Lecture 12 2023 CP and self care 2 slides per page PDF

16/10/2023 PSYU-X3399 Psychological Science: Putting Theory Into Practice CPD AND SELF CARE IN A HIGH BURNOUT PROFESSION Wayne Warburton 1 Macquarie copyright statement This material is provided to you as a Macquarie University student for your individual research and study purposes only. You ca...

16/10/2023 PSYU-X3399 Psychological Science: Putting Theory Into Practice CPD AND SELF CARE IN A HIGH BURNOUT PROFESSION Wayne Warburton 1 Macquarie copyright statement This material is provided to you as a Macquarie University student for your individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has This material is provided to you as licence toa use) the intellectual property in this Macquarie University student for your material. Legal individual research and study purposes only.and/or disciplinary actions bepublicly taken if this material is shared without You cannot share this may material online without permission. Macquarie the University’s written permission. University is the copyright owner of (or has licence to use) the intellectual property in 2 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 1 16/10/2023 Exams • Reflection will help in your exam • Some questions give situations and ask you to decide relevant principles etc. • Not just knowledge – an understanding of how principles related to good ethical and professional practice are related to real world practice will be helpful. • All tute materials including handouts examinable • Best practice – do the practice exam! 3 Exams • 50% easy, 30% moderate, 20% hard • Easy: usually involves simply knowing the answer • Moderate: May need to tease out answer from alternatives or remember multiple pieces of information to get to correct This material is provided to you as a answer Macquarie University student for your individual research and•study purposes only. understanding of principles Hard: Clear You cannot share this material publicly or theories to tease out correct answer online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 4 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 2 16/10/2023 Example questions - Easy In Tutorial 3 we examined the social issue of family violence. We learned that police in Australia deal with a domestic violence matter: a. several times a day b. every two minutes c. every 6 1/2 minutes d. every minute e. at least once a day 5 Example questions - Easy In Tutorial 3 we examined the social issue of family violence. We learned that police in Australia deal with a domestic violence matter: a. several times a day b. every two minutes c. every 6 1/2 minutes d. every This material is provided to youminute as a Macquarie University student for your a day e. at least once individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 6 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 3 16/10/2023 Example questions The Master of Professional Psychology Program at Macquarie University: a. provides training across all of the psychology area of practice endorsements b. involves 4 years of UG study plus 2 years of Masters coursework c. is accredited by the Specialist Psychology Accreditation Network for sKills Training (SPANKT) d. will take students direct from a 3 year psychology degree e. involves 5 years of UG study plus a 6th year internship external to the university 7 Example questions The Master of Professional Psychology Program at Macquarie University: a. provides training across all of the psychology area of practice endorsements b. involves 4 years of UG study plus 2 years of Masters coursework c. is accredited by the Specialist Psychology Accreditation This material is provided to you as a Network for sKills Training (SPANKT) Macquarie University student for your will take students individual research andd.study purposes only.direct from a 3 year psychology degree You cannot share this material publicly e. involves 5 years of UG study plus a 6th year online without permission. Macquarie internship external to the university University is the copyright owner of (or has licence to use) the intellectual property in 8 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 4 16/10/2023 Example questions - hard The Police and the Ambulance service are sent to attend a situation where the behaviour of a middle aged man is causing concern. He has been making obscene remarks to nearby people and exposing himself. On closer inspection, the ambulance driver also ascertains that he seems alcohol affected. When police try to detain the man he becomes violent and needs restraint. When working out what to do, the ambulance driver is most likely to decide that the man meets criteria for: a. A mentally ill person b. A mentally disordered person c. A forensic admission as a mentally disordered person d. A professional football player e. None of the options 9 Example questions - hard The Police and the Ambulance service are sent to attend a situation where the behaviour of a middle aged man is causing concern. He has been making obscene remarks to nearby people and exposing himself. On closer inspection, the ambulance driver also ascertains that he seems alcohol affected. When police try to detain the man he becomes violent and needs restraint. When working out what to do, the ambulance driver is most likely to decide that the man meets criteria This material is provided to you as a for: Macquarie University student for your a. A mentally ill person individual research andb.study purposes only. A mentally disordered person You cannot share this material publicly c. A forensic admission as a mentally disordered person online without permission. Macquarie football player d. A professional University is the copyright owner (oroptions has e. None ofofthe licence to use) the intellectual property in 10 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 5 16/10/2023 Practice exam • Cannot pause, or close and reopen, the exam – one attempt only, cannot be reset • After each MC attempt click the ‘Check’ button to see the correct response (No summary at end) • No correspondence will be entered into about any of the questions and answers. It is up to you to figure out where, how and why mistakes were made. Do not contact any PSYU-X3399 staff about exam Qs and As • No screen shots, no copying the questions, Don’t disclose exam content to others. 11 11 Registration • Registrations via Psychology Board of Australia (who are governed by AHPRA) • https://www.psychologyboard.gov.au/ • APS is the professional peak body for Australian psychologists but has no role in the registration of psychologists This material is provided to you as a Macquarie University student for your PBA has adopted the APS • However individual research and study purposes Codes ofonly. Ethics You cannot share this material publicly • APS has a service for logging registration online without permission. Macquarie University is the copyright owner (or has CPDofthat helps come registration time. licence to use) the intellectual property in 12 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 6 16/10/2023 Ongoing Professional Development • Psychologists need to be skilled, up to date, and constantly checking that their own practice is up to standard • Growth as a professional also desirable • Clinical supervision (as opposed to ‘line’ supervision) focuses on professional practice and growth as a psychologist, and is vital to these aims • Outstanding book on reflective supervision by MQs Daf Hewson here • Continuing professional development also crucial. 13 Ongoing Professional Development • Must have a learning plan • This is flexible and can be changed to take new educational opportunities • 30 hours CPD required each year • Must include 10 hours of peer consultation each year This material is provided to•you as a “supervision and consultation in individual Macquarie University student for your or group format for the purposes of individual research and study purposes only. professional development and support in You cannot share this material publicly the practice of psychology ” online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 14 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 7 16/10/2023 Ongoing Professional Development • Peer consultation • Providing peer consultation counts as CPD hours but CANNOT be counted towards one’s own 10 hrs of peer consultation • Supervising interns does not count towards CPD 15 Ongoing Professional Development • Peer consultation • Critically reflective focus on the psychologist’s own practice • Within the goals of the overall CPD plan • With a peer or senior psychologist • Person to person (face to face, skype, This material is provided to you as a telephone) Macquarie University student for your • Documented in a log book individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 16 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 8 16/10/2023 Ongoing Professional Development • Types of CPD • Conducting or attending psychology workshops, seminars, lectures or courses of study • Writing, assessing, or reading and analysing: • Peer-reviewed journal articles • Scholarly books • Research proposals and grants 17 Ongoing Professional Development • Types of CPD • Producing, reviewing or viewing and analysing: • Professional videos • Audios • Internet resources This material is provided to you as a • Scientific posters Macquarie University student for your • Providing individual research and study purposes only.peer consultation to another psychologist You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 18 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 9 16/10/2023 Ongoing Professional Development Active CPD • Recommended to have 10 hours • Not mandatory • Active training through written and oral activities that enhance or test learning • Seminars etc. with a written test • Role playing • Providing peer consultation to others • Oral presentations 19 Ongoing Professional Development Approved areas of practice • To maintain endorsement in an approved area of practice: • 15+/30 hours must be within the endorsed area of practice. • If endorsed in 2 areas, 15 hours for This material is provided to you as a area are required. each Macquarie University student for your individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 20 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 10 16/10/2023 Ongoing Professional Development • As a general rule, CPD activities should be relevant to the psychologist’s area of professional practice. 21 Ongoing Professional Development Must have an up to date CPD portfolio that contains: • A learning plan (including desired outcomes) • How the CPD relates to the psychologist’s professional development This material is provided to you CPD as a activities undertaken (including • All Macquarie University student for your proof: receipts, invoices, certificates etc.) individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 22 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 11 16/10/2023 Ongoing Professional Development • On renewal of registration or endorsement, the psychologist must declare that he or she has completed the minimum requirements of the CPD standard, in the previous 12 month registration period, that applies to his or her registration category • Random audits undertaken annually 23 Ongoing Professional Development • Punishments for non-compliance vary in severity but can include: • Refusal of registration • Registration contingent on completion of specified CPD activities • Must undergo performance assessment Must This material is provided to• you as a undergo an examination Macquarie University student for your • Disciplinary proceedings instigated individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 24 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 12 16/10/2023 Ongoing Professional Development • Not just because you have to • Important for self-efficacy, professional competence, feeling equipped • Maintaining professional development is linked with job engagement & wellbeing • Failure to do so is linked with burnout, lower professional standards and unhappiness with one’s profession. 25 Why is self care important for us? • For psychologists and counsellors, our tools of trade come from the self: • Our knowledge our tools are mental (from within you) • Our experience • Our skills • Our empathy, communication This material is provided •toOur you asproblem a solving ability Macquarie University student for your individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 26 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 13 16/10/2023 Why is self care important for us? • The way we look after our self affects how well we can use these tools. Poor self-care can affect: • • • • Motivation; energy; resilience Wisdom; judgement; regard for others Self-awareness Our capacity to think clearly and to solve problems • Our capacity to deal effectively with our feelings 27 Symptoms of Burnout • Increases in the following: • Dissatisfaction, disappointment • Tension, anxiety • Irritability • Boredom • Withdrawal This material is provided •toCallousness, you as a cynicism Macquarie University student for your • Fatigue individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 28 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 14 16/10/2023 Symptoms of Burnout • Increases in the following: • Aggressive feelings towards clients or workmates; Conflict • Sexual impulses towards clients • Feelings of failure • Overuse of alcohol/drugs/prescription medications at work or home • Emotional displays, crying, distress • Complaining with workmates, ‘bitching’, spreading rumours 29 Symptoms of Burnout • Decreases in the following: • Job engagement • Job satisfaction • Energy, effort • Self-esteem • Feelings of effectiveness This material is provided to•you as a Meaningfulness / fulfilment Macquarie University student for your • Pleasure individual research and study purposes only. • Persistence You cannot share this material publicly Pride in work online without permission.•Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 30 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 15 16/10/2023 Symptoms of Burnout • It is important to note that most people have some of these symptoms at times without having burnout • It is the pattern of symptoms that is important • Having several symptoms doesn’t automatically mean burnout; BUT • Having several symptoms may indicate you are headed in that direction; a lot of symptoms may mean you are ‘burning out’ 31 Burnout • Prevalence of burnout is highest in the caring professions • Psychologists and counsellors are at high risk of burnout This material is provided to you as a Macquarie University student for your individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 32 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 16 16/10/2023 Three dimensions of burnout Maslach and colleagues 1) • Exhaustion • Stress dimension, ▪Distress, anxiety and worry ▪Responses to stress include avoidance, physical and emotional distancing • Loss of capacity • Processing of emotions • Cognitive capacity, ▪Problem solving ▪Memory; working, short term ▪Ability to attend to things; attention 33 Three dimensions of burnout 2) • Cynicism • Increasing callousness/cynicism • Depersonalisation of the client • A self-protective mechanism: ▪ Emotional distancing (stop feeling) ▪ Cognitive distancing (stop thinking) Anasimmediate reaction to exhaustion that This material is provided to•you a Macquarie University studentgrows for your cumulatively individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 34 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 17 16/10/2023 Three dimensions of burnout 3) • Ineffectiveness • Feeling ineffective • Being ineffective • Can occur sequentially (after exhaustion and cynicism; particularly when overloaded or facing conflict at work) • Can occur at same time as exhaustion and cynicism (particularly when there are insufficient resources to do job) 35 Factors that influence burn out • Situational factors • Type of occupation • Working conditions ▪ Overload, ▪ Insufficient resources (physical, social, supervisory) This material is provided to you ▪ as aNature of employer Macquarie University student for your ▪Not fair, just, or equitable individual research and study purposes only. You cannot share this material publicly ▪Mismatch between your online without permission. Macquarie values and employer’s values University is the copyright owner of (or has licence to use) the intellectual property in 36 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 18 16/10/2023 Factors that influence burn out • Situational factors • Mismatch theory (Maslach et al., 2000) suggests that burnout is far more likely when there is a mismatch between the employees needs/capacity and working conditions in the following 6 areas 1. Workload – amount, type (does it match your skills, abilities, interests, personality, morals?) 37 Factors that influence burn out • Mismatch theory 2. Control – over resources, decisions. Are responsibilities possible given resources? 3. Rewards – financial, social, intrinsic 4. Community – cooperative; respectful; enjoyable vs isolating, conflict prone? 5. – inequities, how management This material is provided to youFairness as a handle Macquarie University student for your ‘cheats’ 6. purposes Valuesonly. – asked to be unethical? Poor individual research and study values; Org. values You cannot share this materialorganisational publicly conflict with org. practices online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 38 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 19 16/10/2023 Factors that influence burn out Factors within the person • Influence burnout less than situational factors, but important: 1) Demographics • Age: young are more at risk (<30) • Gender: not a major factor • Marital status: unmarried greater burnout, esp. single men. • Education: higher education correlated to greater burnout 39 Factors that influence burn out 2) Personality Likelihood of burnout is greater for those who have: • Low hardiness • External locus of control (Fate controlled by outside forces) This material is provided• toPoor you as acoping styles Macquarie University student for your • Low self-esteem individual research and •study purposes only.prone individual' The 'stress You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 40 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 20 16/10/2023 Factors that influence burn out Likelihood of burnout is greater for: • Those high in trait anxiety, hostility, depression, self- consciousness, vulnerability • Those prone to emotional instability and psychological distress • Type A personality types • 'Feeling' rather than 'thinking’ types in the Jungian typology 41 Factors that influence burn out 3) Attitudes Those with higher expectations are possibly more at risk of burnout This material is provided to you as a Macquarie University student for your individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 42 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 21 16/10/2023 Combating Burnout • Change organisation • Promote job engagement • Prevention the key • Change individual • Self-care strategies • Prevention the key 43 Changing the organisation Prevention rather than cure approach • Promote job engagement rather than fixing burnout • Make each job important, meaningful, challenging, • Job engagement is characterised by: • energy, effort, persistence This material is provided to you as a • feelings of effectiveness, pride Macquarie University student for your • involvement, enthusiasm, inspiration individual research and study purposes only. • publicly resilience You cannot share this material • immersion online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 44 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 22 16/10/2023 Changing the organisation • Actively promote well-being for staff as an organisational priority • Reduce conditions where mismatches between employee and job are likely in the 6 areas: workload, reward, values, control, community, fairness 45 Personal strategies • Are generally related to the exhaustion component of burnout. • Are best put in place prior to burnout problems. • Unfortunately, in the workplace, often only provided after burnout identified Stress This material is provided to•you as a inoculation training Macquarie University student for your • Interpersonal and social skills individual research and study purposes only. • Relaxation training You cannot share this material publicly • Time management training online without permission. Macquarie • Meditation University is the copyright owner of (or has licence to use) the intellectual property in 46 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. training 23 16/10/2023 Personal strategies Research suggests that such programs can help to change an individuals ability to prevent or cope with the exhaustion component of burnout BUT NOT the components related to cynicism and feelings of ineffectiveness 47 Personal strategies • Peer support and other social support vital • Good supervision also vital • Prioritise recreation and recovery rather than ‘fit it in to a busy schedule’ • Ongoing education and training maximises feelings of (and actual) effectiveness • to Atyou work This material is provided as a – stretching, exercise, time alone, regular short breaks, debriefing with peers Macquarie University student for your • study Body, mindonly. and spirit ALL need nurturing individual research and purposes You cannot share this•material publiclycounselling and therapy Personal online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 48 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 24 16/10/2023 What to do when burnout occurs • Ask yourself what you would advise for a client in the same situation, and then do it • Talk to your supervisor immediately • Talk to a trusted peer • Seek professional assistance • If things have reached the point where your distress is affecting your job or your everyday life, you may want to consider a professional intervention – counselling or therapy. • A tool – not a source of shame! 49 Summary 1. Psychologists and counsellors are at elevated risk of job burnout 2. Burnout can be characterized by exhaustion, cynicism and feelings of ineffectiveness 3. Burnout is affected by both the situation This material is provided to you as a and Macquarie University student for the your person individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 50 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 25 16/10/2023 Summary 4. It is important to reduce mismatches between person and job (workload, control, rewards, community, fairness, values) 5. Job engagement is the desirable opposite of job burnout 6. Early intervention is best if your well-being at work is deteriorating. Seek assistance immediately. 51 Summary 7. Job engagement is best facilitated by forward planning • Put structures in place before you start your job to ensure your personal wellbeing This material is provided to you as a Balance Macquarie University•student for youris a key • study Arrange good individual research and purposes only. supervision You cannot share this•material publicly Make self-care a key priority online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in 52 this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 26 16/10/2023 THANK YOU!! 53 This material is provided to you as a Macquarie University student for your individual research and study purposes only. You cannot share this material publicly online without permission. Macquarie University is the copyright owner of (or has licence to use) the intellectual property in this material. Legal and/or disciplinary actions may be taken if this material is shared without the University’s written permission. 27