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four areas of advanced practices or specializations
task groups
psychoeducational groups
counseling groups
psychotherapy groups
task groups
goal focused work (committees, planning, staff development)
psychoeducational groups
structured learning to build knowledge/skills
counseling groups
focus on interpersonal process, problem-solving, behavior change
psychotherapy groups
deep-seated psychological issues, personality reconstruction
brief group therapy
short-term, time-limited interventions
culture
shared values, beliefs, behaviors
culturally skilled counselor
aware of biases, knowns diverse backgrounds, adapts interventions
group process
norms, cohesion, trust, resistance, conflict, healing, stages, universality
leader techniques
silence, feedback, interpretation, role-play, summarizing, challenging beliefs, goal setting, homework, cultural awareness
leaders tools
ability to form relationships
key leader traits
courage, presence, empathy, openness, cultural awareness, stamina, humility, humor
leadership skills
active listening, reflecting, summarizing, facilitating, empathizing, linking, confronting, supporting, blocking, modeling
diversity-competent leader
beliefs/attitudes, knowledge, skills
open to worldviews
co-leader pros
shared workload, supervision, continuity
co-leader cons
rivalry, mistrust, poor planning
improvement
review structure, interaction, relationships, therapeutic factors
informed consent
purpose, goals, confidentiality exceptions, leader role
voluntary membership
this is ideal
rule are needed it involuntary
freedom to withdraw
permitted, though premature exit has risks
risks
scapegoating, pressure, confidentiality breached, forced disclosure
confidentiality
stress the importance
exceptions for confidentiality
harm, abuse, court order, supervision, permission
techniques
rational needed, culturally sensitive, invite don’t force
leader values
be aware of your own and do not impose them on others
technology within group
confidentiality, consent, anonymity
competence
provide only qualified services
consult/refer out if needed
legal concerns
records, informed consent, abandonment, scope, misdiagnosis, boundaries, suicide
theory
there is no single complete theory
use eclecticism or integration
thinking-feeling-behavior model
cognitive - challenge faulty thinking
affective - identify/express feelings
behavioral - practice new behaviors
proposal
rational, objectives, logistics, evaluation
screening
disclosure statement, private intake, assess motivation, exclude if unsuitable
group size
kids: 3-4
teens: 6-8
adults: 8-10
session length
kids; 30-45 min
teens; 1-1.5hr
adults; 1-2hr
group length
usually 12-26 weeks
environment
private, comfortable
open group
rotating members
provides variety but less cohesion
closed group
fixed members
stable but no new energy
initial meeting
set goals, rules, expectations, confidentiality, diversity
pre-group prep
build trust, demystifies the process
evaluation
individual (attitudes/behaviors) and group (progress, self-awareness)
co-leadership
plan together, discuss strengths/weakness, uphold ethics