Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC,...

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Child Protection Summit 2018 Alexandra Noel, MA, LPC , CSAC, CADC, MAC Katie Streeter, MA, NCC, LMHP - R (VA), LMHC - R (NY)

Transcript of Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC,...

Page 1: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

Child Protection Summit 2018Alexandra Noel, MA, LPC, CSAC, CADC,

MAC Katie Streeter, MA, NCC, LMHP-R (VA),

LMHC-R (NY)

Page 2: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Definition of Vicarious Trauma

� Discuss Signs and Symptoms of Vicarious Trauma and Compassion Fatigue

� Explore Evaluations� Complete ProQoL

� Recovery and Prevention� Self-Care Planning � Self-Care ToolKit

Overview

Page 3: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� “In order to understand trauma, we have to overcome our

natural reluctance to confront that reality and cultivate the courage to listen to the testimonies of survivors”.

� “The essence of trauma is that it is overwhelming, unbelievable, and unbearable. Each patient demands that we suspend our sense of what is normal and accept that we are dealing with a dual reality: the reality of relatively secure and predictable present that lives side by side with ruinous, ever-present past”.

� VanDerKolk, B. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. NY, NY: Penguin Books.

Vicarious Trauma

Page 4: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Definition:� A permanent change in the service provider,

resulting from empathetic engagement with a client’s/patient’s traumatic background. This change permeates the “helpers” fundamental beliefs and world view.� Vicarious trauma is much more pervasive than

burnout, impacting all facets of life, including the body, mind, character, and belief system.

Vicarious Trauma

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�� Vicarious trauma is a response to an accumulation of

exposure to the pain of others.� The impact of the trauma on those who suffer from

vicarious trauma replicates that of the traumatic reaction that may be experienced by patients/clients.

� Example of vicarious trauma: A child welfare attorney preparing for trial by interviewing the witnesses on a case. One of the cases involve a brutal beating of a 14 year old female. The child provides horrific details of the abuse and the attorney is also provided graphic photographs. The attorney spends hours pouring over the testimony, photographs, 9-1-1 calls, as well are reading multiple police reports. The attorney finds themselves having recurring nightmares with a child screaming and calling for help.

Vicarious Trauma con’t

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�� Video

� How we may appear after experiencing accumulated vicarious trauma:

� Is this you?!!�

Trauma Stewardship

Vicarious Trauma

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�� “Compassion Fatigue is a state experienced by those

helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper.”

Dr. Charles Figley

Compassion Fatigue

Page 8: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� “Helping” professions are most vulnerable� Cumulative in nature� Forgetting why you wanted to help in the first place� “Well is dry” � Like burnout – too drained� Differs from burnout – impacted by kind of work,

specific clients; tension and preoccupation with client’s experiences;

Compassion Fatigue

Page 9: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� The Cost of Caring (Figley, 1995)

�“Sometimes we feel we are losing our sense of self to those we serve.”

Compassion Fatigue

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�� Tension and preoccupation with client’s experiences;

manifested in one or more of the following:� Re-experiencing our client’s traumas, not being able to

“let go”� Avoidance or numbing of reminders� Persistent arousal or hyper-alertness

(Symptoms are same as Post Traumatic Stress)

Compassion Fatigue

Page 11: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� ACTIVITY:

� You have been given a notecard.

� List 3 ways your job has negatively impacted you

� Think about changes emotionally, physically, relationally, etc

Specific Symptoms

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�� COGNITIVE

� Intrusive thoughts/images� Lowered concentration� Rigidity� Disorientation

� EMOTIONAL� Guilt� Sadness� Powerlessness� Diminished sense of purpose� Numbness/apathy� Helplessness� Hopelessness� Diminished sense of safety

Signs and Symptoms

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�� BEHAVIORAL

� Avoiding certain clients/populations� Pulling away from social functions� Change in routine(s)� Decrease in usual activity

� PHYSICAL� Lower energy� Lower productivity� Change in activity� Sleep/Eat disturbances� Medical problems

� Blood pressure/hypertension� Racing heart

Signs and Symptoms

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�� RELATIONAL

� Distancing from support network� Distancing from family/friends� Change in significant relationships

� (This video MAY be me)Claudia Robs a Bank

� WORK PERFORMANCE� Task avoidance� Low morale� Sense of having no purpose� Sense of not being effective

Signs and Symptoms

Page 15: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Vicarious Trauma causes these symptoms:

� SPIRITUAL � Not attending faith community gatherings� Not praying or meditating as frequently� Continuously stating being “mad” at God� Not believing in a higher power when you once did

� WORLDVIEW� Never being able to see the good in the world around you� Becoming paranoid about your environment� Developing prejudice against certain populations

Signs and Symptoms

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�� Life Stress Test� Compassion Fatigue Self-Test� Ego Resilience Scale� 14-Item Resilience Scale� Secondary Traumatic Stress Scale� Interpersonal Reactivity Index� ProQoL

Evaluations

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�� Please take a minute or two to fill out the ProQol

evaluation.

� See where you are.

ProQoL

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�Balance!

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�� Self-Awareness� Stress Management� Building Resilience� Wellness Plan

Recovery & Prevention

Page 20: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Know yourself!� Ask your:

� family� friends� colleagues

� Self-assessments� Evaluations � Various Apps

Self-Awareness

Page 21: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Breathing� Meditation

� Guided Meditation� Mindfulness

� Laughter� Progressive Relaxation� Emotional Freedom Techique� Exercise� Balance!!!

Stress Management

Page 22: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Previous generations laughed 20 minutes / day� Now the average is down to

5 minutes/day� Gentle exercise

� Fills the lungs with oxygen� Clears breathing passages� Movement exercises the lungs

� It’s contagious� Laughter yoga…a real thing!

Laughter

Page 23: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Let’s enjoy just a little laughter

� This one is for all of our Floridians!

� Disney

Laughter Break

Page 24: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Qualities of Resilient People

� Optimism, Faith� Integrity� Social support

� Foster group identity and cohesion� Perseverance� Responsibility

Building Resilience

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�Building Resilience

� Personal� Exercise� Maintaining medical

appointments� Adequate rest� Creative projects� socializing

� Exposure to the arts/performance

� Spa/wellness treatment

� Healthy eating� Hobbies

Page 26: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Professional

� Pursuing professional development opportunities� Taking a real lunch break (away from your desk!)� Maintaining regular supervision meetings � Arranging group lunches or other meetings with

coworkers

Building Resilience

Page 27: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Organizational

� Attending regular staff and supervision meetings� Developing a team effort� Facilitating recognition of achievements and/or

expressing appreciation � Involvement in organizational wellness policy

development� Personalization of office space or work area

Building Resilience

Page 28: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Community

� Attendance at religious or spiritual services� Involvement in community effort such as a

community clean up day� Neighborhood gatherings� Involvement in a chosen political activity or cause,

such as writing a legislator or attending a rally

Building Resilience

Page 29: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Self-Regulation

� Identify ways you can relax your body and combat stress reactions

� Intentionality- list specific situations you need to employ self-regulation techniques

� Perceptual Maturation� Shifting how you perceive tasks/situations

� Connection/Support� List and Employ specific people to help support you and

hold you accountable� Self-Care

Wellness Plan

Page 30: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Resilience Characteristic #1

� Look at the positive side of a situation. During a crisis they are good to have around because of their optimism.

� Tool #1: Optimism- Positivity, Positive Thinking, Positive Emotions.

� Resilience Characteristic #2� Realize the importance of having a strong social support

system and surround yourself with supportive people.� Tool #2: Collaboration- Developing Your First Support

Group

Self-Care Toolkit

Page 31: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Resiliency Characteristic #3

� Have faith in yourself� Tool #3: Have Faith In Yourself- Changing Beliefs

� Resiliency Characteristic #4� You are curious about situations and focus on the new

possibilities.� Tool #4: Be a Possibilities Person: This tool goes hand in hand with your confidence.

Self-Care Toolkit

Page 32: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Resilience Characteristic #5

� Are YOU connected to your values? Do you see meaning and purpose in what you do? Then you have congruence in your values and your work.

� Tool #5: Congruence in Your Values and Your Work-Having a direct alignment between who you are and what you are doing.

� Resilience Characteristic #6� Focus on the important things and don’t fight things you

can not control.� Tool #6: Accept What You Can’t Change- Change

What You Can.

Self-Care Toolkit

Page 33: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Resilience Characteristic #7

� Take care of yourself in order to be physically and emotionally resilient.

� Tool #7: Care for Yourself Physically- What Makes You Feel Good?

� Resilience Characteristic #8� Seek solutions when a problem arises.

� Tool #8: Effectively Problem-Solve- And Know There is Always a Way Through.

Self-Care Toolkit

Page 34: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Sight

� Photos of friends, family and pets, favorite book, inspirational quotes, birthday cards, hand written letters.

� Smell� Pleasant aromas to include essential oils (lavender and

clary sage), candles, incense sticks.� Taste

� Favorite chocolate, candy, granola bar, tea, hot cocoa.

Tangible Toolkit

Page 35: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�� Sound

� Meditation CD, guided meditation, mp3 player, playlist of favorite songs.

� Touch� Comfort objects, soft piece of material, small stuffed

animal, stress balls, fidget cubes (or something similar)� Activities

� Coloring books and colored pencils/crayons, journal, favorite movies, games.

Tangible Toolkit

Page 36: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�Time To Create!

Please feel free to create your own Self-Care Toolkit and Tangible Toolkit with the papers provided and the

supplies at the front!

Page 37: Child Protection Summit 2018 Alexandra Noel, MA, LPC, CSAC, …centerforchildwelfare.fmhi.usf.edu/Training/2018cpssummit/Healing_… · The body keeps the score: Brain, mind, and

�Questions?