Evergreen Bereavement Education

The Evergreen Bereavement Education program prepares volunteers to facilitate bereaved adult, family, and children groups

A certificate is awarded when the participant achieves the program outcomes by completing 25 hours of study, which includes the Core Curriculum (11 hours) and the Evergreen Bereavement Education module (14 hours)

        Bereavement Group Facilitator Topics and Outcomes listed below

These programs are for anyone wanting to learn about coping with grief and loss ...
... for their own benefit
    ... to be better prepared to help family or friends
        ... for an opportunity to help grieving children
            ... to become a Pine Tree Hospice Bereavement Facilitator

During this training, you will learn about the stages of grieving, the differences in the ways that children and adults grieve, and how to successfully facilitate a group

There is a growing awareness that support groups are an appropriate and effective way to help bereaved people of all ages heal

Our Evergreen program recognizes this and through its groups helps families deal with the death of a loved one

Support groups offer a safe space where children, teens, adults and families grieving a death can share their experiences no matter how long ago or how recently the death occurred

Being a part of this process as a bereavement facilitator is a richly rewarding experience.

Evergreen Bereavement Group Facilitator Topics and Outcomes
CORE CURRICULUM Outcomes        print a copy

Children’s Developmental Stages and Understanding of Death [1 hour]
    Examine developmental perspectives of children’s growth (developmental and cognitive stages)
    Describe how children acquire an understanding of death

Communication Skills
[1.5 hours]
    State the difference between a social relationship and a helping relationship
    Demonstrate reflective listening skills
    Demonstrate effective body language
    Identify and avoid barriers to helpful communication
    Allow the client and family members to share their experiences related to the loss
    Be prepared to respond openly and honestly when children and/or adults ask questions about
        dying or death

Ethics
[1 hour]
    Respect value systems of the hospice person and family
    Identify and keep personal boundaries
    Maintain confidentiality of hospice person/family information at all times
    Read the Pine Tree Hospice Confidentiality Policy
    Recognize situations in which Mandated Reporting is necessary
    Identify the role of the volunteer when abuse or domestic violence is suspected or confirmed

Family dynamics
 [1 hour]
    Identify family dynamics expected to occur during the end of life
    Describe the role of the volunteer in dealing with complex family issues and dynamics
    Identify the role of the volunteer when domestic violence is suspected or confirmed

Grief, loss and transition
[1.5 hours]
    Examine the concept of coping with loss and change
    Define the different types of grief, including anticipatory grief
    State cognitive, behavioral, physical and emotional manifestations of grief
    Recognize situations that can interfere with coping with grief
    Identify ways a volunteer can assist a person or family with transitions and losses related to
        life threatening illnesses and death

Hospice Philosophy [.5 hour]
    Discuss the philosophy and purpose of a volunteer hospice program
    Describe services offered by Pine Tree Hospice
    Become familiar with the Pine Tree Hospice Mission Statement and the Maine State Regulations
        governing a volunteer hospice program
    Briefly describe the difference between a volunteer hospice and a Medicare hospice
   
Personal Death Awareness [1 hour]
    Examine personal views and beliefs about death
    Achieve a level of comfort in discussing death
    Discuss issues related to advanced care planning and ethical wills

Personnel Issues [.5 hour]
    Describe the Pine Tree Hospice organizational structure
    Read and comply with the Pine Tree Hospice Sexual Abuse Policy, Elder Abuse Policy, and
        Infection Control Policy
    Review and plan to complete and submit required paperwork to the Pine Tree Hospice office
        on time
    Identify the appropriate resource person(s) when questions or problems arise

Spirituality [1 hour]
    Define and state the goals of spiritual care
    Identify behaviors to avoid when giving spiritual care
    Discuss how a volunteer can help a hospice person/family to achieve the spiritual goal of faith,
        hope and love
    Discuss ways of praying with a person/family when invited or with permission
    Identify resources in the community that can offer spiritual care

Stress Management: Conventional And Complementary Therapies [1.5 hr]
    Define stress, name some causes of stress, and recognize how stress affects us and those around
        us: body, mind, feelings and spirit
    Discuss balanced nutrition, physical activity, restful sleep, joyful diversion and service to others as
        conventional ways of managing stress
    Briefly discuss the origin, beliefs and current practice of some complementary therapies
    Select and use conventional and complementary therapies for yourself and others to relax, to
        minimize pain, and/or to promote physical, mental and spiritual wellbeing
    Consult the NIH National Center for Complementary and Alternative Medicine website for current
        information (www.nccam.nih.gov/health)
    Support people who use complementary therapies

Volunteer Roles: and Introduction [.5 hr]
    Discuss the roles and general expectations/boundaries as a PTH volunteer

BEREAVEMENT GROUP FACILITATION MODULE Outcomes    print a copy

Pine Tree Hospice Bereavement Services and Volunteer Roles
[1 hr]
   Identify and explain each of the PTH bereavement services provided to the community
   State the difference between open groups and closed groups
   Describe facilitated peer support groups
   Describe volunteer roles and boundaries in providing the various bereavement services
   Identify sources of supervision, guidance, support, and self-care
   Family Panel

Pre-Group & Post-Group [.5 hr]
   Describe the functions of pre- and post-group
   Develop a level of comfort facilitating pre- and post-group through role-play

Grief and Mourning [1 hr]
   Define grief, mourning, disenfranchised grief, and bereavement overload
   Identify and understand factors that influence grief and mourning
   Learn to recognize and support individuals with different coping styles

Approaches to Mourning [1.5 hr]
   Recognize that there are various approaches to facilitate healthy mourning
   Explain some of the many approaches to mourning
   Utilize aspects of various approaches to provide support to the bereaved

Uncomplicated Grief & Mourning versus Complicated Grief & Mourning [1 hr]
   Explain the difference between uncomplicated and complicated grief and mourning
   Identify indicators of complicated grief and mourning
   Recognize limitations of volunteer roles
   Recognize circumstances when a clinical referral may be needed and report to PTH staff or clinical
      consultant
Suicide [1 hr]
   Identify the unique needs of adults and children when death is through suicide
   Identify additional resources for survivors of suicide

Veterans Grief & Mourning [.5hr]
   Identify the unique needs of bereaved veterans
   Identify additional resources for veterans

Communication Techniques in Groups [.5 hr]
   Describe basics of managing group dynamics
   Identify and describe techniques to respond appropriately to group situations (i.e. redirect the group
        focus; mange overbearing individuals, etc.)
   Identify and describe techniques which encourage participants to share their stories of love, loss,
        and grief

Adult Support Groups: Structure and Function [.5 hr]
   Explain structure and purposes of the PTH Adult Bereavement Groups
   Describe roles of facilitator and co-facilitator in adult support groups
   Learn appropriate use of rituals for opening and closing groups

Adult Support Group Facilitation: Role Play & Practice [1.5 - 2 hrs]
   Create a safe and respectful environment for group interaction
   Establish and maintain ground rules for group participation
   Utilize techniques to encourage participation of individual group members
   Utilize principles of therapeutic communication
   Utilize techniques to redirect the group focus, when necessary
   Engage group interaction to explore ways of coping with grief
   Achieve a level of comfort, flexibility, and skill facilitating adult support groups

Children’s Grief Experiences and Needs [1 hr]
   Describe the unique experiences and needs of bereaved children at various developmental levels
   Identify various ways to support children at different developmental levels
   Examine unique circumstances of sibling and parental death
   Discuss ways children maintain a connection with a deceased parent

Children’s Support Groups: Structure and Function [.5 hr]
   Explain the structure and purposes of the PTH Children’s Bereavement Groups
   Explain the development of PTH children’s groups based upon developmental level and needs
      of children
   Describe roles of facilitator and co-facilitator in children’s support groups
   Learn appropriate use of rituals for opening and closing groups

Using Activities in Children’s Groups [.5 hr]
   Identify and describe techniques which encourage children to share their unique stories of love, loss,
        and grief through talk, art, play, and activities
   Become familiar with the Evergreen Activity notebook and other activity resources

Children’s Support Group Facilitation: Role Play & Practice [1.5 - 2 hrs]
   Create a safe and respectful environment for group interaction
   Establish and maintain ground rules for group participation
   Utilize techniques to encourage participation of individual group members
   Utilize principles of therapeutic communication
   Utilize techniques to redirect the group focus, when necessary
   Engage group interaction and participation in activities to explore ways of coping with grief
   Achieve a level of comfort, flexibility, and skill facilitating children’s support groups