Vicarious Trauma

Secondary Traumatic Stress and the Ottawa Shooting

Ottawa war memorial

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Many people were directly impacted by the events in Ottawa last week – most affected, of course, was the victim’s family, the perpetrator’s loved ones, the good samaritans who rushed to Cpl Nathan Cirillo’s help, the paramedics and police officers who responded to the scene, all of the individuals inside the Parliament building who witnessed the gun fight, and everyone else who was on the Hill: those who spent hours in lockdown, the tourists and passersby who witnessed the attack, the media and a whole host of other people I am probably forgetting. Some of these individuals were directly exposed to a trauma while others experienced a more indirect form of traumatic exposure.

As one moves away from the epicentre of the tragedy, we can list millions of other individuals who were deeply affected by the shooting – Ottawa citizens, Canadian viewers who watched it on the news and of course the global community.  These folks were not exposed to direct trauma, but were potentially secondarily traumatized all the same: If you watched some of the raw media footage which was shown on our TV screens minutes after the shooting, you may have noticed some very graphic, rather disturbing images centered around the victim. I noticed that as the day progressed, while the footage was being shown in a continuous loop, it was slightly altered to mask some of the more disturbing elements of the scene.  (You may not have noticed that, but I have a homing device for trauma exposure in the public sphere and how it’s done, call it my own personal mission and obsession). However, with YouTube, and dozens of passersby able to film the scene with their smart phones, it won’t be hard to see that raw footage somewhere on the net, if one looks hard enough. I am not sure why the media outlets decided to stop showing the more graphic details – was it out of respect for the victim’s family? A decision to spare the viewers? Maybe a bit of both, and that’s a good thing. Too bad it doesn’t happen more often.

Thankfully, our degree of understanding of traumatic stress has significantly improved over the past decade – most people are now fairly familiar with the concept of Post Traumatic Stress Disorder (PTSD) and have no difficulty understanding that those at the centre of a tragic event like the Ottawa shooting might be significantly affected for weeks and perhaps months to come. We also know that some individuals are more vulnerable to traumatic stressors and may develop more significant psychological distress as a result of this event: the severity of the reaction is determined by a prior trauma history, a history of mental illness or addiction, a person’s personality and coping styles, whether or not they were able to seek good quality debriefing afterwards, the quality of their social supports and several other factors.

One thing is clear – when we experience a traumatic event, many of us have a strong need to talk about it with others. This is a very good thing. Talk, write, share with your loved ones, with your work colleagues and your friends. This urge to connect and tell our story can also happen to us during very intense happy events – talk to any new mother about her birth story hours or days after the delivery, and she will give you the play-by-play of each cube of ice she chewed on and what centimetres of dilation she was at. Talk to her again a year later, and she will likely tell you, in a nutshell, that “it hurt like hell and took 26 hours” but unless it was a very traumatic birth, she will no longer need to share minute by minute account of what happened. This is completely normal. With traumatic events that involve a criminal act, the need to share and the trauma experienced may be more potent. An “act of God” is very different from one human being’s deliberate decision to cause harm to others, even if the perpetrator is deeply psychologically troubled. So let’s talk about it, absolutely.

However, we should take care to share what is necessary vs “all the gory details” unless those are extremely central to our experience. After 9/11, the Globe and Mail (and many other news outlets) shared some incredibly graphic photos that I will never be able to remove from my mind – I was quite traumatized by those images,  and there were not necessary – I did not need to view these to be compassionate and profoundly distressed by the collapse of the Twin Towers. Fourteen years later, those photos of 9/11 still haunt me whenever I hear mention of the World Trade Centre. The same is true for the Bernardo trial, some 20 years later. Click here to read more about “Low Impact Debriefing”

As the events in Ottawa recede, some of you may remain greatly shaken and very affected by the sounds, images and emotions surrounding the shooting. If, a few weeks from now, you feel that you are more distressed than you should be – maybe you are more upset than your colleagues, are having difficulty sleeping or focusing on other things, perhaps you are experiencing intrusive images or nightmares – please seek some support. Let’s take good care of one another.

Helpful Resources: 

Canadian Mental Health Association: Getting Help

CMHA Website on PTSD

© Françoise Mathieu 2014

Photo credits: Michel Loiselle 

Thank a helping professional today

“Listening can be an act of social justice” beautiful, inspiring, a call to action

https://www.youtube.com/watch?v=1I1mFSoTF1A&app=desktop

Great resource! Self-Care Starter Kit

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The University at Buffalo School of Social Work has developed an excellent self-care starter kit aimed at social work students and other professionals. They have an extensive bibliography, readings, checklists and other resources. They also have a great infographic called “How To Flourish in Social Work” which you can view here.

It’s very exciting to see such good quality resources emerging from the trenches. If you are an educator, preceptor or supervisor, please share this resource with your folks. This is a great tool for all helping professionals.

 

Summertime reads, recipe and an invitation to stay in touch

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Here’s a quick post for you today with three items: new reads, a recipe and an invitation…

It’s finally summer!  This is hopefully a time for you to slow down a bit, enjoy the beautiful weather, have a picnic, maybe go to a local market or outdoor music festival on your day off.

June was a very busy time for me, starting with the wonderful Care4You conference (photos will be posted next week!), a work trip the Florida Panhandle,  and a trek to England to visit family and friends.

Needless to say that by July 1st, I felt the need for a little r&r after all of this excitement.

Whenever I finish a hectic time and need to refuel, I try to go back to the basics: get more sleep, eat more greens and less carbs, ditch the caffeine and get more exercise. Those simple things help keep me grounded, and when I go too long without them I start feeling tired, unwell and irritable. So I went back to read my favourite healthy eating blogs and spent a bit more time in the kitchen juicing and making homemade meals. I came across this weird and wonderful gluten-free bread recipe that I will share with you below. There are also some newly published compassion fatigue articles to recommend, for your time in the hammock!

1) New Reads on Compassion Fatigue

I just had two new articles published and a book chapter which I co-wrote with my colleague Leslie McLean from Capital Health Cancer Care, in Halifax.

For Family Caregivers: When the Juggling Act Isn’t Working: 5 Key Strategies to Reduce Compassion Fatigue and Burnout. Click here

For nurses: Occupational Hazards: Compassion Fatigue, Vicarious Trauma and Burnout. Click here.

New Book Chapter: Managing Compassion Fatigue, Burnout and Moral Distress in Person and Family Centered Care Click here

 

2) Healthy Eating, Cool Gluten-Free Bread Recipe

If you read this blog regularly, you’ll know that I am a big fan of healthy eating and enjoy reading food blogs for pleasure. My two current favourites are Choosing Raw by Gena Hamshaw, a New York nutritionist, and My New Roots, a beautiful whole food blog by Sarah B. a Canadian who now lives in Denmark but recently spent 6 weeks in Bali (yes, I know, tough). What I like about these bloggers is that they propose easy, fresh recipes without dogma.

Sarah B. posted a crazy-sounding gluten-free bread recipe last year, called “The Life Changing Loaf of Bread” which may seem like a rather bold statement. I was intrigued, but did not have time to gather the ingredients to try it out until yesterday. Well, what a success! This produces a very dense, toastable seed bread. Not suitable for sandwiches but perfect for toasting. Fantastic! Click here for a the link to the recipe.

3)  Join the anti-spam brigade, and make sure you stay on our mailing list!

Finally, an important note to any of you on my mailing list. If you are a Canadian reader, you will likely have been deluged by emails lately from all sorts of businesses asking you to confirm that you wish to continue receiving their emails. A new anti-spam legislation became effective july 1st, 2014 and if you do not confirm your desire to receive emails from us, we will have to remove you to comply with the regulation. So please take a minute to click on the “confirm” button in the email we sent you recently.  Thanks!

Now, I’m going to go watch some tennis and World cup soccer and drink some romaine, cucumber fennel juice. (It sounds weird but it tastes great.)

Here’s wishing you a lovely summer!

Slides from June 2014 Care4You Conference

What a wonderful two days! thanks to all of you who joined us at last week’s Care4You Compassion Fatigue Conference in Kingston. In the coming weeks, we will post photos as well.

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In the coming days, we will be posting the slides from the conference here. Come back if the talk you are looking for isn’t posted yet, and we hope to see you next year!

Compassion Fatigue 101 with Françoise Mathieu – Click here for slides

Care4Your Body Care4You with Lynda Pedley – Click here for slides

Rethinking Compassion as Moral Stress with Donna ForsterClick here for slides

Nutrition: The Fuel for Mental Health with Jess Sherman – Click here for slides

Managing Compassion Fatigue with Mindfulness and Self Compassion with Robin Beardsley - Click here for slides

Riding the Emotional Roller Coaster with the Patient  with Jennifer Juneau – Click here

Embracing Gratitude with Cathy Mosole – Click here for slides

Irest, Yoga Nidra with Bill McLaughlin – Click here for slides

Oxygen for Caregivers with Simon Fox – Click here for slides and here for handouts

Improving Morale by Supporting Each Other with Romney Pierog – Click here for slides

Improv your Outlook with Mary Harvey – Click here for slides

Education for Next-Generation Frontline staff with Karen Mayer – Click here for slides

Upcoming Events May-June 2014

Here are several exciting training events coming up in the next few weeks!

Walking the Walk – Toronto, May 27, 2014

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Françoise Mathieu will be in Toronto on May 27, 2014 offering the one day workshop Walking the Walk: Creative Tools for Transforming Compassion Fatigue for the Hincks Dellcrest. Registration for this event is now open. Registrants will receive a copy of Françoise’s book: “The Compassion Fatigue Workbook” at registration.  For more information, please click here

Laughter Yoga – Kingston, June 2, 2014

Sylvie-circle-bgA full day “Playshop” with Laughter Yoga Practitioner Sylvie Dagenais-Douville where participants will learn the value of laughter as an exercise that can enhance energy levels and keep you cheerful and fit. To laugh without any reason and to be able to practice laughter exercises at any time. How to change their mood by doing these laughter exercises, thereby bringing a change in their attitude towards others. This will also help them to cope with difficult and challenging situations with a positive frame of mind. To release negative emotions and bring about an emotional balance for better relationships with colleagues in the workplace and with family at home. How to apply the wisdom of laughter yoga to bring more laughter and joy in their workplace. No yoga experience necessary to participate!

Click here for more information and click on “Preconference Events”

 

Care4You: The Fourth Annual Compassion Fatigue Conference, Kingston, June 3-4, 2014


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This year, we have a record number of registrants! Join us for two days of connection, learning and refuelling.  Keynote speakers Meaghan Telpner, Nutritionista and author of “Undiet: Eat Your Way to Vibrant Health” and Dr David Posen, author of “Is Work Killing You?” and “The Little Book of Stress Relief.” Limited seats are still available. Click here for more information

 

Transforming Trauma: The Journey of one Woman

Every day this week, we are sharing with you some highlights of the upcoming Compassion Fatigue Care4You Conference June 3-4th, 2014

Workshop: Transforming Trauma – The Journey of one Woman 

with Deborah A. Sinclair, Social Worker

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In her 35 years of practice with trauma survivors and the allies who support them, Deborah Sinclair has witnessed the deep emotional and cognitive impact on our bodies, hearts, minds and spirits, and the pervasiveness of vicarious traumatization (VT) for helpers/clinicians/allies. She has also noted, as with trauma survivors, that this vicarious traumatization can lay the foundation for vicarious resilience and posttraumatic growth. This is a good news story that can provide hope to all of us in our moments of quiet despair.

In this presentation, Deborah Sinclair will present the latest research findings that have relevance for mitigating vicarious traumatization in our personal and our professional lives and deepen our understanding of what facilitates vicarious resilience and post-traumatic growth. What inspires each of us to perform as our best selves in the  pursuit of excellence?

The presenter: 

Deborah Sinclair is a social worker in independent practice in Toronto, ON. Over her 35 year involvement in social justice work, Deborah has worked in many different capacities – clinician, writer, speaker, trainer, researcher, and expert witness. Deborah is a founding member of the Emily Stowe Shelter for Women, Women We Honour Task Force on Intimate Femicide and Luke’s Place. In January 2003, she was appointed to the Domestic Violence Death Review Committee (DVDRC), an expert advisory committee of the Ontario Chief Coroner’s office that reviews all intimate partner homicides/suicides in Ontario. Deborah works as a resource to assist professionals and advocates working with high risk populations to deal with vicarious trauma and resilience in their work settings including crown attorneys, family law lawyers,  police officers, paramedics,  health care providers, teachers, child welfare workers and  shelter staff. Deborah facilitates debriefings for individuals and groups experiencing a critical incident, and mediates to resolve staff conflicts, manage staff expectations and transform work settings into supportive, high performing sites of excellence. Deborah is the YWCA 2010 Woman of Distinction for Social Justice and is currently a Ph.D candidate at the Factor-Inwentash Faculty of Social Work, University of Toronto.

 Click here for more information about the Care4You Conference

Compassion Fatigue in Healthcare: Insight from the Frontlines

Every day this week, we are sharing with you some highlights of the upcoming Compassion Fatigue Care4You Conference June 3-4th, 2014

Compassion Fatigue in Health Care: Insight from the Frontlines

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Working in health care has become more complex in the past decade: a rapidly ageing population, decrease in resources, increased workload from a perfect recipe for overload, burnout and compassion fatigue. In this plenary presentation, 3 nurses join forces to share their combined 50+ years of experience in caring for patients and discuss what they have learned about the importance of caring for each other.

Riding the emotional rollercoaster with patients

Jennifer Juneau, RN, Life Coach

Courage Coach

Jennifer Juneau has been a Registered Nurse for 18 years with combined experience in the Operating Room, fertility and women’s health. She recently became a Solution Focused Life Coach and specializes in fertility coaching and health and wellness coaching.

Education for next-generation frontline staff

Karen Mayer, RN, BEd, MAEd

Algonquin Lakeshore Catholic District School Board

Karen Mayer is a Registered Nurse with 30 years of healthcare experience in both hospital (Chronic Care, Maternity and ER) and was co-owner of a private, thriving home care business for seven years. She returned to school twelve years ago to obtain BEd and MAEd and has been teaching Personal Support Workers (PSWs) at Loyola School of Adult and Continuing Education for the past ten years. As a twelve year member of the Ontario Association of Adult and Continuing Education School Board Administrators (CESBA), she has been Chair of the PSW committee for the past three years. Having experienced Compassion Fatigue, Karen developed a bucket list. Multi-tasker that she is, she knocked off two items from her bucket list, working in a mission and working with Patch Adams by completing a mission trip to Guatemala with Patch Adams.

Improving Morale by Supporting Each Other

Romney Pierog, RN

Kingston General Hospital

Romney Pierog has been a frontline Registered Nurse for 15 years with over 11 years in critical care experience. She currently works at Kingston General Hospital. She also has a degree in English literature and psychology from Carleton University.

Romney is currently working on a project where she has been interviewing frontline staff, management and patients on morale and satisfaction. She is looking at improving morale by improving communication and by recognizing the obstacles posed by stress, compassion fatigue and burnout.

 Click here for more info about the conference

Managing Intense Stress

Every day this week, we are sharing with you some highlights of the upcoming Compassion Fatigue Care4You Conference June 3-4th, 2014

Plenary Session: Managing Intense Stress

Sometimes life can be intensely stressful. Managing it all can be very hard, and yet some people just seem to keep it all together.  Ever wondered how they do it?  These three experts want to teach you some of the ways to hold your ground, even when life, work and family are at their most demanding. Come and hear three perspectives on managing difficult times while connecting with hope and gratitude.

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Taking Care of Business:  Understanding how the past impacts the present

Vic Unruh, therapist and consultant 

HeartStories Unlimited, Winnipeg

Vic Unruh is a private practice therapist working primarily with families who are engaged with child protection agencies. Vic has worked with children, parents and families struggling with separation, reunification and prevention. He has also been a workshop facilitator with several family resource centres, schools, child protection agencies and conferences on a variety of topics focusing on family preservation.

Irest: A tool for managing extreme trauma and stress

Bill McLaughlin, clinical psychotherapist

Kingston Institute of Psychotherapy & Neurofeedback

Integrative restoration (Irest) is a simple but powerful guided meditation developed from a three thousand year old yoga practice. Irest was developed by Clinical Psychologist Dr. Richard Miller in conjunction with the U.S. Military to address the negative impacts on the human body and mind from intense stress. Since its development, research has shown demonstrated success with people who suffer PTSD, anxiety, depression and with specific populations. Students, sufferers of chronic pain, people who are homeless and corporate executives have all demonstrated improved well-being and reduced indicators of stress with the practice of iRest.

Bill McLaughlin is a Clinical Psychotherapist specializing in the treatment of traumatic stress. Bill has been in private practice for six years providing services to Veterans, active duty military, and law enforcement professionals. Bill is also a Professor at St Lawrence College where he teaches an on-line course he developed on traumatic stress. Bill is an accomplished researcher and considered one of the most knowledgeable clinicians in the area of the assessment, treatment, and recovery from traumatic stress.

Changing the Focus: Embracing gratitude

 

Cathy Mosole, counselor & chaplaincy

Peterborough Victoria Northumberland and Clarington Catholic District School Board

Cathy Mosole has worked in the Domestic Violence, Child Welfare, Children’s Mental Health, Policing Fields, and for the past 10 years in the Education Field.

Click here for more information

 

Beyond Kale and Pedicures…What works to manage compassion fatigue?

Every day this week, we are sharing with you some highlights of the upcoming Compassion Fatigue Care4You Conference June 3-4th, 2014.

The conference will open with a presentation called Beyond Kale and Pedicures….What Works to Manage Compassion Fatigue? with Françoise Mathieu, M.Ed, CCC. Compassion Fatigue Specialist and author of “The Compassion Fatigue Workbook”

book launch photoSince the mid 1990s, an entire new industry of wellness has emerged: workshops, books, retreats and videos, all aiming to assist professional caregivers and other helping professionals reduce compassion fatigue and vicarious trauma. Many workplaces jumped on the bandwagon early and started encouraging self-help strategies in their staff. Human resource departments began running workshops for staff on healthy eating, work-life balance and “stress busting”. Some organizations implemented regular fitness breaks and staff appreciation days.

Sounds great, right? The problem is that it didn’t really work – many staff stayed away, rates of burnout did not decrease significantly and staff morale continued its downward spiral. To be fair, it made sense for workplaces to focus on self-care – it was inexpensive, easily implemented and it didn’t require major systemic change. It was something concrete they could do. But maybe the solution to compassion fatigue and burnout is a little more complicated…

This presentation will discuss new research which suggests that in order to reduce compassion fatigue and burnout, we need to adopt a multi-pronged approach. Helpers, on their own, cannot be expected to fix an entire system. They do however remain responsible for their own well-being – it is an ethical responsibility, for themselves, their clients and the community in which they live.

So, how do we make this work? Join us for an exploration of where we are at, 20 years after the birth of this field.

Click here for more about Françoise Mathieu

Click here for more information