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Mosey's Groups: 2 Types
- 1. Developmental
- 2. Activity
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5 Types of Developmental Groups
- 1. Parallel
- 2. Project
- 3. Egocentric-Cooperative
- 4. Cooperative
- 5. Mature
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6 Types of Activity Groups
- 1. Evaluation
- 2. Task Oriented
- 3. Developmental
- 4. Thematic
- 5. Topical
- 6. Instrumental
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Parallel Group
- A group composed of patients who have the ability to trust others enough to tolerate being with
- more than one person at a time.
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Parallel Group: OT Role
Leader
- Provides boundaries
- Explains purpose
- Explains expectations for behavior
- Provides feedback on performance
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Parallel Group: Goal
- To have each patient work on his own chosen task while
- sharing space with other patients
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Project Group
A group experience in which the patients are expected to come together to interact with each other in casual conversation and in order to complete a short term task (about ½ hour work period).
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Project Group: OT Role
- Leader- plans and presents the short term task
- available during the work period to support, assist, and guide patients as needed.
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Project Group: Goal
- provide patients with the opportunity for trial and error
- learning for group interaction around a task, and for a balance of cooperative and competitive experiences.
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Egocentric-Cooperative Group
Patients come together to work on a task that is completed in 1 or 2 work sessions (1 hr.)
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Egocentric-Cooperative Group: OT Role
- Democratic Leader
- makes suggestions and allows patients to choose and carry out the task and group plan
- Resource for facilitating task completion and a support that promotes an atmosphere of acceptance and safety
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Egocentric-Cooperative Group: Goals
- To have a task group in which the patients will learn to
- 1. identify group norms and goals
- 2. use their own knowledge and skills to respond in the group
- 3. experiement with different group roles
- 4. identify themselves as a group member with rights
- 5. respect the rights of other members' needs
- 6. gain satisfaction from participating in the group experience
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Egocentric-Cooperative Group: Examples
- assertiveness
- communication skills
- stress management
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Cooperative Group
- Cohesive group in which patients come together to express and share their needs, thoughts, and feelings, and in which they listen to each other.
- The task is used to promote sharing and listening, and does not seek to produce an end product
- Behavior change is not the focus
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Cooperative Group: OT Role
- Advisor
- Helps for the group
- Initiates the task experience
- Becomes a participant who freely shares her thoughts and feelings
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Cooperative Group: Goals
- Provide an experience for the patient that helps them to share:
- thoughts
- feelings
- values
- common interests
- Gain pleasure and satisfaction from the shared experience
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Cooperative Group: Examples
- Art, poetry, music, and other creative experiences that facilitate discussion of thoughts and feelings
- Value clarification groups
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Mature Group
- Patients independently select, plan, and complete a group task which is time limited and produces a specific end product
- Function of the group and group needs have priority over individual needs
- The task experience is processed in order to help patients learn the social-emotional and task roles of the group
- During the task each patient will identify the social-emotional and task roles that they assume
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Mature Group: OT Role
Group member, not the identified leader
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Mature Group: Goals
Provide an activity that will allow the individual patient to put aside his needs for the betterement of the group and to help the group accomplish it's goal
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Mature Group: Examples
- Community transition group
- Group in the community
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Evaluation Group
- The OT uses a short term activity to observe the patient's interpersonal skills and response to the activity.
- Specific areas of function which are evaluated are determined by the frame of reference that is applied.
- Intervention is not planned during this evaluation experience.
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Task Oriented Group
- Has a tangible outcome (end product or service)
- Patient learns from interactions with others and the activity increases awareness and understanding of himself and other patients
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Task Oriented Group: What does the patient learn?
learns interpersonal skills, practices new behaviors, and explores the interaction of thoughts, feelings,and behaviors that occur
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Task Oriented Group: OT Role
Helps the patient process the activity experience and actively seeks to change the patient's behavior through the group interaction that occurs
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Developmental Group
- The patient learns group interaction skills through sequential, stage specific activities
- Activities are graded simple to complex and short term to long term in order to provide progressive challenges
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Developmental Group: what do progressive challenges require?
- collaborative effort
- ability to complete
- increased independence in problem solving and task completion
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Thematic Group
- Uses purposeful activities to help the patients gain knowledge, skills, and attitudes necessary for function in a protective environment
- Patient learns ADLs, work, and leisure skills through didactic, directive, and supportive experiences
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Topical Groups
- Patient learns to independently use in the community the knowledge, skills, and attitudes gained in a protective environment
- 2 types- anticipatory & concurrent
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Topical Groups: Anticipatory
Patients focus on the future and the performance expectations needed in their future environment
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Topical Groups: Concurrent
Patients focus on the knowledge, skills, and attitudes needed to function in the present roles that the patient has in the community
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Topical Groups: OT Role
- Prescribe activities and facilitate discussion of role expectations
- Identify the knowledge and skills needed to identify problems
- Promote brainstorming and skill practice for solving problems
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Instrumental Groups
- OT uses activities to:
- maintain the patient's present level of function
- promote an optimum level of health
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