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NBCOT Study Cards
Group Types & Development Phases
28
Other
Professional
10/03/2007

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Cards

Term
Indicators for individual treatment
Definition
refusal to attend group

unable to tolerate group environment

behaviors that would disrupt group goals

issues are specific to only that client
Term
Indicators for group treatment
Definition
most cost effective

social skills building

group dynamics and therapeutic milieu used in treatment
Term
Evaluation groups
Definition
primary purpose to assess task and group interaction skills
Term
Task-oriented groups
Definition
assist in becoming aware of needs, values, ideas and feelings through performance of SHARED tasks
Term
Developmental groups: 5 levels
Definition
1. parallel
2. project
3. egocentric cooperative
4. cooperative
5. mature
Term
Developmental Groups: Parallel
Definition
minimal interaction required
Term
Developmental Groups: Project
Definition
common, short-term axs

some interaction and cooperation required
Term
Developmental Groups: Egocentric Cooperative
Definition
joint interaction on long-term axs

focus ≠ task completion

members begin to express needs and address those of others
Term
Developmental Groups: Cooperative
Definition
learn to work together

purpose NOT NECESSARILY to complete task, but to enjoy each other's company and meet emotional needs
Term
Developmental Groups: Mature
Definition
responsive to all member's needs

can carry out a variety of tasks

good balance between task completion and member needs
Term
Thematic Groups
Definition
focus: learning specific skills
Term
Topical Groups
Definition
discussion of axs and issues outside group that are current or anticipated
Term
Instrumental Groups
Definition
meet health needs and maintain fx
Term
Group Development Phases
Definition
1. origin
2. orientation
3. intermediate
4. conflict
5. cohesion
6. maturation
7. termination
Term
Origin phase
Definition
leader does protocol and planning
Term
Orientation Phase
Definition
members learning about group

members making preliminary commitment to group

members developing initial contacts with others
Term
Intermediate Phase
Definition
members develop interpersonal bonds

members develop group norms and specialized member roles
Term
Conflict Phase
Definition
members challenge group structure, purposes, and/or processes

dissention among members
Term
Cohesion Phase
Definition
(following successful resolution of conflict)

clearer sense of purpose

reaffirmation of group norms and values

leading to group stability
Term
Maturation Phase
Definition
members using energy and skills productively and to achieve group goals
Term
Termination Phase
Definition
dissolution of group due to:

1. lack of engagement of members
2. inability to resolve conflict
3. admin. constraints
4. goal attainment or task accomplishment
Term
Managing Hallucinations during group
Definition
environment: free of distractions

highly structured simple, concrete axs that hold the attention

attempt to redirect to reality-based thinking and actions
Term
Managing Delusions during group
Definition
reality-testing

avoid discussions and other experiences that focus and validate or reinforce delusional material
Term
Managing Akathisia in groups
Definition
allow person to move around PRN if done without causing disruption to group goals

select GM axs whenever possible over FM or sedentary axs
Term
Managing Offensive Behaviors in group
Definition
keep in mind: safety of group members and entire unit over individual
Term
Managing Lack of Initiation in group
Definition
identify reasons for lack of initiation

the more ownership of axs patients have of the ax, more likely they will participate

success is motivating

curiosity can be motivating

food is often motivating
Term
Managing Monopolizing and Manic bx in group
Definition
highly structure axs that require shift of focus from patient to patient

thank individual for participation

limit-setting
Term
Managing Effects of Alzhiemer's in group
Definition
make eye contact

value and validate what is said by person

maintain positive and friendly facial expression

Do NOT give orders

Do NOT argue or criticize

create routine that is familiar and enjoyable

Do NOT rush axs

note effects of time of day on bx and ax performance
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