Presentation on theme: "Self-Management and Stress Care"— Presentation transcript:
1Self-Management and Stress Care Presented By:Chaplain Jim CrowleyCentral Oregon Police Chaplaincy
2Self Management Premise! Stress Care Challenge! A Word about the Title – most folks don’t care what the Sermon Title is!!!Self Management Premise! Stress Care Challenge!
3Self-Management and Stress Care The Focus for this session is to Challenge the Veteran Chaplain to Reevaluate their present Stress Care.
4Self ManagementI want to propose that there is a posture for Healthy Self.What is a Definition for a Healthy Self?Discovering Balance on a Foundation of Faith! Exercise! – 3 ingredients of Health? ______________________________What constitutes the health of a Care Giver?Balance – Stability (emotionally) Focused - Exercise______________________________
5Self ManagementWhat is the foundation of the Care Givers Health – History, Stress Levels – Illustrate that a marriage is impacted by the history/past child years of each participant.Illustrate – Returning Veterans that take junk over to a war zone bring more junk back!
6Self ManagementMost if not all of our agencies require a Psychological Background be accomplished.My Inquiry is not to disqualify potential chaplains but to bring to the table this dialogue that our present health, past influences will make an impact on our ability to serve and support our agencies.
8The PlatformYou Can’t Marry Everyone You Feel Sorry for! Dr. Curtis SmithIt’s not nearly as important what happens to you as much as what happens in you! Fanny CrosbyThings will either make us Better or Bitter. Jim CrowleyI Never known God to use a Discouraged Person! D.L. Moody
9Stairway to the Platform Do Bugs Have Tennis Shoes? Dylan WylandIf this is Space where are the Spacemen? Michael CrowleyRapidly Recover from Disappointment and Discouragement. Dr. Jim Diehl
10Chaplains and Self Care – the Paradox Premise – First Responders have the Potential to become unhealthy. Explain FINE!!!Healthy Life style will provide the opportunity to establish a healthy relationship with the Agency.
11Chaplains and Self Care – the Paradox It is a Lifestyle!We have adapted in our scheduling the need to use the ICISF symptoms chart as an Indicator for Health – Illus.
12CRITICAL INCIDENT STRESS INFORMATION SHEETS You have experienced a traumatic event or a critical incident (any event that causes unusually strong emotional reactions that have the potential to interfere with the ability to function normally). Even though the event may be over, you may now be experiencing or may experience later, some strong emotional or physical reactions. It is very common, in fact quite normal, for people to experience emotional aftershocks when they have passed through a horrible event.Sometimes the emotional aftershocks (or stress reactions) appear immediately after the traumatic event. Sometimes they may appear a few hours or a few days later. And, in some cases, weeks or months may pass before the stress reactions appear.The signs and symptoms of a stress reaction may last a few days, a few weeks, a few months, or longer, depending on the severity of the traumatic event. The understanding and the support of loved ones usually cause the stress reactions to pass more quickly. Occasionally, the traumatic event is so painful that professional assistance may be necessary. This does not imply craziness or weakness. It simply indicates that the particular event was just too powerful for the person to manage by himself or herself.Here are some common signs and signals of a stress reaction:* Any of these symptoms may indicate the need for medical evaluation. When in doubt, contact a physician
13ICISF Symptoms Chart Physical* Cognitive Emotional Behavioral Spiritualchillsthirstfatiguenauseafaintingtwitchesvomitingdizzinessweaknesschest painheadacheselevated BPrapid heart ratemuscle tremorsshock symptomsgrinding of teethvisual difficultiesprofuse sweatingdifficulty breathingetc…confusionnightmaresuncertaintyhypervigilancesuspiciousnessintrusive imagesblaming someonepoor problem solvingpoor abstract thinkingpoor attention /decisionspoor concentration /memorydisorientation of time, place or persondifficulty identifying objects or peopleheightened or lowered alertnessincreased or decreased awareness of surroundingsfearguiltgriefpanicdenialanxietyagitationirritabilitydepressionintense angerapprehensionemotional shockemotional outburstsfeeling overwhelmedloss of emotional controlinappropriate emotional responsewithdrawalantisocial actsinability to restintensified pacingerratic movementschange in social activitychange in speech patternsloss or increase of appetitehyperalert to environmentincreased alcohol consumptionchange in usual communicationsanger at Godquestioning of basic beliefswithdrawal from place of worshipcrisis of faithfaith practices and rituals seem emptyloss of meaning and purposeuncharacteristic religious involvementsense of isolation from Godanger at clergyreligious obsessionsreligious compulsionsreligious hallucinations or delusions
14Chaplains and Self Care – the Paradox The Potential for a Train Wreck is Heavy on our Hearts –But we don’t schedule Train Wrecks!!!What do we Schedule?Stress Management Bible StudyStress Management ExerciseStress Management Self CareLatte's !
15Crisis InterventionGoals: To foster natural resiliency through… 1. Stabilization 2. Symptom reduction 3. Return to adaptive functioning, or 4. Facilitation of access to continued care (adapted from Caplan, 1964, Preventive Psychiatry)Caplan may be considered the father of modern crisis intervention.Using the Whole Tool Box. Using each tool appropriately that is on the Law Enforcement Service Belt.Critical Incident Stress Management (CISM) is a comprehensive, phase sensitive, and integrated, multi-component approach to crisis/disaster intervention.
16Strategic Planning Formula THREAT (What is the incident?)TARGET (Who should receive services? ID target groups.)TYPE (What interventions should be used?)TIMING (When should the interventions be implemented, with what target groups?)RESOURCES (What intervention resources are available to be mobilized for what target groups, when? Consider internal and external resources.)This is a simple formula that should assist in strategic planning. The formula combined with the CISM Chart facilitates planning.
17Chaplains and Self Care – the Paradox Plan for the Paradox – place the management of self in your schedule. Tackle the Plan Daily.Involve others in your plan – Family, Physicians, and Accountability Friends – Agency Leadership.We recently encouraged officers to accomplish a brief survey for our chaplaincy! ILLUS: 2010 COPC Evaluation Survey – Self Talk!!!
19Chaplains and Self Care the Proposition – Do we know how to play in the sand box? How does my present overall health affect my abilities to cope with Stress?Could it be that what we need to really combat the Stress Management is Self-Management?Are we as Chaplains Healthy? Illustrate – OCRT process, preparation and product. Do we know how to play in the sandbox?Our Faith Discipline -
20A Test for Healthy Self Care – Field test Do We Compete or Compliment?When there are Control Issues?What’s my Relationship with Conflict?The previous statements reflect our Health.How Do You Cope with Stress?
21The Proposition at hand might be if I manage self what impact will that make on the ability to induce Stress Care and Manage my stress!!!
22Our inability to make peace with our own heart will not be appeased by any amount of Stress Management. We bring the past, the pain and the problems which in and of themselves creates more stress than can be resolved.
23If you make poor choices due to a lack of moral compass – there will be stress. Our Integrity is in question due to our lack of modeling there will be stress.
24What the position of our heart? Colonel Grossman in his training with the Marines on more than one occasion identified how the training embedded into their minds that we will survive – we will go home and then he goes on to identify acts of heroism and survival beyond our thinking – why can’t we adopt the same strategy with our hearts – there is a foundation in my heart that will not change – it is my moral compass and it brings me to the posture that mandates my survival. I am convinced that neither Death or Life - I read that somewhere!!!
25The Activity of the Chaplain will Test – Your Moral FiberYour FaithYour ConductYour CharacterYour IntegrityIllustrate – let me see this Taser!!!! Is this how it works!!!! UNTRAINED!
26Stress Care for the Law Enforcement Chaplain PEACE BREAKERS! What breaks your Peace?ICISF Model and influence
27Pre-Incident Preparation Assessment of riskRisk reductionAssessment of physical and psychological response preparednessTraining to reduce vulnerabilitiesTraining to create “resistance”Training to enhance “resilience” and response capabilities
28Defusing means to render something harmless before it can do damage. A small group intervention applied within hours of a critical incident.1
29DebriefingUsed within the context of CISM, the term “debriefing” refers to a 7 – phase structured small group crisis intervention more specifically named Critical Incident Stress Debriefing (CISD).IntroductionFactThoughtReactionSymptomTeachingRe-Entry
31Tools for the Trade – Dr. Archibald Hart/ Adrenalin and Stress 0 = this statement does not apply to me1 = It sometimes less than once a month applies to me2 = It often more than once a month applies to me.Type A Behavior Pattern TestI tend to speak faster than others often times finishing the sentences for them.My Friends or my spouse says I eat too fast.I Tend to get very upset when I loose a game.I am very competitive in work sports or gamesI Tend to be Bossy and Dominate others.
327. I prefer to lead rather than follow. 8 7. I prefer to lead rather than follow. 8. I feel pressed for time even when I am not doing something important. 9. I become Impatient when I have to wait. 10. I tend to make decisions quickly even impulsively. 11. I regularly take on more than I can accomplish. 12. I become irritable even angry more often than most other people. Adrenalin and Stress The exciting new breakthrough that helps you overcome stress damage! Dr. Archibald D. Hart Word Publishing 1991
33Interpretation Key 0-5 6-10 11-16 You are definitely not a Type A You show Occasional signs of Type A Behavior – you may have some irritation or something maybe getting to you at workDefinite signs of Type A and may be Distressed – at the higher end of this score you may be prone to excessive Adrenalin Recruitment???!!!
34Interpretation Key17-24Not Only are you a Type A person you are living Dangerously! Life may be miserable for you or it may be very exciting. Either way you are likely to develop Cardiovascular Deterioration if you do not change your behavior pattern. IF you smoke or have a family history – see a physician!
35Tools for the Trade – David Seamands/ Forgiveness Test Healing for Damaged EmotionsMatt 18:23-35Resentment Test – you’ve never let off the hookResponsibility Test – I wouldn’t be here if it weren’t for them!Reminder and Reaction – you remind me of ... Reaction!
36Sobering Statement!“Among all my autopsies(and I have performed well over a thousand), I have never seen a person who died of old age. In fact, I do not think that anyone has died of old age yet. To permit this would be the ideal accomplishment of medical research …… to die of old age would mean that all the organs of the body had worn out proportionately, merely by having been used too long. This is never the case. We invariably die because one vital part has worn out too early in proportion to the rest of the body …. The lesson seems to be that, as far as man can regulate his life by voluntary actions, he should seek to equalize stress throughout his being! The Human body like the tires on a car or the rug on a floor wears longest when they wear evenly! Hans Selye The Stress of Life
37The Good, Bad and the Ugly! Addictive Behavior – every program begins with this premise – Do You Want To Get Help. It concludes with this premise – I am not an Island.Workout!!!Eating – YIKES – Real Age Website - RealAgeYour Schedule Reveals Your Priorities – your self management and stress care!
38Stress Unmanaged Affects our BP Creates a Culture Dish for an assortment of Disease including:DiabetesCancerCardiovascularNerve DisordersYou’ll be Sick All the time!!!Alzheimer’s – Dr. David Samati/ Mt Sinai Medical Center - Fox News
39CHOOSE Your StressDr. Hardy Powers - Don’t Jump Off a Bridge to Rescue a Hat!!! Jump off a bridge to save a child and you are a hero – if it’s a hat you are a fool!We have a Choice just before we kick in the adrenalin – choose wisely.
40Conclusion: Create Some Harmony for your life “To be deeply and lastingly happy we have to love something and be loved by someone outside of ourselves … we can never find real or lasting happiness while we live outside of God.” Dr. Archibald HartIdentify what Troubles Your Heart?Identify the Peace Breakers.Choose to evaluate your foundation – maybe that section needs to be repaired or replaced!Choose to Influence your world with Self Care and allow the Stress to be Managed.Create Some Harmony for your life
42Healing for Damaged Emotions – David A. Seamands BibliographyAdrenalin and Stress – Dr. Archibald D. Hart BOOKS AND MATERIALS ORDER FORM AVAILABLE.Healing for Damaged Emotions – David A. SeamandsPsychological Body Armor - Dr. George S. Everly & Dr. James T. ReesePastoral Crisis Intervention – Dr. George S. EverlyICISF PCI,SMTSP,CISM IND
43COPC Office; 325 NE Kearney Ave. Chaplain Jim Crowley; (541) 410-6128 Central Oregon Police Chaplaincy “Serving the Hearts and Minds of Central Oregon's First Responders”COPC Office; 325 NE Kearney Ave.Bend, OR 97701COPC (Mail); PO Box 1898Redmond, OR 97756Chaplain Jim Crowley; (541)