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25 Cards in this Set

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Do OT's conduct goups in just psych facilities?
no, in a variety of settings
How can reimbursement be affected by group tx>?
medicare ewill not reimburse for group tx in physical disabilities settings such as rehab.
What are some of the reasons we do groups?
1. groups provide an occupation-based experience that is reality-oriented and that promotes adaptation. (What you do effects others so adaptation is required)
2. groups are a natural environment athat can provice feedback and support for the individual and social needs. (ex. head injury be aware of inappropriate behavior)
3. groups can be structured along a developmental continum where the nonhuman objects lead the action and the activities are structured to promote group-centered action. members can leanr about thier own capabilities in proximity to an external,ly designated leader, thereby stretching to their higher functioal potential.
4. through participating in group activities that promote growth and change, members can learn and practice skills to master and achieve competence in activities required for daily life.
5. gropups can be organized in a way to enable the goup to lead the doing by fiving the members a set of possibilities that empowers the groups capacity for selfpdirection.
6. when groups provide an opportunity for dealing with real-life issues and objects, people can maintain, improve or enhance their occupational nature to fulfill social demands.
7. postulates and hypotheses support this reasoning not only by theoretical orientation but also by incorporating the best current research and evidence available as to the effectiveness of intervention approaches.
How can evidence be integrated into reasoning and practice for groups?
ebp was intended to inform practioner and consumer about the effectiveness of treatment
2. what's bess for practice and what's proven to be effective
3. what's cost effectiveness and knowledge, experience and research in EBP
What do we need to ask ourselves when searchinf for information using ebp
1. what are the needs of our clients (diagnosis)
2. what are some possible types of intervention (what do i do)
3. what are available options
4. what are the desired outcomes
What does pico do
it helps us structure a research question to help us really define what we are looking for
what does p.i.c.o. stand for
p- person's specific
i- interventions
c- comparison with intervention vs. no interventions
o- outcomes
what are the levels under the hierarchy of levels of Evidence for EBP practice
Level 1= strong evidence from at least systematic review of multiple well designed randomized controlled studies.
Level 2= strong evidence from at least one properly designed randomized conrtolled study of appropriate size
Level3= evidence from well-designed studies without randomization. Single group pre and post test studies. matched case-controlled studies
Level 4= evidence from well-designed nonexperimental studies from more than one site or research group
Level 5= descriptive studies (qualitative research. opinions of respected autorities. reports of expert committees.
What must be considered when you are using evidence to guide your practice to make sure you have to examine the results to determine if there is strong enough evidence for you to take the results seriously
the rigor. ex. using the hierarcy of levels of evidence
There are few studies our there ion group work in ot. problems that are encountered in conducting research on a group are
1. difficult to conrol for errors
2. can't use control group
3. replication studies are difficult if not impossible
4. if you begin to structure your group for research you can alter your groups behavior which leads to invalid outcomes
What therapeutic factor is werhe people are coming to therapy hoping to improve their lives
instillation of hope
what therapeutic factor is where everybody is part of a group. gropup therapy members can feel isolated at first and relief when they find out their not alone
universality
what therapeutic factor is wehre people come to gropus to increase their knowledge about theings or understanding their problems
imparting information
what therapeutic factor is having an unselfish concern for the welfare of others
altruism
what therapeutic factor states lots of people look to the gropu as a substituet for family. they may have hot had the best family life. see goup leader as family
the corrective recapitulation of the primary family group
what therapeutic factor states group members offer feedback about the appropriatness of behaviors. directness can be very beneficial
development of socializing techniques
what therapeutic factor may be a model as well as a therapist. active listening, offering support, being non judgemental
imitative behavior
what therapeutic factor states humans are born to be social beings. every part of your life is characterized by interaction with others. interaction with others dicatates how you feel about yourself. in therapy people learn how to relate to each other
interpersonal learning
what therapeutic factor states basic human needs belonging and getting approval from others. being a part of a gropup may allow them for the first time to be accepted
group cohesiveness
what therapeutic factor states release of a consciousness or unconsciousness thought gives feelings of relief
catharsis
what therapeutic factor states death, isolation, and freedom. all of these are realities. people may obsess on these leading to anxiety. groups can help explore these factors.
existential factors
What are the four leadership functions that were important to clients accourding to research
1. emotional activation- challenge, confronting, modeling
2. caring= offering support
3. meaning attribution- explaining, clarifying, interpreting
4. executive function- setting limits, rules, norms and goals
What is found to be directly related to positive outcomes
caring and meaning attributions.
when deciding the format of your group you should understand that format influences the nature of the group interaction. and you should consider what
the goals of your intervention in terms of quality and quanitity of interactions desired. also consider the age and level of functioning of members
What has reserch indicated is more productive for group= assigning assignments are allowing the group choices
choices.