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Emotional CPR (eCPR)Goal: to train people to assist others through an emotional crisis and to make

this practice accessible to people around the world

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What comes from the heart goes to the heart..

~ Samuel Taylor Coleridge

Being with

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What is eCPR? A public health education program which prepares members of the public to assist a person who is experiencing an emotional crisis

Why eCPR? • There is a vast and compelling need for the general public to learn how to

assist any person who is experiencing an emotional crisis.

• Just as a person’s physical heart needs attention in a cardiac crisis, a person’s emotional heart needs attention in an emotional crisis.

eCPR is a form of heart-to-heart connection for emotional resuscitation.

(page 3 in the workbook)

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The three elements of the practice of eCPR

C = Connect with Compassion and Concern to open up Communication

P = emPower to experience Passion, Purpose, and Participation in Planning

R = Revitalize one’s sense of belonging in community through Reestablishing equilibrium and balance and Reconnecting to Relationships, Routines, and Roles

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Foundations of eCPR

1. Trauma-Informed 2. Mutual Support 3. Community Inclusion4. Strengths-Based5. Relational Safety6. Ten Components of Recovery (SAMHSA)7. Cultural Empathy8. Dialogical Theory and Practice

(pages 4-12 in workbook)

What is a Trauma-Informed Approach (TIA)?

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(pages 5-9 in workbook )

TRAUMA

Has lasting adverse effects on

functioning and wellbeing

Can be community and/or inter-

generationally based

Results in disconnection and disempowerment

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Similarities in the Values of eCPR and Trauma Informed Approaches (TIA)

eCPR Values Description TIA Values1 Description

HopeWhen the supporting person holds hope, the person in distress often begins to feel hopeful.

Hope Gaining an awareness of the increased possibilities for life.2

Authenticity and Emotional

Security

A relationship of honesty and authenticity creates a genuine healing space.

Emotional Security

Before healing can begin, a person must feel emotionally safe.

EmpowermentBy speaking from our heart, and receiving acceptance and support, we gain a more powerful sense of self.

Voice and Choice,

Empowerment

Self-determination and self-direction are the foundations for healing.

Individualized

Healing comes through a person exercising their strengths, including a capacity to learn and make choices based on their deepest values and dreams.

Individualized

Trauma-informed approaches provide people with information, tools, and skills to enhance their own healing capacities and resources.

Holistic

Healing from distress encompasses an individual’s whole life as reflected in their mind, body, spirit, environment, and community.

Inclusiveness and Shared

Purpose

Trauma-informed approaches can be applied to the entire range of services, supports, and settings in which a person lives.

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Similarities in the Values of eCPR and Trauma Informed Approaches (TIA) cont..

eCPR Values Description TIA Values1 Description

Mutual Support and

Inclusion

Mutual support and understanding help us heal, move towards what is possible, and to greater community inclusion.

Peer Support and Mutual Self-

Help

Mutual support groups and survivor-operated services provide important resources for healing.

Collaboration and Alliance

Building

Building trust and respect facilitates shared decision-making and alliance-building.

CollaborationHealing happens in relationships that are based on equality, mutual respect, and collaboration.

Cultural Empathy

To appreciate the cultural context, we strive to suspend our own beliefs and biases so as to deepen our empathic response through mutuality and understanding.3

Cultural, Historical, and Gender Issues

Trauma and healing are strongly affected by the unique history and cultural identity (including gender), of each individual.

Respecting Rights

To facilitate healing, we attempt to protect the rights of all people to respectfully express their unique selves.

Trustworthiness and

Transparency

Individuals, organizations, and groups need to operate in an open, transparent, and trustworthy manner in order to support healing.

1 Thank you to Andy Blanch for providing a starting point for trauma-informed values and descriptions.2 PowerPoint presentation by Mollie Michelfelder, LISW and Eileen Swoboda, LISW Copyright 2012 Trauma Informed Care Stakeholders’ Group Training

Subcommittee, 2013 Annual Meeting. 3 Ridley, C. R., & Lingle, D. W. (1996). Cultural empathy in multicultural counseling: A multidimensional process model. In P. B. P. J. G. Draguns (Ed.), Counseling

across cultures (4th ed., pp. 21–46). Thousand Oaks, CA: Sage.

Cultural Empathy

Start where the person is …

Be sensitive to cultural difference …

Use respectful inquiry…

Avoid assumptions about what may or may not be helpful …

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Suicide Prevention and eCPR

Restoring hope and regaining a sense of possibility

Developing any plans together: Collaboration not coercion

(pages 53-56 in workbook)

Some questions you might ask:

What has happened to cause you to feel this way?

How can I support you right now?

Has anything or anyone helped you in the past when you’ve felt this way?

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Ear

The Chinese character for the verb

to listen

Heart

Eyes

Undivided Attention

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Six Features of Dialogue*

1. Use your authentic voice2. Listen together3(a). Respect the whole person3(b). Respect and embrace differences4. Keep an open mind/Suspend your belief5. Dialogue is heart-to-heart6. Equality and freedom of choice

*Features 1-4: W. Isaacs, 1999; Feature 5: Daniel B. Fisher; Feature 6: Yankelovich, 2001.(page 10 in workbook)

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I WILL USE MY EYES, MY EARS AND MY HEART TO FEEL YOUR PRESENCE IN MY BEING (Connecting)

I WILL SHARE MY EMOTIONAL RESPONSE IN BEING WITH YOU, AND I WILL STAY WITH YOU (Connecting)

I WILL NOT FIX YOU OR JUDGE YOU BUT BE WITH YOU (emPowering)

I AM NOT SURE WHAT IS BEST FOR YOU BUT TOGETHER WE WILL UNCOVER YOUR POWER (emPowering)

WE ARE CREATING LIFE TOGETHER IN THE PRESENT MOMENT (Revitalizing)

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Emotional CPR (INTENTIONS)

Role Plays & eCPR • Practicing how to connect with someone in distress is

an essential process of learning eCPR.

• While the role play is being performed, two people are assigned to observe and then reflect on the communication style and connection between the two performers.

(page 26 in workbook)

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Role Plays & eCPR (Cont)• Ideally, a reflecting team of two participants is

assigned for each role play. If there is only one observer, then that person can form a reflecting team either with a facilitator or a trainer.

• The role plays allow participants to apply the eCPR approach, see how it complements or contrasts with other approaches, and practice their understanding of eCPR.

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The Reflecting Team

• When it seems useful, the reflecting team gently asks the role players to pause and engages in dialogue on what they have felt and observed in the role play.

• Once the role play has ended, the role play participants and observers reflectively dialogue on what they learned based on what went well, including discussion on how additional eCPR skills might have been used in the interaction.

(pages 27-28 in workbook)

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Reflecting During Role Plays

When providing feedback to the other members of your small group:

1. Start with one or two examples of what you liked, the “sandwich technique”

2. Then note anything that you think might have been more effective if done differently,

3. End on a positive note of what went well

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More Tips on Reflecting

4. When giving reflections, the reflecting team member should look at the other member of the reflecting team and not at the role players.

5. Use speculative language when reflecting, such as “I wonder if…” or, “I’m curious about…”

6. Share some of the emotions you experienced when observing the role play, this can help the role players better understand the reflections being made.

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Being Prepared to Provide eCPR

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A. Internal eCPR: Taking care of ourselves, being centered, grounded, relaxed, in touch with our inner self

Wellness practices: meditation, exerciseParticipating in a loving community

B. Learning to "be with” the strong emotions expressed by a person in distress

Opening our heart and our mind to what the person in distress is expressing.

Encouraging self-expression as an essential component of the healing process.

(pages 16-17 in workbook)

C = Connect

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Why is it important to be your real, authentic self?

In crisis, that is what is most important – a gift, a tool, a way to be.

It gives the other person permission to experience their “realness.”

We are often hidden behind a mask. Our real selves are yearning for expression.

Often a crisis occurs because the real self hasn’t been allowed to surface. Much distress is what preceded it; the event gives an opening.

We can be with people so their real selves are comfortable.

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Essential Connecting Processes

a. Cultivating a hopeful and positive attitude, especially regarding the future

b. Knowing when to offer the “gift of verbal silence” (while richly communicating nonverbally)

c. Creating an emotionally safe relationship and communicating care

d. Listening and staying present on a deep level

e. Practicing curious inquiry and open-mindedness

Essential Connecting Processes (cont.)

f. Being attuned to the other person’s feelings and emotions while remaining centered and grounded in your sense of self

g. Being willing to step out of your comfort zone to “be” with another person

h. Taking into account any barriers and opportunities affecting the connecting process

i. Meeting people where they are

j. Willingness to share one’s own emotions without overwhelming the person in distress

(page 29 in workbook)Slide #25

P = emPower

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As the individual in emotional crisis begins to feel safe and is able to speak it is important that they begin experiencing their capacity to return to life in the community.

As a supporter we want to invite people to remember that they have power and they can access that power in their lives.

We are more capable and resourceful then we may feel – this realization enables people to shift from distress to power and passion.

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a. Collaborating (“powering with”) rather than directing (“powering over”)

b. Facilitating access to inner wisdom

c. Inspiring motivation and change

d. Facilitating the transformation of anger and/or fear into passion and strength

(page 33 in workbook)

Essential emPowering Processes

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Essential emPowering Processes (cont.)

e. Helping tap into courage and power

f. Sensitively reframing crisis as opportunity

g. Encouraging self-determination, such as by asking what “help” looks like

(page 33 in workbook)

R = Revitalize

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Encourage the person to begin to engage in relationships, to resume or begin roles in their family or community.

“You need to give to life to get a life.”

Emotional distress provides people with an opportunity to make a change in their lives.

It may be a time of searching for meaning or purpose.

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Essential Revitalizing Processes

a. Helping to identify and connect to the “vital center” that brings meaning and purpose to a person’s life

b. Encouraging another to take small steps in the direction of their dreams

c. Facilitating connections in the community to enhance or reestablish roles, relationships, and routines

(page 38 in workbook)

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Essential Revitalizing Processes (cont.)

d. Helping another to experience a sense of liveliness returning after being emotionally numb

e. Encourage expression of a creative outlet

(page 38 in workbook)

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Thank you!

Websites:

eCPR: www.emotional-cpr.orgE-mail: info@emotional-cpr.orgPhone: (877) 246-9058 (Toll Free)Direct line (Spanish/English): (714) 948-3513

National Empowerment Center (NEC): www.nationalempowermentcenter.orgNational Coalition Mental Health Recovery (NCMHR) www.ncmhr.org