Storytelling Through Music to Improve Well-being Among Homeless Service Providers

Homelessness is a complex social issue and requires a dedicated workforce of helping professionals, including nurses and social workers. Secondary traumatic stress is common in this workforce and contributes to poor professional quality of life, burnout, and job turnover. These factors undermine the health and well-being of homeless service providers and threaten the stability of this critical workforce. The purpose of this study is to evaluate "Storytelling Through Music," an innovative 6-week, multi-dimensional intervention, to improve well-being among homeless service providers.

Research has found that the burden of secondary traumatic stress among homeless service providers (HSP) is similar to that among other healthcare professionals, including nurses working in urban emergency departments and in inpatient psychiatric hospitals. Left unaddressed, secondary traumatic stress can cause compassion fatigue and emotional exhaustion, furthering a cycle of poor professional quality of life (QoL), burnout, and job turnover. Research has identified that arts-based interventions have promise in helping healthcare professionals cope with work-related emotions, assist in revealing genuine emotions linked to work-related stress, and in improving professional QoL. What remains unclear is if arts-based interventions can yield similar benefits amongst HSPs. The purpose of this study, therefore, is to evaluate the feasibility of implementing Storytelling Through Music (STM) with HSPs working with the homeless population in Austin, Texas. STM is a six-week intervention that combines storytelling, reflective writing, song-writing, and self-care skills to improve emotion regulation through affective and cognitive coping skills. Our preliminary data suggests STM to be feasible and acceptable, and preliminary evidence demonstrates improved coping, psychosocial well-being, and burnout in nurses. Specifically, this project aims to: Aim 1: Explore the contextual factors impacting the well-being of frontline HSPs. Aim 2: Examine the feasibility of implementing Storytelling Through Music with HSPs. Aim 3: Investigate the preliminary intervention effect on coping (emotion regulation, self-compassion); well-being (anxiety, depressive symptoms, loneliness, post-traumatic growth, insomnia); and work-related factors (secondary traumatic stress, burnout, compassion satisfaction, and intent to leave).