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Who Cares for the Caregivers?

 

 (A written version of a presentation given at the February Sonoma County ACEs Connection meeting.)

Sonoma County ACEs Connection is trying out a few new meeting topics to focus on trauma, recovery, and lessons learned. We’re calling this one Personal Stories. Let me tell you quickly what we hope it will do, and then I’ll tell you a personal story to show how this feature might work.

There are three reasons why personal stories are useful and powerful. The first is that people like and learn from stories. People learn in different ways, and Powerpoint presentations aren’t for everyone. The second reason is that we’re hoping to involve more members by encouraging them to share their life experiences and lessons learned. The third reason, well, that’s one of the points of my story, so I’ll save it for the end.

Here’s my story. Shortly after college, I was hired as a Personnel Specialist for the federal government in Washington, DC. You might not think that’s a controversial field, but things like who gets hired or promoted says a lot about the culture of your organization and society in general. In Washington DC at the time, they specifically reflected broader social divisions between blacks and whites, men and women, and the inner city and the suburbs.

The residents of the Nation’s Capital were predominately black, but most of the managerial, technical and specialist jobs in the federal agencies were held by whites. (And a few Asians.) The city residents tended to be hired for lower paid clerical positions and were typically black women, while the higher paid supervisors and managers were predominately white, typically male and lived in the suburbs. Managers and line staff resided only a few miles apart, but lived in very different worlds.

One day I was strolling around the office when I heard a loud argument.  A black male employee was yelling at his white supervisor, screaming, “Your ancestors made slaves out of my ancestors! And it’s still going on!”

So, what would you do in this situation? Probably not what I did. I walked between the two of them and said, “Hey, back when his ancestors were making slaves of your ancestors, my ancestors were in Japan, minding their own damn business. So why don’t you tell me what the problem is?”

It was so unexpected that it actually stopped the argument. I took them into the supervisor’s office, listened to both of them, and discovered that the problem was actually something I could fix. His boss had seen a job advertised that he thought the guy was qualified for, and encouraged him to apply. He did so, but was disqualified at the outset, and he felt that he had been set up as a joke. In Personnel, we had records of all the job announcements, and after looking it up, I saw the problem. In the fine print, it stated that only persons in a specific section of the agency would be considered. It was a simple mistake, and at the end, everybody shook hands.

This story got around the office. After all, how often does someone from Personnel actually help you with a problem? However, one day a more challenging problem arose. A supervisor wanted to begin a disciplinary process against a clerk in his office. (For the purposes of this story, let’s call the supervisor Mr. Carr and the clerk Joanie.) He felt that Joanie was a good worker, but she would call in sick two or three times every month. This had gone on for several months and despite repeated requests, she never brought in a doctor’s note to document the illness.

While I was working on the paperwork, one of the Personnel clerks approached me and asked, “Are you working on something for Mr. Carr?” When I said yes, she said, “Is this about Joanie?”

I looked at her and said, “Okay, what’s this about?”

“Do you know why she calls in sick?”

“No, I haven’t spoken to her yet.”

“Her boyfriend gets drunk, beats her up, and she stays at home until the bruises don’t show.”

“Wow, does her boss know this?”

She just rolled her eyes.

“Well, I guess I’ll have to have a talk with him.”

I spoke with Mr. Carr, we both spoke to Joanie, and I never finished the disciplinary paperwork. We urged Joanie to get help.

This story also got around the office. Soon, another woman, and then another came to me with the same problem. It became really painful to hear these stories, especially since after a week or so, they took their boyfriends back. Why weren’t they listening to me? What was I doing wrong?

I know now that this is a common rookie mistake, that big changes in behavior often involve the person failing a few times before a real change occurs. Still, when someone comes to you for help, you feel you need to get involved.

I had no personal experience or professional training in crisis counseling. And I didn’t know what to do or who to talk to. I was not good at setting personal boundaries. One morning, I got up, got dressed for work, and was eating breakfast, when I suddenly started crying. I didn’t want to hear another sad story, and feel like a failure. So, this time, I was the one who called in sick.

I eventually quit my job, moved to California, and spent several years building musical instruments, among other things.  After a few years, I figured out my limits and I returned to health and human service work. I recently retired after a few decades of work in Public Health.

So, what’s the point of this story? As we talk about becoming more trauma-informed, you’ll always find some folks reluctant to move forward. Why? They’re probably not worried about failure; I think they are afraid of success.

If you help one person, you might open up the floodgates and soon there’s more than you can handle. You become overwhelmed. You begin to wonder if you’re helping anybody, and you start hurting too. My story probably represents some of their worst fears. I’m a big advocate for trauma-informed services, but I do get why you can’t just change things overnight. We need honest discussions about our deepest fears and concerns. We need serious debates about securing the kinds of ongoing support we need to do our jobs.

Part of the issue is that when we talk about persons with trauma, we usually assume that we are talking about our clients, patients or students. In other words, somebody else. But what about us? Informal surveys of people in the helping professions seem to show they have both higher rates and numbers of adverse childhood experiences than average.

Working with persons suffering from trauma can fuel our own traumas, or have other long-term negative consequences. We give it names like compassion fatigue, or burnout. Groups like ours can provide a place to share concerns and advocate for the needs of staff, so that they can better serve others.

Since the time of my story, some things have changed for the better. Agencies now have employee assistance programs. More people know about domestic violence. But some things have not changed. New staff still get thrown into the deep end of the pool too soon, without sufficient training or supervision. We all try to do the best we can with fewer staff, less resources, and more concerns to check off.

In the best of times, you can’t fix every problem. And this is not the best of times for education, social services or healthcare, what with rising costs, cutbacks and shootings all becoming the new normal. But you can always listen and help folks to feel they are not alone. Human connection is powerful medicine.

At the beginning, I said I would talk about the three reasons why Sonoma County ACEs Connection is interested in telling personal stories. Here’s the third reason. If we seek to make Sonoma County more trauma-informed, we need to model a new kind of behavior, at our workplaces and in society. We need to create safe spaces where it is okay to talk about trauma, to be able to open up about things like the time you screwed up. As I said at the beginning of my story, our internal practices say a lot about us and the society we live in.  If we can’t even open up to ourselves, how can we hope to create safe spaces for others? And what about us? Who cares for the caregivers?

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Comments (9)

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Hello Allen,

Thanks very much for your thoughtful story and article about "caring for the caregivers."  This subject is close to my heart as well, and it is the reason I directed and co-produced, "Portraits of Professional CAREgivers:  Their Passion. Their Pain."  Recognizing the power of stories, as you do, this documentary shares the emotional impacts that are common to many professionals who care for traumatized clients and patients.  And CAREgivers film also illustrates several models of organzational support in which colleagues are indeed opening up to each other about their experiences and nurturing each others' recovery and resilience.  I invite you and others to visit our website at www.caregiversfilm.com.  Also you might enjoy checking out some of the video shorts of a variety of professional caregivers on our youtube channel:  

https://www.youtube.com/channe...l2zTOhtx35ImVGkbiNoA 

It's been my privilege to make a couple of trips to N. CA to screen the film and to hold workshops on secondary trauma and staff resilience.  I'll be doing the same in San Diego on June 27 - 28.  I'm happy to share a link to CAREgivers film for review purposes to you and other agency providers, who provide staff training and development.  The film can also be watched inexpensively by individuals on the vimeo link on our website. Please let me know if there are other ways I can assist your amazing work in Sonoma County at viccompher@comcast.net

With best wishes,

Vic Compher, MSS, LCSW

 

Sandy Goodwick posted:

Caregivers of students... are teachers. I’m curious whether there is any other place of work that is more the target of violence ... than a school. When Badass Teachers Association just recently conducted a quick survey regarding teachers being armed in the classroom, we found that a significant number of respondents already had experienced real active shooter experiences. And even though the vast majority of teachers (including the vast majority of teachers with gun expertise) are vehemently opposed to arming teachers, we have politicians that are supporting thus right now.

But when I look at “trauma informed schools”, I wonder how many of these programs honor the very real trauma their own employees have experienced? Not just from their personal lives, but from the very real stressors that keep growing, in public education today. 

Please... take a long look at our work. Find the “Quality of Work life” surveys we’ve done, along with the American Federation of Teachers and (in 2017) CDC/NIOSH. We started our work because teachers were dying of suicide. They are also dying of stress-related illnesses. They are incredibly traumatized, yet expected to give... and give... and give some more.831C1A51-5AA8-45D3-A4C5-C04F8A051D6281D39F86-7E88-42AB-B64C-BB832F751581831C1A51-5AA8-45D3-A4C5-C04F8A051D62

Insist that local boards of education develop workplace bullying policies reflective of guidelines from the National Workplace Bullying Coalition. Develop a local survey that measures both staff and students’ experiences in the district (like ours, but for students and staff). Listen to teachers... they are the single most important person in the life of a student. Not the superintendent or HR. Teachers.

Thanks for your comments and information. As I hope I made clear in my post, I feel the real question is, "Why are we becoming numb to intolerable working conditions?"

Caregivers of students... are teachers. I’m curious whether there is any other place of work that is more the target of violence ... than a school. When Badass Teachers Association just recently conducted a quick survey regarding teachers being armed in the classroom, we found that a significant number of respondents already had experienced real active shooter experiences. And even though the vast majority of teachers (including the vast majority of teachers with gun expertise) are vehemently opposed to arming teachers, we have politicians that are supporting thus right now.

But when I look at “trauma informed schools”, I wonder how many of these programs honor the very real trauma their own employees have experienced? Not just from their personal lives, but from the very real stressors that keep growing, in public education today. 

Please... take a long look at our work. Find the “Quality of Work life” surveys we’ve done, along with the American Federation of Teachers and (in 2017) CDC/NIOSH. We started our work because teachers were dying of suicide. They are also dying of stress-related illnesses. They are incredibly traumatized, yet expected to give... and give... and give some more.831C1A51-5AA8-45D3-A4C5-C04F8A051D6281D39F86-7E88-42AB-B64C-BB832F751581831C1A51-5AA8-45D3-A4C5-C04F8A051D62

Insist that local boards of education develop workplace bullying policies reflective of guidelines from the National Workplace Bullying Coalition. Develop a local survey that measures both staff and students’ experiences in the district (like ours, but for students and staff). Listen to teachers... they are the single most important person in the life of a student. Not the superintendent or HR. Teachers.

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Images (2)
  • 831C1A51-5AA8-45D3-A4C5-C04F8A051D62: narratives from teachers in 2015
  • 81D39F86-7E88-42AB-B64C-BB832F751581: More narratives from teachers in 2015
Gail Kennedy posted:

Thank you for sharing this Allen!  Such a poignant examples of the need for TI practices and esp self care!  Keep sharing your stories please!

Thanks Gail. I plan on writing more, although I'm feeling the need to comment more on the present system, than tell a story of mine from the past. Maybe I'll do both.

Thanks Cissy:

I suspect there are a lot of folks who have experienced trauma, and felt that one way to deal with it was to say, "Well, if I can use this experience to help someone else..." You've posted blogs along these lines as well. Maybe we can get more folks to tell their stories!

Christine Cissy White posted:

Hi Allen:

I'm always happy when I see you've shared another blog post and this piece is no exception. Thanks for sharing it here. I particularly like this:

We need to create safe spaces where it is okay to talk about trauma, to be able to open up about things like the time you screwed up. As I said at the beginning of my story, our internal practices say a lot about us and the society we live in.  If we can’t even open up to ourselves, how can we hope to create safe spaces for others?

That's not easy to do but I agree that it's important. Thanks for walking the talk and sharing it all! Cissy

 

Hi Allen:

I'm always happy when I see you've shared another blog post and this piece is no exception. Thanks for sharing it here. I particularly like this:

We need to create safe spaces where it is okay to talk about trauma, to be able to open up about things like the time you screwed up. As I said at the beginning of my story, our internal practices say a lot about us and the society we live in.  If we can’t even open up to ourselves, how can we hope to create safe spaces for others?

That's not easy to do but I agree that it's important. Thanks for walking the talk and sharing it all! Cissy

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