Standards of Care




I. Purpose of the Guidelines

As with the standards of practice in any field, the practitioner is required to abide by standards of self care. These guidelines are utilized by all members of the Green Cross Academy of Traumatology. The purpose of the Guidelines is twofold: First, do no harm to yourself in the line of duty when helping/treating others. Second, attend to your physical, social, emotional, and spiritual needs as a way of ensuring high quality services to those who look to you for support as a human being.

II. Ethical Principles of Self Care in Practice

These principles declare that it is unethical not to attend to your self care as a practitioner because sufficient self care prevents harming those we serve.

 1. Respect for the Dignity and Worth of Self: A violation lowers your integrity and trust.

2. Responsibility of Self Care: Ultimately, it is your responsibility to take care of yourself and no situation nor person can justify neglecting it.

3. Self Care and Duty to Perform: There must be a recognition that the duty to perform as a helper cannot be fulfilled if there is not, at the same time, a duty to self care.

III. Standards of Humane Practice of Self Care

1. Universal Right to Wellness: Every Helper, regardless of her or his role or employer, has a right to wellness associated with self care.

2. Physical Rest and Nourishment: Every helper deserves restful sleep and physical separation from work that sustains them in their work role.

3. Emotional Rest and Nourishment: Every helpwer deserves emotional and spiritual renewal, both in and outside the work context.

4. Sustenance Modulation: Every helper must utilize self restraint with regard to what and how much they consume (e.g., food, drink, drugs, stimulation), since it can compromise their competence as a helper.

IV. Standards for Expecting Appreciation and Compensation

  1. Seek, find, and remember appreciation from supervisors and clients: These and other activities increase worker satisfaction, which sustains helpers emotionally and spiritually in their helping.
  2.  Make it known that you wish to be recognized for your service: Recognition also increases worker satisfaction, which sustains helpers.
  3. Select one or more advocates: These are colleagues who know you as a person and as a helper, and are committed to monitoring your efforts at self care.



V. Standards for Establishing and Maintaining Wellness

Section A: Commitment to Self Care

1. Make a formal, tangible commitment: Written, public, specific, and measurable promises to self care.

2. Set deadlines and goals: The self care plan should set deadlines and goals connected to specific activities of self care.

3. Generate strategies that work, and follow them: Such a plan must be attainable and followed with great committed. It must also be monitored by advocates of your self care.

Section B: Strategies for Letting Go of Work

1. Make a formal, tangible commitment: Written, public, specific, and measurable promise of letting go of work in off hours and embracing rejuvenation activities that are fun, stimulating, inspiring, and generate joy in life.

2. Set deadlines and goals: the letting go of work plan should set deadlines and goals connected to specific activities of self care.

3. Generate strategies that work, and follow them: Such a plan must  be attainable, and followed with great committed. It must also be monitored by advocates of your self care.

Section C: Strategies for Gaining a Sense of Self Care Achievement

1. Strategies for acquiring adequate rest and relaxation: The Strategies are tailored to your own interest and abilities which result in rest and relaxation most of the time.

2. Strategies for practicing effective daily stress reduction method(s): The strategies are tailored to your own interest and abilities in effectively managing your stress during working hours and off-hours with the recognition that they will probably be different strategies.



VI. Inventory of Self Care Practice: Personal

Section A: Physical

1. Body Work: Effectively monitoring all parts of your body for tension and utilizing techniques that reduce or eliminate such tensions.

2. Effective sleep induction and maintenance: An array of healthy methods that induce sleep and a return to sleep under a wide variety of circumstances including stimulation of noise, smells, and light.

3. Effective methods for assuring proper nutrition: Effectively monitoring all food and drink intake and lack of intake with the awareness of their implications for health and functioning.

Section B: Psychological

1. Effective behaviors and practices to sustain balance between work and play

2. Effective relaxation time and methods

3. Frequent contact with nature or other calming stimuli

4. Effective methods of creative expression

5. Effective skills for ongoing self care

a. Assertiveness

b. Stress Reduction

c. Interpersonal Communication

d. Cognitive Restructuring

e. Time management

6. Effective skill and competence in meditation or spiritual practice that is calming

7. Effective methods of self assessment and self-awareness

Section C: Social/ Interpersonal

1. Social Supports: At least gfive people, including at least two at work,l who will be highly supportive when called upon

2. Getting Help: Knowing when and how to secure help both informal and professional- and the help will be delivered quickly and effectively

3. Social Activism: Being involved in addresing or preventing social injustic that results in a better world and a sense of satisfaction for trying to make it so



VII. Inventory of Self Care Practice: Professional

1. Balance between work and home: Devoting sufficient time and attention to both without compromising either.

2. Boundaries/ limit settings: Making a commitment and sticking to regarding

a. Time boundaries/overworking

b. Therapeutic/ Professional Boundaries

c. Personal boundaries

d. Dealing with multiple roles (both social and professional)

e. Realism in differentiating between things one can change and accepting the others

3. Getting support/ help at work through:

a. Peer support

b. Supervision/ consultation/ therapy

c. Role models/ mentors

4. Generating Work Satisfaction: By noticing and remembering the joys and achievements of the work





VIII. Prevention Plan Development

1. Review current self-care and prevention functioning 

2. Select one goal from each category

3. Analyze the resources for and resistances to achieving the foal

4. Discuss goal and implementation plan with a support person

5. Activate plan

6. Evaluate plan weekly, monthly, yearly with support person

7. Notice and appreciate the changes