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DisabilityJusticeProject
DisabilityJusticeProject
ManagementCourse:SupportingStaffThroughDifficultSituations
DisabilityJusticeProject
AcknowledgementofCountry
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DisabilityJusticeProject
Billy–aged4
“Whensomeonelovesyou,thewaytheysayyournameisdifferent.Youjustknowthatyournameissafeintheirmouth”
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DisabilityJusticeProject
TheDisabilityJusticeFramework
TheDisabilityJusticeFrameworkwasdevelopedaspartoftheFamilyandCommunityServices(FACS)fundedDisabilityJusticeProject.TheDisabilityJusticeProjectaimsto:
“...buildcapacityacrosstheNSWdisabilitysectortosupportpeoplewithacognitivedisabilitywhocomeintocontactwiththeJusticeSystem,tobeable
toexercisetheirrightsunderthelaw.”
TheDisabilityJusticeFrameworkidentifieskeyprincipalsandelements,underpinnedbylegislation,whichguidethesectortoenablethepeoplewesupporttohaveincreasedpositiveexperienceswiththeJusticeSystem.
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DisabilityJusticeProject
Welcome
• Trainerintroduction
• Participantintroductions
• Groupagreement
• Activity–NeuronalPathways
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DisabilityJusticeProject
Whatwewillexploretoday…
❑ The role of organisational and personal values in shaping behaviours in the workplace.
❑ The concepts of compassion fatigue, burn out, vicarious trauma; and trauma informed care
❑ Issues such as mandatory reporting, WHS issues (such as violence in the workplace and psychosocial injury), harassment and bullying and stressors associated with reporting requirements, compliance and meeting deadlines.
❑ Processes such as mentoring, coaching, supervision, performance appraisal and employee assistance programs
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DisabilityJusticeProject
Activity
Usingstickynoteswritedownatleast3thingsfromyourworkexperiences,thatyouwoulddescribeas‘difficultsituations’
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DisabilityJusticeProject
Values,Beliefs&Attitudes
Althoughweareawareoftheneedtobenon-judgementalinourwork,ourvaluesandbeliefscanimpactonthewayinwhichweinteractwithpeople.
Studieshavefoundthatwhenstaffviewaperson’sbehaviourasintentional,theyaremorelikelytogiveaninappropriateresponse.(NHSEducationforScotland2012)
What,ifany,aspectsofyourworkchallengeorconflictwithyourpersonalvalues,beliefsorattitudes?
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DisabilityJusticeProject
TheValueofDiversity
• Whatdoesdiversityintheworkplacemean?
• Whateffect/impactdoesdiversityhave?
“Thewiderthearrayoftalentthebettertheteamwillbe.Themorediversethemembersoftheteamthebetteritsperformancewillbe”(Goleman,2015)
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DisabilityJusticeProject
DesiredqualitiesofstaffsupportingpeopleincontactwiththeCJS
• Goodinterpersonalskills
• Insightintotheirownmotivationfordoingthejob
• Socialandculturalawareness
• Responsibility,equityanddiversityawareness
• Personalintegrity
• Goodteamworkingbehaviours
• Observant
• Toleranceofdifficultanddemandingbehaviours
• Attentiontodetail
• Naturalcuriosityaboutunusualbehaviour
• Abilitytoremaincalmindifficultcircumstances
• Willingnesstoseeemergenciesatshortnotice(NHSEducationforScotland,2012)
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DisabilityJusticeProject
Safetyisthefoundationalvalueonwhichallotherprinciplesdepend.Thiswasreinforcedintheinterviewswithpeoplewithintellectualdisability,aswellasthroughvisitsandmeetingswithdisabilityservicesandotherproviders.Bloom(2005)
Safety
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DisabilityJusticeProject 12
Culturalsafety
Systemicsafety
Environmentsafety
Relationshipsafety
Personalsafety
DisabilityJusticeProject
TakingTimeFrameworkAtrauma-informedframeworkforsupportingpeoplewithintellectualdisability• Safety–ensuringphysicalandemotionalsafety
• Relationships–maximisingtrustworthinessthroughrelationships,taskclarity,consistencyandinterpersonalboundaries
• Collaboration–maximisingcollaboration
• Choice–maximisingchoiceandcontrol
• Voice–prioritisingtheperson’svoicebeingheardandheeded
• Person-centredpractice–ensuringtheperson’sneeds,goalsandwishes
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DisabilityJusticeProjectDisabilityJusticeProject 14
Consumers• Feelunsafewithothersandactaggressively
• Difficultymanaginganger
• Expresshopelessnessandacthelplessly,notmakingeffectivechoices
• Learnedhelplessness,orproblematiceffortstoexertcontrol
• Hyperarousal–withattemptstocontrolmindandbody
• Memoryproblems
• Fragmentationinfunctioning
• Poorcommunication,leadingtoconflict
• Overwhelmed,confused,depressed,poorselfesteem….
Staff• Don’tfeelsafewithclients,eachotherorauthority
• Chronicallyfrustratedandangry,punitive
• Helplessinthefaceofenormityofchallenges
• Hopelessabouteffortstotreatandchangepeople
• Perceiveuncertaintyandbecomechronicallyhyperaroused,crisisoriented
• Leadstomoreattemptstocontrol–selfandothers
• Lossofpeoplemeanslossoforganisationalmemory,learningisimpaired
• Communicationisimpairedandresultsinconflicts
• Groupfunctioningisfragmented
• Overwhelmed,confused,depressed,ineffective….
Complexsystems,aparallelprocess
SandraBloom,‘OrganisationalstressasaBarriertoTrauma-SensitiveChangeandSystemTransformation’(2006)
DisabilityJusticeProject
Whatis‘Congruence’?
“Alongwithreflectivepracticeithelpsinstiltheneedtobeattunedtothepersonwithdisabilityaswellasourselvesand
eachother.Itrecognisesweareinanimperfectenvironmentandtoacceptmistakeswilloccurfromwhichmuchcanbelearntina
transparent,respectfulandnon-blamingenvironment.”(TakingTimeFramework2015)
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DisabilityJusticeProject
MorningTeaBreak
.
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DisabilityJusticeProject
Stressresponse,timeandtheissueofregulation
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DisabilityJusticeProject
TheeffectsofstressThebrainishierarchical:whenwearestressedhigherthinking(modernbrain)whichhasslowerresponsetimeshutsdownandwerelyontheolderpartofthebrainasithasaquickerresponsetime.
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http://developingchild.harvard.edu/science/key-concepts/toxic-stress/
DisabilityJusticeProject
Windowoftolerance
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WindowoftoleranceOptimalarousalzone
SocialEngagementResponse
EmotionscanbetoleratedInformationIntegratedLearningbrain
Hyper-arousalZone
Fight,Flight,FreezeAlertResponse
Increasedsensations,floodedEmotionalreactivity,hypervigilantIntrusiveimagery,FlashbacksDisorganisedcognitiveprocessing
ImmobilisationResponse
MetaboliccollapseNumbingDisabledcognitiveprocessingReducedphysicalmovement
Hypo-arousalZone
DisabilityJusticeProject 20
PhysicalHealth
NeuralintegrationStressresponseBodyconnection Cognitive
IdentityMeaningmakingIntrusivethoughts
Memory
EmotionalStrong
OverwhelmingShutdownDistantSocial
RelationshipsIntimacyBoundariesBelonging
BehaviouralSurvivalAdaptations
StrategiesControl
Avoidance
SpiritualWidermeaning
ExistencePurposeMorality
Impacts
DisabilityJusticeProject
Copingstrategies/Adaptations
"Oneoftheproblemsofnotbeingabletoregulateyouremotionalstateisthatyouthenhavetofindsomethingelsetoregulateyouremotionalstate…whichisusuallysex,drugs,selfmutilation,binging,purging,punchingpeopleout…youknow,theusualstuff”
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JohnBriere:AwakeningToMindfulnessConference-Seattle,Oct2009
DisabilityJusticeProject
Adaptations
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DisabilityJusticeProject
Reframing‘dysfunction’intoresilienceWhenviewedthroughasocietal,andsometimesadiagnostic,lensthesestrategiesmayseem‘dysfunctional’…butfromasurvivalsensetheyarehighlyadaptiveandhaveafunction
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Disappear
Feel
NotFeel
Express
Feelsafe
Distract
Feelincontrol
FeelIexist
AvoidGetattention
Communicatepain Release
Connect
HelpTrytofeelgood
Numb
DisabilityJusticeProject 24
Stressors from the past Current workplace situations
Disempowered: Power used to control and abuse
Disempowered: System can be overwhelming and confusing
Trapped: Can’t escape what’s happening, trapped by attitudes
Locked up, trapped in a system, trapped by diagnosis, attitudes
Child acting out: the ‘problem’ child Seen as dysfunctional, a problem to be controlled
Thepresentmirroringthepast
DisabilityJusticeProject
Pathwaystorecovery
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DisabilityJusticeProject
Activity-attunement
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DisabilityJusticeProject
Brainstorm
Whatsourcesofstressarethereinourworkplaces?
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DisabilityJusticeProject
WHS:somefactsaboutourindustry
Themostcommoninjuriesorillnessesinthecommunityservicesectorarisefrom:
• manualhandling
• slipsandtrips
• psychologicalinjury
• violentincidents
• vehicleaccidents
• fallsfromaheight
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DisabilityJusticeProject
Knowingyourroleanditslimits
• Howdoweknowwhatourroleis?
• Howdoweknowwhentoreferorredirect?
• Howdowedothis?
• Howdoweknowwhentomakeareport?
• Whatareourlegalresponsibilities?
• Whatareourethicalresponsibilities?
• Aretheydifferent?
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DisabilityJusticeProject
Boundaries
Toworkcollaborativelywithpeoplewithforensicneedsitisnecessarytobeopenandhonestaboutitemsthatare“non-negotiables”,e.g.substanceuseandbeveryclearaboutlimitsandboundariesfromtheoutset.Developinganindividual’sskillsandplayingontheirstrengthsiscrucial,particularlywithregardtoimprovingtheirselfconfidenceandesteem.(NHSEducationforScotland2012)
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DisabilityJusticeProject
TraumaInformedBoundaries
• Safe,traumainformed,healingrelationshipshaveboundaries–notfences.
• Inatrauma-informedsystemboundariesneedtobenegotiatedinaflexible,equitableandcollaborativewaythatensuresthepersonmaintainsasenseofcontrolandpredictabilityintherelationshipandminimisesthepotentialforthepersontofeelshamedorrejected.
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DisabilityJusticeProject
Riskaversion,whatdoesittellusandcanittellusanythingaboutvicarioustrauma?
“Whenrelationshipsareentirelybuiltonassessmentofrisktheyarebynaturecontrollinganddisempowering...Itiscrucialthatsupportpeoplemaintainarigorousselfawarenessoftheirownneedto‘fix’,‘doitright’orunilaterallydeterminetheoutcome.”Mead&Hilton,2003P90
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DisabilityJusticeProject
Non-negotiable
Boundaries
• Thinkingaboutsafety,yourrole,andorganisationpolicy.Aretheresituationswhereitisclearthatknowingthecontextistheonlywaytotellifanactionisaboundaryviolationoraboundarycrossing?
• Pickonesituationinvolvingaworkerandonesituationinvolvingaclientandusethefistof5decisionmakingmethodtoworkoutwhatisnon-negotiable
Negotiable
Essential
Negotiableboundary
Non-negotiableboundary
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DisabilityJusticeProject
ReportableIncidents• MandatoryReporting
• ADHCAbuseandNeglectPolicy
• NDISQualityandSafeguardingFramework
• NSWOmbudsman:Disabilitysupportedgroupaccommodation
• Reportingallegedcriminaloffenses
• YourorganisationalPolicyandProcedures
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DisabilityJusticeProject
Reportable incidents in disabilitysupported group accommodation
MustbereportedtotheNSWOmbudsman.Allegationbasedscheme:
Employeetoclientincidents Clienttoclientincidents
anysexualoffencecommittedagainst,with,orinthepresenceofthepersonwithdisability
anysexualoffence
sexualmisconductcommittedagainst,with,orinthepresenceofthepersonwithdisability,includinggroomingofthepersonforsexualactivity
causesseriousinjury,including,forexample,afracture,burns,deepcuts,extensivebruisingorconcussion,
anassaultofthepersonwithdisability,notincludingtheuseofphysicalforcethat,inallthecircumstances,istrivialornegligible,butonlyifthematteristobeinvestigatedunderworkplaceemploymentprocedures
involvestheuseofaweapon
anoffenceunderPart4AAoftheCrimesAct1900committedagainstthepersonwithdisability(fraud,andothersimilaroffences)
ispartofapatternofabuseofthepersonwithdisabilitybytheotherperson
ill-treatmentorneglectofthepersonwithdisability.
(OmbudsmanNSW,2017)35
DisabilityJusticeProject
ComplexRelationships
ProfessionalQualityofLife
CompassionFatigue
CompassionSatisfaction(ProQOLCS)
WorkEnvironment
ClientEnvironment
PersonalEnvironment
Traumatizedbywork
SecondaryExposure
(ProQOLSTS)
PrimaryExposure
FrustrationAnger
ExhaustionDepressedbyWork
Environment(ProQOLBurnout)
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DisabilityJusticeProject
Exercise:UsingtheproQOL
MeasuresCompassionSatisfactionandCompassionFatigueCompassionFatiguehastwosubscales
• Burnout• SecondaryTrauma
• Helpsunderstandthepositiveandnegativeaspectsofhelping• Nota“psychologicaltest”• Nota“medicaltest”• Canbeviewedasascreeningforstress-relatedhealthproblems
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DisabilityJusticeProject
Scenarios• Whatwasthispersonlikelytobeexperiencing?• Whatfactorsarecurrentlyinfluencingthisperson’sexperience• Whatmightthispersonneedtosustainthemintheirworkand/oracrossall
areasoftheirlife?
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DisabilityJusticeProject
ReflectionActivity
Consideraperiodofstressyouhaveexperiencedthroughoutthecourseofyourwork.
• Howandatwhatpointdidyoubecomeawareofit?• Howintensewasit?• Whatweretheparticularcomponentsofit?• Wasitcontributedtobyother(e.g.nonwork-related)factors?• Inthinkingaboutitnow,wouldyoudescribethestressyouexperiencedas
burnoutordiditinvolvethemorespecificfeaturesandcharacteristicsofVicarioustrauma?
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DisabilityJusticeProject
LunchBreak
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DisabilityJusticeProject
Supportsintheworkplace
Informal:egtalkingwithcolleaguesFormal:• CommunitiesofPractice
• Coaching
• Mentoring
• Supervision
• PerformanceAppraisal• Mediation
• EmployeeAssistancePrograms
• Criticalincidentdebriefing
• Teammeetings
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DisabilityJusticeProject
CatalystsandInhibitors
“Catalystsareactionsthatsupportwork.Theyincludesettingcleargoals,allowingautonomy,providingsufficientresourcesandtime,helpingwiththework,openlylearningfromproblemsandsuccesses,andallowingafreeexchangeofideas.
Theiropposites,inhibitors,includefailingtoprovidesupportandactivelyinterferingwiththework……..”https://hbr.org/2011/05/the-power-of-small-wins
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DisabilityJusticeProject
NourishersandToxins
“Nourishersareactsofinterpersonalsupport,suchasrespectandrecognition,encouragement,emotionalcomfort,andopportunitiesforaffiliation.
Toxins,theiropposites,includedisrespect,discouragement,disregardforemotions,andinterpersonalconflict.”
https://hbr.org/2011/05/the-power-of-small-wins
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DisabilityJusticeProject
ThePowerofSmallWins-video
https://hbr.org/2011/05/the-power-of-small-wins
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DisabilityJusticeProject
ChallengesofSupervision
“Atbest,thesupervisorytaskislikeabalancingact,managingthetensionbetween....ensuringagencypoliciesarefollowedandattendingtoworkers'emotionalresponsestothework.
Itcanleaveagoodsupervisorfeelingpulledinalldirections,strugglingtomanagethebalancebetweenfeelingstimulatedandfeelingchronicallyfrustratedandunsupervised”
(HughesandPengelly,1997,p31)
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DisabilityJusticeProject
StrengthsBasedSupervision• HowdoInoticeandcelebratesuccesswithmysupervisees?
• HowdoItalkaboutserviceusersinsupervision?WhatamImodellingaboutexpectationsofsuccessandchange?
• Doesoursupervisionmodelmatchthewayweapproachourprofessionalpractice?
• Howoftendowehighlightwhatisworkingwellandthetimesofexceptionstoproblems?
• WhatdifferentkindsofpowerdoIutiliseinthisrelationshipandwhatistheimpactofthis?Howimportantisitformetobeanexpert?HowdoIinvitefeedbackfromchallengingsuperviseesandrespondtoit?
• Howdowetalkaboutissues?
• HowdoIreflectonmyownsupervisionprocess?WhatgoalsdoIsetformyself?
DavysandBeddoe(2010)46
DisabilityJusticeProject
EmployeeAssistancePrograms-EAP
• Conceptoriginatedinthe1940’sas‘OccupationalAlcoholism’programs
• 1970’sdevelopedfurtheras‘OccupationalSocialWork’
• Now:free,confidential,timelimitedcounsellingforanyissuesthatmayimpactonwork
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DisabilityJusticeProject
Brainstorm
Whatsupportsarecurrentlyavailableinyourworkplace?
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DisabilityJusticeProject
Narrativepracticeprinciples• Storiesandmeaningaresociallyconstructed–deconstruction
helps–peoplelivemulti-storiedlives(richdescriptionsandnotsorichdescriptions)
• Personisseparatefromtheproblem–externalisetheproblem
• Nonpathologising
• Managerstakeatransparentandnonexpertposition–bereadytodealwithnotknowingandcuriousity–it’samystery
• Gettingpermissionandfeedback–accountability,transparencyofprocess
• Political/powerrelations–allstoriesarenotequal
• Bringincommunity–widerperspectivesandmeanings–developcommunitiesofconcern.DefinitionalCeremonycansupportthiswithstaff
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DisabilityJusticeProject
NarrativePractice(continued)• Gettoknowtheinfluenceofthepersonontheproblem–
relativeinfluence• Thehistory–relativeoutcomes–whenhasthepersonnot
beenovertakenbytheproblem?• Whathasbeentheeffectofthesemoments/times/
outcomesonrelationships,ideasaboutself,etc.• Themeaningsofthesemoments/outcomes–howthe
personcouldconstructtheirworld• Statementofposition–evaluate• Buildanalternatestory–co-author
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DisabilityJusticeProject
StepsinNarrativePractice
• Gettoknowtheperson–joining,interests,respect• Gettoknowtheproblemanditsinfluenceontheperson,
usingexternalisinglanguage;• Thehistoryoftheproblem• Theeffectsoftheproblemontheperson–whattheproblem
hasthepersondoing,thinking,wherearetheyinrelationtotheproblemusingtitrationandpendulationskills
• Themeaningoftheproblem–howtheproblemhasinformedtheirconstructionoftheworld
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DisabilityJusticeProject
Methodology• Namingtheproblem
• Externalisingtheproblem
• Findingauniqueoutcomeorexception
• Buildingapreferredstory
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DisabilityJusticeProject
Namingtheproblem/ExternalisingConversations
• Instructions:Choseapartnerandeachpickacharactertraitoremotion(calledX)thatyoufeelyouhavetoomuchoforthatotherpeoplecomplainaboutinyouMakesureXisinnounform–i.e.assomethingoutsideofyou
• Giveitaname
• Thentaketurnstoaskeachothersomeofthefollowingquestions:spendabout10minseach
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DisabilityJusticeProject
UniqueOutcomes
NarrativePracticeassumesthatnoproblem‘totalises’theperson,andthattherearealwaystimeswhenthepersonhasbeenabletostepoutsidetheeffectsoftheproblem.
Thesetimesare‘uniqueoutcomes’andestablishtheinfluenceofthepersonovertheproblem.
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DisabilityJusticeProject
Externalisingquestions:
• IfXwereananimal/colour/landscape/shapeetc.whatwoulditbeandwhy?
• WhatisXlike?
• WhateffectdoesXhaveonyoureverydaylife?
• HowhasXinfluencedyourrelationshipswithfamily&friends?
• InwhatcontextsisXlikelytotakeover?
• HavetherebeentimeswhenyouhavebeenabletogetthebestofX?
• TimeswhenXcouldhavetakenoverbutyoukeptitoutofthepicture?(Uniqueoutcomes)
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DisabilityJusticeProject
BuildingaPreferredStory
• Developedfrom‘uniqueoutcomes’–momentswhenthechildtriumphedovertheproblem,ortheproblemdidnotsucceedinitstricks.
• Canalsoworkwithtraditionaltales(FairystoriesorFolkTales)withthepersonasHero.
• Seekexpertparent/communityadviceforculturallyappropriatestories
• Includehelpfulpeopleoranimals,e.g.PussinBoots.
• Developcommunitiesofconcern–populatethestorywithpeoplewhocare
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DisabilityJusticeProject
BuildingaPreferredStory• HowdidyoumanagetokeepXoutofthepicture?
• WhatenabledyoutostanduptoX?ortostepawayfromX?
• Whatdoesthistellyouaboutyourself?
• Whoinyourlifewouldnotbesurprisedtohearthisaboutyou?
• Whohasnoticedthisaboutyou?
• (Populatingthechild’slifewithpeoplewhocare)
• Ifyouweretogetmoreconnectedtothisknowledgeaboutyourself,howdoyouimagineyoumightbethinkingandfeelinginthefuture?
• WhatkindofthingsmightyoubedoinginthefuturethatXhasstoppedyoudoinginthepast?
• WhatwouldyourlifebelikewithoutX?
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DisabilityJusticeProject
Activity:Vicariousresilience
• Howhasworkwith(orknowing)peopleinvolvedinthecriminaljusticesystemenrichedyourlife?
• Whathaveyoulearnedfromthepeoplethatyouworkwith?
58• Adaptedfrom:AngeloTestalamuta2011
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DisabilityJusticeProject
Questions? ReflectionsPredictionsforPracticeChangePair&Share: Whatisonepersonalpredictionyouwilltakeawayfromtoday? Whatisoneorganizationalpredictionyouwilltakeawayfromtoday?
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