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 READI芝加哥是一项创新计划，旨在通过为居住在失业率、贫困率、火器伤害和死亡率最高的芝加哥社区的成年人提供基于社区的外展、心理社会支持和工作技能培训，减少枪支暴力。像READI这样的项目的成功取决于熟练的、有弹性的工作人员，他们能够与客户保持支持性的联系，然而，长期的压力和创伤使一线工作人员面临心理和身体健康状况较差和倦怠的风险。我们在西北大学的团队开发了一个项目，教授增加积极情绪的技能，即使在压力中。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，该计划还可能防止倦怠和工作人员流动，这是一个关注维持密集计划在READI芝加哥。在这项工作的基础上，并与READI芝加哥合作，我们开发并试点测试了FOREST（促进情绪的最佳调节，以防止二次创伤）计划，以帮助一线工作人员保持健康，减少倦怠。在拟议的R21中，我们将调整FOREST，由来自芝加哥三个READI站点的训练有素的工作人员交付，并制定实施和评估计划，为R33奠定基础。在拟议的R33中，使用试点实施试验，我们将研究由受过培训的READI工作人员（积极情绪大使）提供FOREST。在探索，准备，实施和维持（EPIS）框架的指导下，并整合动态适应过程（DAP），我们的总体目标是开发，实施和手动化FOREST计划，并为READI芝加哥建设能力，以可持续地增强弹性，防止倦怠，减少营业额，并增加情感幸福感，前线提供者的工作满意度和有效性，并建立基础，以维持和传播森林计划，以其他枪支暴力预防计划在芝加哥和全国范围内。

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.