Spiritual Assessment: A Manager Friendly Framework

1. Spiritual Assessment: A Manager Friendly Framework NACC Presentation April 6, 2008

2. Rose Shandrow, M.Div. Director, Spiritual Care Services Franciscan Health System Tacoma, WA Gordon J. Hilsman, D.Min. Manager of CPE St. Joseph Medical Center Tacoma, WA Introductions:

3. Integration of Spiritual Care • Catholic Health Initiatives: Measures of Chaplain Performance and Productivity: Task Force Report published June 2002 • Develop a common language to articulate what chaplains do and the value added • Develop tools for managing performance and productivity • Promote the professionalism of chaplains and the integration of spiritual care

4. Person (Healthcare View) Soul Mind • Body

6. Objectives Framework of Spiritual Assessment Chaplain Functions Spiritual Care Outcomes Benefits of Framework

7. Assumptions-Spiritual Care • Recordable • Establish Rapport first • Needs Focus (ad sedio) • Partnering Endeavor • Continued Learning

9. Assumptions-Spiritual Care • Recordable • Establish Rapport • Needs Focus (ad sedio) • Partnering Endeavor • Continued Learning

10. Rapport First

11. Assumptions-Spiritual Care • Recordable • Establish Rapport • Spiritual Needs(ad sedio) • Partnering Endeavor • Continued Learning

12. Spirituality All that an individual values, practices, believes, and decides in order to cope with and enjoy what can’t be controlled, including relationships with oneself, other people, Transcendence and communities of importance

13. Ministry to Spiritual Need • A ministry event consists of a person functioning as a caregiver addressing the spiritual need of another person experiencing a difficult life situation. • Spiritual needs are seriously unsettling challenges to the human spirit of a given individual.

14. Assumptions-Spiritual Care • Recordable • Establish Rapport • Needs Focus (ad sedio) • Partnering Endeavor • Continued Learning

16. Basic Axis Questions • What does this person need emotionally right now? • What has this person lost, recently and historically? • What are the ways this person maintains and nurtures her own human spirit? • What does this person need that may be beyond my relationship with him?

17. Axis One:Emotional Support What does this person need emotionally right now, (from me)?

18. 1. The Crisis Need for Stabilizing 2. The Expression Need to Engage and Share 5. The Regression Need to be Empowered EMOTIONAL SUPPORT 4. The Bewildering Need for Basic Information 3. The Anxious Need of Waiting Too Long

19. 2. The Expression Need to Engage and Share Needing to cry, yell, share, or just tell somebody how you feel about what is happening to you

20. 2. An Expressing person Function Desired Outcomes • Talks openly • Expresses Feelings • Cries • Relaxes • Considers Resources Supportive Validating

21. 4 - W a i t i n gUpset feelings from waiting too long in an important situation

22. 4. A person who is waitingtoo long Function Desired Outcomes • Expresses situation • Prays • Acknowledges limitations • Thankful • Calm Presence & Networking

23. Axis Two:Loss and Grief What has this personlost, recently and historically, that still disturbs her/him at times?

25. 7 - Prior Grief Major past loss being currently grieved

26. 7. Prior Grief Function Desired Outcomes • Mentions previous loss • Expresses emotion • Receives validation • Shares reminiscences • Cries while talking about the lost loved one • Receives referral for further grief assistance • Expresses greater hope Grief Counseling

27. Grief Counseling Outcomes(%)

28. Axis Three:Spiritual Resources How does this person maintain and nurture her own human spirit?

30. 11 - Religious Support The Need to feel the immediate positive presence of Transcendence

31. Person who is needing God Function Desired Outcomes • Sacrament/ spiritual ritual • Spiritual leader of choice • Religious questions/problems • Prays Religious Support

32. 15 - EstrangementNeed to re-connect with separated loved ones

33. A person regrettingestrangement Function Desired Outcomes • Talks about an estranged relationship • Agrees to receiving contact with an estranged person • Agrees to take initiative to contact an estranged person • Accepts the adequacy of one’s efforts at reconciling Reconciling

34. Axis Four:Advocacy and Referral What does this person need that may be beyond my relationship with her/him?

36. 19 - Mental Health/AddictionsNeed to explore concerns about one’s mental health or mood altering chemical abuse

37. 19.Person with mental illness or addiction concerns Function Desired Outcomes • Concern verbalized • Feelings expressed • Calm conversation • Accepts consultation Referral

38. 21. Love Life PainNeed for listening, advice or referral about one’s love life

39. Intimate Spirituality: The Catholic Way of Love and Sex by Gordon J. Hilsman Available from Sheed & Ward, a subsidiary of Rowman and Littlefield www.rowman.com www.intimatespirituality.com www.sermonsfromthebed.com Or 253-565-4992

40. Benefits of the Spiritual Assessment Framework Documentation Training Resource Measurement Source

41. Spiritual Assessment Form What are the needs? What did we provide? What is the plan of care?

42. Data Collection Tool

43. Pastoral Care EncountersDepartment Able to identify the workload of the chaplains

44. Types of Referrals

45. Spiritual Care Needs Addressed

46. Types of Functions to Address Needs

47. Types of Functions to Address Needs

48. Types of Functions to Address Needs

49. Types of Functions to Address Needs

50. Chaplain to Department Comparisons Chaplain Ima Nun Department