1. NASW-OK 37 th Annual State Conference “ Self-Care in Its Duality: Personal & Organizational” Lanny Endicott Office: 918-495-6543 Cell: 918-830-1523 NASW-OK 37 th Annual State Conference “ Self-Care in Its Duality: Personal & Organizational” Lanny Endicott Office: 918-495-6543 Cell: 918-830-1523 lendicott@oru.edu http://drlannyendicott.com.tripod.com lendicott@oru.edu http://drlannyendicott.com.tripod.com

2. Agenda Discuss: Compassion Satisfaction, Compassion Fatigue, Secondary Traumatic Stress, Burnout Discuss: Compassion Satisfaction, Compassion Fatigue, Secondary Traumatic Stress, Burnout Apply: Self assessment (ProQOL5), Self-care plan, Support Group, Organizational Self-Care Apply: Self assessment (ProQOL5), Self-care plan, Support Group, Organizational Self-Care

3. Deep Breathing Life is in the breath APPS: PTSD Coach PE Coach Breathe2Relax Tactical Breather T2MoodTracker Sound Sleep

4. Self-Care Self-care is “very” important Why?

5. Professional Self-Care: Social Work Self-care is critical to the survival and growth of the social work profession – growth of the social work profession – for the health of every social worker Self-care is critical to the survival and growth of the social work profession – growth of the social work profession – for the health of every social worker

6. NASW Code: 4.05 Impairment a.Personal problems can disrupt your judgment and ability, and can damage the very people you trying to help

7. b.Social workers (helpers) should get counseling, adjust workloads, or end counseling with others to protect them

8. Compassion Satisfaction Positives of helping Positives of helping – Pleasure and satisfaction from helping others – Feeling good giving counseling and care – Encouraged by the organization – Enjoying work with others – Having positive beliefs about yourself – Feeling spiritual fulfillment (“work is a calling”) Positives of helping Positives of helping – Pleasure and satisfaction from helping others – Feeling good giving counseling and care – Encouraged by the organization – Enjoying work with others – Having positive beliefs about yourself – Feeling spiritual fulfillment (“work is a calling”)

9. Compassion Fatigue Negative results from helping Negative results from helping – Being overwhelmed giving counseling and care – Discouraged by the organization – Poor work relations with others – Negative beliefs about yourself (dreams, values) – Unfulfilled in your work Negative results from helping Negative results from helping – Being overwhelmed giving counseling and care – Discouraged by the organization – Poor work relations with others – Negative beliefs about yourself (dreams, values) – Unfulfilled in your work

10. Secondary Traumatic Stress – Working with people who have trauma – Absorbing the trauma of others – Personal exposure to trauma – Retreating, avoidance, anxiety

11. Burnout Burnout Burnout – Feeling hopeless and helpless – Feeling worn out – Burnout takes time – Similar to Secondary Traumatic Stress but takes longer Burnout Burnout – Feeling hopeless and helpless – Feeling worn out – Burnout takes time – Similar to Secondary Traumatic Stress but takes longer

14. Burnout

16. Depersonalization I’ve lost my way I’ve lost meaning and purpose I’ve lost myself I’ve lost my soul

17. Disillusionment Fatigue or frustration caused by devotion to a cause, way of life, or relationship that failed to produce the expected reward

18. Fatigue Fatigue Frequent illness Frequent illness Sleep problems Sleep problems Disillusionment with work Disillusionment with work

19. Cynicism toward organization or clients Cynicism toward organization or clients Helplessness/hopelessness Helplessness/hopelessness Powerless to change events Powerless to change events Anger toward the organization or “clientele” Anger toward the organization or “clientele”

20. Depression and isolation Depression and isolation Staying away from co-workers Staying away from co-workers Being absent Being absent Being harsh with other workers Being harsh with other workers Reduced commitment to work Reduced commitment to work Consumption of chemicals Consumption of chemicals

21. Burnout: A Gradual Process Unaware it is happening Unaware it is happening Work harder – accomplishing less Work harder – accomplishing less Exhausted, disillusioned, and isolated Exhausted, disillusioned, and isolated

22. Results to the organization: – Low morale – Absenteeism – High turnover

23. Secondary Traumatic Stress

25. Three Categories of Symptoms “Is it helper PTSD?” 1.Intrusive thoughts, images, sensations 2.Avoidance of people, places, things and experiences which elicit memories of the traumatic experience 3.Negative arousal in terms of hyper- vigilance, sleep disturbances, irritability and anxiety

26. Emotional Indicators AngerSadness Prolonged grief AnxietyDepression Emotional Indicators AngerSadness Prolonged grief AnxietyDepression Physical Indicators Headaches Stomach aches Lethargy Sleep problems Physical Indicators Headaches Stomach aches Lethargy Sleep problems Personal Indicators Self-isolationCynicism Mood swings Irritability with spouse/family Personal Indicators Self-isolationCynicism Mood swings Irritability with spouse/family Work Indicators Avoids certain clients Missed appointments Tardiness Lack of motivation Work Indicators Avoids certain clients Missed appointments Tardiness Lack of motivation

27. A Key risk: Working with Traumatized Children Empathy Empathy Experiencing children with trauma Experiencing children with trauma Not enough time to recover Not enough time to recover Unresolved personal trauma Unresolved personal trauma Poor support from the organization Poor support from the organization

28. Spiritual Compassion - Fatigue Having pity Having pity Having love and mercy Having love and mercy Being torn of heart Being torn of heart Having deep feelings Having deep feelings Losing heart Losing heart Becoming faint and weary Becoming faint and weary

29. Stress develops when you perceive that demands exceed your personal and social resources

30. Demands of: Family Family Work Work Sickness/health problems Sickness/health problems Friends Friends Self-expectations Self-expectations Day-to-day conflicts Day-to-day conflicts Transportation Transportation Financial problems Financial problems Environment (noise, crime) Environment (noise, crime) Demands of: Family Family Work Work Sickness/health problems Sickness/health problems Friends Friends Self-expectations Self-expectations Day-to-day conflicts Day-to-day conflicts Transportation Transportation Financial problems Financial problems Environment (noise, crime) Environment (noise, crime) Resources of: Good health Good health Positive self-thoughts Positive self-thoughts Social support Social support Positive past experiences Positive past experiences Coping skills Coping skills Stress management skills Stress management skills Healthy diet & exercise Healthy diet & exercise Spiritual discipline Spiritual discipline Balanced life Balanced life Positive work relationships Positive work relationships Resources of: Good health Good health Positive self-thoughts Positive self-thoughts Social support Social support Positive past experiences Positive past experiences Coping skills Coping skills Stress management skills Stress management skills Healthy diet & exercise Healthy diet & exercise Spiritual discipline Spiritual discipline Balanced life Balanced life Positive work relationships Positive work relationships Demands Resources

31. It rains—sometimes pours Stress felt in neck, shoulders, and back Expand hole in the barrel to lighten the load Your Resources We carry this invisible barrel

32. Caring for Yourself Personal Level Self Assessment 1. Examine personal traumatic experiences Assess triggers 2. Manage stress outside of work See “Healthy Activities” 3. Feedback Family, friends co-workers Self Assessment 1. Examine personal traumatic experiences Assess triggers 2. Manage stress outside of work See “Healthy Activities” 3. Feedback Family, friends co-workers Healthy Activities 1.Sleep 2.Exercise 3.Diet 4.Writing/journaling 5.Spiritual disciplines 6.Hobbies 7.In-the-moment 8.Deep breathing and imagery Healthy Activities 1.Sleep 2.Exercise 3.Diet 4.Writing/journaling 5.Spiritual disciplines 6.Hobbies 7.In-the-moment 8.Deep breathing and imagery

33. Work Level 1.At Work —Daily beginnings – endings —Fatigue check 2. Professional —Support from others —Consulting —Hopefulness 1.At Work —Daily beginnings – endings —Fatigue check 2. Professional —Support from others —Consulting —Hopefulness 3. System — Organization self-care plan — Support groups — Social activities — Safety plan 3. System — Organization self-care plan — Support groups — Social activities — Safety plan

35. What is your organization doing for worker stress? Embrace Corporate Care!

36. Hindrances to focusing on worker health Pressure from the “numbers” Pressure from the “numbers” Lack of awareness regarding staff sick days, low morale, turnover Lack of awareness regarding staff sick days, low morale, turnover

37. Some Ideas to Consider Have monthly staff meetings to talk about personal stress and well-being: – Have someone in the agency assigned to process small group meetings to address worker stress – Bring in an external consultant to conduct small group meetings – Plan small group lunches and activities (massages, yoga, etc.)

38. To Make Small Groups Work Must be atmosphere of safety Being civil with one another Being respectful

39. ORU Social Work Program Core Competencies and Associated Behaviors 2012-2013 1—Identify as a professional social worker and conduct oneself accordingly. (Associated behaviors: practice advocacy and self-reflection; attend to professional roles and boundaries; engage professional demeanor; pursue life-long learning; seek supervision and consultation, practice self-care) 2—Apply social work ethical principles to guide professional practice. (Associated behaviors: manage personal values; apply NASW Code of Ethics; appreciate ambiguity; engage ethical reasoning to make decisions) 1—Identify as a professional social worker and conduct oneself accordingly. (Associated behaviors: practice advocacy and self-reflection; attend to professional roles and boundaries; engage professional demeanor; pursue life-long learning; seek supervision and consultation, practice self-care) 2—Apply social work ethical principles to guide professional practice. (Associated behaviors: manage personal values; apply NASW Code of Ethics; appreciate ambiguity; engage ethical reasoning to make decisions)

40. Assessment Instruments & Resources Idaho State University 40

41. Headington Institute

42. Authentic Happiness Website Authentic Happiness Website 42

43. 43

44. University of Texas (Austin)

46. National Child Traumatic Stress Network http://www.nctsn.org/products/secondary- traumatic-stress-fact-sheet-child-serving- professionals%20 http://www.nctsn.org/products/secondary- traumatic-stress-fact-sheet-child-serving- professionals%20

47. Lanny Endicott Office: 918-495-6543 Cell: 918-830-1523