Self-Management and Stress Care

Presented By:Chaplain Jim CrowleyCentral Oregon Police

Chaplaincy

A Word about the Title – most folks don’t care what the Sermon Title

is!!!

Self Management Premise!

Stress Care Challenge!

Self-Management and Stress Care

The Focus for this session is to Challenge the Veteran Chaplain to

Reevaluate their present Stress Care.

Self ManagementI want to propose that there is a

posture for Healthy Self.What is a Definition for a Healthy Self?Discovering Balance on a Foundation of

Faith! Exercise! – 3 ingredients of Health?

______________________________What constitutes the health of a Care

Giver? Balance – Stability (emotionally) Focused - Exercise

______________________________

Self ManagementWhat is the foundation of

the Care Givers Health – History, Stress Levels – Illustrate that a marriage is impacted by the history/past child years of each participant.

Illustrate – Returning Veterans that take junk over to a war zone bring more junk back!

Self Management Most if not all of our agencies

require a Psychological Background be accomplished.

My Inquiry is not to disqualify potential chaplains but to bring to the table this dialogue that our present health, past influences will make an impact on our ability to serve and support our agencies.

The Platform• You Can’t Marry Everyone You Feel

Sorry for! Dr. Curtis Smith• It’s not nearly as important what

happens to you as much as what happens in you! Fanny Crosby

• Things will either make us Better or Bitter. Jim Crowley

• I Never known God to use a Discouraged Person! D.L. Moody

Stairway to the Platform

• Do Bugs Have Tennis Shoes? Dylan Wyland

• If this is Space where are the Spacemen? Michael Crowley

• Rapidly Recover from Disappointment and Discouragement. Dr. Jim Diehl

Chaplains and Self Care – the Paradox

Premise – First Responders have the Potential to become unhealthy. Explain FINE!!!

Healthy Life style will provide the opportunity to establish a healthy relationship with the Agency.

Chaplains and Self Care – the Paradox

• It is a Lifestyle!• We have adapted in our

scheduling the need to use the ICISF symptoms chart as an Indicator for Health – Illus.

CRITICAL INCIDENT STRESS INFORMATION SHEETS

You have experienced a traumatic event or a critical incident (any event that causes unusually strong emotional reactions that have the potential to interfere with the ability to function normally). Even though the event may be over, you may now be experiencing or may experience later, some strong emotional or physical reactions. It is very common, in fact quite normal, for people to experience emotional aftershocks when they have passed

through a horrible event.Sometimes the emotional aftershocks (or stress reactions) appear immediately after the traumatic event. Sometimes they may appear a few hours or a few days later. And, in

some cases, weeks or months may pass before the stress reactions appear.The signs and symptoms of a stress reaction may last a few days, a few weeks, a few

months, or longer, depending on the severity of the traumatic event. The understanding and the support of loved ones usually cause the stress reactions to pass more quickly.

Occasionally, the traumatic event is so painful that professional assistance may be necessary. This does not imply craziness or weakness. It simply indicates that the

particular event was just too powerful for the person to manage by himself or herself.Here are some common signs and signals of a stress reaction:

* Any of these symptoms may indicate the need for medical evaluation. When in doubt, contact a physician

ICISF Symptoms ChartPhysical* Cognitive Emotional Behavioral Spiritualchillsthirstfatiguenausea faintingtwitchesvomitingdizzinessweaknesschest painheadacheselevated BPrapid heart ratemuscle tremorsshock symptomsgrinding of teethvisual difficultiesprofuse sweatingdifficulty breathingetc…

confusionnightmaresuncertaintyhypervigilancesuspiciousnessintrusive imagesblaming

someonepoor problem

solvingpoor abstract

thinkingpoor attention

/decisionspoor

concentration /memory

disorientation of time, place or person

difficulty identifying objects or people

heightened or lowered alertness

increased or decreased awareness of surroundings

etc…

fearguiltgriefpanicdenialanxietyagitationirritabilitydepressionintense angerapprehensionemotional shockemotional

outburstsfeeling

overwhelmedloss of emotional

controlinappropriate

emotional response

etc…

withdrawalantisocial actsinability to restintensified pacingerratic

movementschange in social

activitychange in speech

patternsloss or increase

of appetitehyperalert to

environmentincreased alcohol

consumptionchange in usual

communications

etc…

anger at Godquestioning of

basic beliefswithdrawal from

place of worship

crisis of faithfaith practices

and rituals seem empty

loss of meaning and purpose

uncharacteristic religious involvement

sense of isolation from God

anger at clergyreligious

obsessionsreligious

compulsionsreligious

hallucinations or delusions

etc…

Chaplains and Self Care – the Paradox

• The Potential for a Train Wreck is Heavy on our Hearts –

• But we don’t schedule Train Wrecks!!!

• What do we Schedule?• Stress Management Bible Study• Stress Management Exercise• Stress Management Self Care• Latte's !

Crisis InterventionCrisis InterventionGoals: To foster natural

resiliency through…

1. Stabilization2. Symptom reduction3. Return to adaptive functioning, or4. Facilitation of access to continued care

(adapted from Caplan, 1964,Preventive Psychiatry)

Strategic Planning Formula

1. THREAT (What is the incident?)2. TARGET (Who should receive services?

ID target groups.)3. TYPE (What interventions should be

used?)4. TIMING (When should the interventions

be implemented, with what target groups?)

5. RESOURCES (What intervention resources are available to be mobilized for what target groups, when? Consider internal and external resources.)

Chaplains and Self Care – the Paradox

• Plan for the Paradox – place the management of self in your schedule. Tackle the Plan Daily.

• Involve others in your plan – Family, Physicians, and Accountability Friends – Agency Leadership.

• We recently encouraged officers to accomplish a brief survey for our chaplaincy! ILLUS: 2010 COPC Evaluation Survey – Self Talk!!!

Chaplains and Self Care the Proposition – Do we know how to play in the sand

box?• How does my present overall health affect my

abilities to cope with Stress?

• Could it be that what we need to really combat the Stress Management is Self-Management?

• Are we as Chaplains Healthy? Illustrate – OCRT process, preparation and product. Do we know how to play in the sandbox?

Our Faith Discipline -

A Test for Healthy Self Care – Field test

• Do We Compete or Compliment?

• When there are Control Issues?

• What’s my Relationship with Conflict?

• The previous statements reflect our Health.

• How Do You Cope with Stress?

The Proposition at hand might be if I manage self what impact will that make on the ability to induce Stress Care and Manage my stress!!!

Our inability to make peace with our own heart will not be appeased by any amount of Stress Management. We bring the past, the pain and the problems which in and of themselves creates more stress than can be resolved.

If you make poor choices due to a lack of moral compass – there will be stress.

Our Integrity is in question due to our lack of modeling there will be stress.

What the position of our heart?Colonel Grossman in his training with the Marines on more than one occasion identified how the training embedded into their minds that we will survive – we will go home and then he goes on to identify acts of heroism and survival beyond our thinking – why can’t we adopt the same strategy with our hearts – there is a foundation in my heart that will not change – it is my moral compass and it brings me to the posture that mandates my survival. I am convinced that neither Death or Life - I read that somewhere!!!

The Activity of the Chaplain will Test –

• Your Moral Fiber• Your Faith• Your Conduct• Your Character• Your Integrity• Illustrate – let me see this Taser!!!!

Is this how it works!!!! UNTRAINED!

Stress Care for the Law Enforcement Chaplain

• PEACE BREAKERS! What breaks your Peace?

• ICISF Model and influence

Pre-Incident Preparation

• Assessment of risk• Risk reduction• Assessment of physical and

psychological response preparedness

• Training to reduce vulnerabilities • Training to create “resistance”• Training to enhance “resilience” and

response capabilities

Defusing

Defusing means to render something harmless before it can do damage.

A small group intervention applied within hours of a critical incident.

1

Debriefing

Used within the context of CISM, the term “debriefing” refers to a 7 – phase structured small group crisis intervention more specifically named Critical Incident Stress Debriefing (CISD).

1.Introduction2.Fact3.Thought4.Reaction5.Symptom6.Teaching7.Re-Entry

CISM Core Components

Pre-crisis preparation

Demobilizations & Staff Consultation (rescuers)

Crisis Management Briefings (CMB) (civilians, schools, businesses)

Defusing

Critical Incident Stress Debriefing (CISD)

Individual crisis intervention (1:1)

Pastoral Crisis Intervention

Family CISM

Organizational CISM

Follow-up/Referral

Tools for the Trade – Dr. Archibald Hart/ Adrenalin and Stress

0 = this statement does not apply to me1 = It sometimes less than once a month applies to me

2 = It often more than once a month applies to me.Type A Behavior Pattern Test

1.I tend to speak faster than others often times finishing the sentences for them.2.My Friends or my spouse says I eat too fast.3.I Tend to get very upset when I loose a game.4.I am very competitive in work sports or games5.I Tend to be Bossy and Dominate others.

7. I prefer to lead rather than follow.8. I feel pressed for time even when I am not doing something important.9. I become Impatient when I have to wait.10. I tend to make decisions quickly even impulsively.11. I regularly take on more than I can accomplish.12. I become irritable even angry more often than most other people.

Adrenalin and StressThe exciting new breakthrough that helps you

overcome stress damage!Dr. Archibald D. HartWord Publishing 1991

Interpretation Key• 0-5

• 6-10

• 11-16

• You are definitely not a Type A

• You show Occasional signs of Type A Behavior – you may have some irritation or something maybe getting to you at work

• Definite signs of Type A and may be Distressed – at the higher end of this score you may be prone to excessive Adrenalin Recruitment???!!!

Interpretation Key• 17-

24• Not Only are you a Type A

person you are living Dangerously! Life may be miserable for you or it may be very exciting. Either way you are likely to develop Cardiovascular Deterioration if you do not change your behavior pattern. IF you smoke or have a family history – see a physician!

Tools for the Trade – David Seamands/ Forgiveness Test

• Healing for Damaged Emotions

• Matt 18:23-35– Resentment Test – you’ve never

let off the hook– Responsibility Test – I wouldn’t

be here if it weren’t for them!– Reminder and Reaction – you

remind me of ... Reaction!

Sobering Statement!“Among all my autopsies(and I have performed well over a thousand), I have never seen a person who died of old age. In fact, I do not think that anyone has died of old age yet. To permit this would be the ideal accomplishment of medical research …… to die of old age would mean that all the organs of the body had worn out proportionately, merely by having been used too long. This is never the case. We invariably die because one vital part has worn out too early in proportion to the rest of the body …. The lesson seems to be that, as far as man can regulate his life by voluntary actions, he should seek to equalize stress throughout his being! The Human body like the tires on a car or the rug on a floor wears longest when they wear evenly!Hans SelyeThe Stress of Life

The Good, Bad and the Ugly!

• Addictive Behavior – every program begins with this premise – Do You Want To Get Help. It concludes with this premise – I am not an Island.

• Workout!!!• Eating – YIKES – Real Age Website -

RealAge health@realage-mail.com• Your Schedule Reveals Your Priorities

– your self management and stress care!

Stress Unmanaged • Affects our BP• Creates a Culture Dish for an

assortment of Disease including:– Diabetes– Cancer– Cardiovascular – Nerve Disorders– You’ll be Sick All the time!!!– Alzheimer’s – Dr. David Samati/ Mt Sinai

Medical Center - Fox News http://video.foxnews.com/v/1714885786001/

CHOOSE Your Stress

• Dr. Hardy Powers - Don’t Jump Off a Bridge to Rescue a Hat!!! Jump off a bridge to save a child and you are a hero – if it’s a hat you are a fool!

• We have a Choice just before we kick in the adrenalin – choose wisely.

Conclusion:• “To be deeply and lastingly happy we have to

love something and be loved by someone outside of ourselves … we can never find real or lasting happiness while we live outside of God.” Dr. Archibald Hart

• Identify what Troubles Your Heart?• Identify the Peace Breakers.• Choose to evaluate your foundation – maybe

that section needs to be repaired or replaced!• Choose to Influence your world with Self Care

and allow the Stress to be Managed.

• Create Some Harmony for your life

Bibliography

• Adrenalin and Stress – Dr. Archibald D. Hart BOOKS AND MATERIALS ORDER FORM AVAILABLE.

• Healing for Damaged Emotions – David A. Seamands

• Psychological Body Armor - Dr. George S. Everly & Dr. James T. Reese

• Pastoral Crisis Intervention – Dr. George S. Everly

• ICISF PCI,SMTSP,CISM IND

Central Oregon Police Chaplaincy

“Serving the Hearts and Minds of Central Oregon's First Responders”

COPC Office; 325 NE Kearney Ave.COPC Office; 325 NE Kearney Ave.

Bend, OR 97701Bend, OR 97701

COPC (Mail); PO Box 1898COPC (Mail); PO Box 1898

Redmond, OR 97756Redmond, OR 97756

Chaplain Jim Crowley; (541) 410-6128Chaplain Jim Crowley; (541) 410-6128

jbcrowley@bendbroadband.comjbcrowley@bendbroadband.com