Groups and transition housing

Question 1

task oriented groups

Answer 1

task is the means by which we explore THOUGHTS AND FEELINGS to enhance self awareness and insight
practice and learn new behavior
understanding how we operate

aligns with psychodynamic frame of reference

activities of self-expression, like composing lyrics to a song

Question 2

thematic groups

Answer 2

acquire the knowledge and skills to perform a specific occupational performance task
structured and graded activity; specific task in a real or simulated environment (cooking, grooming, med management)

thrive with thematic: sense of competence and confidence when you feel skilled enough to do something

tangible end product is important to produce

Question 3

topical group

Answer 3

task is verbal discussion about a topic
discuss activities the members are involved in outside of the group

concurrent - happening now (parenting a child with a disability, medication management)
anticipatory - happen in the future (retirement planning)

Question 4

evaluation group

Answer 4

evaluate the group interaction skills
activity: requires the interaction of members for completion
**not intervention focused/increase skill level

Question 5

instrumental group

Answer 5

prevent decline, maintain highest optimal function and quality of life through socialization and meaningful activities

chronic symptoms, progressive
“in the moment” enjoyable activities to maintain quality of life
common with dementia

Question 6

parallel group

Answer 6

group interaction NOT required to complete a task

doing your own thing, but maybe sharing materials

therapist is a direct leader

Question 7

project level group

Answer 7

group interaction required
short term with 2+ people

think partner project

less direct therapist as leader

Question 8

egocentric-cooperative group

Answer 8

activity selected by members
long term with 5-10 people
focus on the tasks to be completed with little attention devoted to the feelings of participants; do not yet make independent decisions

therapist is a role model

Question 9

cooperative group

Answer 9

fulfilling needs is MORE IMPORTANT than the activity itself

develop a sense of cohesion, belonging, trust

therapist is advisor

Question 10

mature group

Answer 10

carry out all social, emotional, and functional roles and tasks

therapist is a peer/group member

Question 11

norm priority in all groups

Answer 11

safety, respect, and confidentiality
correct answers will include adherence to these norms

Question 12

Co-leadership advantages

Answer 12

effective in group situations that place multiple demands on the group leader - something complex like a group about caregiving for infants with multiple disabilities - one leader can focus on individualized questions/support and the other on the group in progress

Question 13

co-leadership disadvantages

Answer 13

splitting behavior, competition, unequal responsibilities
due to these disadvantages, supervision should be actively sought as soon as co-leadership concerns arise

Question 14

progression of groups

Answer 14

parallel, project/associative, cooperative, mature

Question 15

developmental group

Answer 15

social skills, acquire and develop group interaction skills
(parallel, project, cooperative, mature)

Question 16

examples of intervention group types

Answer 16

• ADL/IADL
• basic task skills
• community participation and reintegration
• coping skills
• directive (highly structured)
• discharge planning
• 5 stage groups (sensory distortions sensorimotor intervention)
• goal setting
• leisure
• modular (people come in and out/can join at any time)
• play
• pre vocational
• psychoeducational
• reminiscence
• self awareness
• sensory awareness
• social interaction

Question 17

stages of group development

Answer 17

1. origin phase: leader composing group protocol and plans
2. orientation phase: learning what group is about, initial connections
3. intermediate: developing interpersonal bonds, group norms, roles
4. conflict phase: challenging the group, disagreement
   *unsuccessful resolution results in dissolution of the group
5. cohesion phase: members regrouping after conflict with a clearer sense of purpose
6. maturation phase: productive, achieve goals
7. termination phase: dissolution of group

Question 18

therapeutic group norms

Answer 18

1. encourage self reflection, self disclosure, interaction
2. reinforce value and importance of the group by being on time and prepared
3. establish at atmosphere of support and safety
4. maintain confidentiality and respect
5. regard group members as effective agents of change by not placing the group leader in the expert role

Question 19

medicare indicators for group membership

Answer 19

individual is able to: engage willingly and actively participate, respond appropriately, attend to group guidelines, benefit from input and more than 1:1 intervention, incorporate feedback, complete activities toward goal attainment

Question 20

community and transition programs order

Answer 20

group home (vocational workshops for basic low level work role), PHP (partial hospitalization), halfway house (more independent living), clubhouse

Question 21

Transition from halfway house to a psychosocial club house, most important info

Answer 21

IADL skills

Question 22

Clubhouse activity

Answer 22

selected by members and led by the members; therapist does not have a direct role

Question 23

Prevocational program

Answer 23

develop an individual’s task skills, social interaction skills, and work habits that are prerequisites to work

Question 24

Vocational rehab workshop

Answer 24

significant cognitive deficits and intellectual disorders that limit their ability to participate in unstructured work environments – structured, repetitive, concrete tasks with minimal technical skills

Question 25

Transitional employment program

Answer 25

provides training in a specific job, generally time limited with discharge to competitive employment, supportive, or rehab workshops

Question 26

norms vs protocol

Answer 26

• Group norms: expected and accepted behaviors in the group (mutual respect, safety, support)
• Group protocol outlines the membership criteria, goals, and activities; does not describe group behaviors

Question 27

therapist roles in order

Answer 27

direct leader, less direct leader, role model, advisor, peer/group member