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Group Interventions

Group Interventions. Karlee Wilson Occupational Therapist Sussex on Quinn Day Therapy Centre April 2008. Why run groups?. Types of groups facilitated. Educational Illness education, relapse management, Recovery Skill development

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Group Interventions

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  1. Group Interventions Karlee Wilson Occupational Therapist Sussex on Quinn Day Therapy Centre April 2008 Kindly provided by Occuaptional Therapy - Townsville MHS

  2. Why run groups? Kindly provided by Occuaptional Therapy - Townsville MHS

  3. Types of groups facilitated • Educational • Illness education, relapse management, Recovery • Skill development • Assertiveness, Anxiety and Depression Management, Anger Management, Relaxation, Problem Solving • Recreational/social • Community Access, pool competition, ‘get thinking’ activities • Arts/crafts • Painting, wood burning, beading, photography • Support Groups • BPD support group Kindly provided by Occuaptional Therapy - Townsville MHS

  4. Overall stages • Determine need for a group • Referrals, discussions with clients • Market the group and recruit appropriate participants • Flyers, emails, phone calls, attendance at team meetings, OT meetings • Generally 4-6 participants • Plan the group • Review resources, develop group proforma, discuss with clients during first group what their needs are • Facilitation • Generally 6-8 weeks • Group Closure • Evaluate the group • Pre and post measures (Goal attainment scale, knowledge questionnaires, BAI, BDI) • Summarise benefits to group participants, recommendations • Document participation • Chart documentation, liaise with Principle Service Providers Kindly provided by Occuaptional Therapy - Townsville MHS

  5. Determine need for the group • Review referral forms and client charts • Liaison with health professionals and NGO’s • Therapist interactions with client • Therapist observation of clients Kindly provided by Occuaptional Therapy - Townsville MHS

  6. Marketing the group • Present proposal for groups at team meetings • Demonstrate the effectiveness of utilising a particular approach • use literature and/or previous group evaluations • Flyers- send to key stakeholders and place at location of group • who, what, where, when, duration • Newsletters • Showcase previous benefits clients have experienced by attending the group Kindly provided by Occuaptional Therapy - Townsville MHS

  7. Recruiting Appropriate Participants • Participants may require a particular intervention, but is a group setting the most appropriate? • Is the client ‘ready’? Is the client willing? • Explain the benefits of attending the group to both referrers and clients • Expected outcomes, feedback from previous participants, effectiveness of utilising a particular approach (ie CBT) • Attend consumer meetings • 1:1 discussion with clients- effective • Liaise with case managers/support workers obtain their assistance in encouraging client participation Kindly provided by Occuaptional Therapy - Townsville MHS

  8. Planning the group • Consider needs of individual participants • Level of functioning, personality traits, assistance required to complete tasks • Consider resources available • Group programmes, literature, evaluation tools, funding, environmental, time • Location of group • Can be limited, will have effect on number of participants • Consider layout of room (circle of chairs is less confronting and more informal) • Length of the group Kindly provided by Occuaptional Therapy - Townsville MHS

  9. Group Proforma • Complete group proforma • Overall aims • Objectives/problems or skills targeted • Facilitator/s • Group process • Target group and reason, optimal number, open/closed, contraindications • Session outlines • Evaluation methods • Documentation • Safety/security issues • Weekly outlines Kindly provided by Occuaptional Therapy - Townsville MHS

  10. Session Outline Kindly provided by Occuaptional Therapy - Townsville MHS

  11. Facilitation • Weekly/ fortnightly sessions • 30-45 minute sessions • Make it relevant to participants • Less is more: participants only retain 25-50% of information presented • Utilise resources • Workbook/ handouts for clients, whiteboard, DVD’s • Manage group dynamics • Assertive vs passive clients • Positive feedback regarding participation and progress • Summarise at end of each session • Encourage participation for length of group • Breaks in the middle of sessions can important • Make it fun and interesting • Snacks Kindly provided by Occuaptional Therapy - Townsville MHS

  12. Group Closure • Review client/group goals and objectives • Feedback/debriefing • Review group content • Certificates to group members • Thank client for their participation • Plan for follow up measures, 4-6 weeks post group Kindly provided by Occuaptional Therapy - Townsville MHS

  13. Evaluating the group • Pre and post evaluation • Goal Attainment Scale • Has the clients goal been met? Is there need for further intervention? • Beck Anxiety Inventory, Beck Depression Inventory • DASS • Knowledge questionnaires • ‘Before we start’ • amount of client knowledge relating to topic, topics/skills to be covered • ‘Now we have finished’ • Client rates: information gained, how well group met needs, overall group rating • What skills or other things learnt • Anything that still needs improving • Other measures Kindly provided by Occuaptional Therapy - Townsville MHS

  14. Evaluating the group (cont) • Client feedback • Group content • Improvements for future groups • What helped them the most • Benefits of utilising resources • Length of group • Facilitators impressions/reflection • What worked, what didn’t work • What could be improved in future groups Kindly provided by Occuaptional Therapy - Townsville MHS

  15. Documenting the group • Document evaluation results • SOQ utilise proforma • Name • Dates run • Group content based on • Evaluation tools utilised- Observation, pre and post evaluation, pre and post questionnaires, HoNOS, LSP, GAS, Other • Summary of Outcomes from Evaluation used • General feedback from participants • Facilitator impressions/ reflections • Recommendations for future groups • Client chart documentation • Weekly documentation regarding participation, progress • Assessment/screening tools placed in client chart Kindly provided by Occuaptional Therapy - Townsville MHS

  16. Questions? • Thankyou for participating Kindly provided by Occuaptional Therapy - Townsville MHS

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