Support for staff when working with complex traumas and complex patients. Melissa Coates- Safe Start...

Support for staff when working with complex traumas and complex patients.

Melissa Coates- Safe Start C/L Clinician SESAHS

When the going gets tough

Bathroom week

We are exposed to traumatic stories via others or observe difficult interactions

What makes our work different

http://www.youtube.com/watch?v=NCT4cHDl3g0&list=PLCTP481uj2b9hDHOrepqvQE8sOy8oj0J3&index=1

Feeling states

Emotional response to a cognitive event

It’s not happening to us but…

Effective clinical work required empathy giving a part of yourself

Poorly integrated interpersonal challenges vulnerabilities can impact on ability to be therapeutic

Therapeutic use of self

Burnout / compassion fatigue

http://www.youtube.com/watch?v=Q3hJn_tWzLw

Transference

Counter transference is a term broadly applied to the personal reactions of a therapist as a result of interaction with a client in therapy.

Boundary violations Rescue fantasies

Counter transference

Good or bad therapist

SupervisionSelf Care

What do we do ?

acquisition of skills and knowledge reflective practice development of professionalism confidence and competence in clinical

practice professional growth and development

Effective Supervision Facilitates

Working to increase clinician reflective capacity at the same time as the clinician is working to increase the parents’

Reflective capacity

Bigger

Stronger

Wiser

Kind ( C of S)

Supervisor aims to be

Process difficult emotionsResistanceBoundaries

Space

“Hands-on” supervision — when the supervisor is directly involved in monitoring or helping the supervised clinician as he/she performs tasks.

“Hands-off” supervision — when the supervisor trusts the supervised clinician to act independently, leaving space for the supervisee to deploy emerging skills and test growing clinical abilities. However, “hands-off” supervision is not the absence of supervision!

Hands on hands off

Self monitoring and reflection on comparative work performance ie: is my work deteriorating or am I happy with my performance?

Put preferred self-care strategies into place on a regular basis, incorporating a tolerable work/life balance

Utilize time off Work through traumatic memories- from current or past

experiences- with personal support or professional intervention

Provide feedback to line managers regarding concerns for ourselves or colleagues

Isolation is unhelpful, connection is important© Australian Childhood Foundation, 2007

Burnout prevention

http://selfcarespecialists.com/guided-meditations/

Self care tool kit

http://www.youtube.com/watch?v=AqVPZwc2-_U

Working without supervision