Lecture 10

Question 1

ABCD format

Answer 1

A = audience
B= Behavior
C= Context
D= Degree

Question 2

5 step analysis

Answer 2

Step 1: ID & Statement about what will be the global goal
Step 2: What gets in the way of that goal (determinants)
Step 3: Identify what provoked or precipitated the actual state
Step 4: Identify limiting factors (unable to address in OT)
Step 5: End the analysis with positive elements that show potential for rehabilitation

Question 3

7 categories intervention

Answer 3

1) Employment/education: facilitate job acquisition or return to school (e.g., supported employment or education)
2) Psycho-educational approaches: establish routine during hospitalization (e.g., relapse prevention)
3) Creative occupations and activities: (e.g., social skills group, recreational activities; role playing)
4) Time use/occupational balance: exploring activities and goal setting, monitoring, and refining
5) Skills/habit development: skills training with aim of living more fulfilling lives
6) Family interventions and Group interventions: work on any aspect, but in group or family
7) Animal assisted therapy: addresses meaningful engagement, and social community integration

Question 4

steps for group therapy

Answer 4

1. Introduction: (purpose of the session, outline, schedule)
2. Activity: (Ice breaker and main activity)
3. Sharing between members facilitated by leaders
4. Processing what happened between members facilitated by leaders
5. Generalizing: (leaders point out similarities, differences, learning)
6. Application to real life: (leaders make it explicit)
7. Summary: (leaders emphasize most important points, acknowledge contribution of members, end on time)

Question 5

Element to observe

Answer 5

tone, atmosphere and communication blocks

Question 6

Task roles

Answer 6

initiator, coordinator, give or seek opinions/info, energize, elaborator, orienter, evaluator, procedural technicien, recorder

Question 7

Group building roles

Answer 7

follow leader, propose comprosime, set standard

Question 8

individual role

Answer 8

attention seeking, dominator, out of field

Question 9

Stages of group development

Answer 9

1. Initial stage of orientation
2. Stage of dissatisfaction/ conflict
3. Stage of resolution/ cohesiveness
4. Stage of maturity/ production
5. Termination phase

Question 10

Leader attributes (16)

Answer 10

Flexibility
Creativity and spontaneity
Enthusiasm
Humor
Clinical reasoning
Therapeutic use of self
Capacity to sense moments of inter- subjectivity
Self-confidence
Responsibility
Attending and active listening
Objectivity
Genuineness
Warmth and caring
Respectful
Empathy
Compassion

Question 11

Leadership strategies

Answer 11

Clarification
Restatement
Reflective
statements
Open-ended questions/ probing
Encouragement to elaborate
Constructive feedback
Manager of time and rules
Modeling behavior
Verify with group how one was received
Validation
Advice and praise
Confrontation
Make sure everyone participates
Summarize

Question 12

Leadership style

Answer 12

authoritarian/autocratic directive
demotractic facilitative
Laissez faire/ adviser when asked

Question 13

Steps of planning a group treatment protocol

Answer 13

1. Identifying a patient population * participants with share a psychosocial issue which you will address with your group intervention
2. Selecting a frame of reference
   
   • Psychodynamic/Object relations, Sensory Integration, Cognitive-Behavioral, Resilience
3. Group purpose
   
   • Identify a group occupation-based global goal (= LTG) (remember the 5Cs)
4. Group treatment outline & group program of x number of group sessions
   
   • Specific objectives for each session leading to the Global goal
5. Outcome of your group protocol (at the end of x number of sessions)
   
   • Effectiveness measure