Understanding vicarious trauma in health care social workers

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Understanding vicarious trauma in health care social workers by Mind Map: Understanding vicarious trauma in health care social workers

1. Personal Connection

1.1. Feelings of hopelessness

1.2. Overwhelming

1.3. Personally draining

1.4. Adding meaning and value to our lives

1.5. Witnessing the distress

1.6. Empathy

1.7. Companionship

1.8. Flashbacks

1.9. Transference

1.10. The need to fix the situation

2. Signs and symptoms of Vicarious trauma

2.1. Cognitive

2.1.1. Negative thinking

2.1.2. Doubt

2.1.3. Difficulty making decisions

2.2. Physical/physiological

2.2.1. Nightmares

2.2.2. Headaches

2.2.3. Anxiety

2.2.4. Illness or fatigue

2.2.5. Sleeplessness

2.3. Behavioural

2.3.1. Difficulty sleeping

2.3.2. Changed eating habits

2.3.3. Isolation

2.4. Emotional

2.4.1. Irritability

2.4.2. Depression

2.4.3. Anger

2.4.4. Prolonged grief

2.5. Spiritual

2.5.1. Lack of sense of purpose

2.5.2. Questioning meaning of life

2.5.3. Altered belief system

2.5.4. Challenges the belief system

3. Ethical dimensions

3.1. Problems in relationships

3.2. Power struggle

3.3. System victimization

3.4. Direct role conflict

3.5. System limitations

4. Individual stories

4.1. Experienced injustace

4.2. Effected by trauma

4.3. Ordinary and relateable

4.4. Traumatic illness

4.5. Unexpected

4.5.1. Accidents

4.5.2. Brain injuries

4.5.3. Cardiac arrests

4.5.4. Assaults

4.6. Survivors

4.7. End of life

4.7.1. Grief

4.8. Bereavement support

4.9. Crisis situations

5. Practical Supports

5.1. Self-Care

5.1.1. Breathing exercises

5.1.2. Cooking

5.1.3. Meditation

5.1.4. Exercise

5.1.5. Work-life balance

5.1.6. Hobbies

5.1.7. Outdoor activities

5.1.8. Restful sleep

5.2. Counselling

5.3. Peer support

5.3.1. Debriefing with team

5.3.2. Problem-solving with co-workers

5.3.3. Team building opportunities

5.4. Community building

5.5. Supervision

5.6. Increasing education

6. Definitions

6.1. Compassion fatigue

6.2. Burnout

6.3. PTSD (Post Traumatic Stress Disorder)

6.4. Secondary traumatic stress

7. Transforming vicarious trauma

7.1. Connecting with family and friends

7.2. Finding ways of renewing hope

7.3. Taking part in the grief process

7.4. Celebrating joys

7.5. Paying attention to the little things in life.

7.6. Remembering the value of humanitarian work

7.7. Setting boundaries

7.8. Reflections

7.8.1. Mindfulness

7.8.2. Reading

7.8.3. Writing

7.8.3.1. Journaling

7.8.3.2. Art therapy

7.8.4. Prayer

7.8.5. Personal belief system

7.9. Organizational interventions

7.9.1. Policies

7.9.2. Procedures

7.9.3. On-going education

7.9.4. In-service training

7.9.5. Supervision

7.10. Identifying the client’s strengths

8. Challenges

8.1. Geographic isolation

8.2. Crisis training

8.3. Inadequate supervision

8.3.1. Offer mandated and regular clinical supervision

8.3.2. Demanding expectations

8.4. Staffing shortage

8.5. Lack of professional education

8.5.1. Role-playing

8.5.2. Trauma informed practice

8.5.3. Evidence-based intervention

8.6. Limited organizational preventative measures

8.7. Heavy caseloads

8.8. Lack of availability of client resources

8.9. No formal mindful training

8.9.1. Implementing the practices of self-care

8.9.2. Increasing awareness

8.9.3. Mandated training programs

8.9.3.1. Mental Health

8.10. Limited professional development opportunities

8.11. Employee benefits for sick days, mental-health day,

8.12. Team perspective

8.13. Literature gaps

8.13.1. Expanding research data

8.13.2. Long-term effects

8.13.3. Lack of clarity

8.13.4. Education about the warning signs

8.13.5. Theoretical framework

8.14. Health care funding cutbacks

9. Related risk factors

9.1. Pre-existing anxiety disorder

9.2. Pre-existing personal truma

9.3. High caseload consisting of trauma-related cases

9.3.1. Fast paced envirnoment

9.3.2. Lack of time

9.4. Limited clinical experience

9.5. Poor coping skills

9.6. Bureaucratic constraints

9.7. Mental health

9.7.1. Stigma of mental illness

9.8. Multiple life stressors

9.9. New to practice

9.10. Social economic status

9.11. Lack of group support