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Friday, February 29, 2008

Another resource for physicians and other health care workers

I am going to Ottawa and Edmonton in the coming week. Ottawa to present to the Ontario Harm Reduction Conference (helpers who work with clients who have addictions, usually to hard drugs such as heroin, and who oversee needle exchange programs etc) and Edmonton to a large group of prison psychologists from the Prairie region. I am very much looking forward to these few days of training and learning. I don't know if they will learn anything from me, but I always learn something new at these events and really enjoy meeting helpers from varied backgrounds and hearing about their self care strategies and what they find rewarding about their particular work.

Before heading out, I wanted to share with you another very interesting resource that just came across my desk. The Centre for Practitioner Renewal, a pilot project based at St Paul's hospital in Vancouver.



That's their logo. They have a very attractive website too: www.practitionerrenewal.ca

Sadly, I only found out that the director of this centre, Dr Kuhl was presenting in Kingston once the day was done. I did have the opportunity to meet a colleague of his in Vancouver last year and they are doing fascinating cutting-edge work. I wonder if other hospitals would be able and willing to follow suit and put money into this Occupational Health and Safety issue?

Here is their mission and vision, in their own words:

"Mission: Focused on the health care community, we strive to: enhance well-being, inspire vocational satisfaction, and revitalize compassion and mutual support
understand and address how to sustain health care providers in the workplace
explore the cost of being in the presence of suffering. We do this through high quality service, education and research.

Vision: We are a vibrant, interdisciplinary centre that serves as a model for collaboration, service and compassion.

We are a revitalizing force, helping to sustain the well-being of people who work in the health care community and fostering compassion, mutual affirmation, interdisciplinary respect and vocational esteem.

We are an innovative provider of appropriate and relevant services that enhance psychological and spiritual well-being and strengthen relationships among care teams and practitioners.

We conduct research that drives the development of evidence-based tools and practices that are designed to enhance vocational satisfaction and compassionate service, and to provide measurable outcomes.

We are a leading advocate for understanding the rewards and costs of caring for the suffering and healing of others.

We attract practitioners and leaders from around the world to learn and dialogue about creating compassionate and collaborative healthcare communities."

Go have a look at their site.

Happy March Break to those of you in Quebec who have kidlets (maybe it's March Break elsewhere too? Happy MB to you too then!)

Monday, February 25, 2008

A resource for humanitarian workers and others

February is almost over. And what a confusing month in my part of the world. This morning I checked the weather in order to figure out what to wear on my run (it's not always easy to predict these days, is it -14 with a windchill of -23 or 1 degree in which case I'll be sweating buckets?). Well this morning it said "-9 celsius with freezing fog"

Freezing fog? What on earth is that? and can freezing fog actually happen when it's -9?


Have you ever heard of the Headington Institute? No, I didn't think so. Or at least very few helpers say they have when I meet up with them at workshops and meetings. And that's a shame, because the Headington Institute is providing some excellent services to helpers worldwide, and offer online resources that could be useful to all of us out there in the trenches (real and virtual, remember I work with folks who are going and returning from Afghanistan).

They have, on staff, no less than Laurie Pearlman herself, a leading researcher in the field of Vicarious Trauma and coauthor of "Trauma and the Therapist" and "Transforming the Pain" two books that are pillars of the field.

Go visit their site: www.headington-institute.org

Saturday, February 16, 2008

A resource for physicians


I would like to thank the person who pointed me in the direction of this resource
(we met at the Military Base Hospital a few weeks ago and you were sitting at the very front row and provided several very good resources I had not heard of as yet. thank you).

The following excerpt speaks for itself (from the CAMH website: www.supportcamh.ca)

"Seeking help, accepting diagnosis, and overcoming addiction is difficult for anyone, especially a physician. Dr. Michael Kaufmann never thought that he would be the one asking for help, but shortly after opening his own medical practice, Michael’s casual use of prescription drugs turned into a severe addiction. An intervention from caring colleagues started Michael on the road to recovery. As the founding Director of the Physician Health Program for the Ontario Medical Association in Toronto, Michael now helps thousands of other health professionals in similar circumstances.

It’s hard to ask for help when you’re the Doctor, but being a Doctor doesn’t mean you’re immune to mental illness and addiction.

Michael Kaufmann’s predisposition and stress of daily life provoked a rapid escalation into addiction. After receiving his medical degree and opening up his own practice in his small town, Michael’s consumption of prescription drugs turned into an extreme addiction to opiates and other mood altering substances. He thought he had betrayed his patients and colleagues, and began to neglect his marriage, patients, and himself. He even contemplated suicide.

With the loss of respect from his peers, a damaged reputation and the constant fear of losing his license to practice medicine, Michael was trapped by his despair. He felt unable to trust anyone, including his wife who had become fearful and isolated from him. His addiction to drugs had become so consuming that his colleagues had to intervene and in 1986 he was admitted to the former Donwood Institute, now CAMH's Brentcliffe site.

It was difficult for Michael to accept his diagnosis. As a physician, he was trained to be self-sufficient so he believed he could help himself. Nonetheless, Michael learned to accept that addiction was a part of him, and through his recovery he gained a new and better understanding of himself and addiction.

Michael believed that his addicted persona didn’t belong with his doctor persona and as a result found it hard to share his experience early in his recovery. However, guided by his addiction physician, he became an active member of a peer recovery group and community mutual help groups where he learned to talk about his experiences with others and overcome his denial and shame. Eventually he was invited by his addiction physician to speak to classes of medical students about his experience of addiction and recovery.

Michael went on to study addiction medicine and is certified as a specialist in the field by both the American and Canadian Societies of Addiction Medicine. In 1995, he became the founding Director of the new Physician Health Program for the Ontario Medical Association in Toronto. He has written extensively about personal problems of health professionals with the goal of shattering the myth that health professionals are immune to addiction and mental illness. He looks to help others by speaking publicly about his experiences throughout Canada and the world.

“Dr. Kaufmann has transcended a potentially devastating disease to not only help himself but thousands of others, especially those doctors and other health care professionals entrusted to care for others in society,” said Dr. Peter Selby, Michael’s nominator. “He is truly a healer who is healing others as he heals himself.”

Michael has not only the courage to come back, but to bring others with him."

Visit the physician health program: http://www.phpoma.org/php/www/index.html

Here is an excerpt from this website: "Welcome to the Physician Health Program and the Professionals Health Program

The Physician Health Program (PHP) founded in 1995, is a program of the Ontario Medical Association. The PHP provides assistance to physicians, residents, and students experiencing problems ranging from stress, burnout, work-related conflict, emotional, marital and family problems, substance use disorders and psychiatric illness. The PHP also provides supportive services to family members.

In 2002, the PHP began to offer services to Ontario veterinarians with the collaborative support of the College of Veterinarians and the Ontario Veterinary Medical Association under the umbrella of the Professionals Health Program. Based on this collaborative framework in 2005 the College of Pharmacists and the Ontario Pharmacy Association also began to offer the PHP range of services to the pharmacy profession.

The PHP is concerned not only with responding to the problems experienced by physicians and health professionals and their families, but with preventing them.
In this regard, the PHP staff continue to participate in an increasing number of presentations, seminars and workshops, with a focus on healthy lifestyles, work-life balance,and stress management."

Sunday, February 10, 2008

Strength in numbers


(that's an airplane being de-iced, something I witnessed several times in the past few days)

Today's blog entry will be short as I am recovering from crazy weather-induced travelling exhaustion! I had an otherwise wonderful trip to Winnipeg, Manitoba this week, meeting a very dynamic group of school counsellors. Getting there and back was honestly one of the most ridiculous comedy of errors I have experienced: flight delays, train delays, a taxi driver who fell asleep at the wheel on the major highway between Toronto and Kingston where I live as he was driving me home... When I finally got home, Saturday morning at 330am minus my suitcase which Air Canada had lost, I felt the full weight of the rather hectic schedule I had been keeping. So, apologies for the lacklustre entry this week.

Here's what I was reflecting on today, on my morning cross country ski (now that was a treat, unlike the travelling!): I was thinking back to the emails that I have received in the past two weeks, from workshop participants who very kindly take the time to send me their thoughts and feedback. They have all focused on a few key things: how they appreciated having had the chance to connect with other colleagues, felt validated to have (re)discovered that the challenges they face are universal (and normal) among helpers, and that the experience of taking a day out of our busy lives to take stock and reflect on the impact of the work that we do had given them a renewed burst of energy to retool their self care. As one helper wrote to me yesterday: "I have already read three of the books you recommended during your workshop" Now how's that for making a commitment and walking the walk?

Ok, that's all I'm going to write today. Over and out.

Sunday, February 3, 2008

Mini Book Review: A CF Book For Teachers


Hi, you, out there. How are things? If you are not from my part of the world, you won't necessarily know that we have had the worst weather this week: almost no sunshine except for yesterday (in fact, apparently this has been the winter with the least amount of sunshine so far in my part of the world. This week we had rain, sleet, snow, ice pellets and 90km winds that ripped a branch off the only tree in front of my house. Today (Friday) we are expecting a big snowstorm with 20 cm of snow. Ah, January in Canada. So much fun!

This is a mini book review. Nothing formal.
The book in question is called The Resilient Practitioner: Burnout Prevention and Self-Care Strategies for Counselors, Therapists, Teachers and Health Professionals" Author: Thomas Skovholt (2001)

Now, unfortunately, the title of the book is slightly misleading as the book does not speak very much about resiliency per se, so anyone looking for new findings on resiliency in helpers should look elsewhere. But it offers a nice teacher-centered perspective on CF and ways to mitigate the impact of the work.

Skovholt takes a career counsellor approach to looking at the challenges of the work and uses some of the key concepts of the Strong-Campbell Interest Inventory to articulate some of his ideas. He looks at CF on a developmental perspective (the novice practitioner, hazards of practice for the experienced practitioner, etc.)

I liked the fact that he has created a resource that speaks to teachers and other helpers who work in the field of education as so much material out there (not that there is very much but still) is focused on health care and trauma workers. His chapters on sustaining the personal self and burnout prevention are also good.

Movies on CF: I also came across a wonderful independent film called Chalk. Maybe some of you have heard of it already, it was produced with the help of the Supersize Me guy Morgan Spurlock. It is a mockumentary featuring three new teachers in a Texas high school. There are some very funny and some very wry, touching moments. It has won all sorts of awards apparently. www.chalkthemovie.com