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Professional Practice
 

Tim Serban on the gift of being certified chaplains

Editors note: Below Tim’s reflections is the first e-mail Tim sent to PlainViews. We wanted to include it so that our readers would have a sense of what happened when the chaplains first arrived.

Reflections of a Chaplain on Katrina

How can one imagine the size and scope of such a challenging disaster? I have come to deeply appreciate our chaplaincy training and the Clinical Pastoral Education experience even after 18 years.

During the initial week in Baton Rouge, LA, I received an article on Spiritual Caregivers and the risks we face from "compassion fatigue." The article referenced a figure stating that around 80% of spiritual caregivers who have not had CPE have a greater likelihood of experiencing debilitating compassion fatigue. This made a lot of sense in the trenches of New Orleans amidst the great unmet needs. As I scanned this article, I wondered what it was that made the difference. We had so many voluntary spiritual caregivers who indicated a willingness to provide support but who had little to no CPE background. The article focused on the area of "Boundaries." Chaplains must know their own issues and limitations and how to maintain clear boundaries.

In the disaster response to Hurricane Katrina, we faced unprecedented unmet needs. There were 500 police officers who had been in a shelter rotating shifts. They had lost everything, including their own families. Responding to the suicides that occurred was discouraged by the leaders in order to keep focused on the task at hand. When chaplains arrived, the needs they faced became almost consuming. It was not uncommon for me to get a call from a commander in the field requesting that one of our chaplains be allowed to embed with the group for at least a few days to help them begin to sift through the overwhelming grief that they were experiencing.

In the shelters, the need was great to help balance the support to evacuees and direct those religious groups focused on conversions to the outside and away from the vulnerable. Daily, families would arrive at the gates of the disaster mortuary seeking to know if their loved one was found.

In any of these three situations, a compassionate spiritual caregiver could have easily been swept away for hours, days, or months. Even the most seasoned chaplains found it difficult to maintain healthy boundaries in the face of such unrelenting need.

Great chaplains are doing great work; many religious and spiritual caregivers are providing basic support and presence. The area clergy from this community of Louisiana are learning by fire. Their experience in self-care and boundaries are coming at a price, which may be exhaustion. The gift we have in our common training as Board Certified Chaplains enables us to at least have a template from which to measure our work. It doesn't totally protect us from the fatigue of providing compassionate care, but it hopefully helps us recognize our limitations in the face of such global need. The women and men who were called in the first days after this disaster have stood together and stood strong in their common ministry of compassionate care. They will long be united in the humbling work that involved the most intense and the most sublime duties. All of this might have been better led by any one of these professionals, but by working as a team these first weeks will be forever remembered.

Tim’s e’mail:

I was activated to initiate the response at the Red Cross Headquarters in Baton Rouge, LA. Our efforts included collaborating with local and community religious leaders. The size and scope of this disaster later became realized as the destruction path covered over 90,000 square miles. The devastation site was equivalent to the country of Great Britain.

Within 48 hours of our assessment, it was clear that the Spiritual Care response would be focused on 4 major operations:

1. Sheltering: Red Cross had over 150 evacuee shelters opened in the state of Louisiana alone. These shelters ranged in populations from 8,000 to 150 people. Our role was to identify 5-10 key locations in an effort to assess the spiritual care needs and to collaborate with local congregations for this purpose. Five shelters were identified by the number of evacuees. Chaplains were partnered with Mental Health Services professionals in order to be embedded at designated local disaster shelters for on-site support, education and coordination with local faith communities.

2. Disaster Mortuary Operations: The disaster Morgue, located in St. Gabriel Parish, Louisiana was the designated site where all bodies are taken for processing. The American Red Cross received a request from Homeland Security and the Department of Health & Human Services to ensure that a respectful and compassionate presence was available at the location of the disaster mortuary in order to offer a multi-faith prayer for the remains as they are brought to the morgue.

3. Disaster Mortuary Recovery Teams: Chaplains were requested to provide a pastoral presence and offer a multi-faith prayer as each body was recovered and transferred from the disaster site.

4. Family Assistance Center/Calling Center: A Calling Center was set up for families to call if they thought their loved one might have died. Compassionate individuals were sought to answer calls from family members and assist the Disaster Mortuary teams in gathering initial information about lost loved ones. There are ongoing plans to initiate a Family Assistance Center where families will be supported as they walk through the process of identification and notification about the death of a loved one.

The work in this effort has been supported by 15 –25 Chaplains in collaboration with FEMA, D-MORT, HHS, Military, Law Enforcement and many other organizations, including the interfaith organizations in the Louisiana & Baton Rouge areas.

The impact of such an event will continue to unfold in the weeks and months to come. The work of the Spiritual Care Response Team and American Red Cross has been superb. The changing dynamics of this event will continue to be evaluated, but I must say, the compassion and support that was shown in the first days and weeks of this disaster were unprecedented. Our teams were deeply humbled by the magnitude of such loss, overwhelmed by the personal stories of survival, and honored to be serving in such an effort that required us to trust that great change is accomplished over time, through the efforts of simple tasks repeated by a multitude of volunteers and residents.

The best lessons from these first weeks are compassion, collaboration, communication, patience and perspective.


Tim Serban, is a Board Certified Chaplain with the National Association of Catholic Chaplains and serves as director of Mission Integration & Spiritual Care at Providence Everett Medical Center in Everett, Washington and serves on the Spiritual Care Response Team with the National American Red Cross.

 

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8/17/2005 Vol. 2, No. 14 - Chaplain Mark La Rocca Pitts: the dynamic between being and doing
8/3/2005 Vol. 2, No. 13 - Kenneth Dale: a unique pastoral care program
7/20/2005 Vol. 2, No. 12 - Chaplain Clair Hochstetler: caring for your co-workers
7/6/2005 Vol. 2, No. 11 - Resident Chaplain Kristen E. Larson: offering forgiveness and hope
6/15/2005 Vol. 2, No. 10 - Rabbi Dr. David J. Zucker: our need to be touched
6/1/2005 Vol. 2, No. 9 - Cindy Heine: building ethical competence
5/18/2005 Vol. 2, No. 8 - The Rev. John Simon: the work of words
5/4/2005 Vol. 2, No. 7 - The Rev. Stephen Harding: one of the saddest things I had ever heard
4/20/2005 Vol. 2, No. 6 - Robert Chodo Campbell: being comfortable with the silence
4/6/2005 Vol. 2, No. 5 - The Rev. Rose Ann Briotte: practical guidance concerning the spiritual needs of the mentally ill
3/16/2005 Vol. 2, No. 4 - Sarah Wofford and James Yoder, Jr.: a way to honor healthcare providers
3/2/2005 Vol. 2, No. 3 - The Rev. Dr. Mark LaRocca-Pitts: a model for chaplains working with local clergy
2/16/2005 Vol. 2, No. 2 - The Rev. John Brewer: Facing Up to One's Ghost
2/2/2005 Vol. 2, No. 1 - Tami Briggs: Utilizing Music in the Dying Process
1/19/2005 Vol. 1, No. 24 - The Rev. Lynne Mikulak: the Uncertainty of Life and Death
1/5/2005 Vol. 1, No. 23 - The Rev. Tarris Rosell: Physicians and Clergy in Dialogue
12/15/2004 Vol. 1, No. 22 - Chaplain Jeff Lancaster: Changing the Way We Look at "Do Not Resuscitate" situations
12/1/2004 Vol. 1, No. 21 - The Rev. James Stapleford: Writing a Response to Just Write!
11/17/2004 Vol. 1, No. 20 - The Rev. Martha R. Jacobs: Lifting Our Voices Through the Written Word
11/3/2004 Vol. 1, No. 19 - Chaplain William G. Kalaidjian: The Power of Singing
10/20/2004 Vol. 1, No. 18 - The Rev. Stephen Harding: authority –one's own and the community's
10/6/2004 Vol. 1, No. 17 - The Rev. Stepher Harding: the authority to act
9/16/2004 Vol. 1, No. 16 - Chaplain Ron Bradley: the power of brownies and pastoral care
9/1/2004 Vol. 1, No. 15 - Wilson Mertens, MD: The Importance of Spiritual Counseling in the Care of Cancer Patients
8/18/2004 Vol. 1, No. 14 - Rev. Greg Brown: Emotional Intelligence in Ministry
8/4/2004 Vol. 1, No. 13 - Pastor Barbara Lindeman: On the Road — Chaplaincy in a Community Hospice
7/21/2004 Vol. 1, No. 12 - Rabbi Shira Stern on G-d’s “Larger Presence”
7/7/2004 Vol. 1, No. 11 - The Rev. J. Bruce Baker on Community Clergy and Chaplains: Building Relationships
6/16/2004 Vol. 1, No. 10 - Chaplain Geralyn Abbott on the Spiritual Dimension of Psychiatric Treatment
6/2/2004 Vol. 1, No. 9 - Chaplain Dick Millspaugh: Communication - A first impression
5/19/2004 Vol. 1, No. 8 - Chaplain Dick Millspaugh: A pastoral response to deathbed fears
5/5/2004 Vol. 1, No. 7 - The Rev. George Handzo: “Ask not what the Profession of Chaplaincy can do for you, but what you can do for the Profession.”
4/21/2004 Vol. 1, No. 6 - The Rev. Martha R. Jacobs: The Importance of Advance Directives
4/7/2004 Vol. 1, No. 5 - Chaplain Jane Mather: Collaboration as a virtue
3/17/2004 Vol. 1, No. 4 - Rabbi David J. Zucker on the importance of reconciliation at the end of life
3/3/2004 Vol. 1, No. 3 - Loris Buccola, AAPC Diplomate: Wounded and Still Healing: Shared vulnerability and the counselor-client connection
2/18/2004 Vol. 1, No. 2 - The Rev. Sarah Fogg, Ph.D. A new focus after ten years of chaplaincy
2/2/2004 Vol. 1, No. 1 - The Rev. George Handzo: Collaboration among chaplaincy’s major cognate groups
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10/5/2005 Vol. 2, No. 17
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Professional Practice
Tim Serban: the gift of being certified chaplains
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Advocacy
The Rev. Emanuel Williams: evangelizing v. proselytizing
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Education & Research
The Rev. Dr. Glenn A. Robitaille: expressions of worship
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Spiritual Development
Chaplain Yoke Lye Jerrymia Lim: human connectedness in the midst of cosmic disconnectedness
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EthicsWalk
Anne Underwood, MS, JD: Lawyers and Chaplains: re-framers of change?
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CaseConference
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Reviews
Macky Alston reviews Long Night's Journey Into Day

Jane Mather reviews: After Harm: Medical Error and the Ethics of Forgiveness
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