Understanding and Managing Caregiver’s Own Emotions and Self Care WHY DID YOU WANT TO BE A CARE PROVIDER ? ? ? WHAT BOUNDARIES DID YOUR FAMILY ESTABLISH ??? WHAT HAVE BEEN SOME STRESSORS AROUND BEING LICENSED? WHAT STRESSORS HAVE YOU HAD AROUND PLACEMENTS ??? WHAT STRESSORS HAVE YOU HAD IN WORKING WITH THE “SYSTEM” ? WHAT STRESSORS HAVE YOU HAD IN WORKING WITH THE BIO FAMILY? WHAT STRESSORS HAVE YOU HAD AROUND KIDS LEAVING YOUR HOME TRANSITIONS? STRESS Burnout Burnout increases because people…. • Are nurturers by nature and anticipate the needs of others • Have less support • Feel powerless • Take on causes • Are perfectionists who don’t cut themselves any slack Some symptoms of burnout include: • • • • • • Tiredness Small health complaints Too little or too much sleep Feeling sad, angry, irritable and depressed Appetite changes Lack of motivation and loss of interests in everyday activities which you once enjoyed • Feelings of hopelessness or being trapped • Feeling like running away • Stressed personal relationships Compassion Fatigue Secondary Traumatic Stress (STS) is defined as the “stress resulting from helping or wanting to help a traumatized or suffering person.” STS is commonly referred to as Compassion Fatigue. Compassion Fatigue or STS • Acting out or feeling ways that are not normal for you; • Feelings of anger, sadness, depression, or anxiety that last longer than usual; • Having nightmares similar to the type of trauma that your foster children have experienced; • Avoiding going places or seeing people out of fear for your foster children. RED FLAGS • • • • • • Abusing drugs, alcohol Anger Blaming Chronic lateness Depression Diminished sense of personal accomplishment • Exhaustion (physical or emotional) / feeling lazy RED FLAGS • Feeling anxious, forgetful, sad, confused, angry • Frequent headaches • Gastrointestinal complaints • High self-expectations • Hopelessness • Hypertension / Tight muscles • Inability to maintain balance of empathy and objectivity RED FLAGS • • • • • • • Increased irritability / Mood swings Lack of caring for others Less ability to feel joy Low self-esteem Over or under eating Sleep disturbances Workaholism GRIEF AND LOSS STAGES OF GRIEF Shock/Denial Anger Bargaining Despair/Depression Acceptance/Understanding/Resolution ESTABLISHING HOUSE RULES RULES • Write out a list and post them. • Post a few rules in different places around the house • Review the rules often, and refer back to the house rules when children forget or break the rules • When possible, try to make house rules positive • When a child enters your home, have a house meeting to review the rules RULES • Allow children to be part of the process • Resist the urge to get in a power struggle • Don’t take non-compliance of the rules personally, making you angry or stressed • Model following the rules FOR YOUNG CHILDREN • Keep your rules simple and limited • Remind young children about rules before a new situation FOR OLDER KIDS/TEENS • Review the rules with them when they arrive • Allow room for negotiations “relationship building” on some rules but once the rule is established – expect compliance • Give a copy to the child • Treat rules as a contract and have older teen sign and date after reviewing and discussing • Consider keeping a rule notebook that you and the child can refer back to as a reminder of agreements made BASIC RULES • BE RESPECTFUL – Treat everyone with respect – no hitting, biting, namecalling or put-downs. Remember to say please, thank you, I’m sorry and you’re welcome. • BE HONEST – Tell the truth – don’t omit details. Say what you mean and follow through on your word. • BE RESPONSIBLE – Accept the consequences of your actions – apologize, ask for help, clean up your own mess and think of others before you act. BOUNDARIES Setting Boundaries for Yourself • What code of ethics, morals and values do you want to impart to those you interact with? • What are you marketing? • What is your “business” slogan or catch phrase? • What is it going to take to make your “business” successful? Sample Mission Statement Our home will be a place where our family, friends, and guests find joy, comfort, peace and happiness. We will seek to create a clean and orderly environment that is livable and comfortable. We will exercise wisdom in what we choose to eat, read, see, and do at home. We want to teach our children to love, learn, laugh, and to work and develop their unique talents. CHILDREN WITH BOUNDARY ISSUES • Children who do not know how to respect other people’s things. • Children who want to always touch or hug or kiss another children or adults. • Children who constantly need attention or praise or acknowledgement or who are constantly engaging your attention through misbehavior. • Children who consistently invade another person’s drawers or use their things without asking. CHILDREN WITH BOUNDARY ISSUES • Children who don’t seem to have a selfprotective urge about themselves, such as not afraid of strangers, wander off easily, participate in high risk activities or put themselves in dangerous situations. • Children who tell strangers about abuse or want to go home with them. • Older children who ask very personal questions or ask personal questions in public places. STAY OUT OF TRIANGLES A triangle happens when one person in a three Part triangle tries to play the other parties against Each other. Maintaining Boundaries with the Agency • Make sure workers know your schedule when setting up your foster child's visitation with birth family • Be smart when setting up a foster child's therapy schedule • Be proactive in setting up monthly meetings with social workers • Get the information you need regarding the child at the time of placement Setting Boundaries regarding Employment • • • • Check your employee policy Communicate with your employer Partner with your agency Partner with a child care provider or other foster parent • Be realistic about your limitations Putting Boundaries around Church or Religious Activities Self Care BURNOUT/ SELF CARE • Learning how to relax • Improve/ gain new coping skills • Keep a journal • Practice the stress reducing techniques we are going to learn or some that you know already BURNOUT/ SELF CARE • Make better lifestyle choices • Reduce or eliminate harmful habits • Develop or maintain a social support system Compassion Fatigue Self Care Grief and Loss Coping Strategies • Face your feelings • Express your feelings in a tangible or creative way • Look after your physical health • Don’t let anyone tell you how to feel • Plan ahead for “Grief Triggers” Tips for Dealing with Grief and Loss • Connect with foster care and adoption support groups. • Use respite providers as necessary. • Allow time to grieve the loss of the child. • Think about taking a short break from fostering every now and then. • Talk with your foster care coordinator about your needs; they want to provide Care providers with the resources they need to be successful. REDUCING STRESS FOR THE SINGLE PARENT REDUCING STRESS FOR THE SINGLE PARENT • Get Up Earlier • Make your bedtime routine consistent • Give Yourself at Least One Night Off Per Week • Use Your Shower Time • Take a Walk on Your Lunch Hour REDUCING STRESS FOR THE SINGLE PARENT • Introduce Quiet Time • Make a Date With Yourself • Maximize Your Commute • Use "The Box" Technique • Do Not Use Your Kids' TV Time to Do Chores Reducing Stress for couples Reducing Stress for couples • Make couple time a priority with weekly or bi-weekly date nights • Take care of yourself • Remember not to take your foster child's behaviors personally Reducing Stress for couples • Work together to agree on discipline • Remember to communicate with your spouse or partner • Get help when needed • Don't forget to utilize respite The Road to Good Self-Care Take care of You! Stop comparing yourself to other adults and families Keep it simple Know which part of the day is the hardest and have a plan to make it go more smoothly Take care of You! Have down time every day Routinely have something to which you can look forward Hold one focused, connected and meaningful conversation each day Take time for yourself • • • • • • • • • • • • Take a candle lit bath go to the gym meet up with some friends Go for a walk Spend time outside Play with a pet Work in your garden Curl up with a good book Listen to relaxing music Sweat out tension with a good workout Start a hobby Take a class to learn more about your hobby Take care of your emotional needs • • • • • Be gentle with yourself Treat yourself as you would a good friend Find a place to cry Find ways to express your anger safely Keep a positive attitude Take care of your emotional needs • Continue to laugh and have fun, try to find humor in day-to-day activities • Surround yourself with positive people • Share thoughts, feelings, and fears with people you trust • Find others you can visit with Keep yourself healthy Eat healthy foods Keep yourself healthy Visit your doctor as needed Recharge your batteries daily Avoid harmful habits Get a Good Night’s Sleep Relax • • • • • • • Breathing Exercises Muscle Relaxation Imagery Meditation Meditation Journaling Yoga Relaxation tapes Exercise • Do a little gardening. • Take a brisk walk around the block. • Exercise to a DVD or video at home when you have time. • Do every day chores • Listen to music while doing chores Ask For Help Delegate jobs to others Develop a support network Support networks can include family, friends, or workmates Develop a support network If you're a stay-athome parent, it's especially important to reach out to others for support. Get to know the other parents at your child's school Develop a support network If you have a very young child, try to find a play group or mom's group to attend Develop a support network Volunteer at your child's school Connect with other foster parents Join a Care giver support group Working Together as a Family • Have regular family meetings • Accentuate the positive/Minimize the negative • Commit to stable family rituals • Introduce a family better health plan • Schedule family fun days • Take time to support each other each day Take care of your biological and adopted children • Spend some one on one time with your children • Enjoy relaxing with your kids • Teach your children resiliency • Model and teach your children conflict resolution skills Develop Realistic Expectations of Your Foster Child BABIES: Develop Realistic Expectations of Your Foster Child TODDLERS Develop Realistic Expectations of Your Foster Child PRESCHOOL Develop Realistic Expectations of Your Foster Child EARLY GRADESCHOOL Develop Realistic Expectations of Your Foster Child LATE GRADE SCHOOL Develop Realistic Expectations of Your Foster Child ADOLESCENCE USE YOUR TEAM FOR SUPPORT Check out stress management books Get Some Respite Set a schedule and stick to it Keep a journal • Jot things down that make you feel stressed • Look for patterns • Try to pinpoint your exact stressors • Formulate solutions • Write free flow Pray or meditate Keep the clutter at bay Recognize your limits • Realize that you cannot do everything • Focus on what you can control • Stay in the present rather than living in the past or future Recognize burnout Believe that you hold the key to unlock the door to your stress free life Commit to yourself as well as those you love