What are the Signs of Secondary Trauma?

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Transcript What are the Signs of Secondary Trauma?

Taking Care of Yourself, Your Staff, and Your Colleagues:

A Workshop on Preventing and Addressing Secondary Trauma

A n g e r Manipulation Denial M I n I m I z a t I o n Lack of Empathy Victim Blaming

What Causes Secondary Trauma?

When sex offenders who are under supervision treat

US

as they treat their victims . . .

in a manipulating, denying, and blaming fashion . . .

WE

may feel victimized and abused

What Causes Secondary Trauma?

Dealing with sex offenders can distort our perceptions of normal behavior

Listening to sex offender disclosures is emotionally draining and extremely difficult

What Causes Secondary Trauma?

Recognizing and firmly confronting an offender’s manipulation and abuse of power is part of our work

The use of our own “official” power sometimes violates our own sense of how people should be treated

What Causes Secondary Trauma?

Working constantly with deceit and manipulation,

and being a frequent target of it

, can create within us a sense of distrust of others

Feeling responsible for community safety can be very burdensome and taxing

What are the Signs of Secondary Trauma?

Feeling distrustful of others, both inside and outside our jobs

Feeling overly responsible for the safety of the community

Overusing our own coping skills

Feeling isolated

What are the Signs of Secondary Trauma?

Denying our own needs in the face of “all the work that must be done to protect others”

Relationship problems

Physical Symptoms of Prolonged Stress MILD FORM

 

Headaches Heartburn

   

Gastrointestinal problems Skin rash/hives Lower immunity High blood pressure EXTREME FORM

 

Migraines Gastric ulcers

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Colitis Eczema Heart attack Stroke

Stress Resistance

PERSONAL CONTROL:

Improve problem-solving

Identify problem(s)

Develop & prioritize possible solution strategies

Implement one possible strategy

Evaluate proposed solutions

Stress Resistance (cont’d) LIFE STYLE CHOICES:

Healthy diet

Regular exercise

Regular relaxation SENSE OF HUMOR

Have fun, laugh and joke but be careful about “morgue” humor

Stress Resistance (cont’d) DEVELOPING & MAINTAINING CARING ATTACHMENTS REALISTIC GOAL SETTING MAINTAINING PURPOSEFUL MEANING IN LIFE

Burnout . . .

“Burnout is the physical, emotional, and mental exhaustion caused by long-term involvement in emotionally-demanding situations and prolonged stress.” —Pines & Aronson (1988)

RELENTLESS RESPONSIBILITY

BURN-OUT SELF TEST

Burnout Self-Test

20-40: 41-50: 51-60: 61-70: 71-80: No indication of burnout potential (but if less than 30, not being challenged) Have good balance Got some warning signs Mild burnout; probably developing physical symptoms BURNOUT !!!

Burnout Warning Signs

Depression

Feelings of inadequacy or incompetence; self-critical

Cynicism and pessimism

Loss of compassion

Discouragement

Chronic fatigue

Irritability and inflexibility

Combination of Factors

Nature of work

Nature of the offenders and crimes worked with

Cumulative exposure to case facts

Organizational context of work

Social and cultural context of work

Personal Contributing Factors

Unrealistic professional expectations

Personal history of trauma

Current stressful personal life

Personal coping strategies that don’t help and carry heavy costs

Unfounded belief about the value of stoicism at work

How Are We Affected?

Everyday our jobs force us to see the human potential for cruelty

We experience strong reactions of grief, rage, and outrage

Reactions grow as we repeatedly hear about & see people’s pain & loss

Begin to alternately experience over whelming feelings & numb ourselves to get through the day

Secondary Trauma: Basic Elements

Not traumatized

directly

Suffer

gradual

increase of exposure

Second-hand exposure (multiplied crime after crime, case after case) can be traumatizing

Parallels experience of PTSD

Can potentially reduce effectiveness & shorten tenure

Warning Signs

Generalized anxiety & depression

Sleep disruptions / nightmares

Intrusive imagery / thoughts

Dissociation / depersonalization

Most Common Methods Used to Reduce Anxiety & Depression

Eating

Drinking

Medicating (legal and illegal)

Smoking

Sleeping

Exercise or frantic activity

Withdrawal

Trauma Resilient Agencies

How can we create agencies that are more supportive and trauma-resilient?

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

Provide agency support for professionals who work with this population

Provide sex offender specific training for professionals who work with this population

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

 Train management staff to understand the dynamics of sex offending behavior and issues associated with secondary trauma

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

 Establish and maintain clear boundaries and expectations regarding issues of power  Provide a safe forum for professionals to discuss all aspects of sexual assault and sex offender management

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

 Create an environment in which staff members are not afraid to laugh  Send a clear message that an offender’s failure is

NOT

the officer’s failure

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

 Stay aware of changes in the field  Provide a safe forum for professionals to air differences and resolve conflicts

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

 Be flexible in assigning officers to supervise sex offender caseloads

How Can the Effects of Secondary Trauma be Mitigated (by the agency)?

 Create a collaborative process so that decisions are team-based  Maintain clear work boundaries and policies

Trauma Resilient Employees

What Can We Do As Individuals?

ABCs of Addressing Secondary Trauma:

Awareness

Be self aware; know your own trauma map

 

Take care of yourself Create a self-care list and post it prominently in your home or office

Inventory your current lifestyle choices & make necessary changes

Sample Self-Care List

Be creative

Get “away”

Get outside, appreciate the weather

Enjoy other environments

Have fun

Socialize

ABCs of Addressing Secondary Trauma:

Balance

Give self permission to fully experience emotional reactions

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Maintain clear work boundaries Set realistic goals for self Seek out new leisure activity (non job related)

ABCs of Addressing Secondary Trauma:

Connection

Listen to feedback from colleagues, friends & family members

Avoid professional isolation

Remember your spiritual side

Develop support systems

Don’t wait until you are suffering from

secondary trauma or burnout

to start taking care of yourself !

CELEBRATE LIFE and take care of yourself!