Group Leadership
Describe directive leadership.
Lowest functioning clients, OT makes most decisions
FOR= cognitive-behavioral, cognitive disabilities, sensorimotor
OT provides for member socio-emotional needs
What is a thematic group?
Members build skills for occupational participation
At least parallel level
What is the goal of the group porcess?
Awareness, reflection, processing
What is a parallel group?
Function level= 18 months -> 2 years
Clients work individually in the group on a project
Directive leadership
What are Cole's 7 steps?
Introduction, activity, sharing, processing, generalization, application, summary
Describe facilitative leadership.
Leader defines group, guides decisions, provides resources
Most client-centered approach - personal direction & choice prioritized
FOR= MOHO, developmental, psychodynamic
Socio-emotional needs met somewhat by members & somewhat by OT
What is a topical group?
Activities done outside of group discussed to increase engagement
At least egocentric level
What are the three universal group stages?
Orientation -> conflict -> cohesiveness
What is a project group?
Function level= 2-4 years
Group interaction highlighted above task performance
Directive leadership
How much time should be spent on the activity in a group?
1/3 of the entire time
Describe advisory leadership.
OT acts in consultant capacity, offers info but not structure or rules
High-functioning groups, need to be able to provide motivation
Best for groups like families, caregivers, community organizations
OT seen as equal member
What is a task-oriented group?
Increase client awareness of needs & behaviors while completing group activity; individuals have opportunity to implement new skills/behaviors during interaction
Clients with socioemotional difficulties
What are they types of group roles?
Individual, task, group building/maintenance
What is an egocentric-cooperative group?
Function level= 5->7 years
Members select & complete long-term project
Facilitative leadership
What is clinical reasoning?
Simultaneous application of multiple perspectives to guide therapy process & work towards solution
What are the pros of co-leadership?
Modeling, shared knowledge & observation, mutual support, increased objectivity, take different roles
What is an instrumental group?
Seeks to allow highest member functioning possible
Function maintenance rather than remediation
What is the group leader responsible for?
Establishing culture
What is a cooperative group?
Function level= 9->12 years
Free expression with encouragement to tend to needs of others
Advisory leadership
What are the 5 dimensions of clinical reasoning?
Narrative, scientific, pragmatic, ethical reasoning, interactive/conditional reasoning
What are the cons of co-leadership?
Competition, unequal contributions, taking sides
What is an evaluation group?
Determine client functioning level & appropriate type of therapeutic group
Describe components of group termination.
Reminiscence, acknowledge feelings of loss, closure, give feedback, generalize skills
What is a mature group?
Function level= 15->18 years
Members responsible for meeting socio-emotional needs of others
What determines group length?