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Setting Up a Group chapter 5

Setting Up a Group chapter 5. Setting Group Demands. Planning Organisation Judgement Problem- solving Willingness to look for creative solutions. Planning sequence. Series of tasks and stages.

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Setting Up a Group chapter 5

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  1. Setting Up a Groupchapter 5

  2. Setting Group Demands • Planning • Organisation • Judgement • Problem- solving • Willingness to look for creative solutions.

  3. Planning sequence • Series of tasks and stages. • It depends on the group, the stages will create different problems and different degree of importance.

  4. Planning sequence Flowchart page 122 1. Demand for the group - by patient or client need or interested staff member 2. Deciding the type and level of group - wider context - resource ** who should be involved ** how long, how often should the group meet Memberships issues Time factors

  5. 3. Defined Aim – Group goals 4. Referrals >> the group make advertisements 5. Choosing members 6. Prepare the members 7. Planning the content of sessions in detail 8. implement 9. Evaluation – modify each session.  We should not be rigidly ruled by our plan.

  6. Demand of Group Consider wider context –demands of setting Identify staff / material resources Planning Decide on type of group Membership and time-factors decisions Leadership decisions and preparation Define aim Selling the group and gaining referrals Formulate goals Marketing Select members Consider individual needs and groups compatibility Interviewing Prepare members Plan group session Implement Managing Evaluate group session

  7. Membershipe decisions • Open or Close • Size of group • Composition of group membres.

  8. Open Vs. Closed • Closed - Start and finish with the same group member. - Fixed # of sessions - Members have the ability to build relationships and trust - people who feels anxious • Open -allows members to join and leave the group as they want - a group run on an acute admission ward. - accommodate new members. • Semi-open group : membership is stable but takes new members if anyone leaves.

  9. Support Group • Needs period of stability for members to build up trust and feel safe in the group. • Closed or semi-open group. • Activity Group • Focus on the activity or in individual achievements. • Open Group . • “ may benefit from the process of changing faces” • Check table 5.1 on page 125 .. Advantages , disadvantages

  10. Size of the group • It depend on the aim and needs of the group • Work or task group  participants require individual attention or teaching, 4-6 members. • Psychotherapy group  5-9 members. - small  intimate - large  to operate a group • Social or communication group  8 or more - large  to give group energy, blend in with crowd - small  ensure personal recognition • 20-50 members  community meetings within therapeutic environments.

  11. Balance the amount of attention each individual needs / staff resources / type of activity. • Group needs to be large enough to include diversity or balance of members • Small enough to feel comfortable but not to small to increase self-consciousness.

  12. Composition of group members • Combination of particular individual characteristics. - Gender - Age - Status of individual - Functional level - Particular problems area • Important points should be in your consideration : • Avoid any arrangement which unduly isolates one individual ( women w group of men ) • Pts should be able identify with each others. ( acutely ill inpatients – stable )

  13. Time factor decisions • Day and time of the group - availability of recourses - the activity or groups that our pt attend before or after - individual natural rhythm - the wider unite • Length of session - too short  frustration and unfinished buiesness , ppl less motivated to become involved next time - too long  boring and too physically and emotionally demanded - support group tend to need more time than individual sessions.

  14. Frequency of meetings - type of group, needs. - we should balance 3 criteria: 1- intensity, 2- importance, 3- continuity. - intensity: increased with more frequency - importance: relationship inside the group may become more importance the the real life. - continuity: make links between sessions • Weather the group should be open ended or time limited - open ended  indefinite period of time, activity group, continuity. - Support group  Time limits - social skills training course - anxiety management

  15. Gaining Referrals • Advertising the group • Establishing an appropriator referral system

  16. Advertising the group • It depends on the settings: • Inform the team member of the start time and request referral • Send out a formal letter about the group to the relevant referral agencies • Employ more active marketing strategies in order to sell the group

  17. Referral System • “Blanket” (unplanned) versus planned referrals • Sources of referrals • Written versus verbal referrals

  18. “Blanket” versus planned referrals • Blanket : the therapist has access to all patients without having to wait for official referrals. It may be practical where there is a high turn over of patients OR their unstable health means the group membership cannot be predictable from week to week.

  19. “Blanket” versus planned referrals • “blanket” referrals has its drawback: • The OT cannot adequately plan a group and gear it to individual’s need • When we slot people into activity without adequate assessment we are in danger of providing diversion rather than applying treatment • We are likely to be confronted with people we don’t know and this is at least disconcerting

  20. Sources of referrals • Certain sources : Doctors, treatment team or OT themselves ( often ensure appropriate referrals) • Various sources : Self-referrals ( the member is motivated to join the group)

  21. Written versus verbal referrals • The current emphasis on documentation suggest that in the absence of a written referral, we should record the details of the verbal request. • When designing a form it may include: the fact of the prospective members, date of referral, who it is from, reason for referral and any precaution

  22. Referral form

  23. Preparing a prospective member

  24. The pre-group interview • It has multiple aims: • To introduce • Give information • Provide a baseline assessment • Negotiate aims and goals • Clarify the member’s expectation

  25. The pre-group interview • Acknowledge reservation and anxieties • Establish ground/group rules (written/ verbal contract)

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