Group Therapy Ideas - page 2

Hi I'm new in the area of psych and the ward I work on runs regular group therapy sessions. I'm just wondering if other nurses who work in the area would mind sharing what type of group... Read More

  1. by   CliveUK
    Your reply assumes that process groups are effective for acutely-ill patients. I have yet to see any evidence that this is the case.
  2. by   Hukilau
    Quote from CliveUK
    Your reply assumes that process groups are effective for acutely-ill patients. I have yet to see any evidence that this is the case.
    As I said, if you haven't seen it I don't expect you to believe it, but that doesn't mean it isn't so.
  3. by   CliveUK
    Is there published evidence Hukilau - do you have a reference?
  4. by   Thunderwolf
    Well, this debate can go on forever, depending on your leaning. Let me tell you first about my training and experience, then my opinion. I have a masters in both mental health nursing and in counseling. I've worked in outpt and inpt psych, partial hosp, individual and group therapy, acute and chronic psych. "Counselor or counseling" as a title is a protected title in some states like RN, were in others it is not. Know your state. Therapy or therapist is a general catch all title that is not protected and is ok to use. Now, what kind of groups are appropriate. In acute inpt psych, psychoeducational groups are the most appropriate due to acuity of symptoms and short length of stays. Partial hospitalization groups, sort of like a step down from inpt units, have a little bit more luxury to add in more process oriented groups due to the acuity of symptoms being less (hopefully) and generally a longer length of stay provided. Outpt groups can be as varied as the rainbow. Some outpt groups are single focus with one agenda, often educational. Some are open (allowing anyone in who is interested in) and some are closed ( being accepted after an interview, meeting certain admittance criteria that best serves that group). Some outpt groups are short term and have a limited number of sessions and some are open ended till the group as a whole decides to terminate. Some are solely support groups where members bring any thing and everything to the table. Group leaders in the community are just as varied. Many community support groups have non-professionals leading the group. Others are led by acknowledged professionals in the field. Some group leaders take an active, dominant role where other groups the opposite is true. The goal of group depends on what setting you are in, the topic that is agreed upon, the amount of time you have, the type of patients/members that are included, and who is leading it. Now, my opinion. Effective groups are structured, everyone knows what is expected from beginning to end. Each member of the group is provided time and encouraged to participate in order to get the maximum benefit. The group leader structures the group "with" the group regarding ground rules or guidelines for that group in order to keep it a safe and productive environment. The group leader models the expected behavior, appropriate feedback and the cultural norm for the group. Now, regarding psych nurses being group leaders in treatment groups. Some are born group leaders in this type of milieu and some are not (and get way over their heads). In general, I would have to say that the Masters prepared nurse is probably the most adequately prepared nurse because they have had more training in this than the generalist. I do not recommend a generalist nurse just jumping in, doing a group beyond a typical psychoeducational one, without any type of preparation or training. The dynamics (or "the beast" as I've called it ) of a (psycho)therapy group can easily get out of hand for a generalist. People can walk out of a group HARMED if inappropriately managed. In fact, many outpt settings require a Masters just that for that reason. I hope this answers some of your question.
    Last edit by Thunderwolf on Oct 12, '04