Working with Groups and Families Flashcards
Benefits of Groups
- gain knowledge about ways to communicate with others
- gain acceptance, reassurance, and support from peers
- gain feelings of hopefulness and a sense of power regarding ability to help themselves and others
Psycho-educational Group
medication, problem solving, stress management, anger management, social skills
Maintenance Group
focus on pt needs, empathize
Activity Groups
increase self-esteem, self-expression (rec and art therapy)
Self Help
focus on specific problems (AA, NA)
Group Management Physical Setting
- privacy and confidentiality
- safety: count things going out and back in
- comfortable temps, appropriate supplies, room set up, etc
Dominant Patient
- takes over the whole scene (monopolizes)
- let them know they are doing well but need to give someone else a chance to answer
Uninvolved Patient
- may be quiet due to anxiety
- good to give them a job to do to get them engaged and maybe begin to get them a little more involved
Hostile Patient
- you sound very angry today, tell me what happened
- give them opportunity to talk about feelings
- may need to ask them to leave if they are making group uncomfortable
Distracting Patient
-patients act out to put emphasis back on them and getting what they want
Family
- focus on roles and functions rather than relationship between members
- how does everything work within family
- role and function of specific members
Healthy Families
- nurture and support members
- protect members from danger
- care for vulnerable members
- provides first education for family
- open communication/socialization encouraged
How mental illness impacts family unit…
- STRESSFUL
- feelings of guilt
- worry and concern over prognosis
- worry about other family members getting illness
- may affect work and finances
Issues surrounding mentally ill family member
- medication compliance
- lack of energy to perform ADL’s
- social isolation
- acting out behaviors
- -inappropriate communication
- mood swings
- manipulation of others
- dangerous behaviors (substance abuse, cutting)
Family Rx to Psych Treatment
- exhaustion
- relief (loved ones getting help)
- ambivalence (know they need help)
- burnout
- stress
- fear (about future, retribution, legal)
- guilt (cant help them)
