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Compassion Fatigue presentation by Shayne Julius for the Workplace Section of the Interagency ADR Working Group.

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  1. 1. FIRST, DO NO HARM , (TO YOURSELF): MITIGATING COMPASSION FATIGUE  FOR THE WORKPLACE ADR PROFESSIONAL Presented By: Shayne Julius y Sept. 5, 20121660 L Street, NW, Suite 501, Washington, DC 20036202‐296‐2328 www.adrvantage.com
  2. 2. What is Compassion Fatigue? What is Compassion Fatigue?Compassion Fatigue is a natural consequence Compassion Fatigue is a natural consequenceof stress resulting from caring and helping traumatized or suffering people…. These traumatized or suffering people Theseoutwards signs are displays of stress resulting from giving care to others. Compassion fatigue from giving care to others Compassion fatigueis a secondary traumatic stress disorder.  It is a set of symptoms, not a disease.  set of symptoms not a disease ‐ Charles Figley (1995)
  3. 3. Why are Workplace ADR  Professionals Vulnerable? f l l bl• Ongoing and repeated exposure to others’  Ongoing and repeated exposure to others conflicts• Guiding principles of ADR practice provide Guiding principles of ADR practice provide  false sense of invulnerability • E bli hi Establishing connection with the parties in  i ih h i i conflict is key to a successful intervention • “Self‐care blind spot”
  4. 4. Compassion Fatigue Trajectory Compassion Fatigue Trajectory • Committed and involved Committed and involvedIdealistic • • Ready to serve and make a difference Willing to go above and beyond • Full of energy and enthusiasm Full of energy and enthusiasm • Cuts corners, loss of concentration, increase in  oversights and mistakesIrritable • Avoids contact with parties in conflict Avoids contact with parties in conflict • Mocks others and uses inappropriate humor • Distances oneself from colleagues and friends
  5. 5. Compassion Fatigue Trajectory cont.Compassion Fatigue Trajectory cont. • Loses patience with parties in conflict – their issues  become irritantsWithdrawn • Neglects self and others and is chronically fatigued • Loses hope and isolates oneself •BBecomes defensive and may view oneself as a victim d f i d i lf i ti • Views others as incompetent or ignorant • Develops a disdain for parties in conflict Zombie • Dislikes others and becomes easily enraged • Loses patience, sense of humor, and zest for life
  6. 6. Symptoms of Compassion  Fatigue in the Individual h d d l• Emotional outbursts Emotional outbursts • Excessive complaining Excessive complaining• Lack of boundaries • Lack of interest in self‐• Avoidance of others Avoidance of others care• Loss of sense of humor • Recurring nightmares, • Loss of purpose flashbacks• Difficulty in  • Persistent physical  concentration ailments• Feelings of inadequacy • Accident prone
  7. 7. Symptoms of Compassion  Fatigue in an Organization• Excessive Worker’s Excessive Worker s  • Aggressive behavior Aggressive behavior Comp Claims • Inability to complete • High absenteeism High absenteeism assigned tasks assigned tasks• “Us” vs. “them” co‐ • Lack of flexibility worker relationships worker relationships • C t t li Constant policy • Dysfunctional teams changes• I Ignoring organization  i i ti • R Rumors & gossip & i rules & regulations • Unhealthy competition
  8. 8. Causes of  Compassion Fatigue• Putting needs of others before yours Putting needs of others before yours• Unresolved trauma/pain• Lacking of healthy coping skills ki fh l h i kill• Lack of self‐awareness• Giving care to others under stress or burnout• Lack of personal boundaries Lack of personal boundaries• Inability to communicate needs
  9. 9. The ADR of Self Care The ADR of Self‐Care• Awareness• Deliberate Action Deliberate Action• Revisit Often Revisit Often
  10. 10. The ADR of Self Care The ADR of Self‐Care• Awareness – Accept that the work we do makes us vulnerable – Acquire more information about compassion Acquire more information about compassion  fatigue and effective self‐care practices – Assess your current level of and vulnerability to Assess your current level of and vulnerability to  compassion fatigue – Acknowledge your needs and limits Acknowledge your needs and limits
  11. 11. Assessment Tool: Professional Quality of Life Scale (ProQOL) P f i l Q li f Lif S l (P QOL)© Beth Hudnall Stamm, 2009.  www.ProQOL.org
  12. 12. The ADR of Self Care The ADR of Self‐Care• Deliberate Action e be ate ct o – Develop a self‐care plan – Decompress after difficult situations – Define your boundaries to promote balance – Develop healthy coping strategies and engage in  activities that bring you joy/are a source of renewal activities that bring you joy/are a source of renewal – Don’t wait to think about self‐care until you’re in dire  circumstances – Develop a strong support network – Declare your self‐care goals to your support network
  13. 13. Components of a Self Care Plan Components of a Self‐Care Plan• Identify areas where you want to maintain or improve  y y p self‐care in each of six areas – cognitive, emotional,  behavioral, spiritual, interpersonal and physical• S t SMART Set SMART goals – S ifi M l Specific, Measurable, Attainable,  bl Att i bl Realistic and Time‐Based – and write them down• Identify resources available to accomplish goals Identify resources available to accomplish goals• Identify specific people to support you in  accomplishing your goals• Don’t overwhelm yourself – prioritize the top three and  revisit the plan at regular intervals
  14. 14. The ADR of Self Care The ADR of Self‐Care• Revisit often Revisit often – Renew your commitment to self‐care on a regular  basis by setting aside time to take stock – Reassess self‐care as circumstances change or new  priorities are identified – Recognize your triggers/emerging symptoms and  / act immediately – Reach out to your colleagues to talk about issues Reach out to your colleagues to talk about issues  of self‐care and make it a priority in the ADR  profession
  15. 15. Remember…• You are human You are human• You can’t solve every problem/resolve every  conflict• Parties in conflict are best served by a  practitioner that actively engages in self‐care ii h i l i lf
  16. 16. ResourcesBOOKS:Figley, Charles R. (1995) Compassion Fatigue: coping with Traumatic Stress Disorder in Figley Charles R (1995) Compassion Fatigue coping with Traumatic Stress Disorder in Those who Treat the Traumatized. New York: Brunner‐Routledge.Figley, Charles R. (2002) Treating Compassion Fatigue. New York: Brunner‐Routledge.Mathieu, F. (2008) The Compassion Fatigue Workbook, Kingston: WHP.ARTICLES:Figley (2007), Charles R. The Art and Science of Caring for Others without Forgetting  Self‐Care. http://www.giftfromwithin.org/html/artscien.htmlPanos, Angelea.  Understanding and Preventing Compassion Fatigue ‐ A H d t FP A l U d t di dP ti C i F ti A Handout For  Professionals. http://www.giftfromwithin.org/html/prvntcf.htmlSiebert, Al.  The Five Levels of Resiliency.    http://www.resiliencycenter.com/articles/5levels.shtml
  17. 17. Resources cont. Resources cont.WEBSITES:Compassion Fatigue Awareness Project (http://www.compassionfatigue.org/)The Compassion Fatigue Awareness Project© is dedicated to educating caregivers about authentic, sustainable self‐care and aiding organizations in their goal of providing healthy, compassionate care to those whom they serve.Green Cross Academy of Traumatology (www.greencross.org)An international, humanitarian assistance organization, non profit corporation An international, humanitarian assistance organization, non‐profit corporationcomprised of trained traumatologists and compassion fatigue service providers. Most are licensed mental health professionals, all are oriented to helping people in crisis following traumatic events.Professional Quality of Life (ProQOL) Scale (http://www.proqol.org/)The ProQOL is the most commonly used measure of the negative and positive affects of helping others who experience suffering and trauma. The ProQOL has sub‐scales for compassion satisfaction, burnout and compassion fatigue. i if i b d i f i
  18. 18. Thank You For Coming!!Thank You For Coming!! Want more information? Shayne Julius ADR Vantage, Inc. ADR Vantage Inc 1660 L Street, NW, Suite 501 Washington, DC 20036 g 202‐296‐2328 sjulius@adrvantage.com