REFLECTIVE GROUP SUPERVISION :

RESISTING STRESS AND BURN OUT

Pregnancy Advisory Service

The Women’s , Melbourne

ROLE OF SW in WOMEN’S REPRODUCTIVE HEALTH

The social work profession

promotes social change, problem

solving in human relationships and

the empowerment and liberation

of people to enhance wellbeing. Principles of

human rights and social justice are

fundamental to social work.International Federation of Social Workers and

International Association of Schools of

Social Work (2001)

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Reflective Group Supervision

• Plan to Evaluate effectiveness of Reflective Group Supervision (RGS)>12 months on worker compassion satisfaction/compassion fatigue using self score measure, ProQOL5

OUTCOME:Ethical dilemmas encountered along the process lead to change in data collection methodology and change of theoretical basis of RGS to promote social justice capacity in SW team- and potentially broader clinical referral pathway.

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RGS Theoretical Framework

• Family therapy/Systems theory- Proctor, 1997

• Psychodynamic-relational theories-Sulzberger-Wittenberg, 1963

• “Mindful Formulation” Havighurst, 2009

• Critical Reflective Practice; Fook, 2007

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Measuring CS & CF: The Professional Quality of Life Scale (ProQOL)5• © B. Hudnall Stamm, 2009. Professional Quality of Life:

Compassion Satisfaction and Fatigue Version 5 (ProQOL).

• www.proqol.org.

• The ProQOL5 is free and permission to use and copy is printed on the test

• A 30 item self report measure of the positive and negative aspects of caring

• The ProQOL5 measures Compassion Satisfaction and Compassion Fatigue

• Compassion Fatigue has two subscales-Burnout

-Secondary Trauma

CS-CF Model

Professional Quality of Life

Compassion Satisfaction

Compassion Fatigue

BurnoutSecondary

Trauma

ProQOL5 Vocabulary

•Compassion Satisfaction

•Compassion Fatigue

•Burnout

•Work-related traumatic stress

Compassion Satisfaction

•The positive aspects of helping–Pleasure and satisfaction derived from working in helping, care giving systems

•May be related to –Providing care

–To the system

–Work with colleagues

–Beliefs about self

–Altruism

Compassion Fatigue

•The negative aspects of helping

•The negative aspects of working in helping systems may be related to–Providing care

–To the system

–Work with colleagues

–Beliefs about self

•Burnout

•Work-related trauma

Relationships Are Complex

•Positive (CS) & negative (CF)

•Altruism CS can override CF

•Compassion Fatigue two parts–Worn out (BO) common

–Frightened, traumatized (STS) rarer but powerful

Burnout and STS: Co Travelers

•Burnout–Work-related hopelessness and feelings of inefficacy

•STS –Work-related secondary exposure to extremely or traumatically stressful events

•Both share negative affect–Burnout is about being worn out

–STS is about being afraid

© Beth Hudnall Stamm, 2009. Professional Quality of Life Scale (ProQOL). www.proqol.org. This test may be freely copied as long as (a) author is credited, (b) no changes are made without author authorization, and (c) it is not sold.

Ethics of Evaluation

Ethical dilemmas with ProQOL5

What would we do with this information once gathered?

Could we use a social justice model of evaluation rather than a deficiency/pathologising model?

Reframing – parallel process as useful to workers and clients

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V.Reynolds (2011)”Resisting Burnout through Justice Doing”

Building relationships based on solidarity, pre-existing points of unity

and heartfelt commitments to an ethics of resistance, an ethic of justice-doing, is

our path out of despair, hopelessness and what gets called burnout

(Reynolds, 2011a; 2010a).

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Relocating Ethics in PAS - RGS

Ethics as a process- how are we at PAS accountable to that? How is that useful to your work with people?Responding authentically- stepping up to be accountable.What decision made this not happen?Solidarity – showing up for othersContinually getting permission asking and checkingExtracting – not extracting in mental health sense- developing becomingScaffolding safety. Consent and ongoing consent.What did you most connect to?Why did you most connect to that?How is this useful to you or your clients?

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Solidarity Groups

DignityDo able job descriptionsAccountability Resisting a sense of specialnessContesting Cynicism and Bringing HopeEthics (decision making processes informed by commitment to social justice Evaluation in future through solidarity groups

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Further thoughts:

Implementation of Qualitative data collection for RGS

Anti-oppressive practices in Public Health settings- examples in UK

Mapping PAS social worker intersectionality in RGS

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