This document summarizes information presented by Chaplain William Hartfelder in a CIT training on spiritual challenges, compassion fatigue, moral injury, and law enforcement. It introduces Hartfelder and defines what a chaplain is. It then discusses how law enforcement can experience spiritual struggles and defines compassion fatigue as the physical and mental exhaustion experienced by those who care for others over long periods. Symptoms and risks of compassion fatigue and moral injury are outlined. The document recommends increasing awareness, maintaining balance through self-care, and nurturing connections to cope with these challenges.
This document provides an overview of epistaxis (nosebleeds), including causes, locations, clinical approach, and management. It notes that epistaxis affects 5-10% of the population annually and can originate from the nose, nasopharynx, paranasal sinuses, or anterior cranial fossa. Local causes include trauma, inflammation, and tumors, while systemic causes involve conditions like hypertension, coagulopathies, and liver/kidney disease. Anterior nosebleeds are more common and originate from Little's area, while posterior bleeds originate from the sphenopalatine artery. Clinical assessment involves history, exam, and identifying the bleeding site. Management includes vasoconstrictors, caut
Epistaxis, or nosebleed, is bleeding from the nose or nasal cavity. It is a common condition that affects around 10% of the population each year. The nasal cavities have a rich blood supply from both the internal and external carotid arteries, with numerous anastomoses between arteries and veins. The most common site of anterior epistaxis is Kiesselbach's plexus, while Woodruff's plexus is a common site for posterior epistaxis. Treatment depends on the severity but may include nasal packing, cauterization, or ligation of arteries in severe cases.
The document discusses sinusitis, or inflammation of the paranasal sinuses. It describes the anatomy and development of the four pairs of paranasal sinuses. Sinusitis is usually caused by a viral or bacterial infection following rhinitis. Symptoms include nasal congestion, facial pain, and headache. Treatment involves antibiotics, pain medication, saline irrigation and follow up to monitor for complications or lack of improvement.
Dacryocystitis is an inflammation of the lacrimal sac caused by blockage of the lacrimal drainage system leading to stagnation of tears. It can be acute or chronic. Acute dacryocystitis presents with sudden onset of pain, redness and swelling near the inner corner of the eye. Chronic dacryocystitis causes long-term watering from the eyes and mucus discharge. The blockage can be treated with probing and irrigation or dacryocystorhinostomy surgery to restore drainage into the nose. Antibiotics are given for associated infections.
Eye banking and corneal transplantation 10.03.16,dr.k.n.jhaophthalmgmcri
An eye bank is a nonprofit organization that collects and distributes donated corneas for transplantation. It has medical and administrative sections. The medical section handles tissue harvesting, evaluation, preservation, and distribution following medical standards. The administrative section does public awareness, fundraising, and liaison with other groups. Corneal transplantation replaces diseased cornea with donor tissue. It can be full thickness or partial thickness. The cornea is harvested, processed, and stored before being distributed for surgery. Complications include rejection and infection. Prognosis depends on factors like eyelid abnormalities and inflammation. New techniques include lamellar keratoplasty which replaces only corneal layers.
The National Programme for Control of Blindness aims to reduce the prevalence of blindness in India from 1.4% to 0.3% by 2020. It was launched in 1976 and decentralized in 1994-95 by forming District Blindness Control Societies. The program's objectives include performing cataract surgeries, screening schools for refractive errors, and increasing awareness. Key strategies are continuing emphasis on free cataract surgery and making services more comprehensive by addressing other causes like glaucoma and diabetic retinopathy. The program also focuses on capacity building, strengthening infrastructure, and ensuring coverage of underserved areas.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain, and suffering. Join this important webinar where Teresa Deshields, Ph.D., will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
This document provides an overview of epistaxis (nosebleeds), including causes, locations, clinical approach, and management. It notes that epistaxis affects 5-10% of the population annually and can originate from the nose, nasopharynx, paranasal sinuses, or anterior cranial fossa. Local causes include trauma, inflammation, and tumors, while systemic causes involve conditions like hypertension, coagulopathies, and liver/kidney disease. Anterior nosebleeds are more common and originate from Little's area, while posterior bleeds originate from the sphenopalatine artery. Clinical assessment involves history, exam, and identifying the bleeding site. Management includes vasoconstrictors, caut
Epistaxis, or nosebleed, is bleeding from the nose or nasal cavity. It is a common condition that affects around 10% of the population each year. The nasal cavities have a rich blood supply from both the internal and external carotid arteries, with numerous anastomoses between arteries and veins. The most common site of anterior epistaxis is Kiesselbach's plexus, while Woodruff's plexus is a common site for posterior epistaxis. Treatment depends on the severity but may include nasal packing, cauterization, or ligation of arteries in severe cases.
The document discusses sinusitis, or inflammation of the paranasal sinuses. It describes the anatomy and development of the four pairs of paranasal sinuses. Sinusitis is usually caused by a viral or bacterial infection following rhinitis. Symptoms include nasal congestion, facial pain, and headache. Treatment involves antibiotics, pain medication, saline irrigation and follow up to monitor for complications or lack of improvement.
Dacryocystitis is an inflammation of the lacrimal sac caused by blockage of the lacrimal drainage system leading to stagnation of tears. It can be acute or chronic. Acute dacryocystitis presents with sudden onset of pain, redness and swelling near the inner corner of the eye. Chronic dacryocystitis causes long-term watering from the eyes and mucus discharge. The blockage can be treated with probing and irrigation or dacryocystorhinostomy surgery to restore drainage into the nose. Antibiotics are given for associated infections.
Eye banking and corneal transplantation 10.03.16,dr.k.n.jhaophthalmgmcri
An eye bank is a nonprofit organization that collects and distributes donated corneas for transplantation. It has medical and administrative sections. The medical section handles tissue harvesting, evaluation, preservation, and distribution following medical standards. The administrative section does public awareness, fundraising, and liaison with other groups. Corneal transplantation replaces diseased cornea with donor tissue. It can be full thickness or partial thickness. The cornea is harvested, processed, and stored before being distributed for surgery. Complications include rejection and infection. Prognosis depends on factors like eyelid abnormalities and inflammation. New techniques include lamellar keratoplasty which replaces only corneal layers.
The National Programme for Control of Blindness aims to reduce the prevalence of blindness in India from 1.4% to 0.3% by 2020. It was launched in 1976 and decentralized in 1994-95 by forming District Blindness Control Societies. The program's objectives include performing cataract surgeries, screening schools for refractive errors, and increasing awareness. Key strategies are continuing emphasis on free cataract surgery and making services more comprehensive by addressing other causes like glaucoma and diabetic retinopathy. The program also focuses on capacity building, strengthening infrastructure, and ensuring coverage of underserved areas.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain, and suffering. Join this important webinar where Teresa Deshields, Ph.D., will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
The Practice of Spiritual Health Therapy--Definig our work and professionVenerable Thomas Kilts
The document defines spiritual health therapy as a professional practice that involves assessing and addressing the spiritual needs and distress of patients. It involves exploring a patient's sense of meaning, purpose, values and relationships. The goal is to support spiritual health, which is defined as having a sense of connectedness to oneself, others, nature and potentially a higher power. Spiritual health therapists utilize therapeutic interventions like support, clarification and confrontation to help patients engage in activities linked to spiritual well-being, such as prayer, meditation and finding meaning. The work occurs in clinical settings and aims to complement medical care by attending to the whole person.
Maintaining Sanity amid the Government's InsensitivityAnthony Montecillo
Maintaining Sanity amid the Government's Insensitivity. An online discussion on mental health in COVID19 pandemic. Alliance of Concerned Teachers (ACT). 27 March 2020
The document discusses counseling in healthcare settings, describing it as a process of communication between a patient and counselor that involves listening, empowering the patient to cope with crises, and helping the patient make their own decisions by providing support. It outlines the roles and qualities of an effective counselor, different types of counseling approaches, and basic counseling skills. The document also addresses how psychological stress and attitudes can impact cancer patients and the importance of mental health treatment and social support for coping.
This document provides information about pursuing a career in psychiatric nursing. It recommends joining professional organizations like APNA to learn more. Volunteering in mental health settings can help students determine if they are interested in the field. Doing a rotation in a psychiatric unit introduces students to the specialty. The document also discusses credentialing options for psychiatric nurses and nurse practitioners. It notes some key differences in treating psychiatric patients, such as interventions focusing on managing behavior, as patients are usually not confined to beds.
This document provides information about pursuing a career in psychiatric nursing. It recommends joining professional organizations like APNA to learn more. Volunteering in mental health settings can help students determine if they are interested in the field. Doing a rotation in a psychiatric unit introduces students to the specialty. The document also discusses credentialing options for psychiatric nurses and nurse practitioners. It notes some key differences in treating psychiatric patients, such as interventions focusing on managing behavior, as patients are usually not confined to beds.
This document discusses spiritual care at the end of life. It begins by outlining two approaches to experiencing dying - restoration, associated with modern medicine, and transformation, associated with traditional and spiritual practices.
It then defines spirituality, spiritual care, and who provides spiritual care. Spiritual care recognizes and responds to human spirit needs, through compassionate relationships and addressing needs like meaning, faith, or expression. It is provided not just by chaplains but by all staff.
The document notes signs of spiritual distress like tears or anger, and potential triggers like trauma, bad news, or isolation. It offers guidelines for non-chaplain staff responding to spiritual needs through listening, presence, and referral. Empathetic presence
The recent attack in downtown Ottawa has deeply affected our city. We have a powerful desire to stay strong as individuals and as a community yet we are all human so it is natural to feel fear, anxiety and loss after this type of event. Recognizing this, The Royal held a special info session on coping with trauma.
Presenters:
Dr. Jakov Shlik, Clinical Director, Operational Stress Injury Clinic and Anxiety program, The Royal
Michelle Antwi, Operational Stress Injury Clinic, The Royal
Katie Bendell, Operational Stress Injury Clinic, The Royal
The document provides guidance on crisis counseling from a spiritual and mental health perspective. It discusses the mission of crisis counselors to serve as a calming presence for victims of trauma and help them build stability. Counselors aim to assess individuals' needs and facilitate access to necessary mental, physical, or spiritual services. The document outlines types of emotional crises people may experience such as depression, anxiety, substance abuse, and eating disorders. It provides tips for assessing risk factors and characteristics of crises. The counseling process involves assessment, intervention, and termination with the goal of restoring people's pre-crisis level of functioning.
The document summarizes the Healing Journey program, which incorporates psychological and spiritual dimensions into cancer care. The program aims to relieve suffering through three approaches - medical, psychological/social, and spiritual. It details five levels of the program focused on coping skills, thought management, diminishing obstacles to spiritual experience, and studying spiritual texts. The goal is to help patients adapt to their disease and enhance quality of life through self-healing techniques including meditation, mental imagery, and examining thought patterns.
Responding to Cancer | Tips for Anxiety, Stress | ThymicUK & Dimbleby Cancer ...OliverNeely1
Responding to Cancer. An information session helping us to understand our response to cancer diagnosis, ongoing treatment etc..
Advice and tips for dealing with anxiety, stress and emotions for cancer patients, friends and family.
Trauma is a neurobiological process that occurs when a stressful event causes the brain to become "cortisoaked" in stress hormones like cortisol. When this happens, parts of the brain involved in fear, memory, and decision-making function differently. Discussing trauma can be difficult due to both internal barriers within survivors and external stigma. It is important to use supportive responses when talking to someone who has experienced trauma, such as active listening, validation, and offering resources without attempts to fix or blame. Coping skills and mindful awareness can help both survivors of trauma and supporters manage feelings and regulate emotions.
A modified version of Paul Pruysers 7 benchmarks for pastoral diagnosis. Provides guidelines for pastoral care, either for single visit or longer term process.
This document discusses providing psychological support after disasters and emergencies. It outlines that for every physical injury, there may be 5-6 psychological injuries that can overwhelm response efforts. It describes common psychological reactions like grief, loss, and stress. The document recommends the principles of psychological first aid to promote safety, calm, connectedness, self-efficacy, and help for survivors. It provides guidance on supportive communication skills and avoiding unhelpful statements when offering psychological support.
Volunteer companions provide personal presence for seriously or terminally ill patients who would otherwise be alone in the hospital. Volunteers go through training which includes orientation, education modules, and following hospital policies. They provide non-medical support to patients expected to pass away within 48 hours or with advanced, irreversible illnesses by offering their presence and connection with the patient, family, and medical staff. Volunteers establish relationships and listen to patients but do not provide medical care.
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
This document discusses moral injury, which occurs when someone witnesses, perpetrates, fails to prevent, or learns about acts that violate their moral beliefs and cause deep emotional distress. It can result from acts of violence, betrayal, or failures in leadership. Symptoms of moral injury include depression, anxiety, dissociation, and increased suicide risk. Treatment should address the sense of betrayal, foster empathy, forgiveness, and building a healing narrative. Recognizing moral injury is important as its symptoms can overlap with PTSD and increase suicide risk if left unaddressed. More research is still needed on moral injury and how to best support recovery.
This document summarizes ways for family lawyers to cope with stress in their practice, as presented by the Alberta Lawyers' Assistance Society (Assist). It discusses the stresses of being a family lawyer and signs of depression, stress, and anxiety. It then outlines Assist's services and recommends the NESTS approach to self-care: focusing on Nutrition, Exercise, Sleep, Time for yourself, and Social Support. Resources on compassion fatigue, stress management techniques, and mental health are also provided.
Becoming Embodied- Deanan James- Monarch Cove June 2013Monarch Cove
Deanna James, LPC discusses the use of body based treatment approaches when working with clients with eating disorders and trauma. This lecture was presented at Monarch Cove Treatment Centers Preferred Provider Conference.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain and suffering. Join this important webinar where Teresa Deshields, PhD, will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
This document provides an overview of a provider audit financial key performance indicator (KPI) scorecard. The scorecard assesses a provider's financial strength based on five KPIs from their past two audits. It assigns a risk score from 0-10 based on how close the KPIs are to standards, and a trajectory indicator of positive, negative or neutral based on the year-over-year change in the five KPIs. The scorecard is shared annually with the Board of Trustees' Finance Committee to provide transparency and ensure the ongoing strength of their network of care.
1) The document describes an incident where police shot an autistic man, Arnaldo Rios Soto, who was sitting in an intersection holding a toy truck. It details what police saw upon arrival, their interactions with Rios Soto and his caregiver, and the shooting.
2) It then discusses the aftermath of the shooting on Rios Soto's mental and physical health, as well as legal consequences.
3) The document concludes by outlining tactics and considerations for police to utilize when responding to individuals with autism to help manage risk and increase safety and compliance.
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The Practice of Spiritual Health Therapy--Definig our work and professionVenerable Thomas Kilts
The document defines spiritual health therapy as a professional practice that involves assessing and addressing the spiritual needs and distress of patients. It involves exploring a patient's sense of meaning, purpose, values and relationships. The goal is to support spiritual health, which is defined as having a sense of connectedness to oneself, others, nature and potentially a higher power. Spiritual health therapists utilize therapeutic interventions like support, clarification and confrontation to help patients engage in activities linked to spiritual well-being, such as prayer, meditation and finding meaning. The work occurs in clinical settings and aims to complement medical care by attending to the whole person.
Maintaining Sanity amid the Government's InsensitivityAnthony Montecillo
Maintaining Sanity amid the Government's Insensitivity. An online discussion on mental health in COVID19 pandemic. Alliance of Concerned Teachers (ACT). 27 March 2020
The document discusses counseling in healthcare settings, describing it as a process of communication between a patient and counselor that involves listening, empowering the patient to cope with crises, and helping the patient make their own decisions by providing support. It outlines the roles and qualities of an effective counselor, different types of counseling approaches, and basic counseling skills. The document also addresses how psychological stress and attitudes can impact cancer patients and the importance of mental health treatment and social support for coping.
This document provides information about pursuing a career in psychiatric nursing. It recommends joining professional organizations like APNA to learn more. Volunteering in mental health settings can help students determine if they are interested in the field. Doing a rotation in a psychiatric unit introduces students to the specialty. The document also discusses credentialing options for psychiatric nurses and nurse practitioners. It notes some key differences in treating psychiatric patients, such as interventions focusing on managing behavior, as patients are usually not confined to beds.
This document provides information about pursuing a career in psychiatric nursing. It recommends joining professional organizations like APNA to learn more. Volunteering in mental health settings can help students determine if they are interested in the field. Doing a rotation in a psychiatric unit introduces students to the specialty. The document also discusses credentialing options for psychiatric nurses and nurse practitioners. It notes some key differences in treating psychiatric patients, such as interventions focusing on managing behavior, as patients are usually not confined to beds.
This document discusses spiritual care at the end of life. It begins by outlining two approaches to experiencing dying - restoration, associated with modern medicine, and transformation, associated with traditional and spiritual practices.
It then defines spirituality, spiritual care, and who provides spiritual care. Spiritual care recognizes and responds to human spirit needs, through compassionate relationships and addressing needs like meaning, faith, or expression. It is provided not just by chaplains but by all staff.
The document notes signs of spiritual distress like tears or anger, and potential triggers like trauma, bad news, or isolation. It offers guidelines for non-chaplain staff responding to spiritual needs through listening, presence, and referral. Empathetic presence
The recent attack in downtown Ottawa has deeply affected our city. We have a powerful desire to stay strong as individuals and as a community yet we are all human so it is natural to feel fear, anxiety and loss after this type of event. Recognizing this, The Royal held a special info session on coping with trauma.
Presenters:
Dr. Jakov Shlik, Clinical Director, Operational Stress Injury Clinic and Anxiety program, The Royal
Michelle Antwi, Operational Stress Injury Clinic, The Royal
Katie Bendell, Operational Stress Injury Clinic, The Royal
The document provides guidance on crisis counseling from a spiritual and mental health perspective. It discusses the mission of crisis counselors to serve as a calming presence for victims of trauma and help them build stability. Counselors aim to assess individuals' needs and facilitate access to necessary mental, physical, or spiritual services. The document outlines types of emotional crises people may experience such as depression, anxiety, substance abuse, and eating disorders. It provides tips for assessing risk factors and characteristics of crises. The counseling process involves assessment, intervention, and termination with the goal of restoring people's pre-crisis level of functioning.
The document summarizes the Healing Journey program, which incorporates psychological and spiritual dimensions into cancer care. The program aims to relieve suffering through three approaches - medical, psychological/social, and spiritual. It details five levels of the program focused on coping skills, thought management, diminishing obstacles to spiritual experience, and studying spiritual texts. The goal is to help patients adapt to their disease and enhance quality of life through self-healing techniques including meditation, mental imagery, and examining thought patterns.
Responding to Cancer | Tips for Anxiety, Stress | ThymicUK & Dimbleby Cancer ...OliverNeely1
Responding to Cancer. An information session helping us to understand our response to cancer diagnosis, ongoing treatment etc..
Advice and tips for dealing with anxiety, stress and emotions for cancer patients, friends and family.
Trauma is a neurobiological process that occurs when a stressful event causes the brain to become "cortisoaked" in stress hormones like cortisol. When this happens, parts of the brain involved in fear, memory, and decision-making function differently. Discussing trauma can be difficult due to both internal barriers within survivors and external stigma. It is important to use supportive responses when talking to someone who has experienced trauma, such as active listening, validation, and offering resources without attempts to fix or blame. Coping skills and mindful awareness can help both survivors of trauma and supporters manage feelings and regulate emotions.
A modified version of Paul Pruysers 7 benchmarks for pastoral diagnosis. Provides guidelines for pastoral care, either for single visit or longer term process.
This document discusses providing psychological support after disasters and emergencies. It outlines that for every physical injury, there may be 5-6 psychological injuries that can overwhelm response efforts. It describes common psychological reactions like grief, loss, and stress. The document recommends the principles of psychological first aid to promote safety, calm, connectedness, self-efficacy, and help for survivors. It provides guidance on supportive communication skills and avoiding unhelpful statements when offering psychological support.
Volunteer companions provide personal presence for seriously or terminally ill patients who would otherwise be alone in the hospital. Volunteers go through training which includes orientation, education modules, and following hospital policies. They provide non-medical support to patients expected to pass away within 48 hours or with advanced, irreversible illnesses by offering their presence and connection with the patient, family, and medical staff. Volunteers establish relationships and listen to patients but do not provide medical care.
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
This document discusses moral injury, which occurs when someone witnesses, perpetrates, fails to prevent, or learns about acts that violate their moral beliefs and cause deep emotional distress. It can result from acts of violence, betrayal, or failures in leadership. Symptoms of moral injury include depression, anxiety, dissociation, and increased suicide risk. Treatment should address the sense of betrayal, foster empathy, forgiveness, and building a healing narrative. Recognizing moral injury is important as its symptoms can overlap with PTSD and increase suicide risk if left unaddressed. More research is still needed on moral injury and how to best support recovery.
This document summarizes ways for family lawyers to cope with stress in their practice, as presented by the Alberta Lawyers' Assistance Society (Assist). It discusses the stresses of being a family lawyer and signs of depression, stress, and anxiety. It then outlines Assist's services and recommends the NESTS approach to self-care: focusing on Nutrition, Exercise, Sleep, Time for yourself, and Social Support. Resources on compassion fatigue, stress management techniques, and mental health are also provided.
Becoming Embodied- Deanan James- Monarch Cove June 2013Monarch Cove
Deanna James, LPC discusses the use of body based treatment approaches when working with clients with eating disorders and trauma. This lecture was presented at Monarch Cove Treatment Centers Preferred Provider Conference.
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain and suffering. Join this important webinar where Teresa Deshields, PhD, will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
Similar to How ya holdin' up? - Spiritual Challenges, Compassion Fatigue, Moral Injury and Law Enforcement (20)
This document provides an overview of a provider audit financial key performance indicator (KPI) scorecard. The scorecard assesses a provider's financial strength based on five KPIs from their past two audits. It assigns a risk score from 0-10 based on how close the KPIs are to standards, and a trajectory indicator of positive, negative or neutral based on the year-over-year change in the five KPIs. The scorecard is shared annually with the Board of Trustees' Finance Committee to provide transparency and ensure the ongoing strength of their network of care.
1) The document describes an incident where police shot an autistic man, Arnaldo Rios Soto, who was sitting in an intersection holding a toy truck. It details what police saw upon arrival, their interactions with Rios Soto and his caregiver, and the shooting.
2) It then discusses the aftermath of the shooting on Rios Soto's mental and physical health, as well as legal consequences.
3) The document concludes by outlining tactics and considerations for police to utilize when responding to individuals with autism to help manage risk and increase safety and compliance.
Sgt. Harris presents de-escalation techniques for law enforcement, including controlling one's breathing, voice, body language, and vocabulary to appear calm. Non-verbal techniques include maintaining a neutral expression and safe positioning. Verbal techniques involve active listening, acknowledging feelings without judgment, and ending the interaction safely if de-escalation fails.
This document discusses legal issues related to crisis intervention teams and case law on mental health seizures. It summarizes relevant Ohio Revised Code sections defining mental illness and standards for involuntary commitment. It also reviews several court cases establishing that to seize someone for a mental health evaluation, officers must have probable cause to believe the person poses a danger based on facts, not just conclusions. Proper procedures and providing rights notifications are also important. Overall, the document provides legal guidance for responding to mental health crises.
This document discusses the importance of self-care for first responders. It notes that stress and trauma from emergency situations can negatively impact people physically, mentally, emotionally, behaviorally, and spiritually. Some signs of these impacts include lack of sleep, anxiety, depression, changes in appetite, and withdrawal. The document recommends healthy coping strategies for first responders like exercise, spending time with others, journaling, getting enough rest, and avoiding self-medication. Friends and family are encouraged to listen, reassure safety, and not take control away from the affected person. Self-care is the responsibility of each first responder to ensure they can continue helping others in emergencies.
Netcare Access provides crisis intervention and mental health services including assessments, medication management, and referrals to treatment. Services are available 24/7 regardless of ability to pay. Netcare aims to provide trauma-informed care and has staff trained in these principles. They operate crisis centers that provide screening and referrals for adults and older adults experiencing mental health or substance use issues. Netcare works closely with law enforcement and emergency services to respond to mental health crises in the community.
Mental Health America of Ohio provides several programs to help address gaps in mental health services and support people in need. Their Get Connected program provides compassionate guidance to help people find mental health services through information and referral support. They also offer pro bono counseling, support groups, community education, and workplace wellness programs. The goal is to transform how communities view mental illness by increasing access to care and reducing stigma.
This document provides information about addiction treatment services provided by Maryhaven and CompDrug in Columbus, Ohio. It outlines the facilities and services of Maryhaven's Addiction Stabilization Center and residential facilities, including detoxification services, inpatient treatment, and outpatient services. It also describes CompDrug's focus on medication-assisted treatment for opioid addiction using methadone, Suboxone, and Vivitrol, as well as the counseling and additional services they provide to support recovery. The document seeks to address common myths about medication-assisted treatment and argues that it is an evidence-based and effective treatment for opioid use disorder.
This document provides an overview of Columbus, Ohio's homeless crisis response system. It discusses:
1) The system is organized to prevent and end homelessness through a continuum of services including prevention, shelter, transitional housing, rapid re-housing, and permanent supportive housing.
2) Key principles are prevention, collaboration, accountability, and focusing resources. The goal is to make homelessness rare, brief, and non-recurring.
3) The system uses a coordinated assessment process and problem-solving model to help people access the right level of assistance. Emergency shelter is a last resort, and people are diverted to safer housing options whenever possible.
This document provides a brief primer on the complex relationship between substance abuse and mental illness. It discusses several categories of commonly abused substances, including alcohol/cross-tolerant drugs, cannabinoids, stimulants, hallucinogens, opioids, inhalants, and others. For each category, it outlines the typical signs and symptoms of intoxication and withdrawal, and how substance use can cause, compound, or mimic mental health conditions like depression, anxiety, mania, and psychosis. The document aims to help readers understand how substances are grouped based on their similar effects, and recognize substance-induced versus underlying mental illness.
Michelle Price, director of community engagement at the Ohio Suicide Prevention Foundation, presented on stress and suicide during the COVID-19 pandemic. She discussed rising suicide rates in Ohio, particularly among police officers, and warning signs like verbal threats, risky behavior, and life stressors. Price explained contributing risk factors like feelings of burdensomeness and belongingness, and protective factors like social support. She taught QPR (Question, Persuade, Refer) suicide prevention training and listed resources for those considering suicide or surviving the loss of someone to suicide.
The document discusses the probate process for initiating emergency mental health treatment for individuals who may be at risk of harming themselves or others due to mental illness. It breaks down the probate process into several key points:
- A probate order, also called an Order of Detention, is a 10-day court order that allows emergency treatment, unlike a 3-day "pink slip." It can be initiated by concerned individuals.
- Criteria for a probate order includes substantial risk of self-harm, harm to others, or serious physical impairment due to mental illness.
- The probate process involves filing affidavits and case histories with the probate court, who may then issue a Det
The document provides information about crisis intervention services for children and adolescents at the Big Lots Behavioral Health Pavilion. It discusses the various services offered at the pavilion, including psychiatric crisis services, inpatient units, and outpatient programs. It also describes the patient population served, common signs of crisis in youth, strategies for de-escalation, and how to respond to an escalating crisis situation.
This document summarizes Ohio's process for emergency hospitalization, known as the "pink slip process". It defines a "mentally ill person subject to court order" and outlines the criteria. Certain professionals can take a person they believe meets this definition into custody and transport them to a hospital. At the hospital, the chief clinical officer must examine the person within 24 hours and can detain them for up to 3 court days to determine whether to admit them voluntarily, file paperwork to initiate involuntary commitment proceedings, or discharge them. The document reviews the rights of the person in custody and notification requirements throughout this process.
(1) The document discusses Crisis Intervention Team (CIT) training for law enforcement and Assisted Outpatient Treatment (AOT) programs, which work together to help individuals with severe mental illness stay in treatment and out of the criminal justice system.
(2) Both CIT and AOT aim to reduce arrests, hospitalizations, and calls to law enforcement by intervening before crises occur and motivating treatment adherence through court orders when needed.
(3) The "black robe effect" of a judge's authority helps encourage treatment participation, while non-adherence may result in increased court appearances or rehospitalization to focus on re-engagement.
The document provides information on signs and symptoms of mental illness in adults. It discusses common mental illnesses like depression, bipolar disorder, schizophrenia, and outlines their key symptoms. It also discusses other factors that can impact mental illness like medical conditions, substance use, and personality disorders. The document is intended to help law enforcement and first responders identify potential mental health crises and understand different presentations of mental illness.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
How ya holdin' up? - Spiritual Challenges, Compassion Fatigue, Moral Injury and Law Enforcement
1. HOW YA’ HOLDIN’ UP?
Spiritual Challenges,
Compassion Fatigue, Moral
Injury
and Law Enforcement
Crisis Intervention Team (CIT) Training
August 12, 2020
Chaplain William Hartfelder, CPD
2. WHO IS THIS GUY?
• Chaplain William (Will) Hartfelder (614-595-2212)
• Raised in NYC and Yonkers, NY
• Extensive training in Biblical Languages, archaeology
• Extensive travel in Europe and Middle East
• Teaching experience college and seminary levels
• Retired after 31 years in three congregations
• CPD Chaplain five years
• CIT, CISM certified
• International Conference of Police Chaplains (ICPC)
3. WHAT IS A CHAPLAIN?
C: CARING
H: HEARING
A: AVAILABLE
P: PREVENTION
L: LOAD
A: RESOURCE
I: TIME OF NEED
N: NOT A PIPELINE
4. SPIRITUALITY AND LAW ENFORCEMENT
Now matter your definition/description of “spirituality…
In Law Enforcement you will experience what are
essentially “spiritual questions/doubt” about:
• God or Higher Power
• Challenge to or loss of faith in God or Higher
Power
• Cynicism over the ”goodness” of others
• Reality of evil
5. SPIRITUALITY AND LAW ENFORCEMENT
“Put on the whole armor of God, so that you may be
able to stand against the wiles of the devil. For
our struggle is not against enemies of blood and
flesh, but against the rulers, against the authorities,
against the cosmic powers of this present darkness,
against the spiritual forces of evil in the heavenly
places.” (Ephesians 6:11-12; NRSV)
7. COMPASSION FATIGUE
After what can seem like an unrelenting stream of
needy people compounded by a never-ending
parade of people making (very) bad decisions, we
get to where responding is not only what we don’t
feel like doing, we may not even care anymore. It’s
called compassion fatigue and it happens to the
best of us.
8. COMPASSION FATIGUE
Merriam-Webster definition of compassion
fatigue:
“the physical and mental exhaustion and
emotional withdrawal experienced by those
who care for sick or traumatized people over an
extended period of time.”
10. COMPASSION FATIGUE
• Also “vicarious” or “secondary traumatization
• PTSD-related symptoms
• May occur with one exposure or “cumulative”
• Differs from burn-out, but can co-exist
11. “BURNOUT”
Burnout - when the engine seizes and you
have to get out, leave the car by the side of the
road and get a tow.
Compassion fatigue - when you discover your
car is low on oil. You pull into a gas station,
add the oil you need and get back on your way.
12. COMPASSION FATIGUE
“The natural behaviors and emotions that arise
from knowing about a traumatizing event
experienced by a significant other – the stress
resulting from helping or wanting to help a
traumatized person.”
(Charles R. Figley, PhD)
13. COMPASSION FATIGUE: NATURAL
REACTIONS/SYMPTOMS
• Affects many dimensions of your well-being
• Nervous system arousal (Sleep disturbance)
• Emotional intensity increases
• Cognitive ability decreases
• Behavior and judgment impaired
• Isolation and loss of morale
• Lack of energy
14. COMPASSION FATIGUE: NATURAL
REACTIONS/SYMPTOMS
• Depression and PTSD (increases intensity)
• Loss of self-worth and emotional modulation
• Identity, worldview, and spirituality impacted
• Beliefs and psychological needs-safety, trust, esteem,
intimacy, and control
• Loss of hope and meaning
• Anger toward perpetrators or causal events
15. VICARIOUS/SECONDARY TRAUMATIZATION
• Any individual who hears, sees, or learns of
how a victim/victims have been affected by a
traumatic event
• Work related exposure to traumatized people
25. MORAL INJURY
What is Moral Injury?
Moral injury is the suffering people experience when we are
in high stakes situations, things go wrong, and harm results
that challenges our deepest moral codes and ability to trust
in others or ourselves. The harm may be something we did,
something we witnessed, or something that was done to us.
It results in moral emotions such as shame, guilt, self-
condemnation, outrage, and sorrow.
(The Shay Moral Injury Center)
27. MORAL INJURY - SYMPTOMS
• Loss of trust in self
• Disrupted Relationships
• Mask inner pain with alcohol or drugs.
• Alienation
• Anger at the slightest provocation.
28. MORAL INJURY & PTSD
• PTSD is fear-based.
• Moral injury based in moral judgment, and having it
requires a working conscience.
• Share some symptoms
• PTSD treatment can aggravate moral injury.
29. HOW YA’ HOLDIN’ UP?
Remember:
• Self-Care part of a healthy approach to what you do
• No less important than your equipment
• Pays HUGE dividends
• Is NORMAL
CISM – Critical Incident Stress Management (Billy Graham Rapid Response Training at OPOTA)
WHO? – externals, person with great respect for and care about the well-being of you who have been called to
In addition to the religious requirements, e.g, ordained/officlal clergy (NOTE BILLY GRAHAM RAPID RESPONSE TEAM) of a recognized religious body with established minimum of experience
Available – CPD several, on all months, but always available
From International Conference of Police Chaplains
C: CARING – ”Who cares?” Chaplain someone who genuinely cares
H: HEARING – Called to listen
A: AVAILABLE – Officers top priority
P: PREVENTION – Association with Officers can help before a crisis
L: LOAD – Officers take on tremendous pressure, chaplain present to help
A: RESOURCE – When questions of life, faith, spirituality, meaning come up
I: IN TIME OF NEED - understanding, encouragement without judgment
N: NOT A PIPELINE – Confidentiality is at the center
Clicker:
New Over reliance on faith
Issues of being able to forgive and to be forgiven (cousin Fred in Vietnam)
STORY – HQ first nights of protests DT – “chaplain, I’m finding it really hard to see the face of Jesus in those people”
STORY – officer in Phoenix, AZ – working undercover narcotics, how it went down suspect shot first, officer responded, only wounded, officer’s backup apprehended, when he walked up to the suspect was struck by deeply red eyes and sense of evil filled him. Ten years later in foot pursuit of suspect at Sky Harbor Airport in Phoenix, suspect jumped over hedge, officer followed and had a feeling he had jumped over the suspect. As he hit the ground suspect fired and missed. Officer returned fire and wounded suspect. Other officers arrived on scene and took suspect into custody. What blew the officer’s mind was as the suspect was brought to his cruiser he saw what he could only descry be as the same “red eyes” of ten years before and then the suspect said to him Spanish to the officer, “Good to see you again.” Hard to believe?
Not just a phrase, but studies indicate it is among the most dedicated, top performing officers that issues of self-care manifest themselves
Kent Williams – BREACH POINT CONSULTING – 32 years on the job most recently Chief of Chicago area PD – ”where is the man I fell in love with”
Greater risk for alcohol abuse, divorce, isolation, depression and suicide…
“Caustic Effects of Performing Well in Law Enforcement”
Also “vicarious” or “secondary traumatization
PTSD-related symptoms due to working with patients and families who have trauma and grief
May occur with one exposure or can “cumulative” l
Differs from burn-out, but can co-exist
PTSD (PTS)
Characteristics –
-Intrusive recollected thoughts-Arousal-Numbing/Withdrawal/Avoidance
Symptoms:
FlashbacksDreamsDe`ja vu
AvoidanceSleep disturbance
Loss of interest
Detachment
Emotional numbing
Increased startle response
Intensification
Address Compassion Fatigue BEFORE BURNOUT!
Dr. Figley – born in Chicago, grew up in Ohio, joined Marine Corp right out of HS, served in ‘Nam
Tulane University Paul Henry Kurzweg, MD Distinguished Chair in Disaster Mental Health…Dir. of Traumatology Institute
Emphasis: THE NATURAL BEHAVIORS!!!
charlesfigley.com
Terms interchangeable
Contributes to Compassion Fatigue
Support staff, communications, etc.
Story – Training officer from NC (38 years on the job) – worked with the Mayor’s office and Mayor fond of invoking African saying “It takes a village to raise a child”
Finally asked him why he always seemed to react negatively –
He responded “I’ve seen the villagers!”
Story – smell of perfume upon arrival at a 10-18 – grandma’s same perfume
Especially officers with high level of empathy:
Emotional – “I feel what you feel”
- Cognitive “I understand what you feel”
Options:
Set up a wall
Recognize what is happening and taking steps of self-care
Caveat: Usually don’t like to just hand these out without opportunity for conversation
so seek out EAP, private resource….a CHAPLAIN (define chaplain care)
Practice excellent self-care
Nurture yourself by putting activities in your schedule that are
sources of pleasure, joy and diversion
Allow yourself to take mini-escapes- these relieve the intensity of your work
Transform the negative impact of your work (find meaning, challenge negativity, find gratitude)
MINDFULNESS – amazing how cops can be so “on the job” but not off
Get medical treatment if needed to relieve symptoms that interfere with daily functioning- don’t use alcohol or drugs to self-medicate
Get professional help when needed to get back on track- we all need coaches and consultants at times
Have quiet alone time in a calm, beautiful place- a safe retreat where you feel renewed (EXTROVERT/INTROVERT)
Have an awareness of what restores and replenishes you.
Find ways to acknowledge loss and grief
Stay clear with commitment to career goals or your personal mission
Know how to focus on what you can control
Look at situations as entertaining challenges and opportunities, not problems or stresses
Talk out your stress
Process your thoughts and reactions with someone else (coworker, therapist, clergy, friend, family, supervisor)
Build a positive support system that supports you, not fuels your stress
Pets accept whatever affection you are able to give them without asking for more
Pets are basically invulnerable to “provider burnout”
Blood pressure and heart rate decrease when interacting with animals
Loss of trust in themselves and their moral foundations;
Relationships may be disrupted because they cannot trust others not to judge them, and they self- isolate.
May mask their inner pain with alcohol or drugs.
Become alienated from societal norms and lash out in anger at the slightest provocation.
PTSD is fear-based.
Moral injury is based in moral judgment, and having it requires a working conscience.
The two can share some symptoms, like anger, addiction, or depression, but moral injury has no diagnosis or treatment protocols.
Some PTSD treatment protocols can aggravate moral injury. For example, Dr. William Nash, a psychiatrist and expert on moral injury, points out that reliving a traumatic incident many times in a safe environment to defuse the fear can sometimes bring moral injury “to emotional immediacy” and make it harder to address.
Remember:
Self-Care is an important part of a healthy approach to what you do
It is no less important, even more important, than your equipment
It pays HUGE dividends not only in work performance, but in LIFE PERFORMANCE
It is NORMAL because every officer is a human being in his/her physical, emotional, moral and spiritual WHOLENESS