Bridges out of Poverty – resource recommendation

Bridges over Poverty, blog post, resources for compassion fatigue and trauma exposure

review by Françoise Mathieu, M.Ed., CCC., RP

Bridges out of Poverty: Strategies for Professionals and Communities – a great resource to develop more compassionate and effective tools to support individuals who live in underprivileged communities.


If you work with folks who live in poverty, these challenges are often multigenerational, complex and very difficult to overcome. Whether your clients are inner-city dwellers with its host of challenges or are individuals trying to make ends meet in remote communities with a lack of basic public amenities and transportation services, this book is a fantastic resource.

Bridges out of Poverty, written by Dr. Ruby Payne, is both a book and an entire community-building program to enhance service providers’ understanding of the complicated layers and resiliency of those who live in chronic poverty.

I was introduced to the book several years ago by a lovely workshop participant from Nebraska who has been involved in bringing the program to his community. I read it from cover to cover as soon as I received it.

Ruby Payne does not only provide a template to assist people living in poverty gain better access to the supports they need, she also invites the reader to reflect on the admirable strengths, resourcefulness and resiliency of folks who have had to struggle to have even the most basic resources: shelter, food, jobs, transportation and much needed health care.

Those of you who have heard me speak in the past know that I am a firm believer that the key to compassion satisfaction and improved quality of care for everyone begins with developing a better understanding of the strengths and challenges of those we serve. This book is a great place to start.


Sources: 

Payne, R. K., DeVol, P. E., Smith, T. D., (2001) Bridges out of Poverty: Strategies for Professionals and Communities. Houston: AHA! Process.

Reducing Unnecessary Trauma Exposure in Service Providers

by Françoise Mathieu, M.Ed., CCC., RP

Many years ago, when my dear friend Robin Cameron and I developed our very first compassion fatigue workshop, we came across the term “limited disclosure” in Laurie Anne Pearlman and Karen Saakvitne’s book Trauma and the Therapist.

The authors, who were well ahead of the curve on all matters related to VT and Compassion fatigue solutions, suggested that we, as professionals, should consider taking a careful look at “how much detail about the violence or abuse [we] want to share [with one another].” (Pearlman, personal communication)

This concept of “limited disclosure” rang so true to us that we immediately integrated it in our training. We called it Low-Impact Debriefing in a cheeky nod to the aerobics craze of the 80s and also because it formed the acronym L.I.D. The idea of low impact debriefing is twofold: to be able to share the information that we need to, while at the same time not having a highly negative impact on the listener. We were not suggesting that we should keep a lid on difficult things but wanted to suggest that we should all perhaps take a careful inventory of how much graphic information we need to be sharing when debriefing difficult stories or consulting on cases with colleagues. Perhaps a better analogy is that of a pressure cooker that lets the steam out little by little rather than in one giant burst with potentially negative consequences.

Over the past decade, my team has received many invitations to present at trauma trainings: child abuse symposia, conferences for parents of murdered children, workshops for sex crimes investigators, courses on the Dark Net and cybercrime, and many similar other conferences. We are often struck by the extremely graphic details that are almost invariably shared during these events: gruesome photos shown on a giant screen during a lunch time keynote, detailed descriptions of a murder or assault on a child, minute details about the smells, sounds and sights of a crime scene and even, at times, graphic audio and video footage. Some of these scenes can be very difficult to forget.

When is Trauma Exposure Gratuitous and When it is Necessary?

I think that we can all agree that many media outlets share an excessive amount of potentially disturbing images in their coverage (and in fictional shows, but that’s for another post). I remember listening to CBC news radio on my headset a few years ago while I was out for a run, and suddenly, without warning, the host played an actual audio of a child being victimized. I remember tearing the earpieces away from me and thinking “WTF just happened? Why was this necessary during a midday radio show? And I that instance, I don’t think that the now overused customary warning “content may be disturbing to some” was enough to justify airing that footage.

I am also well aware that at times, graphic details are essential to a trauma training – if you are a forensic examiner or an investigator of any sort, you must be able to recognise and differentiate between an accidental injury and one that has been deliberately caused by another person, or you may need to learn how to assess a crime scene and the related details that are present. You may need to learn how to interview a criminal in order to develop better investigative or clinical skills. Sometimes, we need videos, photos and details in order to do our job properly.

But here is my question to you: how much detail is too much? Even at a trauma conference, are all details required at all times? Is it enough to give people a warning at the start of our talks “this may disturb you” or do we all have a responsibility to reassess what we are sharing and how much detail is enough?

We were recently asked to create a brand-new course called “The Things We Can’t Unsee: Reducing the Impact of Secondary Trauma Exposure” which we have had the privilege of offering to legal professionals, child abuse investigators and victim service providers across North America this year. The response has been extremely positive and has led to some powerful discussions and reflection among participants. A good place start addressing this issue is to perform a personal “trauma audit” for ourselves and see how much extraneous trauma stories we are sharing with one another. To go further, please read The four steps to Low Impact Debriefing as discussed in my book (Click here).

“I’m not bothered by these stories”

Now, I have been in the field long enough to know that some of you will say “I have been exposed to thousands of stories, they don’t bother me anymore” and perhaps this is true. We all have a different level of sensitivity to difficult images and traumatic details based on a whole host of personal factors. But it would be interesting to be able to measure our stress hormones and see whether that is actually true, or to be able to perform a brain scan and see how our limbic system responds to repeated exposure. As psychiatrist Dr. John Bradford so eloquently explained in his testimonials a few years ago, after 30 years of exposure to gruesome images, he also thought that he was immune, until, one day, he was not: http://www.ottawacitizen.com/health/Tough+forensic+John+Bradford+opens+about+PTSD/9152171/story.html

To Learn More:

 

Sources:

Mathieu, F. (2012) The Compassion Fatigue Workbook: Creative Tools for Transforming Compassion Fatigue and Vicarious Trauma. New York: Routledge.

Pearlman, L. A., & Saakvitne, K.W. (1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York: W.W. Norton. pp. 383-384.

 

Becoming Trauma-Informed – A Key to Sustaining Compassion and Offering High Quality Care

by Françoise Mathieu, M.Ed., CCC. RP.

Every single helping professional I have ever met has told me that, at some point in their career, they had the following reflections:

1) Why wasn’t I properly trained to work with difficult clients/patients?

2) If I knew then what I know now, maybe I would have been more patient and compassionate with this particular client/patient

 and they have also asked themselves a variation of this question:

How do I stay compassionate with the “non-compliant”, difficult, “manipulative” clients?

Those of you who know me will know why I put those two terms in brackets – I utterly dislike those two words “non-compliant” and “manipulative” and I have tried to never use them in my own practice when referring to clients I have worked with. Would you not agree that they are words laden with our own judgment and feelings of frustration –  us, the exasperated service providers who feel that the folks we serve are not behaving according to the plan that would make our work so much easier? Or, at times, that those words are a reflection of our sadness for what we see as self-destructive sabotage on our clients’ part, and that this understandably upsets us?

A diabetes nurse recently said to me: “it’s so frustrating, our patients need to do some basic things – check their sugars, eat right, move their bodies, take their insulin, and so many of them don’t – with dire consequences. I can’t seem to get through to them, and then, they get worse. I have run out of ideas and energy to help them!”

I have heard the same from so many different helping professionals: domestic violence workers who see a person return to a terrible situation, addiction counselors, judges, police officers who work with victims of sex trafficking, paramedics who roll their eyes at “frequent flyers” … the list gets longer each time I meet a new group of helpers.

If you’re like me, and you’ve been in the helping field for 20 years or more, the odds are that you didn’t learn a lot or anything about the long term consequences of childhood trauma and neglect back when you were studying to become a professional. Although I went to two excellent graduate schools, my training programs barely touched on trauma at all, except for a brief class on PTSD, but that was mostly in relation to soldiers, and not much else was said about it.

But that has changed now. We have solid research and tools to allow each one of us to become more trauma-informed and this knowledge can allow us to work with challenging clients (and colleagues) with a better understanding of the reasons for some of their actions and choices. This, in turn, can allow us to remain compassionate and to be more helpful to them during their challenging and brave journeys through life.

Here are some resources to become more Trauma-Informed and continue the journey towards compassion for others and for ourselves.

TED TALK: Watch Dr. Nadine Burke-Harris’ amazing presentation on the Adverse Childhood Experience Study for a 16-minute overview. A must-watch!

https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime/up-next

BOOKS:

Childhood Disrupted: How your Biography becomes your Biology and how you can Heal” by Donna Jackson Nakazawa

“In the Realm of the Hungry Ghosts: Close Encounters with Addiction” by Gabor Maté

Webinar to stay compassionate: Compassion Fatigue 101

Websites:

Trauma Informed Care Project http://www.traumainformedcareproject.org

ACES too High website: https://acestoohigh.com

The Edge of Compassion – Françoise Mathieu giving a TEDTalk for TEDxQueensU

For the past 15 years, Secondary Trauma specialist and compassion fatigue educator Françoise Mathieu has been exploring tools to help all of us navigate the challenges of sustaining compassion and empathy towards others – both as individuals and professionals.

This talk explores ways to find the right balance between caring for others while staying healthy and empathic. Françoise is a Registered Psychotherapist and a compassion fatigue specialist. Her experience stems from over 20+ years as a mental health professional, working as a crisis counsellor and trauma specialist in university counselling, military, law enforcement and other community mental health environments.

Françoise is co-executive director of TEND, whose aim is to offer consulting and training to helpers on topics related to secondary trauma, compassion fatigue, burnout, self-care, wellness and organizational health. Since 2001, Françoise has given hundreds of seminars on compassion fatigue and secondary trauma across North America to thousands of helping professionals in the fields of health care, child welfare, the criminal justice system and other similar high stress, trauma exposed professions.

Françoise is the author of “The Compassion Fatigue Workbook” which was published by Routledge in 2012 as well as several articles and publications.

This talk was given at a TEDx event using the TED conference format but independently organized by a local community.


 

compassion-fatigue-workbook-francoise-mathieu

“Françoise Mathieu’s writing is wonderful: she speaks from the heart, practitioner to practitioner, about the stressors and strains of human service work, particularly those that come from prolonged regular work with traumatized patients and clients. This is a book you help write by yourself and about yourself. That’s why it is the workbook for trauma work.” – Charles R. Figley, Tulane University, Louisiana, USA, and author of Treating Compassion Fatigue

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Taming the Inner Critic

 Part two – Taming the Inner Critic

To read week one go here: https://www.tendacademy.ca/newyearnewyou/

Ah, the inner critic… You know, that angry, negative voice that most of us carry within us. The one that is hurling insults and blame at us and saying things like “what’s wrong with you? You’ve been here before, how can you have allowed this to happen YET again?” a well-honed voice that knows exactly what to say to make you feel like you have failed in your new commitments to do better.

 When I feel overwhelmed and unhappy with my physical, emotional or financial health, I start by taking a deep breath.

Really, try it now. Take a nice long deep breath.

Next, I start paying attention to my inner-critic and try to have a detached compassionate look at what is going on.

I acknowledge the inner critic and I try to park it to the side: “I hear you, old friend, there you are, good old faithful negative voice, you!”

If that doesn’t work and I feel really overwhelmed by the negative voice, I call or text a friend, someone who knows me well and who will lovingly provide me with support. Someone who has been around long enough to know my patterns and can be a strong sounding board. This person doesn’t need to solve anything, they just need to be able to listen, with love.

If that doesn’t work, and I’m really feeling distressed and paralyzed, I call a trusted therapist and get some additional support.

Over time, I have found some strategies that have helped me stay on top of my stuff.  One of them is reflection and processing work. Getting a better understanding of my family history, the triggers and strengths and a sense of the lifelong patterns of my life.  If you had a difficult childhood, and this is a continuous struggle for you, I highly recommend that you read Donna Nakazawa’s book “Childhood Disrupted” which is full of tools to manage difficult emotions for those who had adverse childhood events.

The tool that I use daily is called self-compassion. Dr. Kristin Neff is the author of a book and series of resources on Self-Compassion, and I highly recommend that you check it out (http://self-compassion.org).

The key aim of self-compassion is to learn ways to soothe ourselves when we are overwhelmed and self-blaming. The fact is that sometimes we make mistakes, maybe even really screw up, and other times what is happening to us is truly outside of our control. Neff offers some powerful words of wisdom and some guided meditation tools on her website.

Helping professionals tend to be pleasers, doers and often perfectionists. It makes us great at our jobs but also puts us at risk for overcommitting ourselves, burnout, exhaustion and self-neglect. We need to find ways to manage our own energy before we can be of service to others. A good starting place is to make self-care resolutions that are realistic and achievable.

Next Week: Take stock

Week four: Develop an action plan

TEND Associate Rebecca Brown on Workplace Compassion Fatigue

 

Rebecca Brown has a Master’s Degree in Social work and her career has spanned 28 years including medical social work, child welfare and domestic violence. For the majority of her career Rebecca was a Child Protection Team Supervisor at the Children’s Aid Society and was a founding member of the Critical Incident Debriefing Team for CAS staff following traumatic work events. She was a provincial trainer for the Ontario Association of Children’s Aid Societies and taught the curriculum on Wellness and Self Care. Rebecca has recently been appointed as an Adjunct Assistant Professor in the Department of Family Medicine, Schulich School of Medicine, Western University.

Rebecca now has a particular interest in Lifestyle Medicine and incorporates this into her practice of Wellness Coaching. Rebecca has been working with Francoise Mathieu and delivering workshops and seminars on the topics of Vicarious Trauma and Compassion Fatigue to helping professionals in a variety of social settings to balance the impact of the “cost of caring” for those in need.

Warning signs of Vicarious Trauma/Secondary Traumatic Stress and Compassion Fatigue

The information in this article is adapted from “The Compassion Fatigue Workbook

Click here for downloadable PDF to share with your organization

 

Learning to recognise one’s own warning signs of compassion fatigue (CF) and vicarious/secondary trauma (VT/STS) serves a two-fold purpose:

First, it can serve as an important check-in process for someone who has been feeling unhappy and dissatisfied, but does not have the words to explain what is happening to them.

Secondly, developing a warning system allows you to track your levels of emotional and physical depletion. It also offers you tools and strategies that you can implement right away.

 

Developing a Warning System

 

Say that you were to learn to identify your CF/STS symptoms on a scale of 1 to 10 (10 being the worst you have ever felt about your work/compassion/energy, and 1 being the best that you have ever felt).

Then, you learn to identify what an 8 or a 9 looks like for you i.e. “when I’m getting up to an 8, I notice it because I don’t return phone calls, think about calling in sick a lot and can’t watch any violence on TV” or “I know that I’m moving towards a 7 when I turn down my best friend’s invitation to go out for dinner because I’m too drained to talk to someone else, and when I stop exercising.”

Being able to recognize that your level of CF/STS is creeping up to the red zone is the most effective way to implement strategies immediately before things get worse.

But look back to what also emerges in this process: you are starting to identify the solutions to your depletion.

If I know that I am getting close to an 8, I may not take on new clients with a trauma history, I may take a day off a week, or I may return to see my own therapist.

In order for you to develop your warning scale, you need to develop an understanding and an increased awareness of your own symptoms of compassion fatigue and vicarious trauma/STS.

For a more complete list of Warning Signs, have a look at the Compassion Fatigue Workbook or Compassion Fatigue 101 Course.

 

Three Levels of Symptoms

 

In their book Transforming the Pain, Saakvitne and Pearlman (1996) have suggested that we look at symptoms on three levels: physical, behavioural and psychological/emotional. As you will see, there is often overlap between these categories.

Take a look at the list below and notice which ones are your most frequent warning signs:

Physical Warning Signs

  • Exhaustion
  • Insomnia
  • Headaches
  • Increased susceptibility to illness
  • Sore back and neck
  • Irritable bowel, GI distress
  • Rashes, breakouts
  • Grinding your teeth at night
  • Heart palpitations
  • Hypochondria

Behavioural Signs

  • Increased use of alcohol and drugs
  • Anger and Irritability at home and/or at work
  • Avoidance of clients/patients
  • Watching excessive amounts of TV/Netflix at night
  • Consuming high trauma media as entertainment
  • Not returning phone calls at work and/or at home
  • Avoiding colleagues and staff gatherings
  • Avoiding social events
  • Impaired ability to make decisions
  • Feeling helpless when hearing a difficult client story
  • Impostor syndrome – feeling unskilled in your job
  • Problems in personal relationships
  • Difficulty with sex and intimacy due to trauma exposure at work
  • Thinking about quitting your job (not always a bad idea by the way!)
  • Compromised care for clients/patients
  • Engaging in frequent negative gossip/venting at work
  • Impaired appetite or binge eating

Emotional/Psychological Signs

  • Emotional exhaustion
  • Negative self-image
  • Depression
  • Increased anxiety
  • Difficulty sleeping
  • Impaired appetite or binge eating
  • Feelings of hopelessness
  • Guilt
  • Reduced ability to feel sympathy and empathy towards clients or family/friends
  • Cynicism at work
  • Anger at work
  • Resentment of demands being put on you at work and/or at home
  • Dread of working with certain clients/patients/certain case files
  • Diminished sense of enjoyment/career(i.e., low compassion satisfaction)
  • Depersonalization – spacing out during work or the drive home
  • Disruption of world view/heightened anxiety or irrational fears
  • Intrusive imagery (You can read an excellent description of this in Eric Gentry’s Crucible of Transformation article).
  • Hypersensitivity to emotionally charged stimuli
  • Insensitivity to emotional material/numbing
  • Difficulty separating personal and professional lives
  • Failure to nurture and develop non-work related aspects of life
  • Suicidal thoughts

Suicidal or hopeless thoughts? Get help: Remember that no matter how stressful and/or traumatic our work, it is not a normal consequence of VT/STS to experience suicidal thoughts or prolonged bouts of depression or hopelessness. Please seek help as soon as you notice these symptoms in yourself. If you are worried about confidentiality, or unsure where to turn, please consult online sources of support. There are urgent suicide support hotlines available 24/7. Don’t suffer alone. Get help. You deserve it and so do the people who love you.

Check out this additional post for more information on symptoms: Extra Information on Signs and Symptoms of Compassion Fatigue and Vicarious Trauma

 

Take Stock

 

Once you have read through and circled your most frequent warning signs, try and identify your top three most frequent signs. I call them the “Big Three”. Are they all physical, emotional or behavioural, or do you see a mixture of signs from each category? Would you say that you are currently in the Green (healthy), Yellow (warning sign) or Red zone with your overall functioning?

Now, ask a loved one or close colleague to share with you what they think your “Big Three” warning signs are, at home and at work.

 

Next Steps

 

Each warning sign has specific tools that can help reduce your levels of stress. For example, if you are experiencing a lot of secondary exposure-related symptoms, you may wish to examine your caseload or the availability of debriefing and grounding strategies. You may also  need to assess the level of extraneous trauma images and stories that you are exposing yourself to in your personal life.

If you have a lot of emotional symptoms, you may consider consulting with a well-trained mental health professional who is familiar with vicarious trauma and the nature of the work that you do.

Continue reading: Tools to Reduce Vicarious Trauma, Secondary Trauma, and Compassion Fatigue

Need more resources? Check out our online courses.

 


Resources for Individuals

 


Sources:

Figley, C.R. (Ed). (1995) Compassion Fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel.

Figley, C.R. (Ed.). (2002) Treating Compassion Fatigue, New York: Brunner/Routledge.

Gentry, E. J., (2002) Compassion Fatigue: A Crucible of Transformation in Journal of Trauma Practice, Vol 1. No. 3/4. pp.37-61.

Killian, K. (2008). Helping till it hurts? A multimethod study of compassion fatigue, burnout, and self care in clinicians working with trauma survivors in Traumatology, (14, 2) 32-44.

Mathieu, F (2012) The Compassion Fatigue Workbook – New Revised and Expanded Edition

Van Dernoot Lipsky, L. (2009) Trauma Stewardship: A guide to caring for self while caring for others. BK Publishers.

Saakvitne, K.W.; Pearlman, L. A., & the Staff of the Traumatic Stress Institute (1996): Transforming the pain: A workbook on vicarious traumatization. New York: W.W. Norton.

 

© Françoise Mathieu 2017

 

Tools to Reduce Vicarious Trauma/ Secondary Trauma and Compassion Fatigue

The information in this article is adapted from “The Compassion Fatigue Workbook

Click here for a downloadable PDF to share with your organization

 

“What can I do personally and professionally to reduce the negative stress-related effects of my work?”

We have many resources to recommend. At the bottom of this page, you will find an extensive list of resources, recommendations and selected articles.

[Please note that the outside resources listed here are for reference and personal interest only. It is not intended as a recommendation or endorsement of organizations.]

 

Where to start?

 

For starters, it is helpful to identify the main challenges that you are facing: Is it related to too much exposure to difficult stories or a lack of referral resources? Is it work overload or an unsupportive supervisor/toxic team? Are you struggling with difficult personal circumstances that are affecting your ability to manage your stress? Do you feel overwhelmed with your complex case load and feel that you lack training in managing the most difficult and challenging situations?

The answers will likely be as varied as there are professions and individuals reading these lines. So where can we start?

We often disappoint people who come to us for sound bites and “quick fixes” to these complex issues – the solutions are complicated, just like the work that we do is multi-faceted and challenging. But here are some places to start:

 

Which of these factors are true for you?

 

Recent research in the field of STS and Compassion fatigue suggests that there are particular vulnerability factors that can increase your likelihood of being negatively impacted by your work:

 

Personal Vulnerability

Do you have your own history of trauma? Are you currently struggling with a difficult family/personal circumstance? Do you work with a population
that shares some of your own personal experiences of oppression and/or discrimination? Do you have a history of mental illness or addiction that is currently re-emerging? All of these factors can contribute to increased vulnerability when doing high-stress, trauma-exposed work.

Traumatic Grief & Loss in the Workplace

Have you experienced losses at work? The death(s) of clients or patients, someone that you worked with who disappeared and never returned, providing you with no closure? A beloved colleague who died unexpectedly or retired or was laid off? The loss of a well-respected supportive supervisor or mentor? Significant changes to your workplace?

Direct exposure

Are you exposed to dangerous situations in your work? Have you ever been threatened, assaulted physically or verbally on the job? Is your work high-risk?

Secondary/Vicarious Trauma

Are you regularly exposed to indirect trauma at work? Hearing/viewing difficult case files, traumatic images and stories?

Compassion Fatigue

Have you experienced a shift in your ability to feel empathy for individuals you work with and/or colleagues or loved ones? Some situations can be very depleting – chronically desperate clients who don’t follow through on your recommendations and keep coming back in distress, a very large homogenous case load where all of the stories start sounding the same, years of exposure to traumatic stories that no longer generate any reaction in you.

Systems Failure

Many professionals describe experiencing moral distress around failures of the system: rules, laws and policies that you disagree with but are still mandated to comply with and that you feel are causing further harm, lack of referral resources and other injustices. All of these can lead to a pervasive feeling of anger and contribute to burnout and workplace toxicity and a decrease in the quality of care provided.

Burnout

Burnout can result from a negative overall workplace experience: your hours, your salary, your workload, the health of your work climate, rewards and recognition, who you immediately report to, the quality of your work relationships with colleagues and a perception of fairness and adequate support to do your job in the best way possible. A negative combination of these factors can lead to burnout.

 

 What works?

First, take a look at which elements of this Venn Diagram are most salient for you, and begin by addressing those that feel the most manageable.

As the saying goes “Dig where the ground is soft”. Seek support, formally with a good mental health practitioner or a coach, informally with colleagues and friends, look at ways to reduce trauma exposure in your personal/leisure time.

Learn some stress-reduction techniques; get more training in trauma-informed practices which can be highly protective in retaining compassion when working with difficult cases and finally, please be open to the possibility of changing jobs if things are just too challenging where you are now.

As Cheryl Richardson says in her book “Take time for your life” (1999) “Do not confuse difficult choices with no choice.” There is too much at stake to ignore compassion fatigue and secondary trauma.


TEND Training

Live Training: Bring one of our TEND associates to your organization for specialized training in resilience, compassion fatigue, etc.

Online Courses: Cutting edge online training for high-stress and trauma-exposed workplaces. Discounts available for larger groups. 

Attend a TEND Conference

TEND Books

Building Resilient Teams by Dr. Patricia Fisher – a workbook designed as a practical, realistic and effective approach to building team resiliency and cohesion through a sequence of safe and respectful guided discussions.

Resilience Balance and Meaning Workbook by Dr. Patricia Fisher – designed to provide you with practical help in addressing the effects of workplace stress, burnout and trauma. You will see that it is designed as a highly interactive tool and you are encouraged to make the book your own by responding to the frequent questions, reflections and self-assessments.

The Compassion Fatigue Workbook by Françoise Mathieu – a lifeline for any helping professional facing the physical and emotional exhaustion that can shadow work in the helping professions

TEND Resources

TEND Blog – frequent posts on topics related to stress, wellness, compassion fatigue and trauma from Françoise Mathieu, Dr. Patricia Fisher and TEND associates. 

TEND Newsletter Archives – archived records of past TEND newsletters, a curated collection of resources related to wellness, burnout and stress.

Compassion Fatigue + Resiliency in Professionals – a Facebook group moderated by TEND that encourages discussions related to compassion fatigue and building resiliency in professionals from a vast array of professions and backgrounds

 


Other Suggested Resources

Secondary Traumatic Stress Consortium [Website]

Trauma Stewardship by Laura Van Dernoot Lipsky

Organizational Stress:

Building Resilient Teams by Dr. Patricia Fisher, R.Psych., L.Psych.

Is work Killing You? A Doctor’s Prescription for Treating Workplace Stress by David Posen

Stress Reduction

Resilience, Balance & Meaning Workbook by Dr. Patricia Fisher, R.Psych., L.Psych.

Grounding Skills

 Graham, L. (2013) Bouncing back: rewiring your brain for maximum happiness. New World Library.

Tools for Managing Trauma:

NakazawaD.J. (2015) Childhood DisruptedHow your Biography Becomes your Biology. Atria.

 Van Der KolkB. (2014) The Body Keeps the ScoreBrainMind and Body in the Healingof TraumaPenguin Books.

ScaerR. (2014) The Body Bears the BurdenTraumaDissociation and Disease. Routledge.

MatéG. (2003When the Body Says No: Exploring the Stress/Disease Connection. Wiley & Sons.

Work/Life Balance:

Richardson, C. (1999) Take Time for Your Lifea 7 Step Program for Creating the Lifeyou Want. Broadway books.

Mindfulness & Selfcompassion websites

www.franticworld.com/free-meditations-from-mindfulness

www.self-compassion.org

www.mindfulselfcompassion.org

A Comprehensive Approach to Workplace Stress & Trauma in Fire-Fighting

An academic article by our very own Pat Fisher.

Do you have any firefighters in your lives that you know could use this information? Please share.

Excerpt: “Firefighters are exposed to a wide range of workplace stresses resulting in a wide range of negative physical, psychological, interpersonal and organizational consequences. This paper presents a comprehensive approach to workplace stress in fire-fighting. The Complex Stress Model encompasses the full set of workplace systemic and traumatic stresses encountered by firefighters. The risk/resilience factors, effects and outcomes of systemic and traumatic stress are reviewed, followed by a discussion of the challenges these pose to fire-fighting organizations. Within this framework, effective workplace wellness and organizational health initiatives need to incorporate three strategic elements: building capacity, increasing resiliency, and supporting positive culture change.”

Read the full article here.

Addressing Workplace Stress: A Comprehensive Wellness Imperative for Individuals and Their Organizations

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HUFFPOST, THE BLOG 07/02/2013 06:45 pm ET | Updated Sep 01, 2013 Addressing Workplace Stress: A Comprehensive Wellness Imperative for Individuals and Their Organizations By Patricia Fisher, Megan Cleghorn • • Identifying the most pronounced sources of stress in your life is rarely difficult. However, pinpointing some of the less overt stress triggers is more challenging. Understanding how multiple sources of stress in your life act in concert to create your own individualized risk and resiliency profile is even more complex.

One thing we know with certainty is that your health and wellness cannot be compartmentalized. No area of your life is exempt from impact if one or more other areas of your life are burdened with high stress. Similarly, just as no discrete part of your life is singularly impacted by high-stress exposure, you are not the only one impacted. Your stress level has many consequences for your organization’s health that manifest in terms of direct and indirect costs as well as detrimental effects on the work environment. As a result, your organization has a vested interest in your ability to effectively address stress and burnout, because your wellness drives your organization’s performance. Accordingly, creation of a robust organizational wellness infrastructure and implementation of research and experience based stress-management programs should be embraced as a central operational priority.

A comprehensive approach to stress management requires a thorough understanding of the many sources of stress in your life as well an appreciation of all the sources of support and resilience. This provides a balanced framework to examine the wide-ranging impacts of stress on your physical and mental health, your professional and personal relationships, and your overall capacity to function optimally. Gaining an accurate understanding and awareness of your stress profile supports meaningful actions and the development of a comprehensive wellness plan that will reduce the negative impacts of stress on your mind, body, relationships and performance. Consider the following integral steps to raising awareness and spurring meaningful progress :

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What Does My Risk Profile Look Like?

Gaining an accurate awareness of your stress risk and resiliency profile in your professional and personal life is an important initial step toward enhanced wellness. There will be factors that are supportive and resiliencebuilding and other factors that increase your experienced stress. With respect to your professional life, for example, consider factors such as workload, level of control, job demands, role ambiguity, and compensation and advancement opportunities. Also consider your individual risk factors such as work/family conflict, and your belief in the value of your work. Consider the same in your personal life. This analysis helps you determine how at risk you are to develop stress and trauma symptoms.

How Well Am I Taking Care Of Myself?

Our bodies and minds are not designed to sustain consistent exposure to high levels of chronic stress. Evaluate what you are currently doing to manage your stress professionally and personally. Take a holistic approach to your selfassessment because a balanced lifestyle is central to effective self-care. Often we find that our self-care may be quite good in some areas of our lives and neglected in others. The more balanced we are, the more we are able to cope with the stresses and demands that we face. Unfortunately, many of us find ourselves caught in a tornado of work, family responsibilities, household tasks, and other personal obligations. Life can then become a succession of stressful events, deadlines and obligations, leaving little opportunity for renewal or even for simple pleasures. Consider what steps you are currently taking to manage your self-care physically, psychologically and emotionally, cognitively, behaviorally, interpersonally and spiritually.

What Is My Stress Symptom Profile?

We know that chronic stress plays a central role in the development of stressrelated physical and mental health challenges, cognitive functioning, professional and personal relationships, and the ability to see life with optimism, hope and energy. Once you have established your risk and resiliency profile and your self-care profile, consider your individual profile of stress symptoms and effects, focusing on physical health challenges such as stress-related illness and disease, and mental health consequences such as depression, anxiety disorders, and substance abuse. It is also essential to probe the specific symptoms you experience relating to job stress, burnout, harassment, and exposure to direct and vicarious trauma.
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Where Do I Go From Here?

In moving from awareness to action, it is essential that you acknowledge and accept the magnitude of your stress symptoms and commit to developing an active and practical wellness plan. That wellness plan should be constructed to allow you to recover from any existing stress effects, to then maintain a level of self-care that matches the level of demands placed on you, and to engage in proactive practices to increase your resilience. Ultimately, to succeed in enhancing your individual wellness and, in turn, your organization’s health, you must build a comprehensive lifestyle that supports and sustains you through work and personal stresses. Sustainability rests on the principle that you have to replace that which has been depleted. If you are going to be a productive, active, effective person and teammate, you need to be well-nourished at all levels. To make durable changes in your professional and personal life, you and your key stakeholders must partner in (1) making a serious commitment to address the impact of stress in your lives, (2) taking responsibility for what you choose to do about your stress-management, and (3) taking action from an attitude of care, concern and respect. We need to clearly understand that for both individuals and organizations to flourish, we must treat our individual and collective wellness as a central operational imperative.