Practical Strategies Increase Your Personal Safety While...

Practical Strategies to Increase Your Personal Safety While Doing Fieldwork

New England Public Health Training Center 1

PRACTICAL STRATEGIES TO INCREASE YOUR PERSONAL SAFETY WHILE DOING FIELDWORK

October 15, 2019

Acknowledgements

• Acknowledgement: This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB6HP31685 “Regional Public Health Training Center Program.” This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

2

Webinar Protocol• All participants are muted

• This webinar is being recorded

• Your controls are at the bottom of your screen:

• During this webinar the ‘raise hand’ feature will not be used

• Type any questions or comments you have for the instructor into the chat box – we will address as many as we can

• Please use the Q & A button for technical questions

• At the end of the webinar we request that you stay online for 2 minutes to answer evaluation questions required by HRSA

3

Today’s instructor

4

Hilary HackbartMassachusetts Department of Labor Standards



Charles Baker, GovernorKaryn Polito, Lieutenant Governor

Rosalyn Acosta, Secretary

Michael Flanagan, Interim Director DLS

PRACTICAL STRATEGIES TOINCREASE YOUR PERSONAL SAFETY

WHILE DOING FIELDWORK

6

Poll

7

What is your job?

• Community Health Worker

• Municipal Public Health Official

• State Public Health Official

• Other

Begin Safety Awareness with Yourself

TRUST YOUR GUT

• If something doesn’t feel right, it probably isn’t. DON’T PROCEED without checking things out.

• Research on “gut instinct” says it is really your subconscious noticing small things that show that something is different or wrong*.

• It’s not your imagination, it’s your subconscious trying to warn you.

*Gavin de Becker “The Gift of Fear”



• Close your eyes.

• Remember a time when you got a bad feeling about a situation, place, or person for no reason, and later on it turned out you were right. Or you got a bad feeling for a good reason.

• Focus in on the feeling you had that something was wrong. Remember that feeling.

• When you get that feeling at work, pay attention to it. It might be time to leave the situation.

Gut Instinct Exercise Safety Awareness

• Look in EVERY DIRECTION, left, right, up, down, front, back.

• Really SEE what’s around you.

• The brain fills in the blanks with what you expect to see.

• Notice, with focus, what is really there, what is happening, how people are behaving.

Safety Awareness• Shake up your brain occasionally (when you can do this safely) to help create new pathways in your brain to really SEE what’s there when you are working.

– Walk or drive a different route.

– Do things in a different order.

– Write with your non‐dominant hand.

Pretend It’s New



Poll

13

Have you ever felt unsafe or threatened while doing your job?

• Yes

• No

• Set a code of conduct, can be on back of permit application, study enrollment form, information sheet.

• This creates an understanding of what is acceptable behavior for them to get what they want/need. It also strengthens your ability to stop the process or leave, it makes it less personal.

Code of Conduct

• Do people in your office know where you are going? When you are expected back?

• Are there check‐in / check‐out procedures that can be implemented?– Text– Call

• Lone Worker Technology– Check‐in feature– Panic Button– Motion Sensor– GPS tracking

Check In / Check Out• Deterrents.

– Call the office, keep an open line. “I have my supervisor here on the line with me to help answer any questions.”

– Have them think someone else is coming, “My colleague may be joining us.”

– Security Cameras.

– Body Cameras.

– Another Person – Don’t Go Alone

Think About…



• Where and how you deliver bad news.

– Do not do this in a situation where you could become trapped with the person, or are alone with the person.

– You can deliver the news by phone or email later.

Think About…• Where you park.

– How close is it to your destination?

– How is the lighting? Will it be dark when you come back to your car?

– Are there shrubs or hiding places?

– Will you be blocked in if another car comes (e.g., driveway)?

– Do you have to walk past anything that makes you uncomfortable?

– Is there a better parking option?

Think About…

• Carefully observe the route from your car to your destination and back.

• Notice any sources of help, places you can go into (e.g., store, fire station, etc.).

• What people are around? What are they doing?

• Notice potential sources of help, and potential threats.

Think About…• If you go indoors:

• Check your communication device before going inside.

• Is there any building security staff? Any security procedures?

• Keep doors open/ajar if you can. Do not allow the doors to be locked “my colleague may join us”.

• Scan and identify all the exits and escape routes.

• How are you positioned relative to the person who may become agitated and the exit?

• Can someone come up behind you? Stand with your back to the wall.

• Maintain awareness of everyone there and where they are.

Think About…



• If you go indoors:

• Pay attention to the subtle and active behaviors of the person(s) who could become agitated.

• Conduct your business with calm confidence and authority.

• If things start to escalate, get outside, call for help.

• IF THINGS DON’T FEEL RIGHT, BELIEVE THAT FEELING AND ACT.

Think About…

• At the office:

– What is the building security, who can access what parts of the building?

– If you are alone or there after hours, are the doors to the outside locked? Does anyone know you are there?

Think About…

• In a Car:– Bring a co‐worker or escort with you if you have any indication of a problematic interaction.

– Don’t start the trip if you have a bad feeling, or any indication of a problematic interaction.

– Don’t deliver bad news or discuss anything that may be agitating for the client in the car.

– Don’t let someone sit in the back seat behind you.

Think About…• In a Car:

– Deterrents:• Open line on the phone.• Dash Camera.• Panic button on phone.• Indicate/show you are being tracked by GPS by office.

– Physical barrier between you and the passenger.

– What route are you taking, is it isolated or are there potential safety stops along the way?

Think About…



• If they are beginning to become agitated:– Do you understand what their concern is? Can you help be sure they feel

heard?

– Can you accommodate what they are upset about?

– Can you solve or partially solve their problem?

– Drop the particular item and move on to something else.

– Change what is happening, move to a seated position, “let’s sit down”.

– Don’t tell them to “calm down”.

– Psychological First Aid: “What Do You Need Right Now?”

• Don’t worry about being right in an escalated situation and enforcing what needs to be enforced, worry about staying safe.

• Bringing in a different co‐worker can serve to de‐escalate the situation, or calling back to the office for different person.

Think About…

• Cell Phone. Two‐way radio, other methods?

• Keep an open line on your cell phone and let them know that.

• Have local police number programmed and ready to go on your phone. 911 may call state police.

A Means to Call for Help

• If there have already been agitated visits or phone conversations, or the person has been difficult with another inspector, bring an escort.

History• Check your department’s/organization’s records, and the

records of other departments to see the history of the person you will be dealing with. Has this person had a case history or difficulty in the past with other colleagues in your organization?

• Does the person have a history with the police?

• Based on the history, consider an escort or other increased safety measures.

• TRUST YOUR GUT!

History



• Local law enforcement may be able to provide training and tips.

• Bring a police escort if necessary.

Law Enforcement

• If you feel threatened or uncomfortable, LEAVE.

• You could make a neutral/reassuring statement that can help you exit.

• “I have information on this in my car.”

• “I don’t think I’m helping you, I will have my co‐worker come back and finish up”.

• “Let me get more information about your concerns and come back another time.”

You Do Not Have to Be Polite

• Distract

• Escape

• Call 911

If You Feel an Immediate Threat to Your Person• Your nervous system has two main

settings:

1. Things are going along, everything is pretty normal

2. OMG, a tiger is about to eat me ‐ aka fight, flight, or freeze

When something starts going wrong on the job, the outcome is likely much worse if you are in high F/F/F, it affects how you react, and affects your decisions

Stress and Safety



What is Stress?• The “fight or flight” setting in your nervous system was designed to keep you safe when under extreme danger.

• It is meant to be switched on for a short time, and then you return to normal.

What is Stress?• In modern life, you can be stuck in a low level “fight‐or‐flight” a lot of the

time. This isn’t what it was designed for, and this wreaks havoc with your body and mind.

• This also sets you up to move into an extreme state of fight or flight more quickly.

How Does it Affect You?• Increased heart rate

• Rapid, shallow breathing

• Primitive parts of the brain take over

• Release of chemicals such as adrenaline

• Muscles get ready for action

What Am I Thinking About Right Now?

• A lot of the time, we are not giving all our attention to what’s happening right now.

• Our mind is in the past or the future.

• This can be very dangerous. You can lose focus on the task, or miss seeing a serious hazard. If there may be a risk from another person, you can miss seeing important cues (such as settling).



• If you are calm, that increases the chances the situation will not escalate.

• If the situation starts escalating and you can stay calm, that can slow down or prevent full escalation.

• “Mirroring” of breath and your state of calm.

• There is a lot of other training and information available on de‐escalation.

Pre- De-Escalation

• Diaphragm breathing

• Heart Breathing

• Meditation

• Tapping

• Mindfulness

Stress Reduction Techniques

What’s the Solution?• USE YOUR BREATH

– Specific types of breathing can immediately pull your nervous system out of “fight or flight”

• Engage the diaphragm• Long, full exhalations

– Also calms stress• Rhythmic breathing

– Focusing on the breath brings your attention back into your body and helps you:

BE WHERE YOUR FEET ARE

Heart Breathing and Focus



• Heart Exercise

• Heart Breathing

Heart Meditation

• Helps you learn to sit with discomfort (mental and physical) and not react to it, not feel afraid, or think the experience is negative.

• This helps calm your everyday reactions to stressors and problems and gives you access to the part of your mind that is always calm.

• Brings a positive experience to the nervous system simultaneous with feeling a negative emotion, or physical sensation, or reliving a negative memory.

– This can strip the physical response to trauma from the memory, so the memory goes back into the brain with the negative charge detached.

– Can have a powerful calming effect during times of stress or feeling overwhelmed.

Tapping (EFT)• Mindfulness is focusing all of your attention on one thing that is happening that

you can feel with your body in the moment, using one of your senses, and noticing how it changes moment to moment.

• “Going to the bones” exercise.

• Practicing mindfulness for even a few moments will shift your brain into a calmer, more focused state. It will bring you into the present moment, away from fretting over past events or worrying about future events. It takes the needle off the record player of your “thought factory”.

Mindfulness



• The brain is wired to focus on and remember negative events much more powerfully than positive events, this was a survival strategy.

• To overcome this:– When negative thoughts come up, intentionally focus on something positive

at the same time. This will change the memory in your brain, it goes back in as different. Tapping works this way.

– Think of all the things you can be grateful for. Gratitude is the most powerful antidote to an on‐going state of bad thoughts and feelings.

More Stress Reduction• Binaural beats.

• Yoga nidra.

• Other meditation techniques.

• Progressive muscle relaxation.

• There is an incredible range of these types of tools and techniques available through phone apps, youtube, etc.

• Try different things and find what is helpful to them. If it’s working you will feel it. Look for methods which provide deeper relief and healing for long‐term.

Other Tools

Benefits of Reducing Stress• Improved safety at work

• Reduced Health Care Costs

• Physical and Mental Health benefits

• Better sleep

• Increased well‐being, you just feel better

• Improved relationships

• Feeling of calm control over your life, you’re running your life, your life isn’t running you

Evaluation

• Please stay on line to answer the 4 questions that will pop‐up on your screen.

• Your answers are anonymous, and help us to meet the funding requirements to bring you high quality trainings such as this.

48



Hilary Hackbart

[email protected]

617‐626‐6507

Contact Information

Practical Strategies Increase Your Personal Safety While...

Documents

Transcript of Practical Strategies Increase Your Personal Safety While...