Self-Management and Stress Care Presented By: Chaplain Jim Crowley Central Oregon Police Chaplaincy

Self 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!

Self-Management and Stress Care The Focus for this session is to Challenge the Veteran Chaplain to Reevaluate their present Stress Care.

Self Management I 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 ______________________________

Self Management What 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!

Self Management Most 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.

The Platform You Can’t Marry Everyone You Feel Sorry for! Dr. Curtis Smith It’s not nearly as important what happens to you as much as what happens in you! Fanny Crosby Things will either make us Better or Bitter. Jim Crowley I Never known God to use a Discouraged Person! D.L. Moody

Stairway to the Platform Do Bugs Have Tennis Shoes? Dylan Wyland If this is Space where are the Spacemen? Michael Crowley Rapidly Recover from Disappointment and Discouragement. Dr. Jim Diehl

Chaplains 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.

Chaplains 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.

CRITICAL 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

ICISF Symptoms Chart Physical* Cognitive Emotional Behavioral Spiritual chills thirst fatigue nausea fainting twitches vomiting dizziness weakness chest pain headaches elevated BP rapid heart rate muscle tremors shock symptoms grinding of teeth visual difficulties profuse sweating difficulty breathing etc… confusion nightmares uncertainty hypervigilance suspiciousness intrusive images blaming someone poor problem solving poor abstract thinking poor attention /decisions poor concentration /memory disorientation of time, place or person difficulty identifying objects or people heightened or lowered alertness increased or decreased awareness of surroundings fear guilt grief panic denial anxiety agitation irritability depression intense anger apprehension emotional shock emotional outbursts feeling overwhelmed loss of emotional control inappropriate emotional response withdrawal antisocial acts inability to rest intensified pacing erratic movements change in social activity change in speech patterns loss or increase of appetite hyperalert to environment increased alcohol consumption change in usual communications anger at God questioning of basic beliefs withdrawal from place of worship crisis of faith faith practices and rituals seem empty loss of meaning and purpose uncharacteristic religious involvement sense of isolation from God anger at clergy religious obsessions religious compulsions religious hallucinations or delusions

Chaplains 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 Study Stress Management Exercise Stress Management Self Care Latte's !

Crisis Intervention Goals: 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.

Strategic 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.

Chaplains 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!!!

Chaplains 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 -

A 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?

The 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!!!

Our 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.

If 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.

What 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!!!

The Activity of the Chaplain will Test – Your Moral Fiber Your Faith Your Conduct Your Character Your Integrity Illustrate – let me see this Taser!!!! Is this how it works!!!! UNTRAINED!

Stress Care for the Law Enforcement Chaplain PEACE BREAKERS! What breaks your Peace? ICISF Model and influence

Pre-Incident Preparation Assessment of risk Risk reduction Assessment of physical and psychological response preparedness Training to reduce vulnerabilities Training to create “resistance” Training to enhance “resilience” and response capabilities

Defusing means to render something harmless before it can do damage. A small group intervention applied within hours of a critical incident. 1

Debriefing Used 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). Introduction Fact Thought Reaction Symptom Teaching Re-Entry

CISM Core Components Pre-crisis preparation Demobilizations & Staff Consultation (rescuers) Crisis Management Briefings (CMB) (civilians, schools, businesses) Defusing Critical Incident Stress Debriefing (CISD) Individual crisis intervention (1:1) Pastoral Crisis Intervention Family CISM Organizational CISM Follow-up/Referral

Tools for the Trade – Dr. Archibald Hart/ Adrenalin and Stress 0 = this statement does not apply to me 1 = It sometimes less than once a month applies to me 2 = It often more than once a month applies to me. Type A Behavior Pattern Test I 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 games I Tend to be Bossy and Dominate others.

7. 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

Interpretation 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 work Definite signs of Type A and may be Distressed – at the higher end of this score you may be prone to excessive Adrenalin Recruitment???!!!

Interpretation Key 17-24 Not 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!

Tools for the Trade – David Seamands/ Forgiveness Test Healing for Damaged Emotions Matt 18:23-35 Resentment Test – you’ve never let off the hook Responsibility Test – I wouldn’t be here if it weren’t for them! Reminder and Reaction – you remind me of ... Reaction!

Sobering 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

The 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 - RealAge health@realage-mail.com Your Schedule Reveals Your Priorities – your self management and stress care!

Stress Unmanaged Affects our BP Creates a Culture Dish for an assortment of Disease including: Diabetes Cancer Cardiovascular Nerve Disorders You’ll be Sick All the time!!! Alzheimer’s – Dr. David Samati/ Mt Sinai Medical Center - Fox News http://video.foxnews.com/v/1714885786001/

CHOOSE Your Stress Dr. 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.

Conclusion: 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 Hart Identify 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

Healing for Damaged Emotions – David A. Seamands Bibliography Adrenalin and Stress – Dr. Archibald D. Hart BOOKS AND MATERIALS ORDER FORM AVAILABLE. Healing for Damaged Emotions – David A. Seamands Psychological Body Armor - Dr. George S. Everly & Dr. James T. Reese Pastoral Crisis Intervention – Dr. George S. Everly ICISF PCI,SMTSP,CISM IND

COPC 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 97701 COPC (Mail); PO Box 1898 Redmond, OR 97756 Chaplain Jim Crowley; (541) 410-6128 jbcrowley@bendbroadband.com