Supporting Staff who Support Students Eleanor Flynn1, Wendy Hu2, Robyn Woodward-Kron1 2School of Medicine, University of Western Sydney 1Melbourne Medical School, University of Melbourne Acknowledgements: ANZAHPE & ACEN Research Grants Workshop Overview • Background • Training resources for professional, academic and clinical staff who support students – Video triggers to foster peer support – A critical incident response flowchart • A note: – Scenarios based on aggregated real life stories – Discuss what you are comfortable discussing, but please keep it private Why is supporting staff important? • Unique stressors1-2 faced by medical & health professional students • Community expectation to provide academic & pastoral support to students • Distance from on-campus services and staff training Student concerns presenting to staff Scheduling, procedures, paperwork Study, progress and assessments Isolation, specific placement issues Relationships: peers, staff and family Financial and employment pressures Mental health and substance abuse Accidents and deaths: suicide, lifethreatening illnesses Increasing level of concern • • • • • • • What are the effects of dealing with student concerns on you, or on your staff? Discussion Activity 5 minutes – Think-Pair-Share Research findings – Impact on Staff of Supporting Students in Distress • ‘Emotional labour’ work not acknowledged • Tensions between – Formal roles, and desire to help students – Being approachable, and keeping professional boundaries – Maintaining privacy, and documenting concerns – Feeling responsible, but ineffectual • Need for staff support and training Training & Support Recommendations PROCESSES • Orientation, role clarification • Management of workload, formal recognition • Clearer communication: when to refer and to whom, what to document • Peer support: informal debriefings • Self care, boundary setting RESOURCES • Skills training e.g. Mental Health First Aid • Information about local referral and support services • Information about policies and procedures • Critical incident flowchart and checklist • Training resource with video simulations When students disclose: How should I respond? Discussion Activity 30 minutes – Video scenarios A Scenario A student comes to you in the office with a timetabling request…. Questions to consider: • What happens in the video scenario? • What issues does the scenario raise about staff roles and responsibilities? • How should staff respond to this scenario? [Videos] A Scenario An administrative officer approaches a supervisor with concerns…. Questions to consider: • What happens in the video scenario? • What issues does the scenario raise about roles and responsibilities? • What should be done? [Videos] Summing up… When the unexpected happens: Developing a response flowchart Discussion Activity 30 minutes Types of student concerns • Usual Staff-Student interactions Student request Staff response (check policy) Referral Documentation Follow-up • Critical incident – a definition5,6 – Traumatic and serious event – Extreme physical and/or emotional distress – Outside normal range of experience Imbalance between usual staff capacity and resources, and the needs of affected person(s) What are examples of critical or urgent student concerns? Discussion Activity 5 minutes – Think-Pair-Share Developing a flowchart Critical, Urgent or Non-Urgent? When to refer on? To whom? Who needs to know? When? STUDENT CONCERN What are the relevant policies? What follow-up is needed? What resources are available? What to document, and how? Summing up… Circulate information about support services Where to from here? Develop a “standard” referral pathway Disseminate an incident response pathway Staff orientation and training How will you use the workshop resources? Further information Eleanor Flynn e.flynn@unimelb.edu.au Wendy Hu w.hu@uws.edu.au Robyn Woodward-Kron robynwk@unimelb.edu.au