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Kelengakutelleghpat: An Arctic community-based approach to trauma.
Abstract
this paper is an outgrowth of an Alaska Native health-care program that has now become a model for health care delivery systems from rural and inner-city America to the frontiers of developing nations / details the story of an Arctic Alaska Native community / reframes the traditional white western perception of treatment—both physical and mental / offers us a window into a world where entire communities can come together to address issues of trauma / describes lessons learned while developing a program of support for these village-based clinicians / in the face of overwhelming primary and secondary traumatic stress, a critical incident stress management program was revised to emphasize collaboration and traditional Native values
Community Health Aide program / Norton Sound Health Corporation's program / an on-going problem / the need for a critical incident stress management [CISM] program / the development of a local program in CISM / why the program did not work / cultural and historical trauma / contemporary traumas / the risk of traumatic-impairment / Kelengakutelleghpat [watching out for each other] (PsycINFO Database Record (c) 2012 APA, all rights reserved)
... Predicting compassion fatigue, compassion satisfaction, and burnout. Results from the regression analyses suggest the importance of coping as a predictor of compassion fatigue, burnout, and compassion satisfaction, which has been supported in prior research (Figley, 2002b;Fullerton et al., 2001;Newell & MacNeil, 2011;Stamm, 1999;Terry, 1999). In the present study, negative coping was predictive of higher risk for compassion fatigue and burnout and lower potential for compassion satisfaction. ...
... Alternately, positive coping was predictive of lower risk for compassion fatigue and burnout, and higher potential for compassion satisfaction. Negative coping behaviors, such as professional isolation, have been identified in prior research as contributing to higher levels of compassion fatigue and vicarious traumatization (Creamer & Liddle, 2005;Stamm, 1999;Terry, 1999). Creamer and Liddle (2005) found that among mental health professionals who responded to the attacks on September 11, 2001, those who used negative coping methods reported higher levels of secondary traumatic stress. ...
Employee Assistance Program (EAP) professionals provide a majority of the mental health services to adults within the workplace. With increased traumatic events at work, including workplace violence and natural disasters, employers are relying more on their EAPs to provide crisis intervention and short-term counseling; however, trauma work contributes to compassion fatigue and burnout among professionals. This study assessed the risk of compassion fatigue and burnout, and the potential for compassion satisfaction among a national sample of EAP professionals. Results suggest EAP professionals are at moderate risk for compassion fatigue, low risk for burnout, and have high potential for compassion satisfaction. Relationships between personal characteristics, including coping behaviors are discussed with implications for clinical practice, professional education, and future research.
... Telehealth can support caregivers and their quality of life. Reducing isolation can improve recruitment and retention by increasing protective factors and reducing risk factors for burnout, secondary traumatization, and medical error (Stamm, 1998a(Stamm, , 1999Terry, 1999). Along with linking specialty care with primary care, telehealth can provide types of care where none have been available. ...
Telehealth and telemedicine encompass many applications useful to the field of rural health, including direct patient care; training, supervision and consultation; continuing education; and an opportunity to ameliorate the isolation that can exist in rural health systems. In this chapter, the author briefly reviews challenges and opportunities. Four challenges are presented: establishing effectiveness, reimbursement, licensure, and the uneven distribution of access to technology, often called the
digital divide. The chapter concludes with six recommendations to increase the opportunities provided by telehealth. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
This study identified workplace factors associated with secondary traumatic stress (STS) in a sample of 148 domestic violence advocates working in diverse settings. Findings indicate that coworker support and quality clinical supervision are critical to emotional well-being and that an environment in which there is shared power-that is, respect for diversity, mutuality, and consensual decision making-provides better protection for advocates than more traditional, hierarchical organizational models. Furthermore, shared power emerged as the only workplace variable to significantly predict STS above and beyond individual factors. The discussion includes implications for practice and policy as well as directions for future research.
Telehealth and telemedicine can encompass many applications including direct patient care, training, supervision, consultation, continuing education, and consumer health. The field uses an array of technology from the simplest telephony to advanced robotics. Therefore, it is important to work from a model in design or implementation. This rapidly changing and sometimes chaotic environment presents engineers with a unique opportunity to address the digital divide that is reflective of the geosociopolitical makeup of the world economy. The paper begins a developmental perspective of service delivery models currently used, likening the early years to a feudal system and the current time to a mosaic. After a brief look at the digital divide and the role of culture in technology, the paper concludes with application examples from projects around the world and suggests ways that model systems can be designed with various levels of technology.
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