Compassion Fatigue Burnout - ViewPoint Health •Discover what leads to burnout and compassion fatigue in your work •Identify coping strategies that you can use to increase your

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  • Burnout &

    Compassion

    Fatigue

    Debra Hopkins

    Staff Development & Training Coordinator

    August 2013

  • OBJECTIVES

    Discover what leads to burnout and

    compassion fatigue in your work

    Identify coping strategies that you can use

    to increase your resiliency

    Develop ways to find support for yourself

    and give support to your colleagues

    Help supervisors manage burnout and

    compassion fatigue in the workplace

  • Personal Mission Statement

    Take some time to complete

    your personal mission

    statement.

    You will look at it again at the

    end of the course.

  • The Data 57% of social workers have been threatened &

    16% physically assaulted

    40% of nurses have been physically assaulted

    52% of behavioral health staff are at medium to

    high risk for anxiety and depression disorders,

    which is twice as high than the general

    population

    Twice as many nurses used EAP than the

    general employee population

    59% of mental health professionals are willing to

    seek help vs. 15% of law enforcement

    professionals

  • Major Health Concern

    Increased recognition of negative impact

    on organizations causes significant

    work place disturbances

    High Attrition

    Poor Employee Retention

    Soaring Long Term Disability and Sick

    Leave costs

  • Definitions

    Burnout: Exhaustion of physical or

    emotional strength or motivation usually as

    a result of prolonged stress or frustration

    that gradually builds to a breaking point.

    Compassion Fatigue: A debilitating

    weariness brought about by repetitive,

    empathic response to pain and suffering,

    compassion fatigue is a result of absorbing

    and internalizing the emotions of clients and,

    sometimes, co-workers.

  • Burnout

    Occurs when there is no joy left in doing

    your job and you feel exhausted.

    You often feel apathetic, a loss of emotional

    investment, and an adoption of whats the

    point? attitude.

  • Burnout

    Physical & emotional exhaustion as a

    result of prolonged stress and

    frustration

    Depleted ability to cope with work

    demands

    Sense of powerlessness to achieve

    goals

    Alters our view of the workplace

    Can happen in any occupation

  • Compassion Fatigue

    A state of exhaustion and dysfunction,

    biologically, psychologically and socially, as a

    result of prolonged exposure to secondary

    trauma or a single intensive event. (Figley,

    1995)

    Series of psychosocial and emotional factors

    caused by a specific event or events

    indirectly affecting helpers.

    Emotional fallout from delivering services to

    those that were primarily traumatized.

  • When was Compassion Fatigue Defined?

    First diagnosed in Nurses in the 1950s. It

    has also been discovered in other giving

    professions, including social workers,

    doctors, disaster response/relief workers,

    attorneys, and charity workers, as well as

    other helping professions.

    Compassion fatigue has been studied by the

    field of traumatology where it has been

    called the cost of caring for people facing

    others emotional pain.

  • The Compassion Fatigue Process

    Figley, 2001

  • Who is More Likely to Develop

    Compassion Fatigue.?

    .Anyone with the capacity for true

    compassion, empathy, concern & caring.

    We try to stay within professional

    boundaries and adhere to the training

    guidelines we received.

    However, our greatest strength, our

    compassionate connection, is also our

    greatest vulnerability.

    This is not a characteristic to throw away.

  • Symptoms of Compassion Fatigue

    Emotional Despair

    Hopelessness/Helplessn

    ess

    Decreased Pleasure

    Stress & Anxiety

    Negative Attitude

    Overwhelmed

    Powerlessness

    Guilt

    Anger/Rage

    Survivors Guilt

    Shutdown

    Numbness No Joy

    Fear

    Sadness

    Depression

    Emotional Roller Coaster

    Overly Sensitive

    Vulnerable Feeling

    Drained

    Association with Trauma

    Affects You Deeply

  • Symptoms of Compassion Fatigue

    Behavioral Impaired Judgment

    Impatient

    Irritable

    Withdrawn

    Moody

    Sleep Disturbance

    Nightmares

    Appetite Changes

    Hyper Vigilant

    Startle Response

    Accident Prone

    Lose Items

    Negative Reaction to

    Small Changes

  • Symptoms of Compassion Fatigue

    Cognitive Poor Concentration

    Low Self-Esteem

    Apathy

    Rigidity

    Disorientation

    Perfectionism

    Minimization

    Preoccupation with

    Trauma

    Thoughts of Self-harm or

    Harm to Others

  • Symptoms of Compassion Fatigue

    Personal

    Relationships Decreased Interest in

    Intimacy or Sex

    Mistrust

    Isolation

    Parental Over Protection

    Projection of Anger or

    Blame

    Intolerance

    Loneliness

    Interpersonal Conflicts

  • Symptoms of Compassion Fatigue

    Physical/Somatic Shock

    Sweating

    Rapid Heartbeat

    Hypertension

    Breathing Difficulties

    Aches & Pains

    Dizziness

    Headaches

    Increased Number &

    Intensity of Medical

    Maladies

    Impaired Immune

    System

    Other Somatic

    Complaints - the mind or environment affecting the

    body

    Substance Abuse

    Recurring Thoughts

    About a particular Case

  • Symptoms of Compassion Fatigue

    Work Performance Low Morale

    Low Motivation

    Avoiding Tasks

    Obsession Over Details

    Apathy

    Negativity

    Lack of Appreciation

    Detachment

    Poor Work Habits

    Staff Conflicts

    Absenteeism

    Chronic Lateness

    Withdrawal Form

    Colleagues

    Personal Issues Intrude

    on Work

    Workaholism cynical & discouraged yet cant leave

    work

    Diminished Sense of

    Personal

    Accomplishment

  • Symptoms of Compassion Fatigue

    Spiritual

    Question the

    Meaning of Life

    Loss of Purpose

    Lack of Self-

    Satisfaction

    Anger at God

    Question Religious

    Beliefs

    Loss of Faith

    Skepticism

    Inability to

    Maintain Balance

    of Empathy &

    Objectivity

  • Primary vs. Secondary Trauma

    Primary Trauma:

    A consequence of ones work, i.e. EMS, car

    accidents, fatalities involving children

    From our personal lives, our own past

    Post Traumatic Stress Disorder

    Secondary Trauma:

    Trauma Reactions that involve others trauma

    imagery or trauma stories characterized by

    panic, horror, or helplessness in relation to the

    event. (Tikasz)

  • Other Forms of Compassion Fatigue

    1. Secondary Traumatic

    Stress Disorder

    2. Secondary Victimization

    3. Vicarious Trauma

    4. Emotional Hijacking

    5. Cumulative Stress

  • SMALL GROUP EXERCISE # 1

    Discuss a case that caused you to take it

    home with you or caused symptoms of

    compassion fatigue.

    Identify the factors that caused you to

    relate to the person/victim/family/event.

    Note the commonalities among you and

    choose a person to share this with the

    class.

  • Secondary Traumatic

    Stress

    .when a client is experiencing a trauma

    that you have personal experience with,

    past emotions may be triggered, along

    with feelings and personal trauma.

    Some examples are homelessness,

    physical abuse, emotional abuse,

    hospitalization, illness, death of a loved

    one.

  • Secondary Victimization

    .when helping a client that is victim to

    sexual, physical, or emotional abuse, you

    may experience the trauma caused by

    these events first-hand, though you didnt

    experience the event first-hand.

  • Vicarious Trauma..

    PTSD-related symptoms from working

    with clients and families that have trauma

    and grief:

    May co-exist with burnout

    May occur from exposure to one

    case or a cumulative level of trauma

    (Figley, 1995)

  • Vicarious Trauma.

    .when a clients traumatic experiences

    affect you deeply even though you are

    experiencing the trauma second hand.

    Vicarious: experienced through another by imagining: experienced through somebody

    else rather than at first hand, by using

    sympathy or the power of the imagination

    endured for somebody else: done or endured

    by somebody as a substitute for somebody

    else

  • Vicarious Trauma. Repeated exposure to difficult stories

    changes our view of the world

    Results in nightmares, certain images

    repeated, intense preoccupation with a

    story or event

    When external trauma becomes an

    internal reality it impacts the entire

    nervous system (Lipsky, 2009)

    Accumulates over time and across clients

    Occupational Hazard

  • Occupational Hazard We do not get Compass