clinical manager firstcall/crisiscall - ibm · clinical manager first. call /crisis. call. ibm....

34
Words & actions that create the human aspects of Business Continuity Presented by Mandy Rutter Clinical Manager FIRSTcall/CRISIScall IBM Wednesday 7 th February 2007

Upload: vanhuong

Post on 12-May-2018

220 views

Category:

Documents


4 download

TRANSCRIPT

Page 1: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

Words & actions that create the human aspects of Business Continuity

Presented by

Mandy RutterClinical Manager FIRSTcall/CRISIScall

IBM

Wednesday 7th February 2007

Page 2: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

About ICASEmployee Support and well-being company

ICAS works with organisations throughout the worldto enhance employee well-being, improve performance

and reduce the costs associated with human behaviour.

Employee assistance and well-being programmes, critical incident services, expatriate support and

training.

Page 3: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

CRISIScall EXPERIENCEUNITED KINGDOM

• Rail Crashes Ladbrook GroveHatfieldSelby Potters Bar Tebay

• Detention Centre fire

• Oil refinery explosion

• Terrorism London nail bombsOmaghManchesterLondon Transport Bombings

INTERNATIONAL

• Air disasters GreeceBahrainZurichLisbonSpain

• Terrorism & Sept 11th

Unrest NigeriaMadrid

• Natural Asian Tsunamidisasters Turkey Earthquake

Page 4: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

On a daily basis we provide organisations with psychological support following:

• Armed raid

• Death of employee after long-term illness

• Sudden death of employee

• Suicide of employee

• Death of close relative of employee

• Assault on staff

• Death of a customer on premises

• Organisational change

Page 5: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

Human capital risks associated with crisis situations.

Human Capital RisksCompassionManagement

Ability

to at

tend w

ork

Ability to deliver critical

internal services

Ability to maintain

Business operations

Health & Safety Concerns

Transportation

Trauma

Employee

trackingSuccession

& training

Communications

Payroll

Core Values

Compassio

nate

Managem

ent

Compassionate

Communication

Resilience

Work/life balance

Page 6: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

“When we get the final number it will be more that we can bear”

Page 7: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

“Sept 11th 2001, statement by mayor of New York, Rudi Giuliani, indicating the number of fatalities in

the bombing of the World Trade Centre.”

Page 8: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

“She was the People’s Princess and that’s how she will stay: how she

will remain in our hearts and in our memories for ever”

Page 9: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

“31st August 1997, statement by the Prime Minister Tony Blair following the death of

Diana, Princess of Wales”

Page 10: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

COMPASSIONATE COMMUNICATION

‘Sustained and practical determination to do whatever

possible and necessary to help alleviate distress and suffering

and promote well-being and recovery’

(Rinpoche 1992)

Page 11: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

“By openly demonstrating their own humanity, executives can unleash a

compassionate response throughout the whole company,

increasing bonds among employees and attachments to the

organisation”

Page 12: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

WHY ARE HUMAN FACTORS IMPORTANT

• Because it’s the people who answer the phone, use the computer and talk to the customer

• Because it’s the opinion, attitudes and behaviour of people that determine the success of business recovery in the short and long term

• Because managers who demonstrate compassionate management after a crisis are more likely to positively affect staff morale and productively

• Because your share-holder value depends on it.

Page 13: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

IMPACT OF CATASTROPHE ON SHAREHOLDER VALUE

Knight and Pretty, (1996)

• Recovers

• Non-recovers

Page 14: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

SHAREHOLDER VALUE REACTION TO DISASTERS

60

50

40

30

20

10

0

-10

-20

-300 20 40 60 80 100 120 140 160 180 200 220 240 260

Event Trading DaysRecoverers Non-recoverers

Valu

eRea

ctio

n (%

)

Page 15: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

“ In crises, the key determinant of whether a company’s reputation and share value will recover depends on the ability of the:

“ Those companies which prepare and react appropriately at the right time have a higher chance of recovery than those which do not ”

“ Companies that use an outside disaster management service provider performed 40% better than those that did not ”

(Knight, 2005)

• CEO to respond with sensitivity and compassion to victims families

• senior management to demonstrate strong leadership and communicate with honesty and transparency ”

Page 16: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk
Page 17: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

France and Germany are united in their grief for the families involved in

this tragedy

Jean-Cyril Spinetta

Air France Chairman

July 2000

Page 18: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk
Page 19: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

WHY ARE HUMAN FACTORS IMPORTANT

Report from HMSO: Lessons from the London bombings (26/09/06)

“More could have been done to spread best practices among employers about how to treat staff after a disaster, particularly to

those suffering from Post Traumatic Stress Disorder.”

They recommend that further improvements could be done by: “Examining how we might build volunteers into the official emergency planning/training process, given that the most

immediate response to any disaster often comes from those people and businesses that happen to be in the immediate area.”

Page 20: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

WHY ARE HUMAN FACTORS IMPORTANT

Report from Institute of Work Psychology (2006)

“When employees have a supportive educational input from their managers post-trauma, their symptoms are

lower at three months and their absence is lower at twelve months, compared with employees who did not

have such an intervention”

Page 21: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

COMPASSIONATE MANAGEMENT

Compassion takes place through 3 sub-processes

• NOTICING: other peoples distress

• EXPERIENCING: your own reaction to distress

• ACTING: in response to the distress

Page 22: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

WHAT IS TRAUMA

• An event that has a psychological impact sufficient to overwhelm the usually effective coping skills of an individual, team or whole organisation.

• Such an event is generally experienced as unexpected, powerful, and extreme.

• People often feel their life is under threat in traumatic events, and it is the perception of the event that causes a range of distressing emotional reactions.

Page 23: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

FIGHT OR FLIGHT RESPONSE

Brain goes into overdrive - absorbs detailed information (vivid visual impressions)

Increased flow of blood to brain, quickens speed of brain activity (incident in slow motion)

Breathing becomes shallow and fast (hyperventilation)

Muscles of jaw, mouth and forehead tense (headaches)

Shut down of feelings (auto pilot/emotional numbness)

Unusual blood flow patterns (hot or cold)

Colon starved of blood (constipation) or Bowels suddenly emptied to lighten body (defecation)

Only parts of brain needed for survival active (think and behave logically and rationally)

Parts of brain active/inactive (event feels disjointed some parts clear others lost)

Pupils dilate allowing extra peripheral vision (means of escape)

Increased heart rate (palpitations /heart attack)

Digestion stops (dry mouth)

Excessive amounts of adrenaline unless able to burn off through intense activity (shaking)

Muscles tense - shoulders, arms, back and legs (muscular pain)

Freeze/immobile body appears limp/motionless (not feel pain /analgesia)

Page 24: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

THE RESEARCHSurvey of high risk occupational groups (Orner et al 2003):

• 80% of employees wanted to talk to someone about the

incident

• 71% prefer to talk to colleague

• 72% prefer to talk to someone close to them

• 9% prefer to talk to independent professional

• 85% prefer to talk in free and flexible manner

Page 25: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

PSYCHOLOGICAL FIRST AID

A ttend to

B asic needs, with

C ompassion

Psychological First Aid – use of pragmatic-orientated interventions delivered during the immediate – impact phase of

a trauma to people who are at risk of being unable to regain sufficient functional equilibrium by themselves

Page 26: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

PRACTICAL HELP

• Protect from further threat and distress (go to a quiet room, privacy)

• Provide whatever care is needed for immediate physical needs (get drinks)

• Provide support for ‘real world’ tasks (make phone calls, cancel meetings)

• Facilitate reunion with relatives and / or work colleagues and friends

• Provide, but don’t over burden with, further information if available

Page 27: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

PSYCHOLOGICAL HELP

• Comfort, reassure and control distress (remain with person throughout)

• Educate on normal responses to traumatic events (fight or flight)

• Recognise the range of trauma reactions (withdrawn, panic, tearful)

• Respect and validate normal post trauma reactions (reassure, understand)

Page 28: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

RESILIENCE

Resilience is a concept concerned with maintaining healthy, adaptive functioning in spite of experienced

risk and stress. It refers to the capacity of individuals, groups or organisations to withstand considerable

hardship and to bounce back in the face of adversity. Resilient people are robust, having the “capacity to be bent without breaking and the capacity, once bent, to

spring back”

(Vaillant, 1993, p. 248).

Page 29: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

Characteristics of resilient people

• Seek help• Build large support networks• Positively reframe experiences• Believe they can affect change• Believe they can recover from stress & trauma• Committed to meaningful goals• Do not commonly use denial, disengagement

to solve problems(Kobasa, Maddi and Khan 1982)

Page 30: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

Approx 50% of public health workers report that they are unlikely to turn out for work during a pandemic…………..

Why? The perception of the importance of their role

Survey of 308 workers in Maryland.

March 2005

Page 31: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

Human reaction of fear and panic in the community which are deeply embedded in a society are very

rarely correlated to the severity of the disease in terms of actual rates

of infection and death.

Page 32: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

• Small probability of death - PANIC

• Enable staff to take control: hygiene, health

• Short, easily digestible material in variety of media

• Educational on how individual behaviour affects others

• Social responsibility – family, work, government

• Managers need to understand their responsibility

• Be prepared for death and bereavement

• Be prepared for recovery

PSYCHOLOGICAL IMPACT OF A PANDEMIC

Page 33: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

How to integrate the human aspects into crisis management:-

- Raise awareness with crisis management teams

- Train Human Resources staff in Psychological First Aid

- Run briefing workshops for senior managers and managers about their role

- Recruit a team of First Responders

Page 34: Clinical Manager FIRSTcall/CRISIScall - IBM · Clinical Manager FIRST. call /CRISIS. call. IBM. Wednesday 7. th . February 2007. About ICAS. ... THE RESEARCH. Survey of high risk

ICAS CRISIScall SERVICE

[email protected]

01908 285285