Mission Integration and Spiritual Care: Working Together to Create a Spiritually Centered, Holistic Culture

Spiritual Care Champions March 2012

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Today’s Presenters

Sr. Maureen McGuire, DC•Senior Vice President of Mission Integration, Ascension Health

•Executive Vice President of Mission, Ascension Health Alliance

•Co-Dean of Leadership Academy

Laura Richter•Director, Workplace Spirituality

•Director, Mission Integration, System Office

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Objectives for today’s presentation

• Participants will learn how Mission Integration and Spiritual Care departments share the responsibility for creating a spiritually centered, holistic culture.

• We will discuss the roles, responsibilities and competencies assigned to Mission Leaders and Spiritual Care personnel (chaplains and directors).

• Understand how these roles are complementary and each has a specific set of goals to achieve.

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Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable.

Our Catholic health ministry is dedicated to spiritually centered, holistic care which sustains and improves the health of individuals and communities.

We are advocates for a compassionate and just society through our actions and our words.

Ascension Health Mission

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Our Values

We are called to:

Service of the PoorGenerosity of spirit, especially for persons most in need

Reverence Respect and compassion for the dignity and diversity of life

IntegrityInspiring trust through personal leadership

WisdomIntegrating excellence and stewardship

CreativityCourageous innovation

DedicationAffirming the hope and joy of our ministry

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Theology of Mission and Ministry

Our Ministry is an active service done on behalf of the Church

with and in the community in Jesus’ name

as an expressionof God’s presence on earth.

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The Way We Speak of our Call and Identity

We are a ministry of the Catholic Church, committed to continuing the healing mission of Jesus.

Each person in the healing ministry is responsible for continuing the healing mission in their work every day.

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Constitutive Elements of Our Identity

The constitutive elements of “CatholicIdentity” emphasize various dimensionsof what it means to be and to act

as a ministry of the Catholic Church.

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Promote and Defend Human Dignity

Promote the Common Good

Steward Resources

Act on Behalf of Justice

Care for Poor & Vulnerable Persons

Attend to the Whole Person

Act in Communion with the Church

Constitutive Elements of Our Identity

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The goal of Mission Integration is to build our capacity to be ministry. Mission Integration makes our identity as ministry evident in all aspects:– of service, with special focus on those most in need– of organizational life and structure– of culture– of leadership– and therefore of individual experience on the part

of patients and families as well as of associates.

Mission Integration

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Mission Integration is everyone’s responsibility

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But certain groups are more responsible for particular elements

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Mission Integration:Roles and Responsibilities

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Vice President for Mission Integration

As a Senior Executive leader, the Vice President for Mission Integration leads and collaborates in strategy and development for:

• Values-based culture

•Formation

•Workplace spirituality

•Model Community/Human Resources

•Ethics - clinical, corporate, and organizational

•Care of persons living in poverty, community benefit

•Spiritual care

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The Mission Integration Role

• Is a senior leadership position, to influence issues at the highest level.

• Works collaboratively with other areas to integrate mission into all aspects of ministry, including: – Human Resource practices – Hospital policies/procedures– Helps create infrastructure for spiritually centered,

holistic care

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CHA Revised Mission Leadership Competency Model

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Qualifications to be a Mission Leader

• Masters Level degree in theology or related field • Experience in a hospital setting • Serving as a member of an administrative team • Competencies mentioned in last slide

Spiritual Care:Roles and Responsibilities

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Spiritual Care

Spiritual Care departments can be found in all Catholic Health Ministries.

Chaplains provide spiritual care for patients, their families and associates.

They also foster culture that supports spirituality through services, participation in committees and specific services.

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Common Standards (Competencies) for Professional Chaplaincy

• Qualifications for a chaplain– Be in good standing with own faith tradition.– Have undergraduate degree as well as graduate

level theological degree from accredited school. – Have 4 units of CPE.

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Possess Theory of Pastoral Care

• Articulate theory of spiritual care that is integrated with theory of pastoral practice.

• Incorporate working knowledge of psychological and sociological disciplines with religious beliefs.

• Incorporate spiritual and emotional dimensions of human development.

• Incorporate working knowledge of ethics. • Articulate conceptual understanding of group

dynamics and organizational behavior.

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Identity and Conduct

• Function pastorally in manner that respects physical, emotional and spiritual boundaries of others.

• Use pastoral authority appropriately. • Identify one’s professional strengths and limitations in

provision of spiritual care. • Articulate ways in which ones feelings, attitudes,

value and assumptions affect one’s pastoral care. • Advocate for persons in one’s care.

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Identity and Conduct continued…

• Function within Common code of ethics. • Attend to one’s own physical, emotional and spiritual

well being. • Communicate effectively orally and in writing. • Present oneself in a manner that reflects professional

behavior.

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Pastoral Competencies

• Establish, deepen and end pastoral relationships with sensitivity, openness and respect.

• Provide effective pastoral support to patients, families and staff.

• Provide pastoral care that respects diversity and differences (gender, culture, orientation, religion, etc.).

• Triage and manage crises. • Provide pastoral care to those experiencing grief and

loss.

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Pastoral Competencies continued

• Formulate and utilize spiritual assessments to contribute to plans of care.

• Provide religious and spiritual resources. • Develop, coordinate and facilitate public

worship/spiritual practices. • Facilitate theological reflection in practice of pastoral

care.

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Professional

• Promote pastoral care into life and service of the institution.• Establish and maintain professional and interdisciplinary

relationships.• Articulate understanding of institutional culture and

systems and systemic relationships.• Support, promote and encourage ethical decision making. • Document care effectively in records.• Foster collaborative relationship with clergy/faith group

leaders.

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Chaplains and Leaders

Chaplains Leaders

- direct care - administrative responsibility- Provide bedside care - ensure care is provided

across the ministry - Serve on committees - ensure pastoral care is

represented in all areas- Live out duties of dept. - ensure scheduling meets

dept. demands

How Mission and Spiritual Care Work Together

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These groups have specific responsibilities for Mission Integration

-Administrative presence - Organizational role-Culture building

-Direct Spiritual Care - Organizational role-Culture building

-Clinical Ethics- Organizational ethics-Culture building

How do Mission Integration and Spiritual Care work together to

create a spiritually centered culture?

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Mission Leadership Competencies and Pastoral Care: Leadership

Mission Competency Pastoral Care Practice

• Strategic leader Pastoral Care is positioned as a direct contributor to the mission, strategy and priorities of the organization

• Prophetic leader Pastoral Care supports integration of holistic care principles in care delivery

• Formational leader Pastoral Care is engaged as partner and resource in appropriate formation initiatives

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Mission Leadership Competencies and Pastoral Care: Theology

Mission Competency Pastoral Care Practice

• Pastoral Theology Pastoral Care promotes and supports theological reflection throughout the organization

• Understandings of Church Pastoral Care expresses the ecclesial dimension of organizational ministry through pastoral contacts, development of lay leadership, ecumenical and interfaith initiatives, promotion of healthcare-based pastoral care as a dimension of diocesan ministry

• Canon Law Practices related to sacramental, worship and pastoral outreach reflect ecclesial expectations and norms

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Mission Leadership Competencies and Pastoral Care: Spirituality

Mission Competency Pastoral Care Practice

Personal Spirituality Mission and Pastoral Care create opportunities for mutual support, learning, development

Communal Spirituality Pastoral Care collaborates in building awareness and integration of the sponsor charism; partnership in the development of workplace spirituality

Spirituality of Change Mission and Pastoral Care partner to identify and address stressors that affect staff and organizational culture

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Mission Leadership Competencies and Pastoral Care: Ethics

Mission Competency Pastoral Care Practice

Organizational Ethics Front line awareness of the “culture in action”; insights regarding the stated vs. lived values of the organization

Justice Advocates for vulnerable patients and families, congruency of values and practice within the organization

Clinical Ethics Front line for identifying issues, advocating for patients, families, staff, networking with physicians and others to support good practice

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Mission Leadership Competencies and Pastoral Care: Organizational Management

Mission Competency Pastoral Care Practice

Communication and Collaboration

Partners in the creation of an effective network of communication and relationship at every level of the organization

Business Pastoral Care contributes in a measurable way to the business success of the organization

Management Collaboration with Mission in staff development, succession planning, congruency of departmental and organizational priorities

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How Mission Supports Spiritual Care

• Provides administrative oversight for Spiritual Care department.

• Ensures department is well represented, can support department and ensure they have access to all groups within the ministry.

• Obtains budget and provides support for Spiritual Care needs.

• Can work collaboratively on joint projects like associate orientations, spirituality initiatives and other programs.

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Working Collaboratively Together

-Administrative presence - Organizational role-Culture building

-Direct Spiritual Care - Organizational role-Culture building

-Clinical Ethics- Organizational ethics-Culture building

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Some examples of how we work together to accomplish goals

Formation

Mission Integration

- Develops plan for formation at all levels and desired outcomes

- Plans certain formation programs to achieve goals

- May do formation activities for certain groups

Spiritual Care

- Provides theological reflection as part of work, for patients, families and associates.

- May work with Mission to lead some formation activities

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How we work together to accomplish goals

Workplace Spirituality

Mission Integration - Develops plan for workplace spirituality at all levels- Ensures staff have access to offerings and that spirituality is

part of the culture - May provide spiritual activities for certain groups

Spiritual Care - May work with Mission to lead certain workplace spirituality

initiatives that touch patients and families (prayer shawls, memorial services, No One Dies Alone) as well as staff (retreat days, blessing of the hands, etc.)

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Some questions to consider…

• How do Mission Integration and Spiritual Care work collaboratively in your institution?

• What are roles that are distinct for each of these groups?

• Where is there some overlap between groups?

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Resources

• CHA Mission Leader Competencies

http://www.chausa.org/missionleadercompetencies/

Spiritual Care Common Standards

http://www.spiritualcarecollaborative.org/standards_of_practice.asp