Group Proposal Therapy Tasi Faith C. Taitano, BSW University of Hawaii at Manoa December 11, 2013
The Facts • National Data according 2010 Department of Defense: • Active Duty: 1,182,657 Active Duty Service Members • Guard/Reserve: 723,550 Total Service Members • Veterans: 8,041 as of 2010 Guam Census • Service Connected Disability: 1,655 Veterans • Non-Service Connected: 6,386 Veterans
Rationale • The National Center for PTSD has found that “about 5.2 million adults have PTSD during a given year. • PTSD occurs in “about 11-20% of Veterans of the Iraq and Afghanistan wars (Operations Iraqi and Enduring Freedom), or in 11-20 Veterans out of 100.” • 55 out of 100 women (55%) and 38 out of 100 men (38%) have experienced sexual harassment when in the military.” (National Center for PTSD). • “About 60% of men and 50% of women experience at least one trauma in their lives.” APA
“To care for him who shall have borne the battle, and for his widow, and his orphan.” • – President A. Lincoln
Trauma Affect Regulation: Guide for Education and Therapy (TARGET) A strength-based approach to education and therapy. Developed by Julian D. Ford, PhD, University of Connecticut School of Medicine, Department of Psychiatry
Who is TARGET for? • Therapy for survivors of physical sexual, psychological, and emotional traumaand those with PTSD or anxiety. • Ages 13 years or older • Non: • Gender Specific • Culturally or Ethnically Specific • Trauma Specific • May be conducted in an individual setting or groups of 10-12 participants.
What the skills taught is proposed to do? • Regulate extreme emotion state • Differentiate between extreme stress and normal stress • Manage intrusive trauma memories • Promote self-efficacy • Achieve lasting recovery from trauma
Research on TARGET • 2008 study examined TARGET's efficacy as a group therapy treatment for participants with PTSD and substance abuse. • No treatment effects were found on PTSD symptomatology, but a positive effect was found on one aspect of substance use. • 2011 study used one-on-one treatment and did not examine impact on participants' substance use. • Positive with regard to decreased PTSD symptomatology at post-treatment.
Group Demographics Specific to Population • Conducting Groups: • Community Based Outpatient Clinic (CBOC) • Sessions are closed once group sessions begin • Specific to Veterans and their immediate families • 13 sessions, 90 minutes each • Non age group specification except when working with young adolescents. • Groups is gender specific • Volunteer basis
Group Sessions • First session: • Introduction of TARGET • Pretest (Understanding & coping of stress & trauma) • Recognize and introduce group members and facilitators • Establish rules for group setting • Sharing background, experience, current concerns, questions, expectations of TARGET • Second through Eleventh Session: • Implementing FREEDOM (one letter a day) • Thirteenth Session: • Closing of groups • Posttest (Understanding & coping of stress & trauma)
Group Extras • Facilitators will be TARGET well trained: • Psychologist • Case Managers • Teachers • Social Workers • Leadership: • Sessions can be assisted with the help of readers • All participants should be considerate of theirs/others: • Statements, opinions, responses, or questions • Feelings & thoughts • Beliefs, values, culture & color • Experiences
Therapeutic Factors • Trauma does not define the rest of their lives • There are other Veterans/Families experiencing PTSD/Trauma • Hearing & understanding others experience • Letting others know about their own experiences, struggles, or successes • Identifying and correcting behaviors • Using the strengths/experiences of others to help • Use positive behaviors of others • Use the group to initiate social interaction properly • Establish group like and love for trust • Be as open an honest as possible • Understand how your experience effects your family and friends
Thank You! Any questions, comments, concerns!