Click the link below to read/download the June Newsletter (June 2018 Newsletter Vol 1 No. 2 ).
This new blog will share with its readers a plethora of information on the funeral services niche, what to ask for, what to avoid, who to avoid, and what services you should ask for, if you are a consumer, or offer, if you are a funeral director, both during pre-arrangement meetings and when making immediate need arrangements.
We feel it is extremely important that consumers be offered the opportunity to consult and to talk to a professional interfaith bereavement chaplain, and that consumers should request such a conference; on the other hand, funeral homes should provide such an opportunity to all persons making funeral or memorial arrangements.
We are staunch supporters of the traditional funeral for all of its important psychological, spiritual, and cultural benefits. We are also strongly in support of locally owned and operated funeral homes as opposed to the corporate funeral groups and the factory-funeral service providers. Having said that, we do not believe that the traditional funeral should be outrageously extravagant or expensive but that it should be simple and dignified, personalized to reflect the family culture and the life of the deceased.
Welcome to this blog. Contribute to this blog. Make this blog a place of sharing.
Should you have any questions, please do not hesitate to contact Chaplain Harold at firstname.lastname@example.org or, if you are in immediate need of chaplain services or bereavement support, please call Chaplain Harold at (518) 810-2700.
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I am a professional caregiver. As a professional, I figure that a professional chaplain would have at least a bachelor’s degree, preferably a master’s degree, in a subject like psychology, comparative religion, sociology. The coursework alone for a four-year degree today would probably run something like $40-60,000 at an “average” 4-year college. Unless the chaplain has done studies in religion, comparative religion, psychology of religion, or some theology studies, s/he would be well advised to find a program in religious studies, pastoral studies or theology. Ideally, a master’s degree in one of the study tracks mentioned above would be followed by a couple of units of clinical pastoral education (CPE) in a healthcare facility. Even more ideally, a degree in psychology or sociology plus a degree in theology or divinity would be desirable. Then there’s the continuing professional education in the form of courses, seminars, workshops, webinars, and conferences. None of this comes cheaply; it all costs money. (The final tab for my 3-year graduate studies for the M.Div. was $60,000! And I commuted from home!) Of course, American’s can create a demand ex nihilo: now there’s the new fad, so-called board certification. If all else fails, a certificate will fix it! It’s something the agenda-organizations have cooked up that appeal to the ego of some practitioners, and impresses small minds, like those of human resources departments and the like. My opinion is that if you feel you need to have some organization certify your skills, you’re probably not made of the stuff to be an effective chaplain; you’re too full of yourself and lack self-confidence. You simply don’t have the ‘right stuff.’
But I don’t want to distract you from the point of this article: A chaplain, no matter what his or her speciality, is obviously not in it for the money. And if you’re after kudos and compliments, forget it. Administrators couldn’t care less whether you’re there or you’re not, and would rather just refer you to the “volunteers coordinator” of the facility. Your “best” client may drop you like a hot potato if keeping you means standing up for ethics or principle.
Most of the institutions who really should have a professional chaplain on board don’t. I’m talking about healthcare facilities, nursing homes, rehabilitation facilities, first-responders, even government departments; you’ll likely find persons who would benefit from the presence and availability of a professional chaplain in most any organization. This is especially true of the funeral home and the funeral service business.
The biggest obstacle that the professional chaplain has to overcome when approaching any organization is, of course, ignorance and indifference. Even those institutions in which one would clearly expect to find a professional chaplain — not one of those pablum-puking, whispering, sad-faced, constantly half-grinning, hovering, sorrowful types –, and I don’t mean a social worker (God save us!) but a trained person who has a clear understanding of suffering and does not conflate compassion, empathy and understanding, one who has not been trained in the discipline of so-called “detached concern.” Any chaplain or wannabe chaplain reading this who is not competent in the subject matter of suffering or who cannot distinguish compassion from empathy from detached concern, STOP READING! this article and find a training course!
Ask if the funeral home is still family owned or run by a group.
If you’re looking for an ego boost, don’t look for it in a healthcare or nursing facility. Funeral homes are not much better. Most funeral directors will probably size you up for what you can afford and sell you a tad more. Beware of the corporate funeral homes, those funeral corporations that buy up once family-owned traditional funeral homes, keep the name but run the show. These corporate operations may include 5 or ten funeral homes in a local area, or may be interstate or even international. If your family’s been using a particular local family-owned funeral home, my best advice is to ask if it’s still family owned or run by a group. Another unfortunate result of the American denial-of-death culture is the funeral factories, large operations with very low prices and running on volume of bodies they can process in a year. If it’s dignity you’re looking for, avoid these places like the plague.
Most of these operations will pick up, process, package, and plant or burn on a budget basis, all credit cards accepted, they’ll to the paperwork. All you have to do is die and they’ll do the rest. That’s how far much of the American funeral service has declined in the United States; the rest of the industrialized world isn’t far behind, either, though they’ve kept some of their self-respect and tradition for the most part.
But the American way of death hasn’t happened in a vacuum. Funeralization and memorialization of our dead kin has not descended to the present level of discarding dead human bodies as if they were household or hazardous waste. No, indeed. Our pitiable emphasis on the individual, “me” and to hell with you, our fascination with our toys and our aversion to anything that distracts us from our toys, especially death, our own or anyone else’s, has become our new morality. We discard our sick, our old, and our dead with the ease and care with which we discard an old phone or a melon past its prime. It’s a sad but true fact.
Who’s to blame for this deplorable state of affairs? Well, to be honest: You are! This is not an accusation intended to offend or to wound but it is true that the majority of funeral service consumers are simply so deprived of any notion of reality or of tradition, that they’ll do anything just to avoid the unpleasant business of facing reality, death, and making it disappear as quickly and cleanly as possible. If the pleasant things in life are to be done without thought or concern as dictated by the popular slogan, “Just do it!” Most bereaved today have their own slogan, “Just make it go away!”
Enter cremation, direct burial, and direct cremation. No fuss, no messy wakes, no distraction from the things you really want to be doing. After all, why be a human being today when you can have the memorial party tomorrow, or the next day, or whenever. No self-respect. How can we expect respect or reverence for the dead when there’s none for the living?
With that prologue, I’d like to launch into a contribution by a veteran bereavement chaplain, who is rather well known for his “beautiful” personalized services. This chaplain really goes over the top in establishing a relationship with the family of the person who has died, putting together a unique service for every case, carefully selecting music and readings, even designing a program or creating a memory token, such as a lapel ribbon, for the grieving family members. He discusses every detail with the family members and requests a maximum in family participation such as by reading, participation in ritual actions, etc. His credentials are outstanding. His motto is, “It’s not about me; it’s about you, the family.” So, you’d think this guy would be in such demand he’d be worn out. You’d think that the families and funeral homes he serves would swoon with gratitude. Well, think again.
I chose the title of this article for a very specific reason. The chaplain I described above recently did a rather exceptional job for an unusual family. The chaplain bent over backwards and went to almost extreme lengths to create a memorable service. He did even did this at extremely short notice, having just returned from a conference, because a very dear funeral director friend had recommended him so highly, and the family was in a very unusual situation. I’m going to give the lite version below using initials instead of names, in order to protect the innocent as well as the guilty.
I limit my practice to bereavement chaplaincy and came highly recommended to the family by the funeral director of a local funeral home client, with whom I have been working for several years. Because of the circumstances, which I’ll outline briefly below, the funeral director couldn’t give many details since the death had occurred suddenly on a Thursday, and, because of medicolegal/forensic formalities associated with the nature of the death, the funeral director would not be able to hold the arrangements conference with the family until that Saturday, but had already informed the family that I would be calling. This meant that the first opportunity for me to physically meet or talk to the family would be late on Saturday. It was really tight because the actual service was to take place on the Monday afternoon. This was further complicated by the fact that I was at a grief and loss conference in Boston when I received the request, and would be returning only on that Friday. Nevertheless, the situation was manageable, given the circumstances.
All things considered, the earliest I could interview the family would be on Sunday, after the arrangements conference. I called the family late on Saturday but the telephone interview wasn’t going very well so I offered to make a housecall that Sunday afternoon, and I met with the family. The young widow, MW, the deceased’s father GW, his aunt CW, and his uncle SM, as well as his young son were all present at the family conference. I asked permission to record the meeting so that I could capture all details without having to take distracting notes. The family agreed and for more almost two hours I collected memories, anecdotes, shared photos, and was able to form a reasonably accurate composite image of the deceased. I was very satisfied with the rapport established with the family and the outcome of the meeting.
Immediately upon returning to my office I set to work designing the program, selecting readings and music, etc. In the process, I provided the family contact person with ongoing inputs and copies of what was designed or selected. In other words, the family was kept very informed and updated throughout the process and was completely aware of what was going on. I received the family’s approvals for everything.
At the family meeting, the aunt, CM, a retired physician, and apparently the one running things, mentioned that the service was under time constraints because some persons had to “catch international flights”. I suggested 45-55 minutes for the entire memorial service, and CM thought that was reasonable and approved.
On the day of the service, I met with the family just before the service briefly describe what was going to be done, to answer any questions, and to give some short instructions to the family members participating in the service. Everything was on track, and the service itself went flawlessly. Even the music was on cue!
After the service, the father of the deceased, who, throughout the entire process was understandably emotional at the loss of his only son, approached me saying, “That was over the top. I want you to have this.” A bit taken by surprise, I didn’t really know what to think about the father’s words, “over the top”, and initially didn’t notice that the father was holding out his hand to me. The father continued, “That was over the top. It was very beautiful. Please take this.” The father was attempting to hand I something, apparently several bills, but I gently refused saying that I ‘had been paid by the funeral home,” and “that wasn’t necessary.” After several polite refusals, it was apparent the father really wanted to express his appreciation, and so I accepted the gift–and later shared it with the funeral home staff.
While preparing to leave, the uncle SM, approached I and handed me a check. Again I attempted to politely refuse the apparent “gift”, and — now with the funeral director at my side — saying that I had been paid by the funeral director, who nodded in agreement. Nevertheless, the uncle pressed the check into my hand saying, “Take this little extra, you must have spent a bundle on the food yesterday.” (On the way to the family’s home, I had stopped to pick up Danish and bagels as a gift for the family!). Again, I accepted the gift and was astonished at the uncle’s generosity — or so I thought — and again shared the gift with the funeral home staff.
The funeral home staff felt that I had earned the signs of appreciation, given the circumstances and short notice and the work that went into the service, but I felt that the success and the family’s satisfaction was the result of the “team’s” efforts, not just my contributions.
Leaving the funeral home, I was approached by several of the mourners who thanked me and complimented me on the service. The deceased’s best friend approached with hand extended and the words, “That was a brilliant service.”
I was overwhelmed by the response and exhausted by the effort but I was grateful that everything had gone so smoothly, and that the family and the funeral home were both very pleased.
That was the serenely grateful chapter of the story.
What happened next was the wounded beast chapter: The next day, I received a call from the uncle, SM, who started out by saying that the family was having some money problems. SM then launched into a diatribe saying “I can’t believe you accepted my check and cashed it! You took money from GW, too!” SM then accused I of “causing his wife, CW, hurt” and of having “left out important details from the service.” Dumbfounded and aghast, I explained that I had included everything requested by the family in the service and still kept it within the agreed time. I also noted that it was not my practice to accept gifts in addition to the honorarium paid by the funeral home but did so only because both the deceased’s father, GW, and he, SM, had pressed me to accept, and even recalled to SM the details of the moment. The conversation deteriorated into abuse by SM and I gently terminated the conversation, saying I would gladly return the gift made by SM.
Because of the bizarre and extraordinary nature of the call, I immediately called the funeral director to advise him of SM’s call. The funeral director was almost speechless and very, very apologetic. He was very supportive and told me that he had not heard from the family, and thought everything had gone excellently. The funeral director apologized profusely for the experience repeated that he had heard nothing from the family.
A day or two later I contacted the funeral director to follow up on SM’s call, and the funeral director confirmed that he had received a call from SM on the day after I reported the call from SM, and that SM was still rather unhappy.
I noted that the deceased’s next of kin was the father, GW, and the father’s sister, CW, apparently took control of the arrangements to take the burden off of the father. SM was aunt’s husband, an uncle by marriage to the deceased, and really had no standing whatsoever to get involved, since his relationship to the deceased was somewhat remote in kinship and legal terms. I and the funeral director had not heard from the widow, the father or even the aunt! I wondered if SM had gotten into trouble with his wife for being generous, and needed an excuse. Certainly, if he was having financial difficulties and had been honest and said so, the entire incident would have taken a different turn, but was he being dishonest and seeking a scapegoat? Whatever! It didn’t matter at this point.
The funeral director and I agreed that I would write a letter regretting SM’s reaction and offering to discuss the concerns privately. In addition, I requested the funeral director to respond to SM in a letter, and to return SM’s gift to him on my behalf. I expressly asked the funeral director not to mention the incident to the rest of the staff, with whom I had shared the gifts, in order not to embarrass them. For me, at least, it wasn’t a matter of money.
Some time later it was revealed that I had self-disclosed by way of simple conversation during one of the breaks in the family meeting that I, too, was involved in an earlier career in similar fields as the aunt, CM, a physician, and the father, GW, a medical device developer. The uncle, SM, was a non – medical department head in a hospital laboratory; all were retired. One of these had done a sort of background check on me and couldn’t verify my disclosures, scant and vague as they were, not to mention the fact that the events went back more than 25 years! SM even went so far as to impugn my religious affiliations (it was actually at this point the I had heard enough and had respectfully terminated the conversation). Enough was enough. The service was flawless and our conclusion was that SM, or his wife, CW, had reconsidered their “generosity” and needed some way to get their money back. Apparently, the best way to do that was to go after the service and me. So what if the grounds were insubstantial and had nothing to do with the service? They alleged having some “cash difficulties” and reconsidered their generosity. Had they simply said they couldn’t afford the gift and would appreciate it if I had returned it, there would have been no problem whatsoever. I did so even without having been asked.
So why all the pretense? Why, after having been so impressed and happy with the service did this family member make a 180 degree turnaround and attack me 24 hours later? Why was it so important to cook up something just to get $150 back that was initially apparently given in gratitude, despite my several refusals, and even when the funeral director was present and confirmed my affirmation that I had been paid? And Why? when handing I the gift, did SM make the remark about the “food” I had brought. That made the story SM had concocted in the attempt to justify his conduct even more bizarre.
I did not have much to say about this except that I was incredibly hurt by the entire incident. I did what was necessary and more, the family and other mourners were clearly delighted, the family participated, the family had shown their appreciation. So Why? I asked, did they feel they had to go to such lengths concocting such a fiction just to recover their gift. What’s more — and in line with my character — I was more concerned for the impression and effect that SM’s conduct would have on the young widow and her impressions. Overall, I felt that SM’s conduct was spurious and inconsiderate; it was insensitive and devoid of any compassion for the immediate family.
I concluded that this was a manifestation of a grief reaction, and chose to reflect on it, journal it, and let it go. At this time the residual effects are not clear, and time will tell whether SM’s conduct will adversely affect my relationship with this or other client funeral homes. The lessons learned are complex and compound, as will be the ramifications of the incident. What I can say is that neither the funeral director nor I have received a response to our letters. Is that the end of the matter?”
Those of us in pastoral care, and who invest a big part of ourselves in relieving suffering, can commiserate with this chaplain and with the funeral director as well. We can appreciate the chaplain’s concern not for himself but for the funeral director, who also put his heart and soul into serving this family, and most of all for the young widow and her son, now suddenly without a life-partner and without a father! Fortunate indeed are those of us who have not been made to suffer unjustly like this chaplain. But all things considered, we can reflect on the chaplain’s response to our inquiry:
“It had to happen some day. You can’t serve as many families as I do over time and not expect one to really knock your socks off. You can’t do this work and have your head in the clouds and expect to shine in everyone’s eyes. You have the gentle grateful lambs and you have the wounded beasts who lash out at anyone. That’s grief; that’s how some people are. You have to live in hope, not expectation.”
Those are heroic words now but what if SM’s conduct adversely affects the chaplain’s relationships with client funeral homes or his reputation overall? What if SM went beyond just calling the chaplain and then calling the funeral director? Internet ambush is not uncommon these days and can have a devastating effect on one’s life’s work. But how would the chaplain know? What would he be able to do?
This incident drives home the unfortunate fact that grief can make beasts of even the most refined people. According to our information, the principal characters in this vignette are all professional, well-educated persons. True, they are retired, but given their backgrounds certainly are not impoverished. On further inquiry we learned that they live in a rather upscale suburban neighborhood, travel frequently to Europe, Turkey, where the young man lived with his wife and son. The deceased and his wife and son were here for a reunion of friends, when he unexpectedly died. The aunt had already allegedly announced we are “spiritual but not religious; we believe in God but not organized religion.” That’s a statement we often hear and it’s not a problem. What was important is that they wanted a spiritual service for the deceased. What we didn’t mention in the narrative above was that the wife is Turkish and culturally Muslim. There were, according to the chaplain, a variety of faith traditions in the assembly, including at lease one Orthodox Jew. According to the chaplain, he attempted to respect all faith traditions present, and even opened the service with a Muslim reading accompanied by traditional Turkish flute music. Noting the presence of the Orthodox Jew in the assembly, the chaplain remarked that he on-the-fly edited out of his prayers and homily any direct reference to Jesus Christ or the Trinity, and substituted “Lord” or “God” to keep it within acceptable parameters and inclusive.
We also agree that SM’s conduct was the ultimate in bad taste and totally insensitive. There were apparently a number of family system background issues that could have incited this unusual and unfortunate behavior, and we should all be on alert for any such red flags during the family meeting. Let’s not forget our training in human development and let’s keep in mind that what happens in childhood may have ramifications in adulthood. The chaplain mentioned SM’s childhood experiences in the RC tradition, and his wife, CW, actually referred to him as a “recovering Catholic.” Was there an element of anticlericalism at work? Let’s also not forget that some of our clients have lived a life in the culture of Cartesian dualities, like this family, and we, as helpers, have to recognize their limitations, while responding with biopsychocultural sensitivity and deep spirituality.
Given the information we have on the family system and the background of this family, we cannot discount the possibility of a fractured assumptive worldview, which may have arisen painfully to the conscious level simply in virtue of the narratives that were shared in the course of the family conference. That fractured assumptive worldview may have been aggravated by the composition of the memorial service and its liturgical elements, as well as by the content of the homily, which revisited some of the narratives of the family conference. The fractured assumptive world view compounded by the tangible and intangible (symbolic) losses may have taken SM over the edge, so to speak.
We are sometimes the authors of our own misfortune. This may be the case with the chaplain. First of all, self-disclosure is appropriate only when and if it is for the good of the client. Unless I missed something in the telling, the chaplain self-disclosed inappropriately. His past career had nothing to do with his role as chaplain to this family. In all fairness, though, and emphasizing that the chaplain’s past careers or history had nothing to do with his role as chaplain, the question does arise as to the truth or the motivation of the family in doing what is tantamount to a background check. That sort of behavior under the circumstances is plainly bizarre and certainly raises questions regarding the family’s priorities. If they were so bereaved under the circumstances and given the time constraints in this case, who on earth would have the time or the energy to do any checking? Why? What would be the motivation? How on earth did the focus move so acutely from the deceased to the chaplain? Such behavior is strange to say the least. But, again, the chaplain should have known better not to have self-disclosed. Period.
Another point I’d like to make regards the axiom that even otherwise rational people can behave irrationally in an irrational situation. We can all agree that the sudden loss of an only son in the prime of his life is traumatic and tragic in human terms. SM, the deceased’s uncle by marriage to CM, the deceased’s paternal aunt, were childless and according to information provided by the chaplain, had doted on the deceased. With the death of their nephew, and under such conditions we are clearly dealing with an irrational situation and with a family that may not be playing with a full deck. We are constantly teaching that no big decisions should be made in an acute grief situation. Some people should even avoid making small decisions that may run counter to their day-to-day character. Obviously, the chaplain played by the book in most of the encounter. And it’s not uncommon for a family to offer a “little extra” to the officiant when they feel that the job was well done. Under the circumstances, I can’t fault the chaplain because he did refuse the gifts, until it likely became embarrassing to continue to do so. But it wasn’t out of greed, since he proceeded to share the gift with the other staff! While I am not one prone to making excuses, and the chaplain did handle the situation appropriately, whether he felt that the family was genuinely appreciative [and could afford it], that he had put in such an effort he appreciated the recognition, or he was simply too exhausted to put up a bigger fight all can play into the discussion. The bottom line is this: both the father GW and the uncle, SM, felt that the service was well done, even “over the top,” as the father said. The response of the mourners was also very positive. Accordingly, there is no reason whatsoever to believe that the chaplain’s performance or the service was unsatisfactory in any way whatsoever. Given the facts, the comments allegedly made by SM that the service failed in some way is, at best, a ruse.
Again, bereavement, especially in an event of untimely death, is irrational and those affected by the death behave irrationally, that’s why our role as level-headed professionals is so important. But if we forget that the bereaved may be irrational in both their thinking and their actions, we are asking for trouble. If we don’t keep in mind that the bereaved can be thinking or acting one way now and do a complete 180 in a New York minute, we are asking for trouble. If we stop expecting the unexpected, we are asking for trouble. Again, the chaplain handled the situation appropriately prima faciae. He could have played tit-for-tat and the situation would have likely become inflammatory, even explosive. Everyone would have suffered. The chaplain responded appropriately. If SM chooses not to acknowledge that or to respond, that’s SM’s choice to burn bridges. If SM hasn’t yet responded it would be unfair to fault him; he may yet respond more sensitively when the time is right.
I personally feel very uncomfortable when a family member attempts to hand me a cash gift after a service. I do realize that they can be very insistent to the point of being embarrassing but I also recognize that it’s their only real way of expressing their gratitude. When it gets to that point I will usually thank them very graciously for their generosity but decline it; instead and in order not to appear arrogant or ungrateful, I tell them that I would really appreciate a card when things simmer down or a letter of appreciation to the funeral home for the service. That usually works, although sometimes the card or the letter never comes. But that’s all right, too. I’ll likely follow up with a card or a letter in a month’s time or at the holidays, anyway.
Finally, we all should adopt a professional code of ethics. I use the ADEC code of conduct. As to self-disclosure, I use the APA guidelines. I also recommend that if you are providing services like the chaplain, that you have a personal policy regarding gratuities and either address that during the family conference or ensure that the funeral director mentions that you do not accept gratuities. And if you have a policy, stick to it.
No matter how well or how badly the mourners behave, we are not there to judge. If we can’t handle the situation perhaps we shouldn’t be in it. Realistically, we find ourselves in infinitely complex situations, every one of which is unique, and we have to have the skills to cope with each and every one of them if we are to avoid doing ourselves and our clients a disservice. We have to have the awareness and wherewithal to recognize the red flags and to adjust our approach accordingly. We have to be constantly vigilant at all stages of the relationship; we need to identify and respond to very subtle verbal and non-verbal communications. We need to read the symbolic language accurately. My rule of thumb is to hear the question behind every statement and the statement being made with every question. But most of all, be authentic, sincere, gentle, and sensitively compassionate. Whatever you may be or have been in the past, you are in this moment the chaplain. That’s all. So in your chaplaincy be in the moment and make sure it’s all about the family and no one else.
May you all be passed by unnoticed and unwounded by the SM’s of the world; if you happen to cross the path of an SM, follow the example of our chaplain above. Your character will be your best response; SM will likely not be swayed by your wisdom; like a wounded beast he will strike out at the most vulnerable.
Good work, Chaplain, you did well. Learn from the experience and drive on.
Peace and blessings!
Rev. Ch. Harold Vadney
The chaplain wrote back to let us know that the funeral director was a true champion in the face of this crisis, and was very supportive of the chaplain. In fact, as a sign of solidarity, the funeral director sent the chaplain this short prayer, which we would like to share with our readers (with the chaplain’s consent):
Are we hearing the cries for help? Are we really relieving the suffering caused by our “care”? This is a question I have been asking myself for several years now, after having done an elective 400 hour intensive clinical pastoral education unit at Albany Medical Center (AMC), a 600+ bed regional acute, primary, secondary, tertiary care teaching hospital in Albany, New York. For about four years now I have been tracking the Pastoral Care department there and, over that period, have been able to make some on-site, personal observations of the “pastoral care” being provided at AMC, and must report that, at best, the overall care was very disappointing.
If AMC is representative of the state of “pastoral care” in the Northeast or in the United States as a whole, what does that say about all those words and ink spilled in the scientific, clinical, and professional journals about “relief of suffering?” Is it all pablum-puking palaver from the top of the ivory towers? Wishful thinking? Are the chaplaincy organizations and “certifying bodies” simply self-serving special interest (their own) groups providing certificates for cash, and satisfying the paper-mill appetites of both consumers and human resources dullards? We want certificates not skills or competence? It would seem so from our observation point.
As an informal survey, we looked at the AMC pastoral care staff page on the AMC web site and reviewed the credentials of the people working in pastoral care at that hospital. Here’s what we found:
The travesty and biggest joke that healthcare facilities — I mean hospitals offering primary, secondary, tertiary, and the rarer quaternary care — and skilled nursing facilities, including those offering rehabilitation, are foisting on the paying pubic is that they offer what is commonly called “pastoral care,” a term eschewed by those of us who are really professional chaplains because “pastoral” is a hugely Christian term and serves to alienate non-Christian traditions. Fancy that! Far from appreciating what a real chaplain is, most of our healthcare organizations use a discriminatory term to describe the paltry spiritual support they think they provide, but in fact are not providing.
Most facilities rely on volunteer pastoral care, that is, local “visiting clergy” who drop in and wander around cold-calling (dropping in on patients or residents) or visiting their own church members. As for those that actually have a paid— and reimbursed chaplaincy program — the composition of that staff raises concerns about competency and bias. Seriously.
One regional medical center in Albany, New York, Albany Medical Center — the institution does a great deal of public relations and advertising and is more in the real estate business than healthcare — shows a staff of 14, including chaplain interns, chaplain residents, full- and part-time/on-call “chaplains”: Pastoral Care Manager Jake Marvel (personal acquaintance), is a Reformed Church of America (RCA) clergyperson. The RCA is a minor denomination, an offshoot of the Dutch Reformed Church, and Calvinist in its doctrines, rightist liberal Christianity in its leanings; Harlan Ratmeyer (persoanl acquaintance), is director of a chaplain training program, a RCA minister, in his late 70’s and beyond retirement; biased and distracted. Staff Chaplain Yervant Kutchukian, is an Armenian Orthodox, with apparently various contemplative interests. Pastoral Care department secretary, Elizabeth Hall, is Roman Catholic, but doesn’t work as a pastoral care provider despite having several units of chaplain training — most of which was apparently acquired by sitting behind her desk. Aloysius Kabunga is a native of Uganda, Black African, with some seminary training and an eclectic educational background but no stated faith tradition (do we assume he’s some sort of Christian adherent?). Valerie Cox, female, another African American on staff, is an “ordained” Baptist minister with a degree from a “bible institute,” whatever that means. Kabanga Boswami — NO! I didn’t make that up — is yet another Black African on staff, from the Democratic Republic of Congo, has degrees in business admin, computer science and divinity. Marjorie S McCoy, female, Buddhist adherent to an American Buddhist tradition, has a B.A. in comparative religions, worked as attorney for 23 years, was a hospice volunteer for six years, and is now an intern in chaplaincy — this means she’s out there on the floors at AMC with little or no training. YA is a staff chaplain but I can’t make out his actual credentials from his blurb. Mary C. Craven, white female, has some credentials and 9 units of clinical pastoral education at AMC (she’s Roman Catholic by tradition). Two Roman Catholic priests serve as chaplains at AMC Kenneth Gregory and Robert DeLeon, enough said. A rabbi and an imam serve the Jewish and Muslim traditions at AMC but are not “staff” in that they are on-call, for their own people. At AMC, the Roman Catholic chaplains serve on an alternating day schedule; I have experienced situations at AMC when neither RC chaplain was available. Naturally, the on-call rabbi and imam restrict their care to their faith tradition. So that’s 4 chaplains out of the total of 14 that serve their specific faith groups: Roman Catholicism, Judaism, Islam. Two part-time chaplains, one cultural Pakistani male, Younas Azad (personal knowledge) and one elderly white female, M. Craven (personal knowledge). That leaves 4 “chaplain residents” who are still in training, under the supervision of HR, and four “full-time” staff. Of the four “chaplain residents” 2 are black African males, unknown traditions, and one is an African American female, Baptist tradition. The remaining chaplain-in-training is a white female, Buddhist, with a law background who served as a hospice volunteer. The remainder of the AMC pastoral care “full-time” staff includes two RCA ministers who are PC manager and director, and a secretary.
It needs to be said that the information provided above is publicly available at Meet the Staff and is not provided as a statement of competence or as an assessment of effectiveness of the individuals or of the department as a whole. I’m presenting it as an example of what a 600-bed regional acute, primary, secondary and tertiary care, trauma center, teaching hospital provides by way of spriritual care. Now, I have to ask my readers, given the composition of the PC staff — excluding the secretary, the part-timers, and the rabbi, imam and Catholic priests, who obviously see their own people, What do you think of the composition of the Albany Medical Center “pastoral care” staff? Presuming Albany Medical Center is a fair representation of the state of pastoral care in most similar institutions, What do you think of the likely cultural competency of the staff? Think of it this way, if you were an 84-year old white female, How open or vulnerable would you feel if one of the resident chaplains paid you a visit? How well served do you think the mainline traditions are served by the composition of the AMC pastoral care staff? Finally, do what I did and visit the site and ask yourself the question, “How well served are the some 600+ patients of AMC by this handful of questionably trained pastoral care providers?”
We chose Albany Medical Center because of its size, the extent of its services, its PR/advertising claims, and because we have personal knowledge about and experience with that institution. A simple online investigation of most of the other major hospitals in the Albany, New York, area, including Schenectady and Rensselaer counties, doesn’t provide much satisfaction. Most simply describe a vague “spiritual care” or “pastoral care” entity but not much more. None provide a staff page, which indicates quite clearly to us that they have none and that all of their pastoral care activity is provided by volunteer (= untrained, non-professionals), ancient RC nuns (that’s all that’s left), or “visiting clergy.” Point made. How is it that these so-called healthcare providers get away with not providing total healthcare?
Our conclusion is obvious: Our healthcare institutions — and we include here most hospitals, nursing homes, rehabilitation facilities, etc. — do not provide competent spiritual care for patients, residents and clients. These institutions donot provide “care” but provide only “procedures.” They operate almost exclusively on the biomedical model which has been around for more than 100 years unchanged, and is based on the body-mind duality espoused by Descartes, the so-called Cartesian duality, in which healthcare treats physical complaints, everything else is in the “spiritual” realm. In other words, our healthcare institutions treat the disease (the physical manifestations) not the illness, not the person. The treatment received in our healthcare institutions is procedural in nature and the very procedures done as treatment are the source of significant suffering, to which our “care” providers are either indifferent or of which they are ignorant.
Considering that the region we are considering, the Capital District in New York State, a region comprising the counties of Albany, Rensselaer, Schenectady, parts of Greene County, and other areas, we are talking about at least 28 hospitals and 56 nursing homes/rehabilitation facilities. The question we should be asking ourselves is not what kind of care is, rather what procedures are done, but how much suffering those environments and procedures are causing, and what is being done to relive the total suffering of the patients, residents, and clients?
Please leave us a comment but please be specific and focus on the questions we’ve posed above. We’ve tried to be non-judgmental in presenting the facts; all we ask is for your honest opinion about the pastoral care situation at this regional 600+ bed teaching hospital.
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Peace and blessings!
Rev. Ch. Harold
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