The Need for Chaplains -

 I love my job/career/life-choice as a chaplain. I cannot imagine doing anything else. I love serving my patients, their families, and the caregivers who are dedicated and committed to giving the best care they can to those they likewise serve. 

It's been a busy several months - caregivers were on adrenalin highs for several months, as was the world, with a multitude of initiatives and ways of showing support. And yet as caregivers tire, so does the public, and now we're dragging, exhausted, without evening applauses and caregiver parades, no healthcare provider discounts (and I tell you, they made a differences), and we still go home to families who are likewise burnt-out and dragging. I have cried more than once in the past month - who chaplains the chaplains? 

I spend as much time with caregivers as I do patients and their families. This is a fundamental part of my job. In fact, not only do I serve at my facility, I also am doing my best to support caregivers system-wide, particularly at the site where many of our toughest CoVid cases go. 

Enough said, and yet there are still institutions (people) who think chaplains are not necessary, that in this day when religion is waning, there is no need for religious rituals and conversations. However, when someone is in a health crisis, they are likewise in a spiritual crisis (not religion, although people rely on the beliefs, or non, of their religious and spiritual perspectives). "Oh God" can be a curse or a prayer, and I've seen this over and over again, and a listening ear, a quiet moment, a nod, permission to share, is so very very necessary.

This article, from one of the organizations I have my certification through shares a perspective examining the words stating there is no need, yet likewise validates the need, for healthcare chaplains, now more than ever. 

Count chaplains in, not out! Now more than ever, chaplains are needed on healthcare teams    _____   "Our role is to care for anyone -- patient, family member or professional and clinical colleague -- who is suffering, feeling overwhelmed, hopeless, and alone." -- Eric J. Hall _____ As the leader of a national chaplaincy organization, I am baffled by the opinion that chaplains are becoming irrelevant. This statement during this pandemic when chaplains have become more necessary than ever is simply a cover to remove chaplains from employment.   A discussion I had with an administrator indicated that because people are not going to "church" there is a diminished need for chaplains. It's true that many churches across the country were growing empty even before COVID-19 caused them to close their doors. But the flight from organized religion does not mean people are throwing the baby out with the bathwater. Many faith communities doing online worship and tracking their viewers are seeing significant number of "attendees" who they can tell are not members of their community. Thus, lots of people who have not participated in worship before now are seeking it out. We saw the same phenomenon post 9/11. Large numbers of people turned to faith and religious practice in the time of uncertainty to find connectedness and meaning. So where do these people find that connection and community today? Chaplains fill that role for many.   As chaplains working in emergency, trauma and other healthcare settings across the country can attest in this time of COVID, people in existential crisis long to make sense of what's happening to them and their loved ones whether they have God or a religious tradition to guide them or not.   I want to address the misconception that chaplaincy is only a valid ministry in the context of faith, and that as organized religion declines in importance, chaplains become less relevant to healthcare systems and therefore a resource that can be eliminated from the budget. This is not the time to count chaplains out. Now more than ever, leaders in healthcare should count them in!   If they have learned anything from the experience of our hospital systems overburdened by suffering and death, health care leaders must surely see the value of treatment protocols such as palliative care and hospice when curative care is deemed futile. Dr. Diane Meier, director of the Center to Advance Palliative Care, makes this point when she says, "Our first and foremost job is to identify and relieve sources of suffering. And particularly in the COVID-19 environment, where all available treatments are experimental and variably accessible, our first obligation is to provide psychological, existential, and spiritual support to people who are understandably terrified."   I direct the Healthcare Chaplaincy Network. For us, professional chaplaincy is about "caring for the human spirit." Our chaplains work alongside first responders and EMTs, integrated in hospice and palliative care teams, and collaborating with doctors, nurses and other medical professionals in ICUs across the country. Our role is to care for anyone -- patient, family member or professional and clinical colleague -- who is suffering, feeling overwhelmed, hopeless, and alone. When the human spirit is assailed by too much sickness, too much misery, and too much death, our chaplains are there to offer comfort through presence, listening, and support, sometimes joining in with our prayers and often with our tears. We are trained to wade into the midst of human suffering, to recognize spiritual distress in our fellow human beings, to promote healing even when there is no cure, and to affirm the value of life even in the face of certain death. This is what we mean by "caring for the human spirit." And this is why, now more than ever, chaplains are needed on healthcare teams that are providing curative care, palliative care, or end of life care. Chaplains should be counted in, not out!   For administrators wanting to cut the costs of doing business, I say do not cut your chaplains! Take a lesson from hospice, in which spiritual care for the dying is federally mandated, or from palliative care in which it is a best practice the world over. If you are looking for ways to increase emotional support for your frontline clinical staff or seeking to address burnout among your physicians, hire more chaplains! We are trained to do this work. Many of us have indeed been preparing our entire professional lives to rise to the challenge of such a moment in time as the one we are facing right now.   Count chaplains in, not out. And then count on us to work side by side with the other professionals on your teams, providing care for every needy human spirit we encounter. If you would like help finding professionally trained and certified chaplains to join your teams, email me at EJHall@SpiritualCareAssociation.org and I will put the resources of the HealthCare Chaplaincy Network and the Spiritual Care Association to work for you. The needs are critical and the solution is at hand.   --Eric Hall Reverend Eric J. Hall, DTh, APBCC, is President and Chief Executive Officer of HealthCare Chaplaincy Network, Inc. and the Spiritual Care Association. He is also Chancellor of the SCA University of Theology and Spirituality. Hall also serves as pastor of the Eastchester Presbyterian Church and the Lincoln Academy for early childhood learning. Formerly, he was the founder, President and CEO of the Alzheimer's Foundation of America. He can be reached at EJHall@SpiritualCareAssociation.org.   * See https://www.pewforum.org/2019/10/17/in-u-s-decline-of-christianity-continues-at-rapid-pace   ** See https://acphospitalist.org/weekly/archives/2020/04/08/3.htm