FOREST (Fostering Optimal Regulation of Emotion for prevention of Secondary Trauma): Implementation and evaluation of a burnout prevention program for staff in gun violence prevention programs.

项目摘要 芝加哥READI是一个创新的项目，旨在通过向生活在失业率、贫困和枪伤和死亡率最高的芝加哥社区的成年人提供社区外展、心理社会支持和工作技能培训来减少枪支暴力。像READI这样的项目的成功依赖于熟练、有弹性的员工，他们能够与客户保持支持性的联系，但暴露在长期压力和创伤之下，一线员工面临心理和身体健康状况较差以及工作倦怠的风险。我们西北大学的团队开发了一个项目，教授提高积极情绪的技能，即使在压力中也是如此。我们已经证明，这些积极的情绪技能可以改善幸福感，例如，通过减少抑郁、焦虑和疼痛。相关研究表明，该计划还可能防止职业倦怠和工作流失，这是维持READI芝加哥分校密集计划的一个担忧。在这项工作的基础上，并与READI芝加哥公司合作，我们开发并试点测试了FOREST(培育最佳情绪调节以防止二次创伤)计划，以帮助一线员工保持幸福感和减少职业倦怠。在拟议的R21中，我们将调整森林，由来自芝加哥三个READI地点的训练有素的工作人员提供，并制定实施和评估计划，为R33奠定基础。在拟议的R33中，我们将利用试点实施试验，研究受过培训的READI工作人员(积极情绪大使)交付森林的情况。在探索、准备、实施和持续(EPIS)框架的指导下，整合动态适应过程(DAP)，我们的总体目标是开发、实施森林计划并使其具体化，并为READI芝加哥可持续增强韧性、防止疲惫、减少流动率、提高一线提供者的情感幸福感、工作满意度和有效性而建设能力，并为维持森林计划并将其传播到芝加哥和全国的其他枪支暴力预防计划奠定基础。

Project Summary READI Chicago is an innovative program designed to reduce gun violence by providing community-based outreach, psychosocial support, and job skills training to adults living in Chicago neighborhoods with some of the highest rates of unemployment, poverty, and firearm injury and mortality. The success of programs like READI is dependent on skilled, resilient staff who are able to sustain a supportive connection with their clients, yet exposure to chronic stress and trauma places front-line staff at risk of poorer psychological and physical health and burnout. Our team at Northwestern has developed a program that teaches skills for increasing positive emotions, even in the midst of stress. We have shown that these positive emotion skills can improve well-being, for example, by decreasing depression, anxiety, and pain. Related research suggests the program might also prevent burnout and job turnover, which is a concern for sustaining the intensive programs at READI Chicago. Building on this work and in collaboration with READI Chicago, we developed and pilot tested the FOREST (Fostering Optimal Regulation of Emotion to prevent Secondary Trauma) program to help front-line staff maintain well-being and reduce burnout. In the proposed R21, we will adapt FOREST to be delivered by trained staff from the three READI sites in Chicago and develop implementation and evaluation plans to lay the foundation for the R33. In the proposed R33, using a pilot implementation trial, we will study the delivery of FOREST by trained READI staff (the positive emotion ambassadors). Guided by the Exploration, Preparation, Implementation and Sustainment (EPIS) framework and integrating the Dynamic Adaptation Process (DAP), our overall goal is to develop, implement, and manualize the FOREST program and build capacity for READI Chicago to sustainably enhance resilience, prevent burnout, reduce turnover, and increase emotional well-being, job satisfaction and effectiveness among front-line providers and to set the foundation to sustain and disseminate the FOREST program to other gun violence prevention programs in Chicago and nationwide.