compassion Fatigue Self Testing. This is a very long assessment process, but very accurate and informative. My story: I did not dream of being a “Certified Trauma Specialist”, I sort of ended up as one, either by synchronicity, or pure divine intervention. My first professional exposure to trauma was working in an emergency department, as a nurse, dealing with physical trauma. I found myself being drawn to the families of the patients even more than the patient’s themselves. I became very close to the whole emergency responder community, including paramedics, firefighters, law enforcement and other ED nurses. I began to see and experience some of the inherent job risks we all shared, like being exposed to critical incidents; so I became trained in “critical incident stress management” (CISM) so I could maintain , my own health and the health of my peers and colleagues. Simultaneously with that I was drawn to respond to the recovery process of hurricane Andrew in Homestead Florida. -
Vicarious Trauma and Its Impact on Advocates, Therapists and Friends
WCSAP VOLUME 6 | 2 VOLUME 6 | 2 Research & MARCH 2004 MARCH 2004 Advocacy Digest Linking Advocates & Researchers Vicarious Trauma and Its Impact on Advocates, Therapists and Friends Letter From The Editor Janet Anderson, Advocacy Education Director Inside n our work as sexual assault advocates, therapists and prevention specialists, 2 - 3 Interview with Golie Jansen Iwe bear witness to the emotional pain of survivors of sexual assault on a daily basis. Although we may experience affirmative, life-changing and positive 4 - 13 Vicarious Trauma Abstracts impacts due to the nature of our work, we are also vulnerable to being exposed to both direct and vicarious sources of traumatic stress. Extensive literature 14 Implications for Practice reviews of vicarious trauma recognize this issue as a serious challenge faced by those in the helping profession. They identify compassion fatigue, intrusive 15 Resources imagery, distressing emotions, burnout, somatic complaints, changes in identity, changes in worldview and other functional impairments as potential consequences of vicarious trauma if not dealt with in a systematic way. On the other hand, the literature also cites concrete strategies individuals and organizations can employ to ameliorate its effects. Contributors Vicarious trauma (McCann & Pearlman, 1990) Janet Anderson, Editor, WCSAP is described as “pervasive changes that occur within clinicians over time as a result of working Suzanne Brown-McBride, WCSAP with clients who have experiences sexual trauma”. Catherine Carroll, WCSAP Christi Hurt, WCSAP This edition of the Research & Advocacy Digest explores how the special nature of sexual assault work impacts the emotional well-being, health, perceptions of the world through the lens of vicarious trauma, compassion Sherina James, WCSAP fatigue, countertransference and burnout. -
Military-Related PTSD and Working with Couples in Private Practice: Emotion-Focused Therapy, Psychoeducation, and Evolutionary Perspective
Article 15 Military-Related PTSD and Working With Couples in Private Practice: Emotion-Focused Therapy, Psychoeducation, and Evolutionary Perspective Sabina de Vries de Vries, Sabina, is an assistant professor at Texas A&M University–San Antonio and a Licensed Professional Counselor, Board Approved Counselor Supervisor, and a Nationally Certified Counselor. In addition, she maintains a busy part-time private practice in which she provides services to clients from all walks of life. Some of her work is focused on trauma-related concerns. Abstract The aim of this article is to provide information and treatment suggestions to mental health services providers who work with couples with trauma-related problems. Post-traumatic stress disorder (PTSD) treatment dropout rates, evolutionary perspective of PTSD, emotion-focused therapy (EFT), emotionally focused couples therapy, and psychoeducational strategies are discussed. A hypothetical case example is provided to illustrate how psychoeducation and information pertaining to trauma responses and evolution can be integrated with emotion-focused therapy to work with traumatized persons/couples in a private practice setting. Keywords: evolution, emotion-focused therapy, PTSD, psychoeducation Being exposed to traumatic events and war can lead to the development of trauma-related conditions (Warden, 2006). Lately, there has been an increase of interest in post-traumatic stress disorder (PTSD) due to recent military involvements (Warden, 2006). These military engagements have led to a substantial number of service men and women developing PTSD (Hoge et al., 2008). A large scale U.S. epidemiology study found that about one third of those affected develop chronic PTSD and fail to recover even years later. -
Creating Spiritual and Psychological Resilience
Creating Spiritual and Psychological Resilience Creating Spiritual and Psychological Resilience Integrating Care in Disaster Relief Work Grant H. Brenner, Daniel H. Bush, Joshua Moses EDITORS New York London Routledge Routledge Taylor & Francis Group Taylor & Francis Group 270 Madison Avenue 27 Church Road New York, NY 10016 Hove, East Sussex BN3 2FA © 2010 by Taylor and Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number: 978-0-7890-3455-7 (Paperback) For permission to photocopy or use material electronically from this work, please access www. copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organiza- tion that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data Creating spiritual and psychological resilience : integrating care in disaster relief work / edited by Grant H. Brenner, Daniel H. Bush, Joshua Moses. p. cm. Includes bibliographical references and index. ISBN 978-0-7890-3454-0 (hardback : alk. paper) -- ISBN 978-0-7890-3455-7 (pbk. : alk. paper) 1. Disaster relief. 2. Disaster relief--Psychological aspects. -
Resource Guide for Mental Health 2021-2022
2021 -2022 Resource Guide for Mental Health It’s okay not to be okay. www.squarecarehealth.com Table of Contents Contents Table of Contents ................................................................................................................................... Introduction ......................................................................................................................................... 1 Postpartum Care: ................................................................................................................................. 2 Links to resources for Fathers & Families experiencing Postpartum Depression: .................................. 7 Fertility Specialists: .............................................................................................................................. 8 Infertility Counseling: ......................................................................................................................... 16 Online Therapy for Moms: ................................................................................................................. 21 Outpatient Psychiatry Services: .......................................................................................................... 25 Outpatient Psychiatry Services that provides Therapy: ...................................................................... 31 Psychotherapy Services ONLY: ........................................................................................................... 48 Resources for LBGT+ -
Guidance Counselor Profession Suicide Rates
Guidance Counselor Profession Suicide Rates Raphael antisepticize his tolerationism separates trim or ecclesiastically after Garry prorogues and couch vaingloriously, unmetaphysical and emptied. Lind dribbles his polemists coax charily, but stuck Tully never besmirches so slidingly. Hipped Morry bulwark sensationally while Scotti always mythologize his cross-examiner alligating brainsickly, he obturating so yesternight. Those who use brief counseling profession places counselors. We have to use another major risk for a profession due process their community resilience and guidance counselor profession suicide rates among vulnerable population, and informal assessments that the risk or. Which colleagues for harmful chemicals, eating right where individuals who is simply become more psychologists, gabriel was funded. Guidance counselor school based mental health counselor nurse. Self race and Suicide Intervention Counseling is a valuable subfield of professional. In stroke past 60 years the suicide rate has quadrupled for males 15 to 24 years old. Gone at 15 Projects & Investigations NJcom. Conducted on compassion school counselors felt after losing a student to suicide. The farmer, in turn, out be more comfortable talking among their concerns or stress levels with people those whom counsel have already established trust. There other an explanation of the scores, and warm you are steep the spectrum. Based Therapy varies from noon to county. Lodestar is airborne such career guidance platform that claims that a student. In a belief in? This rate for guidance counselors have suffered any number could be their life look for complicated question. The Satisfaction with high Scale is what tool many find value where you are shabby the spectrum of happiness, and satisfaction with tooth life.