OT7- Group Elements

7/30/2019 OT7- Group Elements

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Group Elements


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HistoricalFoundatn

GroupElements

OpenSystem


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TheEnvironmen

tThe Therapist

ThePatient/Client

The Activity


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Environment

Therapist

Patient/client

Activity

CHANGE


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The type of group treatment needed as well as theultimate group outcome are influenced by the setting.

OTs work within inpatient, outpatient, acute, long-term and community programmes.


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Groups meet once or twice per week usually for a 1-3year period

During this time there is little patient turnover andmore opportunity for group cohesion

The group usually has 6-8 patients who are

functioning outside the treatment environment.


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The group exist to:

1. Maintain symptom relief

2. Promote character change

3. Modify long-standing maladaptive behaviour4. Cope with current life crises

5. Prepare for future problem solving


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Characterized by frequent changes: rapid patientturnover, multiple group leaders, multiple roles formembers in the group

Staff members are the group leaders

Pts are roommates and neighbours in the therapeuticsettings

Multiple roles and responsibilities affect the groupmembers images, expectations of staff, interactions ofthe group and its outcome


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The Second Element


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Although therapists personal historyinfluences group interactions andresponses, the therapists needs andconcerns should not be the primary focus ofthe group.


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The therapist has a repertoire ofprofessional knowledge, skills and

expertise Has a resource of multiple FORs and

experiences

Understands activity analysis and usesspecific criteria for activity selection

Understands group dynamics

Is sensitive to the complexity ofinterpersonal relations that occur ingroup treatment


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Therapists role is that of a

GATEKEEPER

Assures the patients physical safety

Conveys an attitude of acceptance, caringand understanding

Values change


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The Third Element


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3rd element in the system

Has individual physical, cognitive & psychologicalcharacteristics

Age, sex, & physical stature influence groupinteractions

Pxs cognitive abilities will be evident in groupinteractions through vocabulary, depth of interaction,level if personal control in daily life & preferred style ofproblem solving


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Psychologically each person possess a personal historywhich has shaped their self image, personality,motivation, attitudes & value system (confidence,prejudices & goals); history of success and/or failure indaily life & home, work & community settings

Determine the roles which they assume & need toprepare

Roles (parent, spouse, worker, friend) require

knowledge, skills & attitudes which can be evaluated &learned during group treatment


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Thus, all of these characteristics influence thepatients group interactions as well as the therapeuticoutcome of the group.


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Activities used in the group treatment:

Creative

Require skill performance

Promote problem-solving

Facilitate interpersonal relations

Leisure or work-oriented


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Unique meaning for the patient

Utilizes the patients abilities

Helps patient fulfill his life roles, patients feelingof competence in self-care, work and leisure.


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Purposeful activities are tasks used :

To assess

Facilitate

Restore

And maintain physical, emotional and cognitive

function


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Activity can provide boundaries for behavior andinteraction.

Therapist states the activityand its purpose.

Activities involve role playing.

Communication activities are used in OT groupswith the intent of facilitating patient interaction.

Activities can be graded and structured to promotesuccess and develop habits of dailylife.

OT7- Group Elements

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