Group Flashcards

Question

The Acute Inpatient Therapy Group

Answer 1

Radical modifcations required (half inpatients involved) o assessment setting (Intrinsic factors, clinet turnover, heterogeneity, time, boundaries, more directive leader) o Formulation of Goals→more realistic/shorter/achieveable • Six achievable goals: 1. Engaging the patient in the therapeutic process 2. Demonstrating that talking helps 3. Problem spotting 4. Decreasing isolation 5. Being helpful to others 6. Alleviating hospital-related anxiety o Intrinsic Facots with inpatient groups • Rapid client turnover • Short term duration of participation • Revolving door of incoming and outgoing challenges stability, consistency • Heterogeneity of Pathology • Individuals may be at different stages of change • Diversity in capacity for or attitude toward therapy • Individuals in gurp vary in length of time they’ve been living with mental illness • Time • General no time to meet with clinet prior to group • Difficult to work on integration or termination of members • Group Boundaries • Blurred boundaries, confidentiality difficult • Confidentiality usually encompasses whole unit out of necessity • Formulation of Goals: Inpatient Groups: 6 Goals • Engaging patient in therapeutic process→POSITIVE experience with therapy, maybe use it after discharge o Receiving support, encouragement in group setting, increases likelihood paitents will continue group work in different setting after discharge • Demonstrating that talking helps o Inpaitent groups can introduce cohesiveness and universality o Clients can share experiences, listen to others, realize they are not alone; altruism! • Problem solving o Help clinets identify areas that may need work in individual therapy (e.g. realtionships issues observed in groups) • Decreasing isolation o Patients can us communcaiton skills gainedin group to reestablish connections outside of hosptital o Decreases in isolation inreases one’s ability to build relationships with others in clinical setting, utilize other therapeutic resources • Being helpful to others o Clients who help others with encouragement, support, ideas can boost their own snse of self-worth by feeling valuable to grup memebrs o Do NOT encourage conflict in these groups o Tamp down conflict • Alleviating hospital-related anxiety o Group members can talk about hospital related issues such as behavior of others on unit or staff tensions o Indiviuals can learn that others may share these concern o Modification of Technique • Devise a clinical strategy and technique • Therapists time frame • Expect shortened time frame • Life of group is single session, compositions always different • Make most out of each session • Efficacy and activity • Therapists must be more active in engaging clients • Round of “agendas” • Support • Therapists should offer support more quickly, directly, increases safety in group o Openly comment on group members efforst, intentions, strengths, etc o Reinforce how client communicating adaptively o Invite memebrs to support each other, ask how group can help o Allow group memebrs to control how much share o Directly support members by positive comments on behavior, compliment attempts to communication, stay the session, pay attention, support other members • The here-and-now • Encourage positive relationship, communication skills • Communicate needs, get closer to others, express positive feelings, more self-aware, listen, offer support • Structure • Provides safety to have clear, firm understanding of what to expect • Modes of structure • Spatial and temporal o Spatial: physical arrangement for room, e.g. circle of chares o Temporal: start and end on time • Encounrage memebrs to stay entire session • Ask staff to help disorganized memebers to find room on tim • Allow anxious members to observe if they feel like leaving • Therapist style \ o Take more active, firm, decisive role for reassurance o Redirect often • Inpatient groups don’t have enough time to process difficult events, long discussions, stories from indiviauls taking too much time • Consistent group session protocol o Structure each session the same way so mambers know what to expect • Disadvantages of structure • Hamper group effectiveness—flexibility within structure • Yalom’s Working Model for Inpatient Group Session Protocol • Orientation and Preparation o Intro statement: describe time and duration of meeting, ground rules o Describe purpose of group, work on relationships, communication o Describe procedure and sequence of sssion • Personal Agenda Setting o Create task members have to think of osething to change in relation to others o Guide members to think about how can apply their desires to here and now • Feel closer to people—who could you feel closer to in group? o Be facilitative, persistent, inventive, direct to make agenda setting work • Agenda filling o It as many agenda together as possible, customize to provide greatet good for greatest number of patients o Conduct group by directing each member to try to touch on several agendas • End-of-Meeting Review o Focus on review and evaluation of session o Break review into two parts • 1: therapists, co, observers discuss observations • 2: members joind, discuss o provides modeling, transparency, reflection, point out future directions, wrap up loose ends • In patient • Not light fire but may need to address to get past it

Group Flashcards

(25 cards)