addressing compassion fatigue: what works? · 2012. 10. 24. · compassion fatigue solutions inc....

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© Françoise Mathieu 2011 1 Françoise Mathieu, M.Ed., CCC. Compassion Fatigue Solutions Inc. www.compassionfatigue.ca Addressing Compassion Fatigue: What Works? All studies come to the same conclusions: Affects the most caring % of traumatic cases on caseload: the more traumatic the work = higher incidence of VT Full time vs part time Availability of social support is protective Helper’s own trauma history Adequate training is protective 98% strategies we will discuss are free The “must be nice” phenomenon

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Page 1: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 1

Françoise Mathieu, M.Ed., CCC.

Compassion Fatigue Solutions Inc.

www.compassionfatigue.ca

Addressing Compassion Fatigue:

What Works?

All studies come to the same conclusions:

•  Affects the most caring •  % of traumatic cases on caseload: the more

traumatic the work = higher incidence of VT •  Full time vs part time •  Availability of social support is protective •  Helper’s own trauma history •  Adequate training is protective

•  98% strategies we will discuss are free •  The “must be nice” phenomenon

Page 2: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 2

The Four Steps of CF Strategies

Take Stock: Track your Stress (at home and at work)

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In your Workbook:

What’s draining you?

Page 3: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 3

Take Time for Your Life Cheryl Richardson

•  The Ideal Schedule •  If you only had to work

10 hours a week?

Enhancing Self Care and Improving work/life balance

MAKING A COMMITMENT TO SELF-CARE

Could you protect one hour/one night or one half day per week to self-care?

Is there anything you could:

•Delegate?

•Trade your time for? (e.g. a babysitting trade, lunch making co-op? What else?)

•For 2 weeks, take note of tasks that could be delegated to someone else.

(This idea comes from Cheryl Richardson, Take time for your life, 1999)

Page 4: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 4

Self Care - What has been shown to work?

•  Deceptively simple strategies •  Abcs of basic self care: Sleep, rest, proper

diet, exercise, vacations •  Renewal •  Activities that replenish you •  Working part time/life work balance •  Nourishing activities every day •  Debriefing process

Self Care Inventory

•  Check mark: What I already do •  Things I wish I did more often

Developing CF resiliency through stress reduction techniques and more training

Page 5: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 5

When working hurts: 15 hour ecourse www.compassionfatigue.ca/store

Page 6: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 6

3 New Videos

www.compassionfatigue.ca

Upcoming events

•  Train the Trainer: Two day Retreat. Kingston, March 2012.

Page 7: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 7

Upcoming events

•  Vicarious Trauma Conference, Los Angeles, Nov 8-9th, 2012. CII

•  The Annual Compassion Fatigue Conference Kingston, June 2013. www.cfconference.com

•  “Randomized trials have shown that mindfulness meditation and reflective writing (narrative work) are effective in reducing CF”

•  “Self-awareness involves both a combination of self knowledge and development of dual-awareness, a stance that permits the clinician to simultaneously attend to and monitor the needs of the patient, the work environment, and his or her own subjective experience."

•  " Physicians with burnout who use self-care without self-awareness may feel as though they are drowning and barely able to come up for air, whereas self-care with selfawareness is like learning to breathe underwater.”

•  From: Kearney, M.K., et al Self-care of physicians caring for patients at the end of life. JAMA, March 18, 2009 - vol 301, no 11.

• 

Jon Kabat Zinn Part one “Stress Reduction in 6 parts” Video on Youtube

Page 8: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 8

Let’s Relax

Do Nothing for Two Minutes: www.donothingfor2minutes.com www.donothingfor2minutes.com

Consequences of overworking •  Depleted parenting (“can we paint”?) •  Depleted friendships & family relationships

Create or restore your social supports

Page 9: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 9

Stress at Work Develop Strategic Alliances

"the most significant factor associated with compassion satisfaction” (Killian 2008 étude d’intervenants en trauma)

The toxic workplace: The BMWs

Let’s stop blaming the helpers

•  Killian: by only focusing on individual self care, we risk falling into the pitfall of blaming the helper for developing CF and VT

•  "this focus implies that helping professionals who are hurting are somehow at fault - they are not balancing work and life [...]"

•  Far more effective were organizational changes which offered helpers better working conditions, more control over their schedule, good quality supervision and a reduced exposure to trauma.

Killian, K.D. Helping Till it Hurts? A Multimethod Study of Compassion Fatigue, Burnout, and Self-Care in Clinicians Working With Trauma Survivors in Traumatology, Vol 14, No 2, June 2008.

Page 10: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 10

Managing workplace toxicity

• Feeling wronged & bitter: A sense of helplessness, of persecution

•  “We become convinced that others are responsible for our well-being and that we lack the personal agency to transform our circumstances” Lipsky P93

Laura van Dernoot Lipsky (2009) Trauma Stewardship

Get Help Before It’s a Crisis

Making a Commitment to Change

Page 11: Addressing Compassion Fatigue: What Works? · 2012. 10. 24. · Compassion Fatigue Solutions Inc. Addressing Compassion Fatigue: What Works? All studies come to the same conclusions:

© Françoise Mathieu 2011 11

www.compassionfatigue.ca

[email protected]

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