Module 1 Introduction and History 5 minutes Supporting

Module 1: Introduction and History 5 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

SHIFT: Supporting Heroes In mental health Foundational Training Helping Those Exposed to Child Pornography A Psychoeducational Program for Exposed Individuals Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

funded by Department of Justice, OJJDP ICAC Training & Technical Assistance This project was supported by Grant No. 2009 -SN-B 9 -K 063 awarded by the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U. S. Department of Justice. Points of view or opinions in this document are those of the author and do not necessarily represent the official position or policies of the U. S. Department of Justice. Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Course developed by Jane Stevenson (Workplace Wellbeing) Chuck Arnold (ICAC Task Force Commander) Mike Sullivan (ICAC Task Force Commander) Joe Laramie (ICAC Task Force Commander) in partnership with The Innocent Justice Foundation Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Huntsville PEP-EI Your Trainers are Jane Stevenson, Mental Health Professional and Joe Laramie, Law Enforcement Professional Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Objectives of this Session Understand Negative Effects How to Cope and Build Resiliency Developing Workplace Support Working with a Mental Health Professional Encouraging Friend and Family Support Self-care Techniques Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Pre- Test Delivery 5 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 3: Physiological Effects and Symptoms of Chronic Exposure 30 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Physiology of Stressors - Acute Hypothalamus - Chronic Adrenaline Cortisol Noradrenaline Our physiological response will depend on the severity of the stressor and the duration of the stress Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Acute Physiological Effect Triggered by acute events such as being attacked: Sympathetic nervous system (noradrenaline) Sympathetic adrenal medulla (adrenaline) Blood vessels dilate Blood pressure and heart rate increase We are ready to fight …. . or flee Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Chronic Physiological Effect Chronic exposure to stressors can be responsible for a cumulative psychological impact. Chronic stressors may lead to high levels of circulating cortisol. Cumulative exposure to stressors can lead to • Burnout • Compassion Fatigue • Vicarious Trauma Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Chronic Physiological Stressors Chronic stressors for ICAC staff may include High workloads Exposure to distressing images Emotional interaction with child victims and/or offenders Resulting sense of hopelessness Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Burnout Often excessively dedicated employees According to Luban (1996), “Burnout” tends to happen to givers -- people who are the bright, perfectionist, idealistic high achievers in our culture. ” Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Compassion Fatigue Stamm & Figley, 1996 Reduction in Compassion Satisfaction: Increased negative emotionality Low morale and apathy Dissatisfaction about one’s role as helper Helping the Helpers: The Safeguard Program at the National Center for Missing and Exploited Children, Juliet M. Francis, Psy. D. , Gina De Arth-Pendley, Ph. D. , Erin Reilly, M. A. , Christine Feller, M. A. , and John Shehan, Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Vicarious Trauma Definition EMPATHIC ENGAGEMENT: “. . the cumulative transformative effect upon the (exposed individual), of working with survivors of traumatic life events” Pearlman & Saakvitne (1995) Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Vicarious Trauma (VT) VT is a process of change relating to how an individual views themselves and the world around them Gradual process Often insidious Can include compassion fatigue Can include burnout Can be permanent Can be stopped! Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Range of Trauma Primary Secondary Viewing CP images Interviewing a suspect Interviewing a victim UC as a mother/child UC as offender Case triage Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Symptoms of Chronic Exposure Normal non-persistent non-intrusive Warning Signs persistent mildly intrusive Trouble Indicators persistent intrusive Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Traditional Coping Strategies Simple Denial Rationalization Sublimation Reframing negative affect as being overworked or other conventional forms. *Durham, Mc. Cammon & Allison, (1985), †Janik (1995) Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: EI talks about trying to deny Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Maladaptive Coping Strategies Risk-taking behavior Driving too fast or angrily Alcohol abuse Substance abuse Affairs Workaholism *Durham, Mc. Cammon & Allison, (1985), †Janik (1995) Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Physiological Effects Physical Response to Images Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 4: Professional Factors, Management Response, and Personal Factors 15 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Factors Influence Symptoms Professional Factors Personal Factors Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Professional Factors Type of Work Job Itself 1. Killing a human 2. Death of a fellow officer 3. Being attacked 4. Direct contact with child abuse* Anshel, M. H. (2000)Follette et. Al (1994) Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Professional Factors Type of Work Large caseloads, low success rate, lack of reward Lack of tools and training Images with strong emotional content Heightened empathy for the victims Images that precipitate familiarity with loved one Lack of understanding of role by society Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: EI talks about caseload, tools, training Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Professional Factors Length of Time on Job Highest Higher Lower Under 1 year 1 -4 years 4+ years Helping the Helpers: The Safeguard Program at the National Center for Missing and Exploited Children, Juliet M. Francis, Psy. D. , Gina De Arth-Pendley, Ph. D. , Erin Reilly, M. A. , Christine Feller, M. A. , and John Shehan, Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Professional Factors Cumulative Exposure Lack of breaks from exposure Degree of Organizational Support Isolation* Peer respect Command support No way out* Mental Health Services *George A Bokelberg, Psy. D. , Supervisory Special Agent, Federal Bureau of Investigation, Stress Associated with Investigating and Working in Support of Investigations of Internet Sexual Crimes Against Children Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Management Response “Few agencies seemed to plan for the possiblity that some personnel might have problems due to exposure to child pornography. ” Work-Related Exposure to Child Pornography in ICAC Task Forces and Affiliated Agencies: Reactions and Responses to Possible Stresses, Janis Wolak , Kimberly J. Mitchell, UNH Crimes Against Children Research Center, Conducted for U. S. Dept of Justice, OJJDP, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Need for More Support Research by Jane Stevenson, UK, 2002 60% of British officers felt inadequately briefed for role 21% Found their role to be more distressing than expected “Identifying effective support for police officers and support staff, viewing child abuse images on the Internet, ” Jane Stevenson. BSc (Hons), Occupational Health and Welfare Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Lack of Preparation Survey by University of New Hampshire, 2009 19% Affiliates prepared incoming staff 45% ICAC’s prepared incoming staff Work-Related Exposure to Child Pornography in ICAC Task Forces and Affiliated Agencies: Reactions and Responses to Possible Stresses, Janis Wolak , Kimberly J. Mitchell, UNH Crimes Against Children Research Center, Conducted for U. S. Dept of Justice, OJJDP, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Management Response Survey by University of New Hampshire, 2009 75% 50% Of ICAC Task Force personnel saw the need for more psychological resources Of ICAC Administrative personnel were not concerned about the effects of exposure to CP. Work-Related Exposure to Child Pornography in ICAC Task Forces and Affiliated Agencies: Reactions and Responses to Possible Stresses, Janis Wolak , Kimberly J. Mitchell, UNH Crimes Against Children Research Center, Conducted for U. S. Dept of Justice, OJJDP, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Poor Mental Health Support Survey by University of New Hampshire, 2009 13% Of ICAC affiliates felt mental health staff was knowledgeable about cp 33% Of ICAC Task Forces felt mental health staff was knowledgeable about cp Work-Related Exposure to Child Pornography in ICAC Task Forces and Affiliated Agencies: Reactions and Responses to Possible Stresses, Janis Wolak , Kimberly J. Mitchell, UNH Crimes Against Children Research Center, Conducted for U. S. Dept of Justice, OJJDP, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Poor Mental Health Support “I have gone to our agency sponsored EAP (Employee Assistance Program) on my own, not with any problem, just to try to start a rapport with them and maybe set up a schedule for them to evaluate us. They basically told me that if I didn’t have any real problem they couldn’t help. ” --Law Enforcement Supervisor Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: EI talks about not being prepared for job Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Personal Factors Heightened empathy for the victims Home-Life Stress Personal relationship stress* Bringing work home Lack of outside interests *George A Bokelberg, Psy. D. , Supervisory Special Agent, Federal Bureau of Investigation, Stress Associated with Investigating and Working in Support of Investigations of Internet Sexual Crimes Against Children Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Personal Factors Unresolved personal or family sexual abuse Being a parent Custody battles Illness or death of child Difficulty getting pregnant George A Bokelberg, Psy. D. , Supervisory Special Agent, Federal Bureau of Investigation, Stress Associated with Investigating and Working in Support of Investigations of Internet Sexual Crimes Against Children Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 5: Resiliency and Coping 10 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

The Good News It is possible: to prevent and mitigate negative effects of exposure to increase professional and personal satisfaction Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Factors that Reduce Harm Feelings of Empowerment Catching the bad guys Helping truly innocent victims Preventing further children from being abused Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Factors that Reduce Harm Compassion Satisfaction: Satisfaction with care giving ability Feeling pleased to help others Positive feelings towards colleagues Positive feelings about ability to help, contribute Helping the Helpers: The Safeguard Program at the National Center for Missing and Exploited Children, Juliet M. Francis, Psy. D. , Gina De Arth-Pendley, Ph. D. , Erin Reilly, M. A. , Christine Feller, M. A. , and John Shehan Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Factors that Build Resiliency Feeling part of a group Social support Outside interests and hobbies Training and awareness Exposed individual Mental health professional Family and friends Seeking help when needed Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Personal Responsibility Taking a Pro-active approach critical: For ourselves To benefit family and friends To improve work atmosphere Coworkers ICAC team Affiliate agency Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: EI talks about how came back from the brink and saved job and family Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Break 15 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 6: Developing Workplace Strategies to Maintain Mental Health 20 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Educating Colleagues-Command Feeling Empowered to Coach and Educate Not complaining Method to improve situation for all Use tools Ask mental health professional to advocate Slowly, within reason – takes time Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Tools to Use Feeling Empowered to Coach and Educate Video Protocol Handout Mental Health Professional Training Sessions Research Guidelines Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video 10 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Good Practices Overview of Protocol Handout: Viewing material treated as: serious restricted stressful Disrespectful if staff trivializes, interrupts or disrupts British Governmental Agency Guidelines, Jane Stevenson, Workplace Wellbeing, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Good Practices Overview of Handouts: Physical Considerations Physical location Comfortable Never totally isolated Duration 4 hours or less at a time Medium-term breaks Restrict viewing of images in last hour of the shift Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Good Practices Overview of Handouts: Flexibility Volunteer for Job Prepared for Job – Opt-out during preparation Mental Health Time Off Switch tasks when necessary Leave early when necessary One day off per quarter or month Leave or Ask for Help = no Impact on Rank/Pay Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Good Practices Overcoming the stigma of asking for help Taking responsibility for you, your environment and your family Offering input on guidelines Set up systems BEFORE problems come up Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Educating Colleagues-Command Best Practices – Work Environment All those involved in this area should strive towards building a culture where people can talk openly about situations or feelings, safe in the knowledge that such conversations will be treated with respect. British Governmental Agency Guidelines, Jane Stevenson, Workplace Wellbeing, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Reducing Isolation Good Practices: Relevant to Agency/Department Intro meeting (+exit session) MHP- or participant-facilitated educational sessions Monthly catch-up, alone or group Could be prior to one-on-one Individualized peer mentoring Peer Groups Annual (or more) one-on-one sessions Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Intro and Exit Session Introduction Session Provides opportunity to establish trust Provides opportunity for clarification of role Sets out the terms of the ‘relationship’ Exit Session Provides opportunity for feedback Provides opportunity for final review Allows ‘closure’ Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Monthly Catch-Ups: Pro-Con Benefits Talk about cases and work Share best practices Can ask questions of MHP Difficulties Difficult to achieve within small agencies Should not take the place of one on one sessions May be constrained by time/work commitments Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Peer Mentoring: Pro-Con Benefits “Veterans” can share knowledge One-on-One specialized help Works for small agencies too Difficulties Confidentiality Specialized training needed Needs senior management support Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Peer Groups: Pro-Con Benefits Can be good to talk with others who understand Allows best practices to be shared Can include everyone i. e. civilians Difficulties May take time to develop trust If too small – or too far away “Veterans” vs. “Newbies” Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Reducing Isolation Best Practice: Relevant to Agency/Department Informal Events Barbeques Pizza’s Paintball Physical exercise classes Training for runs/obstacle courses together Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Reducing Isolation “Having other investigators you can talk to about the cases you work and being able to express the effects it has on you without judgment (works) because they too face the same and understand better than those outside of law enforcement. ” - Investigator Work-Related Exposure to Child Pornography in ICAC Task Forces and Affiliated Agencies: Reactions and Responses to Possible Stresses, Janis Wolak , Kimberly J. Mitchell, UNH Crimes Against Children Research Center, Conducted for U. S. Dept of Justice, OJJDP, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video 10 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 7: Enhanced Support and the Mental Health Professional 20 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-One Support Specific Tools: Use One-on-one for: Monitoring, and promoting, the wellbeing of individuals on the unit Individuals suffering from vicarious trauma symptoms Individuals unable to control stress or symptoms Small agencies with few exposed staff Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-One Support Specific Tools: One-on-one Benefits Promotes a “trust” relationship with the MHP Provides a “safe” place for concerns or intimate topics Enables those “the quiet” to be heard Supplements peer support May be only formal tool for small agencies Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-One Support “In a small agency you keep your comments and problems to yourself otherwise you are ridiculed about not being able to do your job. ” Work-Related Exposure to Child Pornography in ICAC Task Forces and Affiliated Agencies: Reactions and Responses to Possible Stresses, Janis Wolak , Kimberly J. Mitchell, UNH Crimes Against Children Research Center, Conducted for U. S. Dept of Justice, OJJDP, 2009 Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: Exposed Individual talking about One on One support sessions Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-one Specific Tools: Choosing a mental health professional Types of mental health professionals Employee Assistance Programs Peer Counselors Marriage and Family Counselors Psychologists Psychiatrists Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-one Specific Tools: Choosing a mental health professional A good mental health professional should be: Empathic Non-judgmental Experienced in dealing with emotional trauma … and someone you feel comfortable with! Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-one Specific Tools: What to expect from an MHP Confidentiality Compassion and understanding Willingness to know true nature of your job Offers tools & advice tailored for you Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

One-on-one Some Considerations: Mandatory v Optional In House v External Time frame: Annually, Quarterly, Monthly Number of sessions available on exit Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 8: Family, Friends and Spousal Support 20 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Unable to talk about feelings Specific Tools: Understanding the family dynamic Reluctant to share with civilians Friends and family may be afraid to hear Job details Feelings Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Talking to Spouses/Partners Specific Tools: Understanding How Partners Feel Spouses/Partners may react differently: May be confused May have questions afraid to ask May feel left out, rejected, betrayed May want to fix or help “too much” May refuse to listen Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: Spouse sharing feelings before got help Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Educating Spouses/Partners Specific Tools: Talking about negative effects Learning to overcome fears of: Burdening partner Showing vulnerability Partner disapproval of assignment Partner reluctance to participate Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Educating Spouses/Partners Specific Tools: Talking about negative effects Talking about how: Partner support is vital Specific negative effects including: Intrusive thoughts vs. arousal Hypervigilance with children Imagining own children as victims Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Educating Spouses/Partners Specific Tools: Talking about negative effects Teaching spouses and partners: Normal signs Warning signs Trouble indicators Where to turn for help Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: Spouse talking about symptoms in exposed individual Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Spousal Coping Mechanisms Specific Tools: Seeking help It’s ok for spouses to seek help too Written materials and video One-on-one counseling for spouse Couples therapy if needed Spousal group support meetings Informal activities with other families Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: Spouse sharing how it all worked out Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Spousal Coping Mechanisms Specific Techniques: Developing a plan Consider role of work on marriage If trouble, is work partially to blame? Develop a plan together Have a plan BEFORE symptoms start Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Talking to Children Specific Tools: Understanding How Kids Feel Kids: Pick up on subtle cues May be confused May have questions afraid to ask May feel left out, rejected, betrayed Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Talking to Children Specific Techniques: Educating Children Including them in the discussion Age appropriate explanations Reassurance that they did nothing wrong Answer any questions they have Ok to talk about it Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Talking to Friends Specific Techniques: Educating Friends Answering questions about job Having a plan before symptoms appear Sharing feelings and emotions (normal) Ensuring their support Giving time for symptoms to subside Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Video: Exposed Individual talking about importance of support of friends and family Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Friends and Family Strategies Specific Techniques: Educating Friends Include family and friends in work social events Encourage friends and family peer support Video and written materials Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Module 9: Self-Care Techniques for the Exposed Individual 15 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Taking Control Specific Tools: Self-initiative Pro-activity No one else can do it for you Talk to work, family and friends Listen to feedback from family and friends Develop a plan Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Taking Control Specific Tools: Self-education Understanding the impact Recognizing warning signs Developing healthy coping mechanisms Seeking support on/off job Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Taking Control Specific Tools: Physical Solutions Exercise Diet Going outside Having interests outside of work Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Taking Control Specific Tools: Mental Solutions How to be ok when your list is incomplete Taking breaks Limiting exposure Developing balance Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Humor Specific Tools: Mental Solutions Negative vs. Positive Laughing 100 times = 10 minutes on a rowing machine Humor increases creativity and reduces stress Shared laughter creates bonds Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Talking about it Specific Tools: Talking about it Peers Employee Assistance Program Referral to “outside” professional Spouse/significant other Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Activity: Developing a Self-Care Plan and List of Next Steps 10 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Program Elements: Checklist Workplace environment and flexibility solutions Intro and exit meetings Training and preparation Peer mentoring Regular educational sessions Monthly catch-ups One-on-one sessions Informal group cohesion events Friends and family educational sessions Self-care techniques Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Additional SHIFT Training This training offered via Fireside Chat Exposed Individual Training Advanced topics Conference Fireside Chat Train-the-Trainer Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP

Post-Test Delivery 5 minutes Supporting Heroes in mental health Foundational Training (SHIFT) An Innocent Justice Foundation project funded by Department of Justice, OJJDP