COUN 547- Group Proposal PDF
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Transcript of COUN 547- Group Proposal PDF
Presenting Problem
Depression
Preventative Intervention
Transitional time of life
Life Skills
Assertiveness Training
Support Systems
Positive Self-talk
-Symptoms of Clinical Depression-
(Wisdom, Clark, Green, 2006)
Rationale of Program
persistent, sad, anxious, or "empty" moodsleeping too little or too muchchanges in weight or appetiteloss of pleasure or interest in activitiesfeeling restless or irritable
persistent physical symptoms, like headaches and stomach aches that don't respond to treatmentdifficulty concentrating, remembering, or making decisionsfatigue or loss of energyfeeling guilty, hopeless, or worthlessthoughts of suicide or death.
Rationale of Program…Depression highly prevalent mental disorder in university students, with rates of major depressive disorder (MDD) in this 8% to 20% depending on schoolDepression in college students strongly associated with:
suicidal behavior substance abusecollege dropoutloss of academic productivityacute infectious illnessantisocial behavior
Inhibit occupational path and earning
Variables identified as collegiate depression risk factors:
female gender being a first year college student lower social classyounger agenot being married or in a domestic partnershipliving in urban areashigher levels of irrational beliefs and stressful life events less engagement in sports or fun activities
Lower rates of pleasant activities and less assertiveness were also included as risk factors High levels of anxiety lead to depression
(Blanco, Rohde, Vasquez, Otero, 2014)
Clinician Qualifications
CBT Competent
Clinical Group Therapy Training/Experience
MDD Competent
Supervised by University LCSW and LCPC
Setting & Format
University Health Center
Classroom
10 Members
Semi-Structured
Closed Group
10 Sessions
No Cost
1 Hour Sessions
Freshman Orientation
Table set-up with information (handouts & pamphlets)
Beck’s Depression Index (Screening Tool)
Score of 30+ qualify student for individual session
Sign-up for a contact from Group Clinician
Schedule individual session- screen for group admittance
Participants Recruitment and Selection
Session 1“What White Lie?”
Ice Breaker
Write Two Truths and a Lie
Participants Vote on which statement is a lie
Person with fewest votes wins
Establish Group Norms
Establish Group Rules
“What is Depression”
Free Response
Session 2Check-In
Goal Setting
Strength Inventory
Improvements
Gestalt Approach
Free Response to different areas of college and their challenges
Session 3
Check-In
Free Response
A-B-C Model
Feelings, thoughts, behaviors, interventions
Cognitive Restructuring
“Thought Stopping”
Session 4Check-In
Free Response
Self-Esteem Activity
Strengths
Qualities
Self Talk
“Up-talk”
“Down-talk”
Session 5
Check-in
Free Response
Self-Care
Well-being Steps
Homework distributed
Self-Esteem Journal
Session 6Check-in
Free Response
Review A-B-C Model
Share Completed Homework
Free Response
Response to Self-Care?
Session 7Check-in
Free Response
Communication Inventories
Aggressive
Assertive
Passive
Passive-Aggressive
Session 8
Check-in
Introduce Termination
Review Communication Styles
“I Statements”
Role Play
Free Response
Session 9Check-in
Free Response
Conflict Resolution
Problem-focus, not person
Active listening skills
Time-outs
Resolution
Scripted Conflict Role Play
Session 10Check-in
Free response
Termination
Progress made
Memories of group
Changes to process for future groups?
Blanco, V., Rohde, P., Fernando, L. V., & Otero, P. (2014). Predictors of prevention failure in college students participating in
two indicated depression prevention programs. International Journal of Environmental Research and Public Health, 11(4),
3803-3821.
LaRue, D., & Herrman, J. (2008). Adolescent Stress through The Eyes of High-Risk Teens. Pediatric Nursing, 34(5), 375-380.
Dugas, Erika, MSc;Low, Nancy C P, MD, MSc;Rodriguez, Daniel, PhD;Burrows, Stephanie, PhD;Contrera, Early Predictors of
Suicidal Ideation in Young Adults Canadian Journal of Psychiatry; Jul 2012; 57, 7; ProQuestpg. 429
Wahl, M., Patak, M., Pössel, P., & Hautzinger, M. (2011). A school-based universal programme to prevent depression and to
build up life skills. Journal of Public Health, 349-356.
Wisdom, J., Clarke, G., & Green, C. (2006). What Teens Want: Barriers To Seeking Care For Depression. Administration and
Policy in Mental Health and Mental Health Services Research, 133-145.
Johnson, Andrew O, PhD;Mink, Michael D, PhD, MPA;Harun, Nusrat, MSPH;Moore, Charity G, PhD, MSPH; Violence and
Drug Use in Rural Teens: National Prevalence Estimates The Journal of School Health; Oct 2008; 78, 10; ProQuest, pg. 554
Robb, A. (1999). Teens &Depression: Recognizing Red Flags. National Women's Health Report, 21(2).
Gladding, S.T. (2011). Groups: A Counseling Specialty (6th Ed.). Upper Saddle River, NJ: Merrill/ Prentice Hall
Therapist Aid: Therapy Worksheets, Tools, and Handouts. (n.d.). Retrieved November 12, 2014.
References
http://img.thesun.co.uk/multimedia/archive/01492/Munch_1492554a.jpg
http://th00.deviantart.net/fs29/PRE/f/2008/128/9/b/Depression__line_art__by_ShadowandSniper.png
http://depann2000.com/gallery/temp/depression-tumblr-art-7119.jpg
http://cfs.appstate.edu/images/filecabinet/folder1/depression_art.jpg
http://3.bp.blogspot.com/-Z3TbVKdc9fA/TrmbP15YraI/AAAAAAAAAUc/N_gmPblpFiE/s1
http://www.mytherapy.com/discussion/member_images/KXHUWZRXYUQ
http://www.palomar.edu/counseling/Images_Counseling/DiverseStudents_Zoom.jpg
http://shoeboxblog.com/wp-content/uploads/2013/01/cheer-up.jpg
References