Secondary Traumatic Stress in Care Workers and Case Managers Working in Welfare Facilities.

在福利机构和代理工作的社会工作者、护工和个案管理人员在履行职责时面临着各种各样的压力。具体来说，当他们关心和支持那些有严重创伤经历的来访者时，护工、个案管理人员和社会工作者自己也有可能不得不面对自己的创伤。帮助者的专业，或者与客户建立同情和关系，越来越多地意味着将他们置于延伸到倦怠状态的过程中。对两家福利院的帮助者和社工进行了Figley、C.等人编制的同情疲劳、倦怠和同情满意度自检表，结果显示同情疲劳的数值早于倦怠标准，表明该自检表在预防倦怠方面是非常有效的。在此基础上，本研究提出了以下几点对职业倦怠和同情疲劳预防的看法。1.关于通信后的问题纸强制执行。(1)关于强制执行试卷的考虑。(2)关于机构或设施经理使用卷子的情况。(3)机构、代理、设施工作人员的自我意识。2. 同情疲劳的治疗和措施。(1)对帮工或工人家庭的创伤性压力的支持。“第三次创伤压力的预防。”(2)对帮工或工人“家庭倦怠”的防范。(3)构建工作与日常生活的关系。(1)同情疲劳，倦怠可能发生在与用户和客户的关系中。(2)作为应激反应的帮助者的成瘾行为或行为。(3)支持帮助者和社工的策略。（四）帮助者伤口的处理。支持方法或技术改进的必要性。(5)解离的处理和措施。把工作和私人生活分开。有意的离解。少

Social workers, care workers and case managers working in welfare facilities and agents have a wide range of stresses in performing their duty. Specifically, when they concern and support the clients who had severe traumatic experiences, there is possibility that care workers and case managers and social workers themselves have to confront their own trauma.The specialty of the helpers, or the building of sympathy and relationship with clients, increasingly means placing them in the process of extending to the situation of burnout.The helpers and social workers in two welfare facilities were attended the projects on the self check lists about the compassion fatigue, burnout and compassion satisfaction created by Figley, C. et al..As a result, compassion fatigue showed high numerical value earlier than the burnout standard, and it was suggested that this check lists were very effective as the prevention of burnout.Furthermore, on the basis of these results, and some points of view for th … More e prevention of burnout and compassion fatigue were shown as follows. 1.About correspondence after the question paper enforcement. ( 1 )Consideration on enforcing a question paper. (2)About the question paper use of institution or facility manager. (3)Self-awareness of staffs in a institution, an agent and a facility. 2. Treatments and Measures for compassion fatigue. (1) Support to traumatic stress of a family of a helper or a worker. "The prevention of Third Traumatic Stress." (2) Defense to "Family Burnout" of a helper or a worker. (3) Construction of relations work with everyday life. (1)Compassion fatigue, burnout which can happen in relationship with a user and a client. (2)An addiction action or behavior of a helper as a stress reaction. (3)Strategies for support to a helper and a social worker. (4) Treatments for wound of a helper. Necessity of improvement of support method or technology. (5) Treatments and Measures to dissociation. Cutting apart of work and the private life. Intentional dissociation. Less