S.C.U.B.A.

Preparing for the

Deep Waters of
Non-Profit
Management

Steven Reames, Executive Director

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 Oxygen
Hyperventilation
Underwater
Breathholding
World Record

24 Minutes
3.5 Seconds

2
Our Meandering Paths
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4
S elf
Contained
Underwater
B reathing
Section Title 2
Subtitle

Apparatus 5
Graphic by By Tirachard / Freepik
 Borrowing Air
• Cynicism
• Heart disease, ulcers,
hypertension, IBS, etc.
• Anger, abusive
relationships, road rage
• Addictions, Numbing out
• Loss of Relationships

Source: www.scubadiving.com

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7
Share Your
Burnout
Story

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9
Determinants of Employee Engagement

Personal
Resilience
20%

Workplace
Factors
60% Enculturation
20%

“There is Broad agreement that causes of burnout are about 80% organizational and 20%
individual” - Colin West, MD, MPH, Personal Correspondence
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 Areas of Worklife
That have most impact on burnout

● Workload
● Control
● Reward
● Community
● Fairness
● Values

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Maslach Burnout Inventory 12
 Emotional Exhaustion

Thomas Lee “2000 Yard Stare” Thomas Cruise – Edge of Tomorrow 13

Depersonalization:
“Psychological withdrawal from
relationships and the development
of a negative, cynical, and callous
attitude.” (Hartney)

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Source: PC Magazine
Do You Get Stressed?

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Myth: Stress is all Bad
Fact: The right amount
of stress and tension is
good

16
smarko/pixabay
17
Not Enough: BAD
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Too Much BAD
19 19
Right amount of Good
stress (tension)

2020
 Stress is operating at the edge of our capacity

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Graphic: University of Wellington The Yanke-Dodson Human Performance Curve
 The Thrill of Victory

Personal Accomplishmen

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23
 Difference Between Stress and Burnout
Stress Burnout

Characterized by Over-engagement Characterized by Disengagement

Emotions are over-reactive Emotions are blunted

Produces urgency and hyperactivity Produces helplessness and

hopelessness

Loss of energy Loss of motivation, ideals, and hope

Leads to anxiety disorders Leads to detachment and depression

Primary damage is physical Primary damage is emotional

May kill you prematurely May make life seem not worth living
Source: Stress and Burnout in Ministry 24
Compassion fatigue.
Over time, your ability to
feel and care for others
becomes eroded through
overuse of your skills of
compassion.
F. Oshberg, MD, When Helping Hurts

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Empathic Ability Related to Risk

The better you are at expressing compassion,

the more it takes its toll on you.
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 C.F. Risk Factors
● A combination of exposure to
extraordinary trauma material and
empathy OR long term exposure
● Unresolved primary traumatic history
● Exposure to children’s trauma and
childhood trauma of adults
● Emotionally vulnerable due to inadequate
or disrupted social support OR due to
recent significant losses
● Primary traumatic experiences post-
exposure
● Limited work satisfaction
● Limited stress management
● Poor self-care
Compassion Fatigue (CF) Signs and Symptoms
● Difficulty separating work and personal life
● Lowered tolerance for frustration
● Dread (of working with certain clients or
certain situations)
● Disruption of one’s frames of reference
(sense of identity, worldview, and
spirituality)
● Self-soothing behaviors are ineffective or
self-destructive
● Diminished sense of purpose, enjoyment
of career, effectiveness
● Reduced ego functioning (time, volition,
identity, language, cognition)
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Compassion Fatigue (CF) Signs and Symptoms
● Lowered functioning in non-
professional situations
● Diminished capacity for intimacy,
listening and communication
● Loss of hope
● Subtle manipulation of discussion to
avoid painful/traumatic material
● Loss of confidence
● Empathetic reaction either to victims or
perhaps even perpetrators
● Loss of typical sense of humor

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 What C.F. Is Not
● A reflection of the helper’s
inadequacy
● Indicative of the toxicity or
badness of the client

What C.F. Is
● Occupational hazard for
people using their strengths
of empathy, involvement, and
helping others
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 The Gift of Pain

Dr Paul Brand showed

leprosy does not cause the
‘rotting away’ of the hands
and feet.

Instead it is the loss of

sensation which makes
people affected by leprosy
prone to injuring themselves.
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Prevention & Recovery
The more one is able to
anticipate risk factors and
early warning signs, the more
likely one is able to effectively
deal with the situation and
even become resilient in
ourselves and in others.

Dan Casey, EdD, MCT

(Masters Certified
Traumatologist)
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Boundaries“Good Fences Make Good Neighbors”
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Broken Boundaries
Leads to Emotional
Exhaustion

But sometimes maintaining them does too!

You teach people how to treat you by your action or

inaction. 35
 Setting Boundaries

1. Give yourself permission to set

boundaries
2. Pay attention to your feelings
3. Know your values
4. Communicate your limits clearly
and proactively

5. Bring up boundary violations quickly

6. Create structure
7. Prepare for violations
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Designed by fanjianhua / Freepik
“Let me think about whether
I can commit to that.”
“I have to check with my
spouse”
“I’ll have to run that past our
board of directors.”
“What do you think I should
drop in order to prioritize
that?”
“I’m sorry. I already have
something in my calendar
at that time.”

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THE KNIGHTS WHO SAY ‘NO!’
Building a Culture of Well-Being
Why We Must Start Paying Attention to This as Leaders

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ENLIGHTENED LEADERS care as much Is he a Thrill Seeker
or more about the peak performance Or
of the individuals who make up the A Responsible
organization than the peak River Guide
performance of the organization
itself. – Steven Reames

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Why Non-Profits Have to Build Culture of Wellness

Millennials and beyond Your people are your most

aren’t going to lay down valuable commodity – it’s
their lives like Boomers and not what they do, but WHY
Xers and they have choices they do it that matters

Work-Life Balance is a Myth

Work-Life Integration is the Frankly, it is hypocrtical
Present

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This Isn’t Rocket Science
Areas of Worklife
• Workload
• • Workload
Control
• • Reward
Control
• Community
• Reward
• Fairness
• • Community
Values
• Fairness
• Values
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And Yet…It Isn’t Easy

Creating a culture of wellness

in an organization involves
ensuring that pervasive
patterns of human behavior
that positively impact
productivity, morale, and the
ability of its members to thrive
and achieve their full potential
is embedded in systems,
training and
development.
Anne Dranitsaris, PhD
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Leadership Begins with You

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S elf
Care:
Under-Stress
B ouncing
Section Title 2
Subtitle

Apparatus 44
Graphic by By Tirachard / Freepik
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Resilience Toolkit

What are you

already doing to
provide rest,
recovery and
respite for
yourself?

Source:bouncebackproject.org

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 MINDFULNESS
Get Your Head in the Game

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Rediscovering Your Locus of Control Whine

Change Change
Yourself Circumstance

Do Nothing

Mindfulness-Get Your Head in the Game 51

 Mindfulness
Based Stress
Reduction (MBSR)

Awareness that arises

through paying attention, on
purpose, in the present
moment, non-judgmentally.
It’s about knowing what is on
your mind.
Jon Kabat-Zinn

Mindfulness-Get Your Head in the Game 52

 Meditation/
Thinking Deeply
● Eastern style:
Designed by ijeab / Freepik

emptying the
mind
● Western style:
“chewing the
cud”

Mindfulness-Get Your Head in the Game 53

 Designed by Freepik

Prayer
● Casting your cares
● Making
supplication
● Seeking wisdom
and insight
● Reflecting on your
own heart
Mindfulness-Get Your Head in the Game 54
 Cultivating Awe and Wonder

Copyright Ted Hesser

Mindfulness-Get Your Head in the Game 55

 Arts and Creativity
What do you do to remain
creative?

What do you do to explore the

limits of your ability?

What kind of personal artistic

expression feeds your soul?

Mindfulness-Get Your Head in the Game 56

57
 Professional Collegial Relationships
This is what we’re doing right now! It too requires cultivation in between
gatherings. Sometimes you show up not for what you can get but what you
can give.

Relationships -Befriending & Tending to Others 58

 Your 4 AM Buddy

We all need at least 2-3

people in our lives we
can call without shame
Designed by Freepik

to talk about our “stuff.”

A two-way street which

requires cultivation
outside of a crisis.

Relationships -Befriending & Tending to Others 59

The Power of Saying Thank You
Dr. Robert Emmons’ research shows that
writing a letter of gratitude to a
colleague has psychological benefits
for you even if you never send it!

A Good Gratitude Letter Covers

1) What you did
2) How it impacted me
3) What it says about you

Relationships -Befriending & Tending to Others 60

How to Win Friends
and Influence People

Find somebody who

feels more awkward
than you in a group
environment and go
make them feel
welcome

Designed by Freepik

Relationships -Befriending & Tending to Others 61

 In order to be
fully present for
one person
we sometimes
need to be
fully absent
and unavailable
to others.

Designed by Freepik Relationships -Befriending & Tending to Others 62

 Purpose
Reconnecting with Your Why

63
 How Often
Do You Get
Your Hands
Dirty?

Purpose -Reconnecting With Your Why 64

 Values Audit
● What values do you intend
to live by? What is most
important to you?
● How often do you get to
live your values out?

● What are you willing to

sacrifice in terms of time,
money, status in order to
live your values?
● Are you only doing your job
because of the security it
provides? Purpose -Reconnecting With Your Why 65
 Identify a younger Find Somebody to Mentor
you to invest in
Do it for Free
Do it Regularly

Do it on their Terms
Champion Them
Network Them
Designed by Katemangostar / Freepik Designed by Freepik

Purpose -Reconnecting With Your Why 66

Beginning with the
End in Mind

Eavesdrop on your
own funeral

● What stories are people telling

about you?
● What do you WISH they’d said?

Purpose -Reconnecting With Your Why 67

Commit Random Acts of Kindness

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 Self-Awareness
Reconnecting with Your Self

69
Designed by Freepik
Emotional
Intelligence

Self-Awareness - Know Thyself 70

 Personality Profiles

● DISC Assessment/Inventory -
behavioral measurement, how
you approach tasks through
Dominance (D), Inducement (I),
Submission (S), and Compliance
(C)
● Meyers-Briggs - psychological
perspectives and how you see
the world around you and make
decisions
● StrengthFinders…

Self-Awareness - Know Thyself

Identifying Your Own Feelings

● Journaling for Resilience

● Learn to appreciate your
feelings and know they
don’t define you
● Use an app: Daily.io for
example to track your
emotions
● High-Low Chart
● FASTER Scale

Self-Awareness - Know Thyself

 Reconnecting With Your
Own Feelings

● Especially after
trauma or difficult
conversations or
situations
● Dissociation/stuffing
your feelings leads
to all sorts of bad
things, like
addiction, denial,
temper tantrums…
Wheel by Passion Self-Awareness - Know Thyself 73
Provokers
Physical Self-Care
Living for the Long Haul

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Designed by Freepik
Sleep Hygiene
● Getting enough rest
routinely (6-8 hours)
Designed by Freepik

● Making it up on
weekends doesn’t
work
● Develop a wind-
down routine
● Put electronics out of
the way earlier in the
evening

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Self-Care - Living for the Long Haul
Designed by Freepik

Exercise
• Find something you
ENJOY doing and that
you can do for a
lifetime
• Find a partner to work
out with regularly
• Stress responses build
up in the body and
need to be flushed

Self-Care - Living for the Long Haul 76

Fueling Yourself
● Regular breakfast
● Eating lunch away
from your desk and
not in the car
● Eating dinner with
your loved ones
● What kind of fuel do
you put into your
body?

Self-Care - Living for the Long Haul 77

 My Rhythm of Rest and Recovery Plan
Daily Weekly Monthly Quarterly Annually
Mindfulness Worship Write 2 thx notes

Relationships Family Dinner4X+ Call Gma/Gpa Holidays Camping Trip

Purpose Reading Tutor Plans/Resolutions

Self-Awareness

Self-Care Eat Breakfast Workout 3X Annual

Sleep 7.5 hrs Sleep-in Sat Checkup

Background Designed by Freepik

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Putting It All
Back Together

● Within 30 Days I will...

● Within 90 Days I will..

● Within 180 Days I will...

● At the end of a year I will

have...

● Two people I can make

myself accountable to
for this:

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Steven Reames
Director, Ada County Medical Society, 208-336-2930, director@adamedicalsociety.org
Permission to adapt presentation with attribution or hat tip 80