CRS PPT Fresh Template Eng MK1471 22Sep14

CRS PPT Fresh Template Eng MK1471 22Sep14

Staff Care Stress & Stress Management Learning Objectives Part A: Understanding the potential effects stress from humanitarian work may have on you & your colleagues Managing stress on a personal level Part B: 2 Adapting CP policies & procedures to support staff health & wellbeing Emergencys Effect on a Community

Typhoon Haiyan 2013 Image Credit: Jeff Schmaltz NASA Goddard/LANCE/EOSDI S MODIS Rapid Response 3 Emergencys Effect on a Community Source: DTAC CCP training toolkit, Substance Abuse and Mental Health Services Administration (SAMHSA); https://www.samhsa.gov/dtac/ccp-toolkit/just-time-web-based-training 4 Emergencys Effect on a Community 5 Who are your Emergency Staff? CRS

6 Current CP TDYs Staff New Recruits Short CRS Consultants Volunteers Term Assignment An Emergencys Effect on your Staff Some staff may: be exposed to extreme deprivation, raw damage & loss of life experience personal loss of belongings, home, loved 7 An Emergencys Effect on your Staff

And some staff may: be far from home, away from friends & family be learning & adjusting to a new location and cultural norms 8 An Emergencys Effect on your Staff Many will be under pressure to provide urgent suppor while: working & living in difficult, volatile conditions often dealing with safety or security concerns & making tough choices with limited information 9 An Emergencys Effect on your Staff Staff will be at increased risk of suffering from traumatic

stress 10 Types of Stress Source: Headington Institute Acute or Critical Incident sudden onset from experiencing a tragic, frightening or dangerous event, or from witnessing the suffering of others Chronic or Cumulative from chronic stressors, which trigger enduring stress reactions that can build up & grow in intensity may become problematic over time & eventually lead to burnout

11 Source: Headington Institute The Bodys Reaction to Stress Prepare to Act Immediate Threat If you have continued exposure to threats or heart rate goes up; blood redirects to your brain & muscles thoughts of frightening past blood sugar levels go up for more energy events, your body will stay in action mode

clotting agents in blood increase sensitivity to pain decreases brain is stimulated to make vivid memories Your body usually returns to normal quickly after the threat is over, but 12 Source: Headington Institute The Bodys Reaction to Stress Long-term, elevated stress reactions can result in:

High blood pressure Higher risk for stroke, heart attack Less effective natural pain relief Weakened immune system, with higher vulnerability to infections Stomach & digestive issues 13 Via: Headington Institute The Bodys Reaction to Stress Stress causes changes in brain cells This means:

Hippocampus & brains ability Cortex to create & consolidate Prefrontal Amygdala your new memories may be compromised, you may be sent into high-alert more Control easily, & you may be less able to turn off the flight or flight reaction when its not needed Source:

Chronic Stress Bruce McEwen, Rockefelle r University The good news is these negative effects are potentially reversible 14 Source: Headington Institute Signs of Stress Impairment Physical poor sleep, fatigue Mental poor concentratio

n Emotion al irritability anger anxiety paranoia Spiritual doubt loss of meaning,

purpose or hope changes in appetite upset stomach depression or numbness back, neck, headaches easily confused

loss of connection difficulty making decisions moodswings feeling discouraged or empty tension inability to relax easily startled 15

forgetfulnes s intrusive thoughts nightmares or dreams Behavior al listlessness risk-taking over or under eating

increased smoking, alcohol and/ or drug use hyperalertness aggression cynicism Source: Headington Institute Risk Factors for Stress The nature and intensity of:

any traumatic events experienced in the past the traumatic or stressful events triggering the current reactions The number of stressors The length of exposure to stressful situations Organizational factors Lack of social support

Pronounced introversion Negativity and pessimism History of previous psychiatric illness 16 Source: Headington Institute Risk Factors for Stress The presence of multiple chronic stressors is often a better predictor of higher stress levels than the occurrence of an occasional critical incident 17

Source: Headington Institute Stress & Human Functioning Stress becomes distress if: - it lasts too long, - occurs too often, or - is too severe 18 Source: Headington Institute Stress & Human Functioning en sio n yt He al th

Performanc e Fatigue point X nce a m r o f per d e d n Inte Ac tu al pe rf or m an

Exhaustion ce Ill health Breakdown point Demands/ Source: Headington Institute Promoting Personal Resilience Be Aware of whats getting to you & how those issues are affecting you Seek Balance among: 20

work, rest & play time alone & time with others giving & receiving Connect with people (friends, family, coworkers) you trust, respect, care about Source: Headington Institute Promoting Personal Resilience Physical: Exercise, Sleep, Hydration, Healthy Diet Mental: Personal space,

Social support Develop job competencies, Positive attitude 21 Emotional: Spiritual: Find meaning & purpose, Practice gratitude RED FLAG Critical Stress Reactions Source: Headington Institute RED FLAG Critical Stress Reactions

Source: Headington Institute Statements indicating possible self-harm, suicide or harm to others Threatening or violent behavior Angry outbursts Increase in substance abuse Increase in reckless behavior (thrill-seeking)

Inability or refusal to speak Frequent weeping Substantial loss of weight Dramatic increase in fatigue/falling asleep at work Dramatic decrease in productivity or competence Pronounced indecisiveness 23 RED FLAG Critical Stress Reactions

Source: Headington Institute Someone exhibiting these reactions needs additional help immediately 24 Addressing Critical Stress Reactions For Yourself: Be aware of your stress levels & know if nearing critical stress Seek psycho-social support (PSS) friends & family Headington Institute or local counseling options

Remove yourself from the context causing elevated stress short term: short assignment elsewhere, take some leave long term: permanent reassignment Share issues with senior management, if stress is 25 Addressing Critical Stress Reactions For Your Colleagues: If you see something, say something If you see early signs & symptoms of stress, encourage the person to: give themselves a break from the situation &

seek psycho-social support If you see critical stress reactions in a colleague, let a manager know of your concerns immediately 26 Resources Headington Institute http://www.headington-institute.org/ CRS Safe & Sound Manual Emergency Field Operations Manual http://efom.crs.org - EROS

- HR section 27 w Acknowledgements With thanks to the Headington Institute for providing information & graphics on stress, stress management and resilience 28

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