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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