Outcome of Occupational Therapy Group

Some studies published contrast the

effectiveness of activity and verbal group experiences

participants in activity groups show marked

improvement in interpersonal communication a decrease in symptoms that there is no significant difference between the two types of groups, but that each group members response to an activity can vary.

Uses of a Group
O Develop daily living, work and leisure
O O O O

O
O

skills Increase knowledge To facilitate problem solving To produce an end product To increase self-awareness and promote self-growth To provide an opportunity for socialization To maintain a link with the community

Psychoeducational Groups in Occupational Therapy

Educational groups are based upon the principles of social learning and competence educational principles. It involves a group of six to eight patients performing in a non-medical environment and in a classroom setting. After brief lectures or demonstrations patients learn from each other through discussions, role plays or homework assignments.

Educational Modules:
SCORE

An employment readiness program consisting of fifteen modules used during a twenty-four hour (8 weeks, 3hours once per week) treatment program. The module helps the patient to identify advantages and disadvantages of work, assess work and leisure interests and skills, suggest methods of selecting a job, give guides for the employment application process and provide opportunity to practice for employment interviews, give guides for the employment application process, and provide opportunity to practice for employment interviews.

Objectives:
Teach employment seeking skills Help patient to establish a realistic career objective Teach the patient to sell oneself Develop communication skills Improve amenities relevant to job seeking

Other Educational Approach:

For psychotic, depressed and character disorder patients who were seriously disabled (Lillie and Armstrong 1982).
It offers structured learning through didactic and experimental activities in the life skills program. The design of the assessment goals and learning activities was based upon Llewits Hierarchy of education tasks. It educates patients to alternate lifestyles and problem solving strategies.

Group Treatment for Patients with Physical and Psychosocial Problems

Patients with multiple problems which are an outcome of a physical disability are also treated in groups. Lundgren and Perchino designed groups using Mosey's developmental group theory in conjunction with principles of cognitive level function.

During groups:

They worked to improve their organizational, judgment and reasoning skills To increase their awareness of socially acceptable behavior and their ability to interact with others To improve their self-image Decrease their egocentricity

Activities included life-skills training, memory practice through games and opportunities to reason and abstract through stories, word scrabbles, games and role plays.

Another example of effective group treatment for the person with a physical disability by Gauthier This program, a total of twenty hours, met twice per week for five weeks. The groups were designed to maintain mobility, dexterity and daily living skills and to provide reeducation regarding the disease process

Sample activities include rhythm, music, singing, dancing to increase postural stability, and games and crafts to maintain dexterity. The outcome status of the group indicate that the patients maintained their functional status during one year period

Group approaches also benefit patients whose psychosocial problem becomes a physical problem as seen in patients who have an eating disorder. In these group, the environment are structured and supportive, and patients are encourage to set realistic short term goals

Goals are intended to help the patient gain control of their eating behaviors and then life in general. And to develop a healthy lifestyle.

The Group Experience for Patients with fxn at a Lower Level

O KAPLAN combines the theory and model

of focus group tx described by Yalom with MOHO and proposes the DIRECTIVE GROUP as a strategy for treating px with minimal level of fxn.

GROUP THX DESIGN

O Group of 6-12 px meets 5x per week for

about 45 minutes in a SUPPORTIVE, STRUCTURED, PREDICTABLE atmosphere

GROUP SESSION
O ORIENTATION AND INTRODUCTION
O A TEN-MINUTE WARM UP O SPECIFIC AX O WRAP-UP AND GROUP CLOSURE

-when px attends 10-15 sessions and achieves the group goals awarded with graduation certficate to acknowledge accomplishment

Thank you!