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

Children’s Grief [1 hour]
    After viewing a video, discuss ways to help children cope with death, loss and grief
    Identify differences in ways children and adults grieve

Communication Skills [1.5 hours]
    State the difference between a social relationship and a helping relationship
    Demonstrate the best way to listen
    Identify and avoid barriers to helpful communication
    Allow the bereaved to identify and to express feelings related to the loss (such as anger,
        guilt, anxiety, helplessness, sadness)
    Be prepared to respond openly and honestly when children 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

Family dynamics [1 hour]
    Identify family dynamics expected to occur during the end of life
    Identify the role of the volunteer when domestic violence is suspected or confirmed

Grief, loss and transition [2 hours]
    Identify the expected stages and the different types of grief, including anticipatory grief
    State physical and psychological symptoms of grief
    Recognize situations that can interfere with grief resolution
    List activities that can help with grief resolution
    Identify ways a volunteer can assist a person or family with grief resolution

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
    Become familiar with the Maine State Regulations governing a volunteer hospice program
    Recognize the relationship of Pine Tree Hospice to the National Hospice and Palliative Care
        Organization, the Maine Hospice Council, and the United Way of Eastern Maine
    Briefly describe the difference between a volunteer hospice and a Medicare hospice
    Discuss issues related to advance care planning and ethical wills

Personal Death Awareness [1 hour]
    Achieve a level of comfort in discussing death

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
    Plan to complete and submit required paperwork to the Pine Tree Hospice office on time
    Read and sign the forms to be filed in the Pine Tree Hospice office

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 hours]
    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


Group Facilitation and Practice for Adults and Children
[10.5 hours]
1. Create a safe and respectful environment for group interaction by listening attentively and by
    accepting each individual’s view of reality
2. Establish and maintain ground rules for group participation, with emphasis on confidentiality
3. Utilize techniques to encourage participation of individual group members
4. Utilize principles of communication, including reflective listening, as presented in the core
5. Utilize techniques to redirect the group focus, when necessary
6. Briefly review information about the normal grief process as presented in the core curriculum
7. Engage group interaction to explore ways of coping with grief
8. Recognize differences in ways men and women experience and express grief
9. Identify the unique needs of adults and children when the death has been violent, unexpected,
    or due to suicide
10. Identify the unique needs of bereaved veterans
11. Identify the unique needs of families when there is loss of a child of any age
12. Identify differences in facilitating a closed group and an open ongoing group
13. Describe indicators of complicated (maladaptive) grief
14. Recognize and report to staff if a group member appears to demonstrate complicated grief, or is
      disruptive to the group dynamic
15. Reflect on the emotional impact of working with grieving children
16. Achieve a level of comfort and skill in the process of planning, facilitating and evaluating adult
     and children’s groups through role-playing practice situations

Introduction to Nights of Service, modeled after the Dougy Center
[1.5 hours]
1. Explore the emotions and experiences of grieving children, and offer ways to help
    a. Speak openly and honestly to children about death
    b. Respect differences in grieving styles
    c. Listen without judgment
    d. Allow children to say good-bye
    e. Talk about and remember the person who died
2. Discuss personal motivations for participating in the Nights of Service program

Child Development [1 hour]
1. State the characteristics of the various child developmental stages
2. Recognize the influence of grief on the child depending upon the stage of development

Play Activities for Children [1hour]
1. Explore various play activities appropriate to child developmental stages which may serve as a
    vehicle for expression of grief