Group Dynamics
Counseling Skills
Cole's 7 Steps
Assessments
Practice Settings
100

Inclusion, control, and affection are one theorist’s way of describing these.

What are stages of group development?

100

The purpose of these skills are to facilitate self-understanding.

What are Stage II Counseling Skills?

100

In this step, the therapist helps members answer:
“Now that you learned this, what are you going to do differently in your daily life?”

What is application?

100

This assessment is used to determine a person’s cognitive level in order to create the just-right challenge during intervention.

What is the Allen Cognitive Level Screen (ACLS)?

100

In this OT role, priority is placed on safety, crisis stabilization, and discharge planning for clients with rapidly changing physical and mental health needs.

What is occupational therapy in acute care?

200

Instead of offering advice, you focus on empathy and breaking the cycle of rejection with this member.

Who is the help-rejecting complainer?

200

Name the counseling skill demonstrated in this response: “You feel overwhelmed because everything at home and school is piling up.”

What is primary accurate empathy (PAE)?

200

In this step, members express feelings about the activity, the leader, and each other, including unspoken group dynamics.

What is processing?

200

This cognitive assessment has multiple versions, helping reduce practice effects when administered repeatedly over time.

What is the Montreal Cognitive Assessment (MoCA)?

200

This OT role emphasizes building daily skills and supporting safe return to the community while maintaining a neutral, client-centered approach.

What is OT in the criminal justice system?

300

This member seeks constant attention. You guide the group to gently provide feedback about how their behavior impacts others.

Who is the narcissistic member?

300

Name the counseling skill reflected in this statement:
“You’re telling me you want to be more independent, but you’re also relying on others to make most of your decisions, what do you make of that?”

What is confrontation?

300

This type of activity is used at the beginning of a group to help set tone, engage members, and prepare them for participation.

What is a warm-up?

300

This self-report assessment measures the severity of depressive symptoms using a standardized questionnaire.

What is the Beck Depression Inventory (BDI)?

300

This OT role supports a child's success by promoting social-emotional skills, participation, and mental health through tiered services within a collaborative school team.

What is occupational therapy in school-based mental health?

400

These norms are not directly stated but understood through group behavior, such as avoiding conflict or certain topics.

What are nonexplicit or implicit norms?

400

Which counseling skill is being used here?
“I notice it’s very quiet right now, what do you think is going on in the group?”

What is immediacy?

400

“What patterns or common themes did you notice across everyone’s experiences?” This question represents this step of Cole’s 7-Step group.

What is generalizing?

400

This assessment evaluates performance across key ADLs and IADLs to determine if a person can live safely and independently in the community.

What is the Kohlman Evaluation of Living Skills (KELS)?

400

This OT role supports clients in a structured day program by building coping skills, promoting daily function, and helping bridge treatment into real-life community participation.

What is occupational therapy in a partial hospitalization program?

500

These are the 12 roles that help get the group to get the work done. 

What are group task roles?

500

The emotion word devastating. 

What is a severe intensity word for sad?

500

“What was your experience during the activity?” This question represents this step of Cole’s 7-Step group.

What is sharing?

500

This term describes how well an assessment reflects a client’s real-world functioning in their natural environment.

What is ecological validity?

500

This OT role focuses on helping individuals maintain housing by developing routines, life skills, and strategies for successful community living.

What is occupational therapy in permanent supportive housing?


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