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Accordingly, individuals affected by secondary stress may find themselves re-experiencing personal trauma or notice an increase in arousal and avoidance reactions related to the indirect trauma exposure.

They may also experience changes in memory and perception; alterations in their sense of self-efficacy; a depletion of personal resources; and disruption in their perceptions of safety, trust, and independence.

The reflective model promotes greater awareness of the impact of indirect trauma exposure, and it can provide a structure for screening for emerging signs of secondary traumatic stress.

Moreover, because the model supports consistent attention to secondary stress, it gives supervisors and managers an ongoing opportunity to develop policy and procedures for stress-related issues as they arise.

A partial list of symptoms and conditions associated with secondary traumatic stress includes.

Client care can be compromised if the therapist is emotionally depleted or cognitively affected by secondary trauma.

These self-assessment tools, administered in the form of questionnaires, checklists, or scales, help characterize the individual’s trauma history, emotional relationship with work and the work environment, and symptoms or experiences that may be associated with traumatic stress.

Individual and supervisory awareness of the impact of this indirect trauma exposure—referred to as secondary traumatic stress (STS)—is a basic part of protecting the health of the worker and ensuring that children consistently receive the best possible care from those who are committed to helping them. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. Supervisors and organizational leaders in child-serving systems may utilize a variety of assessment strategies to help them identify and address secondary traumatic stress affecting staff members. Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. The most widely used approaches are informal self-assessment strategies, usually employed in conjunction with formal or informal education for the worker on the impact of secondary traumatic stress. The development of secondary traumatic stress is recognized as a common occupational hazard for professionals working with traumatized children. Residential Treatment for Children and Youth, 25(2), 103-122. Studies show that from 6% to 26% of therapists working with traumatized populations, and up to 50% of child welfare workers, are at high risk of secondary traumatic stress or the related conditions of PTSD and vicarious trauma.

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