Secondary Traumatic Stress & Burnout
Community Health Workers (CHWs) and other helping professionals who work directly with people who have experienced trauma may experience secondary traumatic stress (STS). Secondary traumatic stress may occur when they hear about traumatic experiences others have experienced. Certain factors, such as being highly empathetic or having unresolved personal traumas, can increase the risk of experiencing this stress. This can take an emotional toll on CHWs and impact their overall well-being. To help CHWs protect themselves from secondary traumatic stress, it's important to be aware of the impact and learn preventive strategies.
Common signs of secondary traumatic stress include trouble focusing, difficulty sleeping, anxiety or depression, feeling distant from others, changes in eating habits, and experiencing more physical problems.
To reduce the risk of secondary traumatic stress, CHWs may use the following strategies to support their mental and emotional well-being:
- Self-Report Assessments: CHWs can use self-assessment tools to monitor their stress levels such as this Secondary Traumatic Stress Scale.
- Finding Support: Participating in Employee Assistance Programs, self-care groups, or counseling services can provide a supportive space for CHWs to discuss their feelings and experiences and find tools to cope.
- Manageable Workload and Flexibility: Organizations that provide flexibility and ensure a manageable workload can help prevent secondary traumatic stress and ensure that CHWs can focus on each person they help effectively.
- Rest and Nutrition: Getting enough rest, eating a balanced diet, and exercising are essential for cultivating physical and mental wellness.
- Stress-Reducing Activities: Engaging in activities they enjoy, such as hobbies or relaxation techniques, can help CHWs manage their stress and build resilience.
As a CHW and CHW employer, it's important to be aware of the potential impact of secondary traumatic stress. By recognizing the signs and implementing preventive strategies, CHWs can protect themselves and continue providing valuable support to their communities.
- Hazards of Our Helping Profession: A Practical Self-Care Model for Community Practice
- NCTSN Secondary Traumatic Stress Resources
- Pause-Reset-Nourish to Promote Wellbeing (in Spanish)
- Secondary Traumatic Stress Consortium
- Support for Public Health Workers and Health Professionals - CDC
- Resource Guide for Coping with Secondhand Trauma
- Secondary Traumatic Stress and Self-Care Packet
- Compassion Fatigue Awareness Project
- Mental Health America, is a resource to help find mental health treatment services, including affordable treatment for those without insurance, in your community
- Psychologist Locator, a service of the American Psychological Association (APA) Practice Organization
- Search for therapists in your area at PsychologyToday.com
- If you need help finding treatment facilities, visit MentalHealth.gov
- To search for Latinx and Spanish-speaking therapists, visit LatinxTherapy.com
- Therapy For Black Girls, an online space dedicated to encouraging the mental wellness of Black women and girls.
- Brene Brown with Emily and Amelia Nagoski on Burnout and How to Complete the Stress Cycle
- Self-care, wellness, and recovery in the RCC setting: Approaches taken and complexities faced
- Beyond the Cliff - TED Talk by Laura van Dernoot Lipsky
- Drowning in Empathy: The Cost of Vicarious Trauma TEDxSanAntonio
- Black Girl Burnout
- FRIED. The Burnout Podcast
- Insight Timer (Free library of more than 180k guided meditations, you can seach for Burn-out Prevention Meditation for burnout specific meditations)
- Calm
- IChill App
Self Screening Tool for CHWs and other helping professionals: Secondary Traumatic Stress Scale
The primary focus of this skills-based, stabilization program is to re-set the natural balance of the nervous system.