1. HOMELESSNESS AND
HEALTH CONFERENCE
Self Care
Tal Lewin
Hannah Bishop

2. HOMELESSNESS AND
HEALTH CONFERENCE
Self Care
Why talk about it?

3. Calgary Study 2016 245 participants
HOMELESSNESS AND
HEALTH CONFERENCE
Calgary Study 2016
245 participants
2/3 had worked for less than 5 years in the sector.
36% of staff had symptoms of PTSD significant enough that would likely lead to a diagnosis of PTSD

4. HOMELESSNESS AND
HEALTH CONFERENCE
Stress Arousal Curve

5. Stress effects your brain!
HOMELESSNESS AND
HEALTH CONFERENCE
Stress effects your brain!
Cortisol= increased size of amygdala (which pairs emotional events with feelings)
Raised cortisol increases negative emotions, fear, anxiety and aggression.
Increased stress levels also reduce the size of the hippocampus which decreases our capacity for learning, our memory and our ability to regulate emotions

6. How do we keep perspective? How well do we know ourselves?
HOMELESSNESS AND
HEALTH CONFERENCE
How do we keep perspective?
How well do we know ourselves?

7. How do we keep perspective?
HOMELESSNESS AND
HEALTH CONFERENCE
How do we keep perspective?

8. What do you do to keep perspective?
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HEALTH CONFERENCE
What do you do to keep perspective?
How does stress impact your
habits
relationships
personality
what do u stop doing
what do you start doing?
What helps you let go?
What is life-giving?
What are your tools?
Unbalanced / struggling with the stress
Balanced / managing the stress well
Where are you on the line?

9. How well do we know ourselves? The Enneagram
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HEALTH CONFERENCE
How well do we know ourselves?
The Enneagram

10. Enneagram – Type 1…The Perfectionist
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HEALTH CONFERENCE
Enneagram – Type 1…The Perfectionist
Risk Factors for Burnout: 
Working in an environment where integrity & respect are lacking
Being obsessive/compulsive regarding charting and tasks
Feeling guilty when relaxing and not being “productive”
Having difficulty delegating and trusting others to do a good job
Having a harsh inner critic

11. Enneagram – Type 2…The Helper
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HEALTH CONFERENCE
Enneagram – Type 2…The Helper
Risk Factors for Burnout: 
Becoming overcommitted
Having difficulty saying “No” and setting boundaries
Allowing others to take advantage of the desire to please
Losing focus on your own needs and wants
Being overly empathic and suffering compassion fatigue

12. Enneagram – Type 6…the Loyalist/Questioner
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HEALTH CONFERENCE
Enneagram – Type 6…the Loyalist/Questioner
Risk Factors for Burnout: 
Over-working and preparing in order to exceed expectations
Worrying about patients and catastrophizing
Focusing on problems instead of possibilities
Staying in a bad situation out of loyalty
Being uncomfortable with uncertainty – (change is hard)
Experiencing self –doubt (second guessing decisions)

13. ‘the ability to bounce back and adapt’
HOMELESSNESS AND
HEALTH CONFERENCE
Resilience….
‘the ability to bounce back and adapt’

14. Resilience Pyramid HOMELESSNESS AND HEALTH CONFERENCE Positive choices
Life-work balance
5 steps to wellbeing
Mindfulness
Modify and Prevent
Prevention is better than cure
You will serve yourself well if you put your energy into this area
Choose a response
With practice, we can choose and gain more control over how we respond to stress.

15. HOMELESSNESS AND
HEALTH CONFERENCE
Victor Frankl
Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.

16. Resilience Pyramid HOMELESSNESS AND HEALTH CONFERENCE Positive choices
Life-work balance
5 steps to wellbeing
Mindfulness
Modify and Prevent
Prevention is better than cure
You will serve yourself well if you put your energy into this area
Choose a response
With practice, we can choose and gain more control over how we respond to stress.
practise and choosing
Self-awareness
Enneagram
Manage the Symptoms
Coping strategies
Be aware of unhealthy strategies

17. Grant me You are not alone Talk Fruit and Chocolate! HOMELESSNESS AND
HEALTH CONFERENCE
You are not alone
Talk
Fruit and Chocolate!
Grant me
the serenity to accept the things I cannot change; courage to change the things I can and wisdom to know the difference.