Application
Situation: You are facilitating an exposure group and you notice a client struggling half way through the group. Demonstrate your role in this.
Demonstrate being a Safety Net
Definition of "creating a safe place"?
Creating a space for clients to effectively engage in their exposures- examples: checking clients exposure/skills lists, safety questions, group rules, being aware of client risk level, high risk items awareness.
We should be going over group rules each hour
True, why?
Review avenues of where the list could be. Clinical assistant let clients primary therapist know. Direct client to engage in other's exposures or study a dbt skill from the dbt skill ring and teach to staff or other clients.
What is Candice's and Dallace's natural hair color?
Blonde
Situation: Clients are exclusively doing exposures on their own and only checking in with the group facilitator. What do you do?
Prompt them to use the other group members! Consider using the whiteboard, prompting clients to write their stuck points, how can the group use the whiteboard throughout the group
What does starting the group with intention mean?
Explaining the purpose of group, setting up structure, time lines, empowering clients to share their client level, the exposures/skills they are practicing, what fears they are facing, barriers, stuck points, and what support do they need from the group?
It's okay for clients to simply take turns talking to the group facilitator
False
Coach, spotlight. If client refuses then facilitator will ask client "what can you do?"
What do you call a group of unicorns?
A blessing
Situation: You are the facilitator of the group and group just began. What do you do?
Set up structure- Group rules, time lines, agenda, expectations
What is TOATC's definition of spotlight?
Set the clients up to practice highlighting their own learning effectively. Set clients up to support and benefit from each other’s learning. Consider utilizing the whiteboards and prompting each client to write what they are learning during exposure/skills practice on the whiteboard. Then leave some time at the end of group to review the whiteboard together (learning from each other).
True or False: Is this a violatable "If, then" ?
"If I have a vulnerable conversation with someone then, I will feel exposed and like no one likes me."
False
Checking in as a group- demonstrate
This can help provide structure to the group, it also maintains the group cohesion and promotes clients to come back into the group rooms.
On the average what is the thing that americans do 22 times in a day?
Open the fridge
How do you create a group environment where you as the CA are not the only cheerleader for the client? Demonstrate.
Create a group environment where you are not the ONLY one cheering for each client/creating the group dynamic by splitting by leves, diagnosis, paying attention to the clients that need to be seperated.
What does does it mean to Effectively Facilitate exposure groups?
Effective facilitation will help foster client independence, provide appropriate support and coaching, and utilize a community environment of group support and learning.
Clients should always be encouraged to be wrapping up together
True
You have 3 clients part of the group that are doing their exposures outside of the group room and it is time to wrap up and they haven't come back yet. What is something you can do to prevent and/or support yourself and the group in the future?
Starting group with Intention
What is Mr. Incredibles name?
Bob Par
Situation: You're half way through the exposure session. Clients are talking and getting off track and not engaging in their exposures.
Manage and encourage group participation and make sure that each client in the group is spending time practicing exposures/skills.
Keys to doing an effective exposure:
Put yourself in a situation where you are vulnerable to a perceived threat
Reflect on what you learned
Noticed unexpted
Keep going until you learn something new
Exposure lists and skills lists should always be checked by the facilitator at the beginning of each hour
True
A client tells you that they are feeling sick and want to call their parents and/or go home. What do you do?
Communicate to primary therapist through chat and let client know that they need to talk to their primary therapist about any potential charges. If primary therapist doesn't answer get approval from ACD.
Showering