What is Stress First Aid SFA is a framework to improve recovery from stress reactions SFA fosters longevity in the job SFA can reduce stigma by changing culture SFA creates a common language to address stress ID: 1030318
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1. Stress First Aid for Health Care Workers
2. What is Stress First Aid? SFA is a framework to improve recovery from stress reactionsSFA fosters longevity in the jobSFA can reduce stigma by changing cultureSFA creates a common language to address stressSFA addresses stress reactions before they create problems
3. Characteristics of Stress First AidFlexibility and “tiny steps” are emphasizedTiming and context are importantMentoring and problem solving are highlightedSFA is not meant to address all ranges of issuesBridging to higher care is recommended when indicated
4. Stress Continuum ModelREADY(Green)REACTING(Yellow)INJURED(Orange)ILL(Red)DEFINITIONOptimal functioningAdaptive growthWellnessFEATURESAt one’s bestWell-trained and preparedIn controlPhysically, mentally and spiritually fitMission-focusedMotivatedCalm and steadyHaving funBehaving ethicallyDEFINITIONMild and transient distress or impairmentAlways goes awayLow riskCAUSESAny stressorFEATURESFeeling irritable, anxious or downLoss of motivationLoss of focusDifficulty sleepingMuscle tension or other physical changesNot having funDEFINITIONMore severe and persistent distress or impairmentLeaves a scarHigher riskCAUSESLife threatLossMoral injuryWear and tearFEATURESLoss of controlPanic, rage or depressionNo longer feeling like normal selfExcessive guilt, shame or blameMisconductDEFINITIONClinical mental disorderUnhealed stress injury causing life impairmentTYPESPTSDDepressionAnxietySubstance abuseFEATURESSymptoms persist and worsen over timeSevere distress or social or occupational impairment
5. Stress First Aid ModelSeven Cs of Stress First Aid:CHECKAssess: observe and listenCOORDINATEGet help, refer as neededCOVERGet to safety ASAPCALMRelax, slow down, refocusCONNECTGet support from othersCOMPETENCERestore effectivenessCONFIDENCERestore self-esteem and hope
6. Essential SFA Skills
7. How Can You Use SFA?CheckAct / ApproachDecide what is most needed:AnxietyGuilt/ShameIsolationCalmCompetenceGriefSevere Inability to FunctionConnectCoordinateSleep ProblemsCoverConfidence
8. Cover Actions
9. Potential SFA Cover ActionsReduce anything that makes the person feel unsafe Reassure that they are safe in the momentEducate the person about how to be or feel safer Focus on what to do rather than what not to do Provide an authoritative or accurate voice to limit perceived threat
10. Calm Actions
11. Potential SFA Calming ActionsMaintain a calm presenceReassure by authority and presenceShow understandingValidate concernsProvide information about reactions and resourcesProvide brief instruction in grounding/breathing
12. Connect Actions
13. Potential SFA Connect Actions Ask about social supportHelp link with supportive othersProvide support yourselfAddress potential negative social influences
14. Competence Actions Foster
15. Potential SFA Competence ActionsGive extra training / mentoringRemind of strategies and skills that have worked beforeEncourage active coping “Recalibrate” expectations/goals Help problem-solve and set achievable goalsConnect to community resources
16. Confidence Actions Rebuild
17. Potential SFA Confidence ActionsIdentify, amplify, concentrate on strengthsNormalize responsesHonor and make meaningReframe self-defeating statementsReduce guilt about actionsReduce rumors, misunderstandings, distortions
18. Next StepsTrainingSupport