Homelessness and Health Conference: Self-Care for Resilience

1. HOMELESSNESS AND HEALTH CONFERENCE Self Care Tal Lewin Hannah Bishop

2. HOMELESSNESS AND HEALTH CONFERENCE Self Care Why talk about it?

3. HOMELESSNESS AND HEALTH CONFERENCE • Calgary Study 2016 • 245 participants • 2/3 had worked for less than 5 years in the sector. • 36% of staff had symptoms of PTSD significant enough that would likely lead to a diagnosis of PTSD

4. HOMELESSNESS AND HEALTH CONFERENCE Stress Arousal Curve

5. HOMELESSNESS AND HEALTH CONFERENCE Stress effects your brain! • Cortisol=increased size of amygdala (which pairs emotional events with feelings) Raised cortisol increases negative emotions, fear, anxiety and aggression. Increased stress levels also reduce the size of the hippocampus which decreases our capacity for learning, our memory and our ability to regulate emotions

6. HOMELESSNESS AND HEALTH CONFERENCE How do we keep perspective? How well do we know ourselves?

7. HOMELESSNESS AND HEALTH CONFERENCE How do we keep perspective?

8. HOMELESSNESS AND HEALTH CONFERENCE What do you do to keep perspective? • How does stress impact your • habits • relationships • personality • what do u stop doing • what do you start doing? What helps you let go? What is life-giving? What are your tools? Unbalanced / struggling with the stress Balanced / managing the stress well Where are you on the line?

9. HOMELESSNESS AND HEALTH CONFERENCE How well do we know ourselves? The Enneagram

10. HOMELESSNESS AND HEALTH CONFERENCE Enneagram – Type 1…The Perfectionist • Risk Factors for Burnout:  • Working in an environment where integrity & respect are lacking • Being obsessive/compulsive regarding charting and tasks • Feeling guilty when relaxing and not being “productive” • Having difficulty delegating and trusting others to do a good job • Having a harsh inner critic

11. HOMELESSNESS AND HEALTH CONFERENCE Enneagram – Type 2…The Helper • Risk Factors for Burnout:  • Becoming overcommitted • Having difficulty saying “No” and setting boundaries • Allowing others to take advantage of the desire to please • Losing focus on your own needs and wants • Being overly empathic and suffering compassion fatigue

12. HOMELESSNESS AND HEALTH CONFERENCE Enneagram – Type 6…the Loyalist/Questioner • Risk Factors for Burnout:  • Over-working and preparing in order to exceed expectations • Worrying about patients and catastrophizing • Focusing on problems instead of possibilities • Staying in a bad situation out of loyalty • Being uncomfortable with uncertainty – (change is hard) • Experiencing self –doubt (second guessing decisions)

13. HOMELESSNESS AND HEALTH CONFERENCE Resilience…. ‘the ability to bounce back and adapt’

14. HOMELESSNESS AND HEALTH CONFERENCE Resilience Pyramid • Positive choices • Life-work balance • 5 steps to wellbeing • Mindfulness Modify and Prevent Prevention is better than cure You will serve yourself well if you put your energy into this area Choose a response With practice, we can choose and gain more control over how we respond to stress.

15. HOMELESSNESS AND HEALTH CONFERENCE Victor Frankl Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.

16. HOMELESSNESS AND HEALTH CONFERENCE Resilience Pyramid • Positive choices • Life-work balance • 5 steps to wellbeing • Mindfulness Modify and Prevent Prevention is better than cure You will serve yourself well if you put your energy into this area Choose a response With practice, we can choose and gain more control over how we respond to stress. • practise and choosing • Self-awareness • Enneagram Manage the Symptoms • Coping strategies • Be aware of unhealthy strategies

17. HOMELESSNESS AND HEALTH CONFERENCE You are not alone Talk Fruit and Chocolate! Grant me the serenityto accept the things I cannot change; courage to change the things I can and wisdom to know the difference.