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Addressing Burnout and Building Resilience for APS Line Staff

We create experiences that transform the heart, mind and practice.

© 2025 Academy for Professional Excellence. All rights reserved.

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About Us

Providing approximately 50,000 learning experiences to health and human services professionals annually, the Academy’s mission is to provide exceptional workforce development and learning experiences for the transformation of individuals, organizations and communities.

APSWI, or Adult Protective Services Workforce Innovations, is a program of the Academy that provides innovative workforce development to APS professionals and their partners.

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The Academy for Professional Excellence is a project of SDSU School of Social Work. Funding is administered by SDSU Research Foundation.

San Diego State University

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Purpose of Land Acknowledgement

The purpose of a land acknowledgement is to recognize the relationship of Indigenous peoples to the land. It is multi-faceted in its meaning. It shows respect to the people of the land, to the land itself and to their relationship to one another. They are statements that recognize the dispossession from the land, the harm brought by colonial practices, beliefs and policies. They validate and recognize the continued presence of Indigenous peoples everywhere. Lastly, when offered in earnest and with sincerity, they are the first steps in reconciliation and healing.

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Land Acknowledgement

National Deliveries

For millennia, hundreds of Tribal nations have been a part of this land. This land has nourished, healed, protected, and embraced them for many generations in a relationship of balance and harmony.

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As members of the Academy community, we acknowledge this legacy. We promote this balance and harmony. We find inspiration from this land and its original inhabitants of this Nation.

�Making a statement isn’t enough. It is important that we share ways people can take action to support Native American people and land back efforts. This can involve researching and learning more about the indigenous communities of the lands you are on at Native Land Digital; returning artifacts and land to their appropriate tribal communities; working to protect and preserve the land, and much more.

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For more information and resources, see our Land Acknowledgement page.

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Housekeeping & Introductions

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  • Set cell phones to silent/vibrate

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  • Schedule - Please return promptly from breaks and help

us keep to the schedule

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  • Comfort breaks

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  • Materials
    • PowerPoint Slides
    • Participant Materials
    • Handouts

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  • Introductions

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Learning Objectives

  • Summarize the differences between the various sources of workplace stress including how they are caused and how they might present
  • Describe the sources of burnout on an organizational level
  • Recognize the symptoms of workplace stress on an individual level  
  • Identify a variety of interventions to increase personal resilience

  

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Tour of Workplace Stress

Workplace Stress

Burnout

Secondary Traumatic Stress

Empathic Distress

Moral Distress

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Burnout

A syndrome resulting from chronic workplace stress that has not been successfully managed.

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  • A mismatch in the values of the worker and the manifested values of the workplace
  • The result of the work conditions and requirements being “out of sync” with the needs of the employees (Maslach & Leiter, 2022)

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Burnout - Warning Signs

How does it present?

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It is characterized by three dimensions:

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    • feelings of energy depletion or exhaustion
    • Increased mental distance from one’s job, or feelings of negativism or cynicism related to one's job
    • Reduced professional efficacy

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Secondary Traumatic Stress

Stress caused by exposure to another’s primary trauma– through images, descriptions or observed reactions.

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It presents in a continuum of severity:

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Normal Stress Reactions

STS Symptoms

Functional Impairment

PTSD

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Secondary Traumatic Stress - Warning Signs

How does it present?

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  • Changes in mood, memory, or perception
  • Disrupted sense of safety
  • Alterations in sense of self-efficacy
  • Depleted personal resources

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Empathic Distress �(Compassion Fatigue)

The subtle erosion of one’s ability to care and invest in the work of alleviating the suffering of another.

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  • Getting “stuck” in empathy
  • Lack of resources or knowledge to alleviate the suffering of another
  • Personal challenges
  • Chronic stress

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Empathic Distress - Warning Signs

How does it present?

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  • Apathy towards your work or people at work
  • Avoidance of certain clients/patients/people
  • Exhaustion
  • Physical illness

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Moral Distress

An emotional reaction to the experience of organizational policies, mandates, or regulations being in direct conflict with one’s own sense of moral responsibility.

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How does it present?

An internal reaction that alerts you to the dissonance between your values and the constraints from your organization.

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  • Feeling a pit in your stomach
  • A sense that “this is not right”
  • Hesitancy to perform required job responsibilities
  • Anger
  • Lack of self-efficacy

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At a Glance

Type of Workplace Stress

Cause

Presentation

Burnout

Chronic workplace stress that has not been successfully managed

  • Exhaustion
  • Negativism/cynicism
  • Lack of self-efficacy

Secondary Traumatic Stress

Exposure to another person’s primary trauma

  • Trauma symptoms
  • Lack of sense of safety
  • Lack of self- efficacy
  • Depleted personal resources

Empathetic Distress

Slow erosion of ability to care from exhaustion, lack of resources or personal challenges

  • Exhaustion
  • Apathy/negativism
  • Depleted personal resources

Moral Distress

Workplace policies, mandates, expectations in violation of personal values

  • Internal sense that something is “not right”
  • Anger
  • Lack of self-efficacy

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10-Minute Break (1)

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A Deeper Look at Burnout

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Let’s Sort!

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Worker Profiles

  • The Burnout Challenge by Christina Maslach and Michael Leiter present different worker profiles (Maslach & Leiter, 2022)

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    • Overextended
    • Disengaged
    • Ineffective
    • Engaged

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  • Understanding each profile can help us clarify our experiences

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Overextended

  • Heavy workload
  • High demands
  • Long hours

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  • Believe in themselves and their work

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Disengaged

  • Consistently negative
  • Lost motivation
  • Lack of control
  • Insufficient rewards
  • Low quality relationships
  • High number of mismatched values

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  • May not feel exhausted
  • Doing a good job

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Ineffective

  • Negative sense of their own accomplishments
  • See the work as not intrinsically rewarding
  • Question their own ability to carry out the work
  • Lose confidence in their ability to make a difference

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  • Has energy for the job
  • May enjoy the social component of work

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Engaged

  • Engaged in work
  • Energy to do the job
  • Feel effective and accomplished

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How Does Someone Get There?

“…burnout arises from increasing mismatches between workers and workplaces.” (Maslach & Leiter, 2022)

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WORK OVERLOAD

LACK OF CONTROL

INSUFFICIENT REWARDS

BREAKDOWN OF COMMUNITY

LACK OF FAIRNESS

VALUES CONFLICT

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Whose Job is it Anyway?

Who holds the burden of responsibility to resolve burnout?

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Remember This…

ORGANIZATIONAL RESPONSIBILITY

INDIVIDUAL RESPONSIBILITY

Resolve the values and need mismatches between the employees and the workplace

Manage symptoms of burnout by prioritizing personal health practices and implementing boundaries

Seek and implement feedback from employees

Offer feedback and support changes in the workplace

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Demand/Control Model

Control/Demands

Low Demands

High Demands

High Control

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Low strain

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Active

*higher learning motivation

Low Control

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Passive

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High strain

*high risk of illness and mental/emotional strain

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Concern/Influence/Control

CIRCLE OF CONTROL

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Circle of Influence

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Circle of Concern

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Radical Acceptance

Honest self-reflection

Focused effort

Commitment

Radical Acceptance is not:

Apathetic

Passive

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Circle Sorting

CIRCLE OF CONTROL

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Change the Goal

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10-Minute Break (2)

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Building Resilience in the Circle of Control

Intentional Engagement

Self-Awareness

Skillful Intervention

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Self-Awareness

“Knowing your own darkness is the best method for dealing with the darknesses of other people.”

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-C.G. Jung

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Contributing Factors

This tool was developed by Françoise Mathieu, TEND, Leslie Ann Ross, UCLA, and the Secondary Traumatic Stress Consortium, a group of researchers, trainers, practitioners, and advocates with a common goal to advance the field of secondary traumatic stress towards health. Special thanks to R. Cuellar, A. Hendricks, M. Clarke, and G. Sprang of the National Childhood Traumatic Stress Network (NCSTN) for contributing the Socio-Cultural Context circle.

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Warning Signs

Red (top):

  • Stress level severe
  • Take time off, get professional support

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Yellow (middle):

  • Stress level moderate
  • Slow down, take stock

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Green (bottom):

  • Stress level mild
  • Stay the course

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Intentional Engagement

Hyperarousal

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The result of chronic trauma taking over the body’s adaptive threat and alarm systems to become excessively alert.

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The impact of hyperarousal is:

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  • Impaired decision making
  • Difficulty with emotional regulation
  • Interferes with memory

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How We Think the Workday Looks…

Time in the workday

Stress Level

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How the Workday Actually Looks…

Time in the workday

Stress Level

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Edges of Stress Events

BEGINNING

PREPARE

MIDDLE

MAINTAIN

END

RECOVER

INTENTIONAL ENGAGEMENT

SKILLFUL INTERVENTIONS

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Beginning of the Stress Event

Avoidance: keeping clients at an emotional “arms’ length”

Overinvolvement: becoming overly empathically connected with the client

Images were generated using AI

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Another Approach

Be a window: Using empathic connection to respond to the suffering and needs of another while staying grounded within oneself.

Images were generated using AI

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Muddy Middle - �Close the Window

Unmirroring: unhooking your body posture and speaking tone from the client

Slowing empathic imagery: paint the picture the client reports

Images were generated using AI

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The Sterile Middle - �Open the Window

Make observations: Slow down the conversation and begin to reflect back to the other person

Interconnectedness: remember that all humans are connected by the experience of emotion.

Images were generated using AI

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The Recovery

    • Body
    • Emotions
    • Thoughts

How am I?

    • Stop
    • Slow down breathing
    • Focus on feet on the floor

Feet on the floor:

    • Water
    • Brisk walk
    • Debrief

Hot, Walk, Talk

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Green Cross Ethical Guidelines

  1. Strategies for letting go of work in off hours: “embracing rejuvenation activities that are fun, stimulating, inspiring and generate joy in life”

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  • Strategies for acquiring adequate rest and relaxation: “tailored to your own interest and abilities which result in rest and relaxation most of the time”

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  • Strategies for practicing daily stress reduction methods: “tailored to your own interest and abilities in effectively managing your stress during working hours and off-hours”

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Balance Map

Body

Mind

Soul

Getting enough sleep

Limiting coffee

Nutritious lunch

Setting boundaries when I’m overwhelmed

Making daily plans

Taking 5 minutes to organize my desk

Going out to lunch with a friend 1x/month

Regenerative activities after work

Saying thank you to my coworkers

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Review

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  1. There are different sources of workplace stress

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  • Burnout must be addressed on an organizational level

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  • Individuals have a responsibility to prioritize their own health

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  • Utilizing circles of concern, influence and control reduces frustration

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  • Building personal resilience is in the circle of control

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  • Increased resilience comes through:

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    • Improved self-awareness
    • Intentional engagement
    • Skillful intervention

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P-I-E

Reflect and note:

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  • Priceless piece of information
    • What has been the most important piece of information to you today?

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  • Item to implement
    • What is something you intend to implement from our time together today?

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  • Encouragement you received
    • What is something that you already are doing and were encouraged to keep doing?

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Thank You!

We envision a world where the quality of life for individuals, organizations, and communities is transformed into a healthier place.