Tuesday, November 26, 2013

NASW: National Association of Social Workers Conference Asheville NC 2013 Paper (and Presentation)


SUSTAINABLE RESILIENCY DEVELOPMENT AND SOCIAL WORK
Leslie C. McQuilkin, ABD
Copyright 2013
 
 
So you thought you were going to read a boring article, or did you think you were going to get your hands on a technical thesis that required a statistical interpretation to apply within your practice? No, this research has been taken from a larger investigation conducted as a part of the requirements for a doctorate in progress. Until then, let us discuss the results, the model, and how the implications apply to you the social worker. So much of what you have learned is geared toward the client. After spending almost 4 years in research and 6 months in the field I was overwhelmed by what I thought I knew and what I was about to learn. The journey started out as a management endeavor, and spanned three fields of study (education, organizations, and social services). The expectation was simple; the data would reveal linear constructs. Once data collection and analysis had been completed, startling patterns discoveries had led to what will soon become impactful revelations within your personal practice.
 
KEYWORDS: RESILIENCE, SOCIAL WORK, SUSTAINABILITY
 


Resilience is primal, whether it is inherent or learned; developing resilience and sustaining resilience requires work and consistent practice. Adversity is subjective. The study investigated resilience, in particular the traits of those who have faced adversity and overcome adversity with the hope of identifying a sustainability factor. The problems for many academics as they look at the basic outline of this study were: How do you quantify adversity? How do you quantify resilience? The answer came easy, you do not.
 
Even a brief fleeting moment of emotional strength that brought a person through a rough time can be considered resilient if they perceive it that way. Right now, it is important to wrangle in the data and find a way to thrive. I once met a woman who had been assaulted; she spent a good deal of time in the hospital and dealing with the police officers while she was in the intensive care unit. Once she was physically well and she survived the event she was sent home. This woman explained that it took all the resilience she had to make it through the assault and those days in the hospital, but after she was released no one concerned themselves with how she would thrive. For her, this would be a brutal 5 year process but she learned to thrive thanks to counseling and a will to move forward.
 
Let us qualify resilience over adversity. You may understand this within your own practice when you see individuals who appear to face never-ending hurdles and manage to avert emotional collapse. Do they come close to emotional collapse? Yes. Are their coping skills perfect? No.  This is how resilience looks like. Like a car, without adequate upkeep the coping skills will begin to deplete. Sustainability is a lifelong endeavor. Conversely you may have the client who faces smaller hurdles (from our perspective) and collapses under the stress of the adversity. Due to the lack of resilience constructs and the belief that resilience should be trained in a linear manner individuals often find themselves without the coping skills necessary to endure.
 
Along my quest for information I came across many mental health professionals, at first I thought the phrase secondary trauma was a coincidental connection until I entered the interview transcriptions into the coding software. Secondary trauma came up within the data 937 times. The observation of others as they endure, speak of, or struggle through their traumas has a severe impact in the social service profession.
 
All of your emotions, empathy, and coping skills are honed in on training and guiding the client toward becoming resilient and or reaching their therapeutic goals. A social worker must check their personal feelings and emotional baggage at the door (as one respondent once told me) and at the end of the day they have no one to share their day with at home.
 
When a majority of the population has an emotionally draining day they can go home and for the most part talk about it in great detail. A therapist or non-clinical social worker is bound by law to silence, sharing their day is not part of the deal. Important to mention, most of their friends and all of their family know they are a therapist or work in the social work field and they are likely the first person they unload upon when they are off the clock.
 
Back to the data. Post-traumatic stress disorder is a prevalent problem impacting our returning military; some retain their resilient nature from the battle field while others cannot. You may see this hidden in cases such as spousal abuse, alcoholism, drug abuse, criminal activity, and suicide. Does it make a person any less resilient because they were able to maintain a resilient mind for more than 3, 4, 5, 10, 15 years until they were unable to thrive? The resounding answer is no. A 44 year old soldier, a brave Blackfeet warrior (the most decorated Blackfeet soldier in history) succumbed to post-traumatic stress disorder in June 2013. The United States Army was his life; he chose to fight for his country since he was 18 and worked for the Department of Defense in his final days. This warrior suffered a traumatic experience during his final tour of duty where he lost friends in an IED explosion while riding in a Humvee. Few survived, he suffered a traumatic brain injury but was able to recover and return to duty. For the next 5 years he was never the same and chose to suffer in silence. During his funeral endless stories were told of his resilience and bravery. I have no doubt that these stories were true. The data is now revealing that resilience can be chipped away by factors out of our control making sustainability a necessity.
 
Social workers are like soldiers, and like our soldiers we are learning that we have to be proactive in protecting the mental health of these soldiers. Sustainability requires much more than the knowledge of resilience, for the social worker it is more complex. The social worker has the unfortunate nagging inner voice telling them that I can take care of myself, after all this is my job. Here is what the data shows regarding sustainability and the social worker:
·         Taking responsibility for your personal resilience and emotions is significant.
·         Remaining dedicated to the process of developing personal coping skills
·         Taking the time to relax and evaluate your feelings and seek support (in a professional environment)
·         Have a desire to set short term goals to get through the day but have a desire to ultimately thrive as an individual (being a social worker does not define you)
·         Follow your instincts, when your body or mind is giving you a signal stay mindful and take a break. Be decisive about this. Do not give up.
·         Give yourself a break; display the same empathy to yourself that you give to others.
·         Understand that being resilient is not a graceful process, be forgiving of yourself
 
 
 
 


I will end this article with one question, what is your life worth?


 

It has been a while

Muddling through life has not been something I'd like to admit I found myself doing these last few years, yet it is the truth. While working on my doctorate, conducting research... I lost my job twice, faced numerous personal hurdles and have been on the brink of financial ruin. What has really been the most difficult, has been the past year in and of itself.

The questions always loomed in my head: what do I do, how do I fix this mess?

I learned that seeking clear cut answers were silly, I had to focus on the day to day, the short term and build toward focusing on a less tumultuous future. Beyond my ability to control, life became one adverse situation after the next and I had to move forward. Dwelling on the hardships were only perpetuating the debilitating states.

Things are better, though they are not easy. My research is complete, we are grieving difficulties effectively, and hoping for a better future. The best way I can do that ( and do well by my husband and step son) is to move forward and get my dissertation approved.

Interesting fact.

My research is a grounded theory development of a sustainable resilience development theory... Funny how we (as researchers) spend so much time removing ourselves from the data to prevent bias that we forget to apply what we have learned to our own lives.

Funny.