Compassion Satisfaction and Compassion Fatigue

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1 Compassion Satisfaction and Compassion Fatigue Or What the $%#& was I thinking Marynne Aaronson For more information see

2 Vocabulary Compassion Satisfaction Positive aspects of working as a helper Compassion Fatigue Negative aspects of working as a helper Burnout Inefficacy and feeling overwhelmed Work-related traumatic stress Primary traumatic stress direct target of event Secondary traumatic exposure to event due to a relationship with the primary person

3 Professional Quality of Life Compassion Satisfaction The positive aspects of helping The good stuff Compassion Fatigue The negative aspects of helping The bad stuff

4 CS-CF Model Professional Quality of Life Compassion Satisfaction Compassion Fatigue Burnout Secondary Trauma

5 Compassion Satisfaction The positive aspects of helping Pleasure and satisfaction derived from working in helping, care giving systems May e related to Providing care To the system Work with colleagues Beliefs about self Altruism

6 Compassion Fatigue The negative aspects of helping The negative aspects of working in helping systems may be related to Providing care To the system Work with colleagues Beliefs about self Burnout Work-related trauma

7 Burnout and STS: Co Travelers Burnout Work-related hopelessness and feelings of inefficacy STS Work-related secondary exposure to extremely or traumatically stressful events Both share negative affect Burnout is about being worn out STS is about being afraid Beth Hudnall Stamm, Professional Quality of Life Scale (ProQOL). This test may be freely copied as long as (a) author is credited, (b) Beth no changes Hudnall are Stamm, made without author authorization, and (c) it is not sold.

8 Relationships Are Complex Multiple spheres Work environment People helped environment Personal environment Positive (CS) & negative (CF) Altruism CS can override CF Compassion Fatigue two parts Worn out (BO) common Frightened, traumatized (STS) rarer but powerful

9 Complex Relationships Work Environment Compassion Satisfaction (ProQOL CS) Professional Quality of Life Client Environment Compassion Fatigue Exhaustion Frustration Anger Depressed by Work Environment (ProQOL Burnout) Personal Environment Traumatized by work Secondary Exposure (ProQOL STS) Primary Exposure

10 People Bring Themselves Suicide Prevention workers include people with all types of education, training and income Some workers bring with them histories of difficult lives that may include trauma Some people have difficult family, economic, or other personal situations

11 People Bring Themselves People bring a past and a present to anything they do Their schemas and beliefs Their stigma beliefs Their social support systems Positive support Negative support Their history of trauma and illness Their families and close others Their economic situation

12 Interpreting Scores Scores on individual scales tell us about a person s responses on each of the constructs Viewing the combination of scores helps us paint a picture of what the person is telling us Can be used to track an individual s CS and CF

13 Little Switch

14 What is Resilience Resilience is the process of adapting well in the face of adversity, trauma, threats or significant stress. It is ordinary, not extraordinary Does not mean that you do not experience emotional distress Developing resilience is likely to involve considerable emotional distress

15 What is Resilience Resilience is not something you do or do not have. It involves behaviors, thoughts and actions that can be learned and developed by anyone. (APA Help Center)

16 Characteristics of Resilient People Understand that set backs are a part of life Have an internal locus of control Strong problem solving skills Strong social connections See themselves as survivors not victim Able to ask for help

17 Factors in Resilience A combination of factors contributes to resilience. Many studies show that the primary factor in resilience is having caring and supportive relationships within and outside the family. Relationships that create love and trust, provide role models and offer encouragement and reassurance help bolster a person's resilience.

18 Several additional factors are The capacity to make realistic plans and take steps to carry them out. A positive view of yourself and confidence in your strengths and abilities. Skills in communication and problem solving. The capacity to manage strong feelings and impulses. All of these are factors that people can develop in themselves.

19 Make Connections Strategies Avoid seeing crises as insurmountable problems Accept that change is a part of living Move toward your goals Take Decisive action Look for opportunities for Self Discovery

20 Strategies Build positive beliefs about yourself and abilities Keep things in perspective Maintain a hopeful outlook Take care of yourself Make everyday meaningful Learn from experience Find a sense of purpose in your life

21 Staying Flexible Letting yourself experience strong emotions, and also realizing when you may need to avoid experiencing them at times in order to continue functioning. Stepping forward and taking action to deal with your problems and meet the demands of daily living, and also stepping back to rest and reenergize yourself. Spending time with loved ones to gain support and encouragement, and also nurturing yourself. Relying on others, and also relying on yourself.

22 Resiliency Planning Individual, personally The ProQOL can help you plan where to put your energy to increase our resilience Organizational planning Can help organizations find ways to maximize the positive aspects and reduce the negative aspects of helping Supportive Supervision The ProQOL can be used as information for discussions

23 For More Information:

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Objectives and Results Satisfaction and Fatigue Prevention Among Suicide Prevention Workers Beth Hudnall Stamm, PhD Idaho State University Awareness to Action Youth Suicide Prevention Project www.isu.edu/irh www.proqol.org www.proqol.org.

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