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Organizational
Self‐Care
Assessment

Using
the
scale
below
(1=never,
5=always),
identify
how
frequently
your
organization
engages

in
the
listed
activities
that
support
organizational
self‐care.

5
=
Always
4
=
Often
3
=
Sometimes
2
=
Rarely
1
=
Never



TRAINING
AND
EDUCATION

 The
organization
provides
education
to
all
employees
about
stress
and
its
impact
on
health
and

well‐being.



 The
organization
provides
all
employees
with
education
on
the
signs
of
burnout,
compassion
fatigue

and/or
vicarious
traumatization.



 The
organization
provides
all
employees
with
stress
management
trainings.



 The
organization
provides
all
employees
with
training
related
to
their
job
tasks.



 Staff
are
given
opportunities
to
attend
refresher
trainings
and
trainings
on
new
topics
related
to

their
role.



 Staff
coverage
is
in
place
to
support
training.



 The
organization
provides
education
on
the
steps
necessary
to
advance
in
whatever
role
you
are
in.



 Other:
_______________________________



SUPPORT
AND
SUPERVISION

 The
organization
offers
an
employee
assistance
program
(EAP).



 Employee
job
descriptions
and
responsibilities
are
clearly
defined.



 All
staff
members
have
regular
supervision.



 Part
of
supervision
is
used
to
address
job
stress
and
self‐care
strategies.



 Part
of
supervision
is
used
for
on‐going
assessment
of
workload
and
time
needed
to
complete
tasks.



 Staff
members
are
encouraged
to
understand
their
own
stress
reactions
and
take
appropriate
steps

to
develop
their
own
self‐care
plans.



 Staff
members
are
welcome
to
discuss
concerns
about
the
organization
or
their
job
with

administrators
without
negative
consequences
(e.g.,
being
treated
differently,
feeling
like
their
job
is

in
jeopardy
or
having
it
impact
their
role
on
the
team).



 Staff
members
are
encouraged
to
take
breaks,
including
lunch
and
vacation
time.



 The
organization
supports
peer‐to‐peer
activities
such
as
support
groups
and
mentoring.



 Other:
_______________________________



EMPLOYEE
CONTROL
AND
INPUT

 The
organization
provides
opportunities
for
staff
to
provide
input
into
practices
and
policies.



 The
organization
reviews
its
policies
on
a
regular
basis
to
identify
whether
they
are
helpful
or

harmful
to
the
health
and
wellbeing
of
its
employees.



 The
organization
provides
opportunities
for
staff
members
to
identify
their
professional
goals.



 Staff
members
have
formal
channels
for
addressing
problems/grievances.



 Other:_______________________________



COMMUNICATION

 Staff
members
have
regularly
scheduled
team
meetings.



 Topics
related
to
self‐care
and
stress
management
are
addressed
in
team
meetings.



 Regular
discussions
of
how
people
and
departments
are
communicating
and
relaying
information

are
addressed
in
team
meetings.



 The
organization
provides
opportunities
for
staff
in
different
roles
to
share
what
one
another’s
days

are
like.




 The
organization
has
a
way
of
evaluating
staff
satisfaction
on
a
regular
basis.



 Other:
_______________________________



WORK
ENVIRONMENT

 The
work
environment
is
well‐lit.



 The
work
environment
is
physically
wellmaintained
(e.g.,
clean,
secure,
etc.).



 Information
about
self‐care
is
posted
in
places
that
are
visible.



 Employee
rights
are
posted
in
places
that
are
visible.



 The
organization
provides
opportunities
for
community
building
among
employees.



 The
organization
has
a
no‐tolerance
policy
concerning
sexual
harassment.



 The
organization
has
a
no‐tolerance
policy
concerning
bullying.



 Workplace
issues,
including
grievance
issues
and
interpersonal
difficulties,
are
managed
by
those
in

the
appropriate
role
and
remain
confidential.



 Other:
_______________________________



Reflection
Questions

1.
What
was
this
process
of
filling
out
the
checklist
like
for
you?

2.
Were
you
surprised
by
any
of
your
responses?
If
so,
which
ones?

3.
What
ideas
did
you
find
on
the
checklist
that
you
liked/did
not
like?

4.
What
are
the
things
that
you
found
realistic/not
realistic
to
implement?

5.
What
are
some
of
the
barriers
or
challenges
to
implementing
these
practices?



Adapted
from
What
About
You?
A
Workbook
for
Those
Who
Work
with
Others.


Available
at
www.familyhomelessness.org/resources.


Handout 10: Personal Self-Care Assessment Tool

How often do you do the following? (Rate, using the scale below):
5 = Frequently
4 = Sometimes
3 = Rarely
2 = Never
1 = It never even occurred to me
Physical Self Care
 Eat regularly (e.g. breakfast & lunch)
 Eat healthfully
 Exercise, or go to the gym
 Lift weights
 Practice martial arts
 Get regular medical care for prevention
 Get medical care when needed
 Take time off when you're sick
 Get massages or other body work
 Do physical activity that is fun for you
 Take time to be sexual
 Get enough sleep
 Wear clothes you like
 Take vacations
 Take day trips or mini-vacations
 Get away from stressful technology such as pagers, faxes, telephones, e-mail
 Other:
Psychological Self Care
 Make time for self-reflection
 Go to see a psychotherapist or counselor for yourself
 Write in a journal
 Read literature unrelated to work
 Do something at which you are a beginner
 Take a step to decrease stress in your life
 Notice your inner experience - your dreams, thoughts, imagery, feelings
 Let others know different aspects of you
 Engage your intelligence in a new area - go to an art museum, performance, sports event, exhibit, or
other cultural event
 Practice receiving from others
 Be curious
 Say no to extra responsibilities sometimes
 Spend time outdoors
 Other:
Emotional Self Care
 Spend time with others whose company you enjoy
 Stay in contact with important people in your life
 Treat yourself kindly (supportive inner dialogue or self-talk)
 Feel proud of yourself
 Reread favorite books, review favorite movies
 Identify and seek out comforting activities, objects, people, relationships, places
 Allow yourself to cry
 Find things that make you laugh
 Express your outrage in a constructive way
 Play with children
 Other:
Spiritual Self Care
 Make time for prayer, meditation, reflection
 Spend time in nature
 Participate in a spiritual gathering, community or group
 Be open to inspiration
 Cherish your optimism and hope
 Be aware of nontangible (nonmaterial) aspects of life
 Be open to mystery, to not knowing
 Identify what is meaningful to you and notice its place in your life
 Sing
 Express gratitude
 Celebrate milestones with rituals that are meaningful to you
 Remember and memorialize loved ones who have died
 Nurture others
 Have awe-full experiences
 Contribute to or participate in causes you believe in
 Read inspirational literature
 Listen to inspiring music
 Other:
Workplace/Professional Self Care
 Take time to eat lunch
 Take time to chat with co-workers
 Make time to complete tasks
 Identity projects or tasks that are exciting, growth-promoting, and rewarding for you
 Set limits with clients and colleagues
 Balance your caseload so no one day is "too much!"
 Arrange your workspace so it is comfortable and comforting
 Get regular supervision or consultation
 Negotiate for your needs
 Have a peer support group
 Other:
Adapted from Saakvitne, Pearlman, and Traumatic Stress Institute Staff,
Transforming the Pain: A Workbook on Vicarious Traumatization, 1996.
Available at http://www.homeless.samhsa.gov/%5CResourceFiles%5C2cs4epqp.pdf

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Helping the Helpers Workhop Handout Organizational Self-Care Assessment

  • 1. Organizational
Self‐Care
Assessment
 Using
the
scale
below
(1=never,
5=always),
identify
how
frequently
your
organization
engages
 in
the
listed
activities
that
support
organizational
self‐care.
 5
=
Always
4
=
Often
3
=
Sometimes
2
=
Rarely
1
=
Never
 
 TRAINING
AND
EDUCATION
  The
organization
provides
education
to
all
employees
about
stress
and
its
impact
on
health
and
 well‐being.
 
  The
organization
provides
all
employees
with
education
on
the
signs
of
burnout,
compassion
fatigue
 and/or
vicarious
traumatization.
 
  The
organization
provides
all
employees
with
stress
management
trainings.
 
  The
organization
provides
all
employees
with
training
related
to
their
job
tasks.
 
  Staff
are
given
opportunities
to
attend
refresher
trainings
and
trainings
on
new
topics
related
to
 their
role.
 
  Staff
coverage
is
in
place
to
support
training.
 
  The
organization
provides
education
on
the
steps
necessary
to
advance
in
whatever
role
you
are
in.
 
  Other:
_______________________________
 
 SUPPORT
AND
SUPERVISION
  The
organization
offers
an
employee
assistance
program
(EAP).
 
  Employee
job
descriptions
and
responsibilities
are
clearly
defined.
 
  All
staff
members
have
regular
supervision.
 
  Part
of
supervision
is
used
to
address
job
stress
and
self‐care
strategies.
 
  Part
of
supervision
is
used
for
on‐going
assessment
of
workload
and
time
needed
to
complete
tasks.
 
  Staff
members
are
encouraged
to
understand
their
own
stress
reactions
and
take
appropriate
steps
 to
develop
their
own
self‐care
plans.
 
  Staff
members
are
welcome
to
discuss
concerns
about
the
organization
or
their
job
with
 administrators
without
negative
consequences
(e.g.,
being
treated
differently,
feeling
like
their
job
is
 in
jeopardy
or
having
it
impact
their
role
on
the
team).
 
  Staff
members
are
encouraged
to
take
breaks,
including
lunch
and
vacation
time.
 
  The
organization
supports
peer‐to‐peer
activities
such
as
support
groups
and
mentoring.
 
  Other:
_______________________________
 
 EMPLOYEE
CONTROL
AND
INPUT
  The
organization
provides
opportunities
for
staff
to
provide
input
into
practices
and
policies.
 
  The
organization
reviews
its
policies
on
a
regular
basis
to
identify
whether
they
are
helpful
or

  • 2. harmful
to
the
health
and
wellbeing
of
its
employees.
 
  The
organization
provides
opportunities
for
staff
members
to
identify
their
professional
goals.
 
  Staff
members
have
formal
channels
for
addressing
problems/grievances.
 
  Other:_______________________________
 
 COMMUNICATION
  Staff
members
have
regularly
scheduled
team
meetings.
 
  Topics
related
to
self‐care
and
stress
management
are
addressed
in
team
meetings.
 
  Regular
discussions
of
how
people
and
departments
are
communicating
and
relaying
information
 are
addressed
in
team
meetings.
 
  The
organization
provides
opportunities
for
staff
in
different
roles
to
share
what
one
another’s
days
 are
like.

 
  The
organization
has
a
way
of
evaluating
staff
satisfaction
on
a
regular
basis.
 
  Other:
_______________________________
 
 WORK
ENVIRONMENT
  The
work
environment
is
well‐lit.
 
  The
work
environment
is
physically
wellmaintained
(e.g.,
clean,
secure,
etc.).
 
  Information
about
self‐care
is
posted
in
places
that
are
visible.
 
  Employee
rights
are
posted
in
places
that
are
visible.
 
  The
organization
provides
opportunities
for
community
building
among
employees.
 
  The
organization
has
a
no‐tolerance
policy
concerning
sexual
harassment.
 
  The
organization
has
a
no‐tolerance
policy
concerning
bullying.
 
  Workplace
issues,
including
grievance
issues
and
interpersonal
difficulties,
are
managed
by
those
in
 the
appropriate
role
and
remain
confidential.
 
  Other:
_______________________________
 
 Reflection
Questions
 1.
What
was
this
process
of
filling
out
the
checklist
like
for
you?
 2.
Were
you
surprised
by
any
of
your
responses?
If
so,
which
ones?
 3.
What
ideas
did
you
find
on
the
checklist
that
you
liked/did
not
like?
 4.
What
are
the
things
that
you
found
realistic/not
realistic
to
implement?
 5.
What
are
some
of
the
barriers
or
challenges
to
implementing
these
practices?
 
 Adapted
from
What
About
You?
A
Workbook
for
Those
Who
Work
with
Others.

 Available
at
www.familyhomelessness.org/resources.
  • 3. 
 Handout 10: Personal Self-Care Assessment Tool
 How often do you do the following? (Rate, using the scale below): 5 = Frequently 4 = Sometimes 3 = Rarely 2 = Never 1 = It never even occurred to me Physical Self Care  Eat regularly (e.g. breakfast & lunch)  Eat healthfully  Exercise, or go to the gym  Lift weights  Practice martial arts  Get regular medical care for prevention  Get medical care when needed  Take time off when you're sick  Get massages or other body work  Do physical activity that is fun for you  Take time to be sexual  Get enough sleep  Wear clothes you like  Take vacations  Take day trips or mini-vacations  Get away from stressful technology such as pagers, faxes, telephones, e-mail  Other: Psychological Self Care  Make time for self-reflection  Go to see a psychotherapist or counselor for yourself  Write in a journal  Read literature unrelated to work  Do something at which you are a beginner  Take a step to decrease stress in your life  Notice your inner experience - your dreams, thoughts, imagery, feelings  Let others know different aspects of you  Engage your intelligence in a new area - go to an art museum, performance, sports event, exhibit, or other cultural event  Practice receiving from others  Be curious  Say no to extra responsibilities sometimes  Spend time outdoors  Other: Emotional Self Care  Spend time with others whose company you enjoy  Stay in contact with important people in your life  Treat yourself kindly (supportive inner dialogue or self-talk)  Feel proud of yourself
  • 4.  Reread favorite books, review favorite movies  Identify and seek out comforting activities, objects, people, relationships, places  Allow yourself to cry  Find things that make you laugh  Express your outrage in a constructive way  Play with children  Other: Spiritual Self Care  Make time for prayer, meditation, reflection  Spend time in nature  Participate in a spiritual gathering, community or group  Be open to inspiration  Cherish your optimism and hope  Be aware of nontangible (nonmaterial) aspects of life  Be open to mystery, to not knowing  Identify what is meaningful to you and notice its place in your life  Sing  Express gratitude  Celebrate milestones with rituals that are meaningful to you  Remember and memorialize loved ones who have died  Nurture others  Have awe-full experiences  Contribute to or participate in causes you believe in  Read inspirational literature  Listen to inspiring music  Other: Workplace/Professional Self Care  Take time to eat lunch  Take time to chat with co-workers  Make time to complete tasks  Identity projects or tasks that are exciting, growth-promoting, and rewarding for you  Set limits with clients and colleagues  Balance your caseload so no one day is "too much!"  Arrange your workspace so it is comfortable and comforting  Get regular supervision or consultation  Negotiate for your needs  Have a peer support group  Other: Adapted from Saakvitne, Pearlman, and Traumatic Stress Institute Staff, Transforming the Pain: A Workbook on Vicarious Traumatization, 1996. Available at http://www.homeless.samhsa.gov/%5CResourceFiles%5C2cs4epqp.pdf