Promoting Wellbeing and Addressing Sensitive Topics in Teams

 
Staff wellbeing
- let’s talk
about it
slides and
images to help
promote
discussion
about
wellbeing in
teams
 
Using visual
check in’s…
 
How are you feeling this
week ?
 
How are you
 really
feeling ?
 
Ask – listen with
intention
 
Tricky topics requiring sensitivity
and that may provoke an
emotional response:
 
Moral Injury
Compassion fatigue – emotional and physical
exhaustion and loss of empathy or
desensitization
Vicarious trauma  - reading about , writing
about and working with trauma
Burnout  - 
R
ust out
Anticipatory grief – the news about covid /
vaccines / Brexit/ BLM etc
Homelife and personal circumstances
impacting on work  - work impacting on
home
Competing demands, caseloads  and service
pressures
 
 Moral injury
, compassion
fatigue ,
vicarious
trauma &
burn out
 
Here is some information
about moral injury:
 
Historically Moral injury has been a concept linked with soldiers or emergency medics. Greenberg
et al (2020) highlighted the potential for health and social care workers for significant moral
injury during Covid because they need to:
Respond to increased demand and staff shortages
Constantly think about allocating scant resources
Be process and compliance focussed although wanting to focus on quality
Balance their own physical and health care needs with those of their service users
Make decisions about how to align their value base – duty to their family with duty to their
service users – juggling homeschooling / caring
The is a particular lack of public support for social care in the media which can make us feel
undervalued
They may be dealing with significant challenges in their personal life  - bereavement, loss ,
fertility, relationship
This can impact on morale and productivity and emotional well-being  - it can impact on quality of
practice which obviously impacts on the outcomes for children and young people and can lead to
sickness absence or presenteeism  in teams  which impacts caseloads and retention. It can place a
particular pressure on Team Managers and supervisors who absorb team pressures and emotion
whilst balancing three ed for business as usual.
 
Where are you
on this battery
today ?
 
What would help you recharge ?
Who would you talk to about your
feelings ?
Signs
 – changes in sleep patterns,
significant or persistent changes in
behaviour, irritability, lack of patience,
mistakes, isolation / withdrawal, weakened
sense of empathy, feelings of hopelessness
Who:
 Not just Social workers – could be
anyone in the team – business admin
support, family workers , Social Workers ,
middle managers , senior leaders – at any
stage in one’s career
 
 
The good news - What can
mitigate / what can help ?
 
Strong reflective culture
Education and space to reflect on the concept of moral injury
Building a sense of team
Recognition in the service at senior level
Emotional wellbeing support for those in acute need
Physical exercise, nutrition, hydration, sleep, rest
Eye health –eye breaks from screens
In depth reflection time / good quality reflective supervision spaces
Planning annual leave and flexi for recuperation
Appreciation of hard work, effort and good practice
Connecting to our values and shared sense of purpose
CPD and time to build skills and knowledge
How do you cope when
you feel overwhelmed ?
 
Listen, repair
and heal
 
‘ long term negative
consequences of moral
injurious events are not
inevitable…..most workers
who experience this
recover….some even
develop a re-defined
meaning in life and
renewed moral and focus
and can begin to
incorporate their
experience into growth to
help others’ TCA 2021
 
Where are
you ?
 
Thriving
Surviving
Struggling
In crisis
 
Team talk
 
How do we normalize
chat about wellbeing ?
How do we avoid
catastrophizing ?
How do we celebrate
achievements ?
How do we avoid
celebrating ‘busy’ and
honour boundaries
such as taking lunch /
taking leave ?
 
Trust
 
How do we build trust
and relationships in
teams?
 
Wellbeing support for staff in Children’s
services:
 
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What next/ resources and support:
 
 
Occupational health 
http://intranet.durham.gov.uk/pages/Occupationalhealth.aspx
Staff with additional health or learning needs may find an assessment with Access to work beneficial too :
Access to work 
https://www.gov.uk/access-to-work
  - encouraging staff to refer , participate in the
assessment and give consent for Access to work to liaise with you  . Access to work will then advise DCC on
any special adaptions or reasonable adjustments to enable the new staff member to thrive
Wellbeing conversations 1-2-1 with staff , prioritise in team meetings , nominate a wellbeing champion – talk
about it  - honour it – normalise it – use humour – listen to each other
You can now record the date of wellbeing 1-2-1 conversations on Myview
 
Supervision framework, supervision resources  and traumatic incident response flowchart on TriX
 
https://www.proceduresonline.com/durham/cs/local_resources.html
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Encourage discussions on staff wellbeing with visual aids, check-ins, and insights into tricky topics like moral injury, burnout, and vicarious trauma. Recognize the challenges faced by health and social care workers, exploring the impact on morale, productivity, and emotional well-being within teams.


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  1. Staff wellbeing - let s talk about it slides and images to help promote discussion about wellbeing in teams

  2. Using visual check in s How are you feeling this week ? How are you really feeling ? Ask listen with intention

  3. Tricky topics requiring sensitivity and that may provoke an emotional response: Moral Injury Compassion fatigue emotional and physical exhaustion and loss of empathy or desensitization Vicarious trauma - reading about , writing about and working with trauma Burnout - Rust out Anticipatory grief the news about covid / vaccines / Brexit/ BLM etc Homelife and personal circumstances impacting on work - work impacting on home Competing demands, caseloads and service pressures

  4. Moral injury , compassion fatigue , vicarious trauma & burn out

  5. Here is some information about moral injury: Historically Moral injury has been a concept linked with soldiers or emergency medics. Greenberg et al (2020) highlighted the potential for health and social care workers for significant moral injury during Covid because they need to: Respond to increased demand and staff shortages Constantly think about allocating scant resources Be process and compliance focussed although wanting to focus on quality Balance their own physical and health care needs with those of their service users Make decisions about how to align their value base duty to their family with duty to their service users juggling homeschooling / caring The is a particular lack of public support for social care in the media which can make us feel undervalued They may be dealing with significant challenges in their personal life - bereavement, loss , fertility, relationship This can impact on morale and productivity and emotional well-being - it can impact on quality of practice which obviously impacts on the outcomes for children and young people and can lead to sickness absence or presenteeism in teams which impacts caseloads and retention. It can place a particular pressure on Team Managers and supervisors who absorb team pressures and emotion whilst balancing three ed for business as usual.

  6. Where are you on this battery today ? What would help you recharge ? Who would you talk to about your feelings ? Signs changes in sleep patterns, significant or persistent changes in behaviour, irritability, lack of patience, mistakes, isolation / withdrawal, weakened sense of empathy, feelings of hopelessness Who: Not just Social workers could be anyone in the team business admin support, family workers , Social Workers , middle managers , senior leaders at any stage in one s career

  7. The good news - What can mitigate / what can help ? Strong reflective culture Education and space to reflect on the concept of moral injury Building a sense of team Recognition in the service at senior level Emotional wellbeing support for those in acute need Physical exercise, nutrition, hydration, sleep, rest Eye health eye breaks from screens In depth reflection time / good quality reflective supervision spaces Planning annual leave and flexi for recuperation Appreciation of hard work, effort and good practice Connecting to our values and shared sense of purpose CPD and time to build skills and knowledge

  8. How do you cope when you feel overwhelmed ?

  9. Listen, repair and heal long term negative consequences of moral injurious events are not inevitable ..most workers who experience this recover .some even develop a re-defined meaning in life and renewed moral and focus and can begin to incorporate their experience into growth to help others TCA 2021

  10. Where are you ? Thriving Surviving Struggling In crisis

  11. Team talk How do we normalize chat about wellbeing ? How do we avoid catastrophizing ? How do we celebrate achievements ? How do we avoid celebrating busy and honour boundaries such as taking lunch / taking leave ?

  12. Trust How do we build trust and relationships in teams?

  13. Wellbeing support for staff in Childrens services: Link for Info about health assured APP and our staff counselling offer Wellbeing Portal on the intranet loads of info , links and services in themes topics - health , mental health , financial health , bereavement ,Domestic abuse , substances , fitness Link to book on to the Stephen Mordue How to thrive workshops and E Book link Employee Assistance24/7 confidential Counselling phone line Durham Learning and Development Log In 0800 716 017 http://intranet.durham.gov.uk/Pages/WellbeingPortal.aspx http://intranet.durham.gov.uk/pages/EmployeeAssistance.aspx Staff networks for peer support: http://intranet.durham.gov.uk/Pages/StaffNetworks.aspx Traumatic incident response - debrief , reflective sessions or specialist counselling following a traumatic incident in casework for individuals or whole staff teams https://proceduresonline.com/trixcms2/media/16060/12103- responding-to-and-offering-support-with-traumatic-events-critical- incidents-feb-22.pdf Black and ethnic staff Better health at work website LGBT staff Social Care : Better Health At Work Award Staff with disabilities Staff who are carers Menopause forum Occupational health http://intranet.durham.gov.uk/pages/Healthpersonal.aspx

  14. Health assured app If you use playstore to get your apps search health assured - The app is called Health assured my health advantage and looks like a blue square with a HA smile in it - its free and asks for a code when you first log in which is MHA042951. The app has a whole range of services/trackers and info on it. Health assured offer a free phone confidential counselling line and can also offer video counselling sessions with qualified counsellors confidential and minimal waiting lists so people can access counselling support from qualified experienced counsellors at the right time. It really is a very good staff wellbeing offer. Health assured also offer financial advice , relationship advice , bereavement support. They can also support and advise managers to support their role. The phoneline for staff to call and speak to a counsellor is 0800 716 017 the line is always answered by a qualified counsellor and they can arrange counselling sessions in blocks of 6 sessions which are via the phone / video Staff with more complex emotional health needs may also benefit from an occupational health referral

  15. What next/ resources and support: Occupational health http://intranet.durham.gov.uk/pages/Occupationalhealth.aspx Staff with additional health or learning needs may find an assessment with Access to work beneficial too : Access to work https://www.gov.uk/access-to-work - encouraging staff to refer , participate in the assessment and give consent for Access to work to liaise with you . Access to work will then advise DCC on any special adaptions or reasonable adjustments to enable the new staff member to thrive Wellbeing conversations 1-2-1 with staff , prioritise in team meetings , nominate a wellbeing champion talk about it - honour it normalise it use humour listen to each other You can now record the date of wellbeing 1-2-1 conversations on Myview Supervision framework, supervision resources and traumatic incident response flowchart on TriX https://www.proceduresonline.com/durham/cs/local_resources.html

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