Wk 9 - Groups Flashcards

Question

What did Hoffman et al identify as common themes of those who improve in therapy (likely to stick it out etc)? (x6)

Answer 1

Caution of group process More likely to ask for time before joining in group discussion Accepting credit for positive life changes Successful soliciting of positive reinforcement from group Main concern peer relationships Active engagement by others in group

Answer 2

``` Schizophrenia, Bipolar disorder, Recurrent Major Depressive Disorder Sometimes also PTSD, Personality disorders, Anorexia ```

Answer 3

Much less likely to participate in paid work, Tertiary education, Social and Child rearing activities Social isolation

Answer 4

In the community - Hospital for accuse attacks Unable/don't need individual therapy

Answer 5

17 charitable networks around Australia, that Link up existing Govt and NGO in an area to pool resources and provide cultural, sporting and recreational groups for adults experiencing disadvantage

Answer 6

``` Improves mental wellbeing Increases social bonding Reduces cortisol Increases oxytocin Boosts immunity ```

Answer 7

N = 21 (57% female) 62% single; 19% sep/div/widow; 19% in a relationship 67% social security only; 19% some paid work; 14% insurance 89% mental health problem 28% physical disability 11% intellectual disability 10% attendance affected by substance misuse 20% referred from Homeless services but ~60% had history homelessness

Answer 8

Once a week (3.5 hours) in community hall Experienced choir director and two accompanists (piano and guitar) Music given in form of lyrics Taught in 4 part harmony Accompanied or a capella Support workers and volunteers

Answer 9

Questionnaire and interviews at start, middle and end of year Sbout how choir experience influenced Ps’ mood, mental health and wellbeing, social connectedness, other factors Transcripts read and coded by 2 choir researchers and 2 independent researchers - Three coding phases with meetings to refine themes

Answer 10

Personal impact Social impact Functional outcomes Time - because meetings happened across time, themes emerged differentially

Answer 11

Felt the earliest in process Positive mood Finding a voice

Answer 12

Connection with other choir members Connection with the audience Connection with local community

Answer 13

Improved routine and structure to week | Improved health and wellbeing

Answer 14

Mental health was “better” (73%) or “the same” (27%). General wellbeing during the choir year was “better” (91%) Social connectedness was “better” (73%)

Answer 15

Choir and creative writing groups | Basketball rhythm, musical theatre

Answer 16

``` Fewer health centre visits Lower depression Lower stress Less illness-related behaviours Improved role functioning ```

Answer 17

Social groups structure our self-concept and identity Give us a sense of meaning, purpose, and belonging, and Support (financial, emotional, practical), that we are open to giving and receiving. Influence our attitudes and behaviour, such as engaging in health-consistent behaviours.

Answer 18

Prevent and alleviate depression Decrease social isolation Sober groups help with recovery from addiction Help build self esteem Help people exit homelessness Preserve cognitive health in older adults

Answer 19

Semi-structured interview at baseline and 12 months Social network map at baseline and 12 months Questionnaire at baseline, 6 and 12 months: Social support Social identity Discrimination Physical health Mental health Life satisfaction

Answer 20

``` Mean age 47, half men Mostly white, Low education, Single Unemployed ```

Answer 21

``` 71% medicated Mood disorder 50% Schizophrenia 30% Anxiety 30% PD 10% ```

Answer 22

Ps list all groups they are members of, on post-its (with size indicating importance of membership) Rating (out of 10) in top left corner is how positive they feel about being a member of that group, Bottom right rating is support they receive from others in that group Lines between groups show connections and conflict, and Red dots indicate groups where members experience mental health problems

Answer 23

``` Improved mental health Well-being Increasing Group Identity Slightly increased group support Better increase in support from other groups Less discrimination ```

Answer 24

Most Ps identified strongly with the SHK group from the start Also experienced strong group based support Most experienced significant improvements in self esteem and mental health Few who dropped out rated 'identity with' and 'support from' group lower, and higher group based discrimination

Answer 25

Long term residential treatment for people with alcohol and drug dependence Use the community as the treatment (often with CBT, mindfulness etc): Social norms Feedback about behaviour - contingency management/infringement points Listening and validation Social support - peer mentoring

Answer 26

No - negative ones exist, e.g. using/drinking buddies Or, unsupportive groups: Promote negative coping strategies Don't offer/give support

Answer 27

60% single/never married Spent 40% of time alone 40% lived with another with substance problem (r=.46 with discharge for rule violation)

Answer 28

40% said experienced improvement in substance use and life in general

Answer 29

``` Change in social identity to a “recovery identity” plays important role in 7 month follow up: 34% in drinking quantity, 41% in drinking frequency, 5% other drug use frequency, 49% life satisfaction ```

Answer 30

Family Other A&D Therapeutic Community Friends Community

Answer 31

Memberships and recovery identity play important role in TC treatment, and ongoing recovery More groups is generally better, esp if clients ID them as part of recovery identity, and supportive of recovery goals Different types of groups provide different types of support

Wk 9 - Groups Flashcards

(55 cards)