Resilience
As a Promoter of Staff Well-Being and Healthy Functioning
Caterina Spinaris, PhD, LPC and Daria Mayotte, MA
We have a friend whose hobby is growing bonsai trees. If you’re unfamiliar with this, bonsai is a Japanese art form in which a tree is grown and “trained” within the confines of a small container (Relf, 2020). This is a decades-long process that aims to create what looks like a full-sized tree in miniature form. The bonsai needs regular care, shaping with wires, and extensive and strategic pruning. Because there’s little space in the container for reserves, the bonsai also needs regular, even daily, water and fertilizer. A bonsai is technically put through trauma as it grows. To survive, it has to become resilient. And while it doesn’t end up looking like other trees of its family, its adaptation to hardship—its resilience—ends up shaping it uniquely in ways that command admiration.
The term “resilience” derives from the Latin verb resilire,which means to rebound or to recoil. It was used in the 1800’s to describe the capacity of materials, like wood or metal, to endure severe conditions (Alexander, 2013). The term has since been used to describe properties of living organisms, such as ecosystems, organizations, and individuals (Alexander, 2013; Stanley, Sethuramalingam, & Pandian, 2018).
Psychological resilience has been defined in several ways. It has been conceptualized as the ability of persons to adapt successfully to disruptions that threaten functioning (Masten, 2014); recovering relatively rapidly following adversity or even positive change (Luthans, 2002); experiencing low current psychological distress following exposure to high-stress conditions (Pietzrack & Cook, 2013); and being relatively resistant to the erosion of well-being caused by the impact of stressors on health and functioning (Wu, Feder, Cohen, Kim, Calderon, Charney, & Mathe, 2013). Identified characteristics of resilience are determination, endurance, adaptability, and ability to recuperate after sustaining damage, injury, or psychological trauma (Taormina, 2015).
One key construct related to resilience is that of Post-Traumatic Growth (Tedeschi & Calhoun, 1996). This refers to personal growth due to one’s attitudes and behaviors following traumatic exposure. Post-Traumatic Growth may result in increased appreciation of relationships, discovery of previously unidentified personal strengths, involvement in new pursuits, increased spiritual growth, and increased appreciation of life (Alper, Feliciano, Millien, Pollari, & Locke, 2022). In addition to helping traumatized people bounce back, Post-Traumatic Growth can also serve as a protective factor, rendering people more able to withstand future stressors.
Why Do Correctional Staff Need Resilience?
Psychological resilience is a cornerstone of effective functioning for those serving in high-stress work environments, such as corrections (Smith, 2023). Correctional staff are continually bombarded by occupational stressors, which can be viewed as falling in three broad categories: (a) operational stressors—technical aspect of the job, such as short-staffing; (b) organizational stressors—“people” aspect of the job, such as an “us against them” mindset; and (c) traumatic stressors—incidents of violence, injury, and death, such as suicides (Ferdik & Smith, 2017; Spinaris, Denhof, & Kellaway, 2012).
These occupational stressors may co-occur and interact with one another, making each other worse. For example, short-staffing may increase the likelihood of assaults where staff are injured, resulting in some staff going on medical leave. Conflict may ensue between frontline staff and administrators, and between staff and justice-involved persons, with some staff quitting and others calling off sick, exacerbating the short-staffing difficulties. And exacerbation of “us against them” mindsets increase the probability of future conflict and assaults.
The outcome of the snowballing effects of these stressors is Corrections Fatigue (Spinaris, 2000). This umbrella term attempts to capture the consequences of all types of correctional occupational stressors, and it refers to cumulative negative changes in staff’s personality, health, and functioning, and of the workforce culture (Spinaris, 2020; Spinaris & Brocato, 2019). Causes of Corrections Fatigue are cumulative exposure to occupational stressors in the context of insufficient or unhealthy coping strategies or resources at the individual, team, and/or administrative levels. Although not a clinical diagnosis, but rather a descriptive term like burnout (Finney, Stergiopoulos, Hensel, Bonato, & Dewa, 2013), at the severe ends of the continuum, Corrections Fatigue involves diagnosable health conditions such as symptoms of depression, post-traumatic stress, or high blood pressure (Spinaris, 2020; Spinaris & Brocato, 2019).
One of the ways to counter Corrections Fatigue is through the promotion of resilience. However, when addressing correctional staff, a distinction must be made between true resilience and false resilience. False resilience can be characterized as looking good on the outside but falling apart on the inside. This façade of toughness may eventually collapse as unprocessed psychological pressures mount (Friedman & Higson-Smith, 2003). False resilience can be based on staff’s denial, to themselves and others, that they are distressed or malfunctioning as a result of how they were affected by work-related stressors. False resilience lurks behind statements like, “No, this did not bother me; I’m fine,” or “Bring it on! I can handle anything!” On the other hand, true resilience entails facing challenges with self-awareness coupled with self-honesty and courage regarding their impact and what it will take to overcome the difficulties encountered. Admiral James Stockdale’s statement regarding his resilient mindset as a prisoner of war comes to mind as an illustration of true resilience. As he stated in what has become known as the Stockdale Paradox, (Collins, 2001), “You must never confuse faith that you will prevail in the end—which you can never afford to lose—with the discipline to confront the most brutal facts of your current reality, whatever they might be.”
In correctional workforce cultures where false resilience is celebrated and even expected, the consequences on staff’s mental health can be highly detrimental and even deadly. That happens when staff falsely believe suicide is their only honorable option when they are struggling with mental health issues, rather than reaching out for assistance (Friedman & Higson-Smith, 2003). Therefore, the quest for true and enduring resilience is of primary importance. Numerous studies have reported that the rate and risk of suicide among correctional officers is disturbingly elevated compared to other professions, and even that of police officers (New Jersey Police Suicide Task Force Report, 2009; Stack and Tsoudis, 1997; Violanti, Robinson, & Shen, 2013). The suicide rate for Massachusetts Department of Correction Correctional Officers was found to be over four times higher than the nation’s highest risk demographic for men aged 25-64 (Frost, 2020). Elevated rates of suicidal thinking have been reported in samples of correctional officers (Lerman, 2017; Denhof & Spinaris, 2016; Spinaris and Brocato, 2019). We’d like to pause at this point and say that if you, our reader, are experiencing suicidal thoughts or urges at this time, please contact the Suicide & Crisis Lifeline at 988, and/or contact your agency’s Employee Assistance Program and/or Peer Support Team to begin to receive the help you need at this time. We want you to be well!
What are Key Initiatives for Promoting Staff Resilience in Correctional Environments?
In correctional work environments, comprehensive initiatives that promote staff resilience involve three target areas: (1) bottom-up, (2) horizontal, and (3) top-down. All three are essential for successful outcomes.
By bottom-up we mean initiatives that highlight self-care, self-regulation, and other health-promoting behaviors that individual staff can practice on their own, independently of anyone else, on and off the job. These include what employees can do themselves, and that no one else can do for them. Only they can make these behaviors happen, and usually only they know if they have disciplined themselves enough to follow through with these activities.
By horizontal we mean initiatives that highlight training and role-modeling regarding values and interpersonal skills, so that coworkers interact with one another in constructive, supportive ways. Coworker/peer, horizontal activities include the ways staff treat one another, and the workforce culture that emerges as a result—“the way we do things around here,” with formal or informal leaders setting the pace.
By top-down we mean initiatives that highlight programs, resources, and policies implemented by administrators in order to promote employee wellness and healthy work environments. Top-down, organization-wide activities are implemented by the agency through a broad variety of systemic approaches. Examples of these are strategic well-being initiatives, staff wellness surveys, policies that address identified Corrections Fatigue causes, staffing levels, messaging about and recognition of Corrections Fatigue, provision of specifically-targeted training courses, positive leadership styles, budget and resource allocations, and creation of new positions—such as wellness coordinators, staff psychologists or staff chaplains.
Meta-analyses of studies of physician burnout that compared the efficacy of bottom-up and top-down wellness initiatives reported that both bottom-up and top-down initiatives reduced burnout levels, but top-down initiatives tended to have a bigger impact (Panagioti, Panagopoulou, Bower, Lewith, Kontopantelis, Chew-Graham, Dawson, van Marwijk, Geraghty, & Esmail, 2016; West, Dyrbye, Erwin, &Shanafelt, 2016). That is, reducing or eliminating the negative impact of stressors through top-down initiatives, such as policies, tends to be more beneficial in promoting resilience than providing coping strategies, such as mindfulness techniques, to manage the effects of these stressors. Additionally, regarding the influence of horizontal initiatives, a study of correctional professionals suggested that the quality of coworker relationships significantly impacted staff well-being (Spinaris & Brocato, 2019).
Can Resilience Skills Be Taught in The Workplace?
Research studies have identified resilience-promoting behaviors which can be taught. Examples are positive coping, positive thinking, positive emotions, realism, behavioral control, family support, positive leadership, and belongingness (Meredith, Sherbourne, Gaillot, Hansell, Hans, Ritschard, Parker, & Wren, 2011; Coulombe, Pacheco, Cox, Khalil, Doucerain, Auger, & Meunier, 2020; Vanhove, Herian, Perez, Harms, & Lester, 2015).
Along the same lines, a study during the COVID-19 pandemic found that teaching healthcare workers resilience-promoting skills improved levels of resilience, and reduced stress, anxiety, and burnout/exhaustion (Yi-Frazier, O’Donnell, Adhikari, Zhou, Bradford, Garcia-Perez, Shipman, Hurtado, Junkins, O-Daffer, & Rosenberg, 2022). Another study reported that online group coaching of women physician trainees decreased burnout and increased well-being measures (Mann, Shah, Thibodeau, Dyrbye, Syed, Woodward, Thurmon, Jones, Dunbar, & Fainstad, 2023). Similarly, simulation-based resilience-promoting training of police officers was reported to improve levels of the officers’ physiological stress response (Andersen, Papazoglou, Koskelainen, Nyman, Gustafsberg, & Arnetz, 2015). These findings support the expectation that resilience skills are teachable, and that their practice can improve well-being even under highly stressful working conditions.
Given the chronically highly stressful correctional work environments, resilience training is imperative, and not only for seasoned staff but also for new staff, to prepare them to some degree for what they may encounter during their careers. Like any complex construct, resilience has several layers and facets, and it is best taught incrementally, with more advanced skills, such as skills that promote Post-Traumatic Growth, building on more foundational skills, such as self-regulation through breathing exercises, meditation, and other mindfulness skills (Linehan, 2014). Additionally, repetition through reviews, reminders, and opportunities to practice, are likely to strengthen skills acquisition (Kluge, Sauer, Burkolter, & Ritzmann, 2010).
What are Key Strategies for Promoting Staff Resilience in Correctional Environments?
Effective approaches for fostering resilience in correctional agencies are two-pronged, involving strategies that target the areas of both prevention and intervention programming and resources.
What Is Involved in Prevention?
At both the bottom-up (individual) and horizontal (work-team) levels, prevention methods are inoculation-type, long-term approaches, where strategies are taught and skills are trained before high-stress workplace events happen. Prevention includes adopting habitual health-promoting behaviors that foster health and wellness, and practicing values that promote a positive culture, with the goal being to neutralize the negative consequences of stressors. At the bottom-up (individual) level, prevention strategies include teaching staff ways of thinking that counter negativity and boost optimism and ways to tend to one’s physical, psychological, and spiritual health. For example, staff may be taught to correct thinking distortions (Burns, 1980) that lead to emotional distress, or engage in meditation or gratitude practices to promote self-regulation. At the horizontal (work-team) level, prevention strategies include teaching staff positive values, interpersonal skills, such as communication and conflict management, and educating staff on the impact of social support on health. At the top-down (administrator) level, prevention includes training administrators to implement positive and supportive leadership practices (Cameron, 2012), wellness-promoting policies, provision of appropriate resources, and advocacy for staff wellness at legislative levels.
What is Involved in Intervention?
Intervention methods, on the other hand, involve strategies to counter the negative consequences of high-stress events and promote wellness following exposure to them—that is, after a high-stress incident (Everly & Mitchell, 1997). Such strategies may be rather brief and may be implemented in the short term, but they work best when they are based on wrap-around efforts to offer staff support and promote positive workforce cultures that protect staff’s psychological safety (Everly Mitchell, 1997). Interventions are easier to engage in if the groundwork has already been laid to some degree through long-term and customary resilience-promoting behaviors. Intervention methods also include the use of appropriate resources, such as treatment options that are corrections-specific, affordable, adequate, sufficient, and easily accessible.
Prevention and intervention strategies can be likened to two mechanisms one might use for withstanding a torrential rainstorm. Raincoats, hats, and umbrellas are intended to keep one dry (prevention). Yet, if the storm is significant enough, one will get wet anyway, despite the protective gear. As a result, towels, hairdryers, and clothes dryers will be necessary afterward (intervention). Both prevention and intervention have necessary functions and will be needed independently or simultaneously at times, depending on the circumstances. Corrections staff, and by extension their agencies, will benefit from the ongoing incorporation of both prevention strategies as well as intervention strategies in the effort to boost resilience.
In Conclusion
Let’s return for a moment to our bonsai analogy. What correctional agencies have in their (metaphorical) hands is staff who, like the bonsai, are being repeatedly subjected to uniquely taxing environments. As a result, they are continually shaped by occupational stressors. Opportunities available through resilience training are comparable to expert pruning, watering, and fertilizing. Skillfully managed, exposure to highly stressful circumstances can become a springboard for growth. And what is the potential outcome of the intentionality of resilience training throughout this transformation process? As with the bonsai, it can be simply amazing.
__________________________________
Caterina Spinaris, PhD, LPC, is the founding director of Desert Waters Correctional Outreach and a Licensed Professional Counselor. Her professional experience includes writing wellness curriculum for correctional staff and their families, training thousands of staff, treating staff, and conducting wellness research. Caterina authored the award-winning course From Corrections Fatigue to Fulfillment™, designed the Corrections Fatigue Assessment™, and authored and co-authored four books on correctional staff wellness. She can be reached at caterina@desertwaters.com.
Daria Mayotte, MA, is Deputy Director and Director of Training at Desert Waters Correctional Outreach. As an educator and counselor, her passions are teaching, training, and writing. Daria spent eleven years offering wellness support and training to correctional staff in South Africa, and now incorporates this experience into her current roles. Daria co-authored the book Building Bridges with Corrections Staff: Spiritually, Practically, Relationally for correctional chaplains. She can be reached at daria@desertwaters.com.
References
Alexander, D. E. (2013). Resilience and disaster risk reduction: an etymological journey. Natural Hazards and Earth System Sciences, 13, 2707–2716, 2013. www.nat-hazards-earth-syst-sci.net/13/2707/2013/ doi:10.5194/nhess-13-2707-2013
Alper, H. E., Feliciano, L., Millien, L., Pollari, C., Locke, S. (2022). Post-Traumatic Growth and Quality of Life among World Trade Center Health Registry Enrollees 16 Years after 9/11. International Journal of Environmental Research and Public Health, 19(15). https://doi.org/10.3390/ijerph1915973
Andersen, J. P., Papazoglou, K., Koskelainen, M., Nyman, M., Gustafsberg, H., Arnetz, B. B. (2015). Applying resilience promotion training among special forces police officers. SAGE Open, 5, 1-8.
Burns, D. (1980). Feeling Good: The New Mood Therapy. William Morrow and Company.
Cameron, K. S. (2012). Positive Leadership: Strategies for Extraordinary Performance. Berret-Koehler Publishers.
Collins, J. (2001). Good to Great: Why Some Companies make the Leap…and Others Don’t. HarperCollins Publishers.
Coulombe, S., Pacheco, T., Cox, E., Khalil, C., Doucerain, M. M., Auger, E., Meunier, S. (2020). Risk and Resilience Factors During the COVID-19 Pandemic: A Snapshot of the Experiences of Canadian Workers Early on in the Crisis. Frontiers in Psychology, Sec. Personality and Social Psychology, 11, https://doi.org/10.3389/fpsyg.2020.580702
Denhof, M.D., Spinaris, C.G. (2016). Prevalence of Trauma-related Health Conditions in Corrections Officers: A Profile of Michigan Corrections Organization Members. https://desertwaters.com/wp-content/uploads/2021/03/MCO-Paper_FINAL.pdf
Everly, Jr., G. S., Mitchell, J. T. (1997). The Scientific Evidence for Critical Incident Stress Management. Journal of Emergency Medical Services, 22, 86-93.
Ferdik, F. V., Smith, H.P. (2017). Correctional officer safety and wellness literature synthesis. National Institute of Justice. https://www.ncjrs.gov/pdffiles1/nij/250484.pdf
Finney, C., Stergiopoulos, E., Hensel, J., Bonato, S., Dewa, S. S. (2013). Organizational stressors associated with job stress and burnout in correctional officers: a systematic review. BMC Public Health, 13:82. http://www.biomedcentral.com/1471-2458/13/82
Friedman, M., Higson-Smith, C. (2003). Building psychological resilience: Learning from the South African Police Service. In Paton, D., Violanti, J.M. & Smith, L.M., (Eds.), Promoting capabilities to manage posttraumatic stress: Perspectives on resilience. Charles C. Thomas.
Frost, N. (2020). Understanding the impact of corrections officer suicide. National Institute of Justice. https://nij.ojp.gov/topics/articles/understanding-impacts-corrections-officer-suicide
Kluge, A., Sauer, J., Burkolter, D., Ritzmann, S. (2010). Designing training for temporal and adaptive transfer: A comparative evaluation of three training methods for process control tasks. Journal of Educational Computing Research, 43, 327–353. doi:10.2190/EC.43.3.d
Lerman, A. E. (2017). Office health and wellness: Results from the California Correctional Officer Survey. https://gspp.berkeley.edu/assets/uploads/research/pdf/executive_summary_08142018.pdf
Linehan, M. M. (2014). DBT Skills Training Manual (2nd Ed). The Guilford Press.
Luthans F. (2002). The need for and meaning of positive organizational behavior. Journal of Organizational Behavior, 23, 695–706.
Mann, A.; Shah, A. N.; Thibodeau, P. S.; Dyrbye,L.; Syed, A.; Woodward, M. A.; Thurmon, K.; Jones, C. D.; Dunbar, K. S.; Fainstad, T. (2023). Online Well-Being Group Coaching Program for Women Physician Trainees: A Randomized Clinical Trial. JAMA Network Open. 2023;6(10):e2335541. doi:10.1001/jamanetworkopen.2023.35541
Masten, A.S. (2014) Global perspectives on resilience in children and youth. Child Development 85, 6–20.
Meredith, L.S., Sherbourne, C.D., Gaillot, S., Hansell, L., Hans, V., Ritschard, H.V., Parker, A.M., Wren, G. (2011). Promoting psychological resilience in the U.S. Military. RAND Center for Military Health Policy Research.
New Jersey Police Suicide Task Force Report. (2009). http://www.state.nj.us/lps/library/NJPoliceSuicideTaskForceReport-January-30-2009-Final(r2.3.09).pdf
Panagioti, M.; Panagopoulou, E.; Bower, P.; Lewith, G.; Kontopantelis, E.; Chew-Graham, C.; Dawson, S.; van Marwijk, H; Geraghty, K.; Esmail, A. (2016). Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Internal Medicine. doi:10.1001/jamainternmed.2016.7674
Pietzrack, R.H., Cook, J.M. (2013). Psychological resilience in older U.S. veterans: results from the national health and resilience in veterans study. Depression and Anxiety, 30, 432-443.
Relf, D. The Art of Bonsai. (2020.) VCE Publications. https://www.pubs.ext.vt.edu/426/426-601/426-601.html
Smith, H. P. (Ed.). (2023). Promoting Wellness and Resiliency in Correctional Officers. https://www.routledge.com/Promoting-Wellness-and-Resiliency-in-Correctional-Officers/Smith/p/book/9781032407029
Spinaris, C. G. (2000). “Corrections Fatigue”: The Cost of Working Behind Bars. Oasis Insights, 3, 2-3.
Spinaris, C. G. (2020, May/June). Mission Critical: Correctional Employee Health and Wellness. American Jails, 8-14.
Spinaris, C.G., Brocato, N. (2019). Descriptive study of Michigan Department of Corrections staff well-being: Contributing factors, outcomes, and actionable solutions. https://www.michigan.gov/documents/corrections/MDOC_Staff_Well-being_Report_660565_7.pdf
Spinaris, C.G., Denhof, M.D., Kellaway, J.A. (2012). Posttraumatic Stress Disorder in United States Corrections Professionals: Prevalence and Impact on Health and Functioning. https://desertwaters.com/wp-content/uploads/2021/03/PTSD_Prev_in_Corrections_09-03-131-1.pdf
Stack, S.J, Tsoudis, O. (1997). Suicide risk among correctional officers: A logistic regression analysis. Archives of Suicide Research, 3, 183-186.
Stanley, S., Sethuramalingam, V., & Pandian, S. (2018). Resilience: its nature and significance (A theoretical overview). Indian Journal of Social Work, 79 (1), 5-30.
Taormina, R.J. (2015). Adult Personal Resilience: A New Theory, New Measure, and Practical Implications. Psychological Thought, 8, 35–46, doi:10.5964/psyct.v8i1.126
Tedeschi, R. G., Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-471. doi: 10.1007/BF02103658
Vanhove, A. J., Herian, M., Perez, A. L. U., Harms, P. D., Lester, P. B. (2015). Can resilience be taught at work? A meta-analytic review of resilience-building programme effectiveness. P.D. harms Publications, 11. http://digitalcommons.unl.edu/pdharms/11