Description: This resource from Rose Brooks Center (the largest domestic violence agency in Missouri, USA) is a sample of key practices in 10 areas used to "engage staff, build strength, collective resilience, and at the same time improve services for survivors" (pg. 1).
The headings for the key practices are as follows:
1- Hiring process
Organised and thoughtful hiring process
Staff onboarding and new hire training
2- Staff/employee performance evaluation
3- Support to address trauma exposure (secondary trauma)
Staff wellness
Organisational response to vicarious trauma
Flexibility/work-life balance
4- Compensation
Salary
Leave time
Benefits
5- Staff development
Meaningful and challenging development plans
Training
6- Leadership strategies
Integrate staff retention into agency policy, formal practices, and resource development
Staff involvement and feedback to inform staff retention strategies
Leadership conducts annual evaluation of factors impacting staff retention, quality of services, and sustained agency operations
7- Workplace environment and culture
Space
Employee feedback/input
8- Communication
Management transparency
9- Organisation staff meetings
10- Clear mission and values
Sense of purpose in the workplace
What's the evidence base for this resource: This resource is a sample of Rose Brooks Center's policies and procedures, and does not provide any evidence itself. However, the agency is recognised by accrediting bodies as adhering to best practice standards and has won awards for its services.
Potential uses and limitations: This resource is a useful high-level map of organisational strategies to enhance employee support/engagement and address vicarious trauma. It does not provide detailed guidance for any particular issue, but may serve as inspiration or generate ideas on organisational and workplace strategies.
Where it comes from: This resource was presented as a handout within the webinar 'Strategies to Enhance Employee Resilience and Engagement within Survivor-Serving Organizations' hosted by Futures Without Violence in May 2020. Rose Brooks Center's Chief Operating Officer was one of three presenters in the webinar.
Rose Brooks Center is the largest domestic violence agency in the American state of Missouri. The agency has 100 employees and reaches approximately 15,000 individuals annually.
Description: This 1.5 hour-long American webinar (transcript included) from May 2020 features representatives from three organisations who share strategies that they use to increase employee engagement, mitigate burnout, build strength and collective resilience, and improve services for survivors. The facilitators also discussed strategies their organisations use to help staff adapt during COVID-19.
"After this webinar, participants will be better able to:
Strategies shared by the panellists and webinar participants include, but are not limited to:
What's the evidence base for this resource: This resource primarily draws on the practice experience of the panellists.
Potential uses and limitations: This webinar is aimed at Executive Directors, Program Directors/Managers/Coordinators, Supervisors, and Team Leaders. There is particular emphasis on how employees are coping during COVID-19, with many staff members working from home. While the webinar is framed as being about "staff retention", there is a focus on reducing or mitigating burnout, which is related to vicarious trauma.
Where it comes from: This webinar was facilitated by Jennifer White and Monica Arenas from Futures Without Violence, supported by a grant awarded by the Office on Violence Against Women within the U.S. Department of Justice.
Description: This resource provides guidelines on forming and maintaining a peer support program for public safety employees in the United States, but may be of use to any organisation considering developing a peer support program.
The sections include:
The guidelines list the following examples of applicable activities for a peer support person, including but not limited to:
What's the evidence for this resource: This is not an academic resource and no evidence is provided. However, the resource was ratified by the Police Psychological Services section of the International Association of Chiefs of Police (IACP).
Potential uses and limitations: These guidelines are a practical, detailed resource for organisations considering implementing a peer support program. While detailed, its ratification in the United States suggests that some of the legal information contained within may not be immediately applicable to the Australian context. Further, the guidelines stand alone without evidence of its suggestions working well in practice.
Where it comes from: These guidelines were ratified by the Police Psychological Services section of the International Association of Chiefs of Police (IACP) in 2011.
Description: This resource describes how a police department in the United States implemented a yoga program that contained a mindfulness component. Anecdotal evidence in the resource suggests participants reported positive benefits. The resource shows an example of how a yoga and mindfulness program can be implemented in a department, endorsed by upper management and approved by Human Resources, resulting in "a shift in [workplace] culture".
What's the evidence for this resource: The resource does not show evidence to support its anecdotal claims that participants benefited from the program.
Potential uses and limitations: This resource is an example of how programs aimed at increasing staff resilience can be implemented in an organisation, and therefore may provide inspiration to managers considering implementing programs at their own workplace. However, it lacks proper statistical evaluation regarding the positive benefits on staff. Further, it does not address change at the organisational level and thus does not count as primary prevention.
Where it comes from: This resource comes from a 2014 issue of The Police Chief magazine. It is co-written by an employee of the Falls Church Police Department and the Director of the Master of Science in Yoga Therapy at a nearby university.
Description: This document describes the Safeguard Program implemented by the National Center for Missing and Exploited Children in the US. The Safeguard Program is a model for protecting and providing support to staff who view objectionable material in the workplace.
The Safeguard Program aims to assist staff members in developing the healthy coping skills necessary to maintain a positive work/life balance, using four main cornerstones: 1) the hiring procedure; 2) mandatory participation in the program; 3) use of an outside consultant; and 4) off-site staff support.
What's the evidence base for this resource: The Safeguard Program was developed by a Licensed Clinical Social Worker and a Licensed Professional Counsellor, both of whom have significant professional experience working with people who have experienced trauma. In 2010, an evaluation of the Safeguard program showed that employees benefited from the program.
Potential uses and limitations: The resource describes policies and procedures that encompass the recruitment stage, individualised support, peer support, psychoeducational training, and post-employment support. While aimed at staff members viewing objectionable material, the content may be relevant for any organisations where staff are exposed to vicarious trauma.
However, this document merely summarises the Program rather than going into depth describing the content of the policies and procedures. A further limitation is that, though an evaluation showed that staff members benefited from the Safeguard Program, many also felt overwhelmed by the amount of services it required.
Where it comes from: The program is run within The National Center for Missing and Exploited Children in the US. The resource was compiled by two employees experienced in trauma work.
Description: Mindful is an online magazine that offers insight, information and inspiration to help people live more mindfully. It includes articles and videos on how to meditate, how to practice mindfulness at work, and has tips for managers and leaders. There is also a directory of mindfulness professionals that can be filtered by country.
What's the evidence base for this resource: While not an academic resource itself, Mindful is partnered with centres for mindfulness at well-regarded academic institutions including Stanford University, the University of Massachusetts Medical School, and the University of California, Los Angeles (UCLA).
Potential uses and limitations: This resource is only directed at individual level mindfulness and meditation practices. There is no relevance for organisational change (primary prevention) strategies.
Where it comes from: https://www.mindful.org/
Description: Presentation of a PhD study (slides and notes in pdf format) into the relationships between Job Demands (e.g. workload), Job Satisfaction, Job Control, Organisational and External Support (e.g. effective supervision, family networks), and Burnout.
The research was via a survey with 167 Forensic Interviewers whose role is to interview children that have made disclosures of abuse.
See p39 of the document for the summary.
Key points:
Burnout and Job-Satisfaction can co-exist, however higher levels of Job Satisfaction predict lower Burnout.
The higher level of Job Control, the higher the level of Job Satisfaction.
The more support (both external and organisational), the less Burnout is reported.
What's the evidence base for this resource: The study was accepted for a PhD dissertation through West Chester University, Graduate Social Work Dept.
Potential uses and limitation: Specific focus on forensic interviewers in North Eastern States of USA. While the findings are useful, the study is not intended to prescribe detailed interventions that can be implemented.
Where it comes from: PhD Candidate, Christina M. Chiarelli-Helminiak. West Chester University, Graduate Social Work Dept.
Description: These guidelines delineate a framework for the human resources policies and procedures that support a vicarious trauma-informed organization.
What's the evidence base for this resource: Developed by the US Dept of Justice Vicarious Trauma Toolkit team with the Northeastern University.
Potential uses and limitation: High level suggestions for human resource (People and Culture) departments, in regards to employment policies and staff well being provisions.
Where it comes from: The US Dept of Justice Vicarious Trauma Toolkit
The CPSU gratefully acknowledges the U.S. Department of Justice, Office of Justice Programs, Office for Victims of Crime, for allowing us to reproduce. in whole, the Human Resource Guidelines for a Vicarious Trauma-Informed Organization. This article was prepared by the Office for Victims of Crime.
Description: A collection of relaxation exercises, mindfulness exercises, and stress management routines.
What's the evidence base for this resource: Developed by a team of clinical practitioners with significant experience working in the field of mental health and trauma.
Potential uses and limitation: Only directed at individual level self-care.
No relevance for organisational change (primary prevention) strategies.
Where it comes from: https://www.helpguide.org/
Description
Written for women working in anti-violence fields (e.g. domestic violence, child abuse, sexual assault). Uses a strong gender lens and the specific challenges for women workers in these fields.
What's the evidence base for this resource
Based on the author's 8 months of consultations with expert workers in the sector, the Canadian National Advisory Committee on Family Violence. The author was contracted by the Centre for Research on Violence Against Women and Children in London, Ontario, The University of Western Ontario, to produce this report for the Family Violence Prevention Unit, Health Canada.
Potential uses and limitations
The resource is intended for women workers in anti-violence work. Some of the content is also quite specific to the Canadian context. Also note that the publication date is 2001.
Covers topics ranging from individual self-care practices, to organisational strategies. The uniquely feminist perspective, with an emphasis on gender and social justice, sets this apart from many other trauma related resources. The section on organisational strategies includes sections on:
Feminist Philosophy
Social Justice
Organizational Structure
Staffing
Human Resources Policies and Practices
Training
Administrative and Support Staff
Hiring
Orientation and Training
Personal Relationships of Staff
Supervision
Retreats and Celebrations
Exiting Gracefully
Where it comes from
Published by National Clearinghouse on Family Violence, Canada. Some of the content does apply specifically to the Canadian context.
Description: Systematic review of Randomised Control Trials. The objective of the review was to evaluate the effectiveness of work‐ and person‐directed interventions compared to no intervention or alternative interventions in preventing stress at work in healthcare workers.
Authors' conclusions
There is low‐quality evidence that CBT and mental and physical relaxation reduce stress more than no intervention but not more than alternative interventions. There is also low‐quality evidence that changing work schedules may lead to a reduction of stress. Other organisational interventions have no effect on stress levels. More randomised controlled trials are needed with at least 120 participants that compare the intervention to a placebo‐like intervention. Organisational interventions need better focus on reduction of specific stressors.
What's the evidence base for this resource: As this is a Cochrane Systematic Review, it is considered to be of the highest standard of evidence.
Potential uses and limitation: Discusses the findings of evaluations studies of a range of stress-prevention interventions in health-oriented workplaces, from individual level to organisational level. You can follow up by finding the original studies of interventions that may be relevant for your workplace if required.
Where it comes from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002892.pub5/full
Ruotsalainen, J. H., Verbeek, J. H., Mariné, A., & Serra, C. (2014). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, (11).
Description: Chapter about how organisations can foster a culture of self-care and compassion. While highlighting the importance of individual self-care, equal emphasis is placed on the role of organisational practices in supporting staff to do so. Supporting staff in this way is viewed as a component of providing high quality services to client, rather than a competing demand.
What's the evidence base for this resource: The chapter is an excerpt from the book TheUC San Francisco Trauma Recovery Center Model: Removing Barriers to Care and Transforming Services for Survivors of Violent Crime. Edited by Stacey Wiggall, LCSW & Alicia Boccellari, Ph.D. Produced in collaboration with Allen/Loeb Associates (Version 1: March15, 2017)
Potential uses and limitation: Is aimed at Trauma recovery/crisis response services. However the suggestions about organisational practices to support staff self-care are relevant to a range of service types.
Where it comes from: The UC San Francisco Trauma Recovery Center.
Description: This presentation describes the key clinical features of PTSD, including
the current diagnostic criteria, accompanying clinical presentations,
functional outcomes and common comorbid conditions that present with
PTSD.
The talk presents data on the prevalence and presenting
features of PTSD across varying workplace settings, including
first-responders (paramedics, fire-fighters, police), defence, primary
health care settings, drug and alcohol services, and forensic settings.
Prevalence
rates and important issues for consideration are highlighted in
relation to PTSD in these workplace settings and the heterogeneity of
PTSD presentations are highlighted.
What's the evidence base for this resource: The presenter, Professor Kim Felmingham, is a recognised academic expert on workplace related mental health issues. We have a high level of confidence that the information presented is accurate and reliable.
Potential uses and limitation: Concise information on the prevalence of workplace trauma across a range of workplaces. Briefly summarises some of the evidence regarding organisational culture as a protective factor, and what organisations can do to support workers dealing with trauma exposure.
Where it comes from: Recorded as part of WorkSafe Tasmania PTSD: "Mental Health Matters" Conference, 14th October 2019.
Content Warning:
These videos address issues relating to post
traumatic stress disorder and other mental health conditions. Please be
aware that presentations may contain content and imagery that may be
confronting or cause distress.
Description: Fear based models of PTSD have dominated research and clinical approaches to PTSD since the 1990s. The role of overwhelming horror, injustice, embitterment and shame emerge as alternative pathways to traumatic stress injury and the role of such emotions in addition to exposure to ‘life threat’. This session will provide attendees with an overview of research in moral injury which aims to expand treatments for PTSD to better address role of these forms of traumatic stress injury.
What's the evidence base for this resource: Professor Zachary Steel is a recognized academic researcher at the University of New South Wales. We have a high degree of confidence in the information presented.
Does not provide any advice on how this could be addressed at an organisational/primary prevention level.
Where it comes from: Recorded as part of WorkSafe Tasmania PTSD: "Mental Health Matters" Conference, 14th October 2019
Content Warning: These videos address issues relating to post traumatic stress disorder and other mental health conditions. Please be aware that presentations may contain content and imagery that may be confronting or cause distress.
Description: This set of Supervisory Guides provides advice on creating trauma informed workplaces that are disability inclusive for both staff and clients.
The four themes covered are:
Part 1: Hiring
Part 2: Onboarding New Staff
Part 3: Supervision
Part 4: Supporting Staff with Boundaries and Safety
Downloadable from the Boston Area Rape Crisis Center website.
What's the evidence base for this resource: These are practice based resources, developed from the experiences of partner organisations.
Potential uses and limitation: They are best used along with in-person, interactive training to allow executive leadership, human resources, and supervisors the opportunity to practice skills and discuss challenges and ideas with each other. Particularly helpful to support supervisors prepare for conversations about both accessibility and vicarious trauma with new staff members.
Where it comes from: US based coalition MASS (Movement for Access, Safety & Survivors),
Description: The (US based) Resiliency Project engaged researchers, educators, and
practitioners from the child abuse field in a collaborative effort to
develop, implement, and evaluate an organisationally based program to
build resiliency in staff and volunteers. Twelve service organisations participated in the project.
Key to the project were the pilot "resiliency coaches" who evaluated all training and technical assistance products related to the organisational program model.
The model identified 5 key themes- self-knowledge and insight, sense of hope, healthy coping, strong relationships, and personal perspective and meaning- that can be promoted in the culture of organisations.
What's the evidence base for this resource: Evaluation conducted by the Institute on Domestic Violence and Sexual Assault (IDVSA) at the University of Texas School of Social Work.
Potential uses and limitation: It includes
examples of specific interventions implemented under the categories of
Policy, Supervisory Technique, and Competency-based Training. There are a range of training and reflection exercises that could be useful in supervision contexts. Suggested practice examples range from personal reflections, through to policies that promote staff well being.
Where it comes from: Institute on Domestic Violence and Sexual Assault (IDVSA) in the Center for Social Work Research, School of Social Work
Description: Guidelines on developing organisational strategies to support families of workers. Includes a handout/brochure for families with informaiton on Vicarious Trauma.
What's the evidence base for this resource: Guidelines based on current evidence and experience of the US Office for Victims of Crime Vicarious Trauma Toolkit.
Potential uses and limitations: Intended for practical use by organisations looking to establish or enhance support for families of staff in trauma related workplaces.
Where it comes from: Developed by the US Department of Justice's Vicarious Trauma Toolkit
The CPSU gratefully acknowledges the U.S. Department of Justice, Office of Justice Programs, Office for Victims of Crime, for allowing us to reproduce. in whole, the Family Support Guidelines for a Vicarious Trauma-Informed Organization. This article was prepared by the Office for Victims of Crime.
Description: Information page on prevention of workplace stress and trauma covers the topics:
What can I do if I'm experiencing work-induced stress or trauma?
What's the evidence base for this resource Does not directly cite any research literature. However 1800 Respect is a well established, high profile organisation and the information presented is broadly consistent with the evidence on staff wellbeing.
Potential uses and limitations The information is presented as dot point summaries of key themes. There are specific strategies suggested for primary prevention in relation to vicarious trauma. May be useful as a discussion starter.
Where it comes from 1800RESPECT is the Australian national sexual assault, domestic and family violence telephone counselling service.
Description: Detailed guidebook for starting a support group for family members of police. However as a set of guidelines, has wider potential applicability (e.g. Youth Justice workers, Corrections Officers).
What's the evidence base for this resource: The guidelines are based on case examples, the experiences of the project team, and consultation with relevant stakeholders.
Potential uses and limitations: Is very practical and detailed, going through a range of steps and considerations for establishing family support groups. May need some adaptation for an Australian context, and for settings other than police.
Where it comes from: International Association of Chiefs of Police. 2019. How to Start a Law Enforcement Family Support Group: Insights and Considerations. Washington, DC: Office of Community Oriented Policing Services.
How to start a support group for families
Description: Describes the implementation of a staff self-care program across a large organisation. While many strategies were in some senses individual level, the key point was that the organisation provided the time and legitimacy for staff to participate in the activities.
Talking points:
p306: In an organisational setting, the assessment of personal trauma histories and other intra-individual characteristics typically is not appropriate or feasible.
p306: Hypothesis: Workers in organisations where there is little control over workload and sources of support (e.g., hospitals, outpatient public mental health clinics, government social services) and whose personal values may be in conflict with organisational goals (e.g., military mental health therapists, prison psychologists) would be more susceptible to burnout in comparison with workers who are self-employed, or where there is a better 'value fit'.
Link to abstract: http://journals.sagepub.com/doi/10.1177/0011000010381790