FIRST, DO NO HARM
           ,
        (TO YOURSELF):
            MITIGATING COMPASSION FATIGUE 
          FOR THE WORKPLACE ADR PROFESSIONAL
                                                     Presented By:
                                                     Shayne Julius
                                                         y
                                                      Sept. 5, 2012


1660 L Street, NW, Suite 501, Washington, DC 20036
202‐296‐2328                   www.adrvantage.com
What is Compassion Fatigue?
   What is Compassion Fatigue?
Compassion Fatigue is a natural consequence 
Compassion Fatigue is a natural consequence
of stress resulting from caring and helping 
traumatized or suffering people…. These 
traumatized or suffering people These
outwards signs are displays of stress resulting 
from giving care to others. Compassion fatigue 
from giving care to others Compassion fatigue
is a secondary traumatic stress disorder.  It is a 
set of symptoms, not a disease.  
set of symptoms not a disease
                           ‐ Charles Figley (1995)
Why are Workplace ADR 
        Professionals Vulnerable?
           f       l    l    bl
• Ongoing and repeated exposure to others’ 
  Ongoing and repeated exposure to others
  conflicts
• Guiding principles of ADR practice provide
  Guiding principles of ADR practice provide 
  false sense of invulnerability 
• E bli hi
  Establishing connection with the parties in 
                         i    ih h        i i
  conflict is key to a successful intervention 
• “Self‐care blind spot”
Compassion Fatigue Trajectory
 Compassion Fatigue Trajectory
             •   Committed and involved
                 Committed and involved

Idealistic   •
             •
                 Ready to serve and make a difference
                 Willing to go above and beyond
             •   Full of energy and enthusiasm
                 Full of energy and enthusiasm




             • Cuts corners, loss of concentration, increase in 
               oversights and mistakes
Irritable    • Avoids contact with parties in conflict
               Avoids contact with parties in conflict
             • Mocks others and uses inappropriate humor
             • Distances oneself from colleagues and friends
Compassion Fatigue Trajectory cont.
Compassion Fatigue Trajectory cont.
            • Loses patience with parties in conflict – their issues 
              become irritants
Withdrawn   • Neglects self and others and is chronically fatigued
            • Loses hope and isolates oneself
            •BBecomes defensive and may view oneself as a victim
                       d f i        d        i          lf       i ti




            • Views others as incompetent or ignorant
            • Develops a disdain for parties in conflict
 Zombie     • Dislikes others and becomes easily enraged
            • Loses patience, sense of humor, and zest for life
Symptoms of Compassion 
         Fatigue in the Individual
                     h d d l
• Emotional outbursts
  Emotional outbursts      • Excessive complaining
                             Excessive complaining
• Lack of boundaries       • Lack of interest in self‐
• Avoidance of others
  Avoidance of others        care
• Loss of sense of humor   • Recurring nightmares, 
• Loss of purpose            flashbacks
• Difficulty in            • Persistent physical 
  concentration              ailments
• Feelings of inadequacy   • Accident prone
Symptoms of Compassion 
        Fatigue in an Organization
• Excessive Worker’s
  Excessive Worker s       • Aggressive behavior
                             Aggressive behavior
  Comp Claims              • Inability to complete 
• High absenteeism
  High absenteeism           assigned tasks
                             assigned tasks
• “Us” vs. “them” co‐      • Lack of flexibility
  worker relationships
  worker relationships     • C t t li
                             Constant policy 
• Dysfunctional teams        changes
• I
  Ignoring organization 
        i        i ti      • R
                             Rumors & gossip
                                      &       i
  rules & regulations      • Unhealthy competition
Causes of 
             Compassion Fatigue
•   Putting needs of others before yours
    Putting needs of others before yours
•   Unresolved trauma/pain
•   Lacking of healthy coping skills
       ki      fh l h      i   kill
•   Lack of self‐awareness
•   Giving care to others under stress or burnout
•   Lack of personal boundaries
    Lack of personal boundaries
•   Inability to communicate needs
The ADR of Self Care
          The ADR of Self‐Care
• Awareness

• Deliberate Action
  Deliberate Action

• Revisit Often
  Revisit Often
The ADR of Self Care
          The ADR of Self‐Care
• Awareness
  – Accept that the work we do makes us vulnerable
  – Acquire more information about compassion
    Acquire more information about compassion 
    fatigue and effective self‐care practices
  – Assess your current level of and vulnerability to
    Assess your current level of and vulnerability to 
    compassion fatigue
  – Acknowledge your needs and limits
    Acknowledge your needs and limits
Assessment Tool:
   Professional Quality of Life Scale (ProQOL)
   P f i      l Q li     f Lif S l (P QOL)




© Beth Hudnall Stamm, 2009.  www.ProQOL.org
The ADR of Self Care
           The ADR of Self‐Care
• Deliberate Action
   e be ate ct o
  – Develop a self‐care plan
  – Decompress after difficult situations
  – Define your boundaries to promote balance
  – Develop healthy coping strategies and engage in 
    activities that bring you joy/are a source of renewal
    activities that bring you joy/are a source of renewal
  – Don’t wait to think about self‐care until you’re in dire 
    circumstances
  – Develop a strong support network
  – Declare your self‐care goals to your support network
Components of a Self Care Plan
   Components of a Self‐Care Plan
• Identify areas where you want to maintain or improve 
          y              y                          p
  self‐care in each of six areas – cognitive, emotional, 
  behavioral, spiritual, interpersonal and physical
• S t SMART
  Set SMART goals – S ifi M
                  l Specific, Measurable, Attainable, 
                                         bl Att i bl
  Realistic and Time‐Based – and write them down
• Identify resources available to accomplish goals
  Identify resources available to accomplish goals
• Identify specific people to support you in 
  accomplishing your goals
• Don’t overwhelm yourself – prioritize the top three and 
  revisit the plan at regular intervals
The ADR of Self Care
          The ADR of Self‐Care
• Revisit often
  Revisit often
  – Renew your commitment to self‐care on a regular 
    basis by setting aside time to take stock
  – Reassess self‐care as circumstances change or new 
    priorities are identified
  – Recognize your triggers/emerging symptoms and 
                              /
    act immediately
  – Reach out to your colleagues to talk about issues
    Reach out to your colleagues to talk about issues 
    of self‐care and make it a priority in the ADR 
    profession
Remember…
• You are human
  You are human
• You can’t solve every problem/resolve every 
  conflict
• Parties in conflict are best served by a 
  practitioner that actively engages in self‐care
       ii       h       i l           i     lf
Resources
BOOKS:
Figley, Charles R. (1995) Compassion Fatigue: coping with Traumatic Stress Disorder in 
Figley Charles R (1995) Compassion Fatigue coping with Traumatic Stress Disorder in
     Those who Treat the Traumatized. New York: Brunner‐Routledge.
Figley, Charles R. (2002) Treating Compassion Fatigue. New York: Brunner‐Routledge.

Mathieu, F. (2008) The Compassion Fatigue Workbook, Kingston: WHP.

ARTICLES:

Figley (2007), Charles R. The Art and Science of Caring for Others without Forgetting 
     Self‐Care. http://www.giftfromwithin.org/html/artscien.html

Panos, Angelea.  Understanding and Preventing Compassion Fatigue ‐ A H d t F
P      A l       U d t di         dP     ti C         i F ti       A Handout For 
    Professionals. http://www.giftfromwithin.org/html/prvntcf.html

Siebert, Al.  The Five Levels of Resiliency.   
     http://www.resiliencycenter.com/articles/5levels.shtml
Resources cont.
                        Resources cont.
WEBSITES:

Compassion Fatigue Awareness Project (http://www.compassionfatigue.org/)
The Compassion Fatigue Awareness Project© is dedicated to educating caregivers 
about authentic, sustainable self‐care and aiding organizations in their goal of 
providing healthy, compassionate care to those whom they serve.

Green Cross Academy of Traumatology (www.greencross.org)
An international, humanitarian assistance organization, non profit corporation 
An international, humanitarian assistance organization, non‐profit corporation
comprised of trained traumatologists and compassion fatigue service providers. Most 
are licensed mental health professionals, all are oriented to helping people in crisis 
following traumatic events.

Professional Quality of Life (ProQOL) Scale (http://www.proqol.org/)
The ProQOL is the most commonly used measure of the negative and positive affects 
of helping others who experience suffering and trauma. The ProQOL has sub‐scales for 
compassion satisfaction, burnout and compassion fatigue.
         i     if i      b          d          i f i
Thank You For Coming!!
Thank You For Coming!!

    Want more information?
           Shayne Julius
         ADR Vantage, Inc.
         ADR Vantage Inc
   1660 L Street, NW, Suite 501
      Washington, DC 20036
             g
           202‐296‐2328
     sjulius@adrvantage.com

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09-05-2012-Presentation

  • 1. FIRST, DO NO HARM , (TO YOURSELF): MITIGATING COMPASSION FATIGUE  FOR THE WORKPLACE ADR PROFESSIONAL Presented By: Shayne Julius y Sept. 5, 2012 1660 L Street, NW, Suite 501, Washington, DC 20036 202‐296‐2328 www.adrvantage.com
  • 2. What is Compassion Fatigue? What is Compassion Fatigue? Compassion Fatigue is a natural consequence  Compassion Fatigue is a natural consequence of stress resulting from caring and helping  traumatized or suffering people…. These  traumatized or suffering people These outwards signs are displays of stress resulting  from giving care to others. Compassion fatigue  from giving care to others Compassion fatigue is a secondary traumatic stress disorder.  It is a  set of symptoms, not a disease.   set of symptoms not a disease ‐ Charles Figley (1995)
  • 3. Why are Workplace ADR  Professionals Vulnerable? f l l bl • Ongoing and repeated exposure to others’  Ongoing and repeated exposure to others conflicts • Guiding principles of ADR practice provide Guiding principles of ADR practice provide  false sense of invulnerability  • E bli hi Establishing connection with the parties in  i ih h i i conflict is key to a successful intervention  • “Self‐care blind spot”
  • 4. Compassion Fatigue Trajectory Compassion Fatigue Trajectory • Committed and involved Committed and involved Idealistic • • Ready to serve and make a difference Willing to go above and beyond • Full of energy and enthusiasm Full of energy and enthusiasm • Cuts corners, loss of concentration, increase in  oversights and mistakes Irritable • Avoids contact with parties in conflict Avoids contact with parties in conflict • Mocks others and uses inappropriate humor • Distances oneself from colleagues and friends
  • 5. Compassion Fatigue Trajectory cont. Compassion Fatigue Trajectory cont. • Loses patience with parties in conflict – their issues  become irritants Withdrawn • Neglects self and others and is chronically fatigued • Loses hope and isolates oneself •BBecomes defensive and may view oneself as a victim d f i d i lf i ti • Views others as incompetent or ignorant • Develops a disdain for parties in conflict Zombie • Dislikes others and becomes easily enraged • Loses patience, sense of humor, and zest for life
  • 6. Symptoms of Compassion  Fatigue in the Individual h d d l • Emotional outbursts Emotional outbursts • Excessive complaining Excessive complaining • Lack of boundaries • Lack of interest in self‐ • Avoidance of others Avoidance of others care • Loss of sense of humor • Recurring nightmares,  • Loss of purpose flashbacks • Difficulty in  • Persistent physical  concentration ailments • Feelings of inadequacy • Accident prone
  • 7. Symptoms of Compassion  Fatigue in an Organization • Excessive Worker’s Excessive Worker s  • Aggressive behavior Aggressive behavior Comp Claims • Inability to complete  • High absenteeism High absenteeism assigned tasks assigned tasks • “Us” vs. “them” co‐ • Lack of flexibility worker relationships worker relationships • C t t li Constant policy  • Dysfunctional teams changes • I Ignoring organization  i i ti • R Rumors & gossip & i rules & regulations • Unhealthy competition
  • 8. Causes of  Compassion Fatigue • Putting needs of others before yours Putting needs of others before yours • Unresolved trauma/pain • Lacking of healthy coping skills ki fh l h i kill • Lack of self‐awareness • Giving care to others under stress or burnout • Lack of personal boundaries Lack of personal boundaries • Inability to communicate needs
  • 9. The ADR of Self Care The ADR of Self‐Care • Awareness • Deliberate Action Deliberate Action • Revisit Often Revisit Often
  • 10. The ADR of Self Care The ADR of Self‐Care • Awareness – Accept that the work we do makes us vulnerable – Acquire more information about compassion Acquire more information about compassion  fatigue and effective self‐care practices – Assess your current level of and vulnerability to Assess your current level of and vulnerability to  compassion fatigue – Acknowledge your needs and limits Acknowledge your needs and limits
  • 11. Assessment Tool: Professional Quality of Life Scale (ProQOL) P f i l Q li f Lif S l (P QOL) © Beth Hudnall Stamm, 2009.  www.ProQOL.org
  • 12. The ADR of Self Care The ADR of Self‐Care • Deliberate Action e be ate ct o – Develop a self‐care plan – Decompress after difficult situations – Define your boundaries to promote balance – Develop healthy coping strategies and engage in  activities that bring you joy/are a source of renewal activities that bring you joy/are a source of renewal – Don’t wait to think about self‐care until you’re in dire  circumstances – Develop a strong support network – Declare your self‐care goals to your support network
  • 13. Components of a Self Care Plan Components of a Self‐Care Plan • Identify areas where you want to maintain or improve  y y p self‐care in each of six areas – cognitive, emotional,  behavioral, spiritual, interpersonal and physical • S t SMART Set SMART goals – S ifi M l Specific, Measurable, Attainable,  bl Att i bl Realistic and Time‐Based – and write them down • Identify resources available to accomplish goals Identify resources available to accomplish goals • Identify specific people to support you in  accomplishing your goals • Don’t overwhelm yourself – prioritize the top three and  revisit the plan at regular intervals
  • 14. The ADR of Self Care The ADR of Self‐Care • Revisit often Revisit often – Renew your commitment to self‐care on a regular  basis by setting aside time to take stock – Reassess self‐care as circumstances change or new  priorities are identified – Recognize your triggers/emerging symptoms and  / act immediately – Reach out to your colleagues to talk about issues Reach out to your colleagues to talk about issues  of self‐care and make it a priority in the ADR  profession
  • 15. Remember… • You are human You are human • You can’t solve every problem/resolve every  conflict • Parties in conflict are best served by a  practitioner that actively engages in self‐care ii h i l i lf
  • 16. Resources BOOKS: Figley, Charles R. (1995) Compassion Fatigue: coping with Traumatic Stress Disorder in  Figley Charles R (1995) Compassion Fatigue coping with Traumatic Stress Disorder in Those who Treat the Traumatized. New York: Brunner‐Routledge. Figley, Charles R. (2002) Treating Compassion Fatigue. New York: Brunner‐Routledge. Mathieu, F. (2008) The Compassion Fatigue Workbook, Kingston: WHP. ARTICLES: Figley (2007), Charles R. The Art and Science of Caring for Others without Forgetting  Self‐Care. http://www.giftfromwithin.org/html/artscien.html Panos, Angelea.  Understanding and Preventing Compassion Fatigue ‐ A H d t F P A l U d t di dP ti C i F ti A Handout For  Professionals. http://www.giftfromwithin.org/html/prvntcf.html Siebert, Al.  The Five Levels of Resiliency.    http://www.resiliencycenter.com/articles/5levels.shtml
  • 17. Resources cont. Resources cont. WEBSITES: Compassion Fatigue Awareness Project (http://www.compassionfatigue.org/) The Compassion Fatigue Awareness Project© is dedicated to educating caregivers  about authentic, sustainable self‐care and aiding organizations in their goal of  providing healthy, compassionate care to those whom they serve. Green Cross Academy of Traumatology (www.greencross.org) An international, humanitarian assistance organization, non profit corporation  An international, humanitarian assistance organization, non‐profit corporation comprised of trained traumatologists and compassion fatigue service providers. Most  are licensed mental health professionals, all are oriented to helping people in crisis  following traumatic events. Professional Quality of Life (ProQOL) Scale (http://www.proqol.org/) The ProQOL is the most commonly used measure of the negative and positive affects  of helping others who experience suffering and trauma. The ProQOL has sub‐scales for  compassion satisfaction, burnout and compassion fatigue. i if i b d i f i
  • 18. Thank You For Coming!! Thank You For Coming!! Want more information? Shayne Julius ADR Vantage, Inc. ADR Vantage Inc 1660 L Street, NW, Suite 501 Washington, DC 20036 g 202‐296‐2328 sjulius@adrvantage.com