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Population Population
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Rationale for Group Work Rationale for Group Work
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Structure of the Group Structure of the Group
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Common Themes Common Themes
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Interventions Interventions
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Caveats Caveats
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Termination and Evaluation Termination and Evaluation
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Resources Resources
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References References
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7 Group Work with Adults with Substance Use and Co-Occurring Mental Health Disorders
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Published:May 2024
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Abstract
This chapter describes an approach to group treatment with adults in a psychiatric residential facility. Individuals with co-occurring disorders present numerous practice challenges due to their complex clinical presentations and varied psychosocial needs. The agency context creates additional complications in that the hospital is an open-ended system with patients admitted and discharged daily. The author, therefore, considers each group session as the full life cycle of the group, which necessitates a leadership style that is highly active and directive. The author employs strategies and techniques borrowed from psychodrama to rapidly engage group members, create safety, assess collective and individual readiness for change, and a ritual of closure. Common group themes include ambivalence about treatment, which can be indicative of their respective stage of change, hopelessness, anger and conflict. Last, a means of closure and review is illustrated.
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