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

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Presentation on theme: "Kindly provided by Occuaptional Therapy - Townsville MHS Group Interventions Karlee Wilson Occupational Therapist Sussex on Quinn Day Therapy Centre April."— Presentation transcript:

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

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

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

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

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

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

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

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

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

10 Kindly provided by Occuaptional Therapy - Townsville MHS Session Outline

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

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

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

14 Kindly provided by Occuaptional Therapy - Townsville MHS Evaluating the group (cont) Client feedback Client feedback Group content Group content Improvements for future groups Improvements for future groups What helped them the most What helped them the most Benefits of utilising resources Benefits of utilising resources Length of group Length of group Facilitators impressions/reflection Facilitators impressions/reflection What worked, what didnt work What worked, what didnt work What could be improved in future groups What could be improved in future groups

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

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


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