Compassion Fatigue in the Service of Children Exposed to Violence: - PowerPoint PPT Presentation

Compassion Fatigue in the Service of Children Exposed to Violence: Making Sure Your Mask is Secure Before Helping Others Invited keynote at the Invited keynote at the Defending Childhood Conference, Cleveland, Ohio September 22, 2011 Ch Charles R. Figley, PhD l R Fi l PhD Tulane University the Paul Henry Kurzweg MD Distinguished Chair in Disaster Mental the Paul Henry Kurzweg, MD Distinguished Chair in Disaster Mental Health, Tulane University

Taking a deep breath Taking a deep breath • The next hour is about you and your The next hour is about you and your welfare • Discussion about life in the trenches and • Discussion about life in the trenches and what helps and does not help in your own thriving thriving. • First, what are your adversities that affect the quality of your human services? th lit f h i ? • Roadmap to thriving and human development

Building Blocks to Thriving and Human Development 1 Thriving as a human service professional 1. Thriving as a human service professional means displaying indicators of life satisfaction effectiveness in all critical life satisfaction, effectiveness in all critical life roles, and correlated with measures of human development human development

Building Blocks to Thriving and Human D Development l t 2. Resilience is the ability to cope effectively and adapt in the face of loss, hardship or adversity (Block and Kremen, 1996). 3. Resilient people spring back quicker than others 4. Two categories of resilience: Trait and State. g 5. The above predict Self Care a. that determines the level of thriving b which determines the learning orientation b. which determines the learning orientation. 6. Resilience and learning are spectrum variables a. fear-based learning versus the other extreme of b. strength-based learning

Figure 1. Resilience, Self Care, Th i i Thriving, and Human Development d H D l t ST R EN G TH -B A SE D L EA R N IN G H IG H TH R IV IN G TR A IT ST A TE TH R IVIN G H U M A N SEL FC A R E R R ESIL ESIL IEN IEN C C E E R R ESILIEN ESILIEN C C E E LEV LEV EL EL D E V E LO P M EN T LO W TH TH R R IV IV IN IN G G FE A R -B A S E D LE A R NIN G S o urc e: Figley , C . R .

TRAIT Resilience TRAIT Resilience • Recent study confirmed the attributes of Recent study confirmed the attributes of high trait resilience neurologically: • Emotional Optimism • Emotional Optimism • Openness to new experiences • High life satisfaction

Emotional Flexibility Emotional Flexibility • The primary component of trait resilience The primary component of trait resilience • Adapt with little upset • High self regulation efficiency Hi h lf l ti ffi i

STATE Resilience • Twenty-five years of research on state resilience starting with studies of resilient resilience, starting with studies of resilient children. • State resilience is the actions – both St t ili i th ti b th learned and inherited – that effectively managed adversity. d d it • Actions most critical are social skills and problem-solving strategies • 10 factors are associated with State Resilience

Accounting for and Building Resilience among Caregivers Resilience among Caregivers Preparation Consequences Delivery Outcome EXPOSURE SELF TRAIT TO CLIENTS CARE RESILIENCE STATE EMPATHIC EMPATHIC COMPASSION RESILIENCE ABILITY RESPONSE STRESS LEVEL LEVEL OF SATIS- TRAUMA INTEREST FACTION EXPOSURE Shared Trauma Resilience Model

Figure 1. Resilience, Self Care, Th i i Thriving, and Human Development d H D l t ST R EN G TH -B A SE D L EA R N IN G H IG H TH R IV IN G TR A IT ST A TE TH R IVIN G H U M A N SEL FC A R E R R ESIL ESIL IEN IEN C C E E R R ESILIEN ESILIEN C C E E LEV LEV EL EL D E V E LO P M EN T LO W TH TH R R IV IV IN IN G G FE A R -B A S E D LE A R NIN G S o urc e: Figley , C . R .

Self Care includes Self Care includes • Self compassion Self compassion • Self regulation • Planning Pl i • Discipline • Empathic Discernment

Thriving associated with Thriving associated with • Human development level Human development level • Learning styles based on level of thriving – High thriving = Strength-based learning Hi h th i i St th b d l i – Low thriving = Fear-based learning

The Adversity of Trauma The Adversity of Trauma • The following model guides our research The following model guides our research on combat medic resilience • The last model brings it all together • The last model brings it all together regarding what we know about what causes PTSD: Traumatic Stress Injuries causes PTSD: Traumatic Stress Injuries – four types of injury that require specialized treatment treatment.

14 TRAIT RESILIENCE FACTORS � Intelligence � Intelligence � Trait Resilience (ER-89) � Stress Adaptation Competence State Resilience Factors � Self Confidence � Orientation and Training � Orientation and Training � Trust in the Unit � Traumatic Unit Cohesion Adversities � Sense of Humor and Stress ‐ reducing Competencies reducing Competencies � Individual Demands � I di id l D d � Unit Demands � Environmental Demands STRESS REACTIONS � Family Demands � Biological Markers � Psychological Markers � Social Relationship Markers � Behavioral Markers Trauma-RELATED STRESS INJURIES � Spiritual Markers AND RESILIENCES � Physical Fatigue Injury and Resilience � Grief Injury and Resilience � Belief Injury and Resilience � Belief Injury and Resilience � Trauma Injury and Resilience (c) Figley Institute (2010) )

Conclusion Conclusion • Take the attached tests and do something Take the attached tests and do something about what you find. • You deserve the attention you give your • You deserve the attention you give your clients times ten. • Be good to yourself and, as a result, you B d t lf d lt are good for your clients.

Contact information: Contact information: • Tulane University Graduate School of Tulane University Graduate School of Social Work (Associated Dean for Research) Research) • Figley@Tulane.Edu • 504-862-3473 504 862 3473 • Disaster Resilience Leadership Academy (Associate Director for Graduate Programs)