AIDS Care Group Psychotherapeutic Support Group for Women A Ten Year Retrospective History of the group ACG began in 1998 Leadership support for MH services from the start Volunteer psychiatrist for 2 years ID: 1048443
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1. Bruce Schaffer, MAAnn Ferguson, MSN, RNAIDS Care GroupPsychotherapeuticSupport Group for WomenA Ten Year Retrospective
2. History of the groupACG began in 1998Leadership support for MH services from the startVolunteer psychiatrist for 2 yearsFunding from Part C allowed for growth of Mental Health ServicesFunding then followed from Part D
3. History of GroupMajor leadership support for psychosocial services from the agency’s inception in 1998Dr. Berman suggested group for women – saw need for disenfranchised women to form group / community / support system
4. Group designDr. Berman defined the need for groupIdentified co-facilitators1 male / 1 female1 therapist / 1 nurseWomen showed the greatest need
5. May 2003Met at medical officeSet rulesEstablished format:Trained facilitatorTransportationFoodReminder calls / letters
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11. GoalsFacilitate self-improvementEncourage behavioral changeAdherence to careHelp client understand consequences or potential consequences of behaviorEducate about diseaseEducate about preventionEmpower consumers
12. ObjectivesPrimary therapeutic modality: group therapyAdditional: individual therapyClient, family and community focusFocus: values, attitudes, behavioral changeSelf care, responsibility, accountability, respect of self and others, commitment
13. StructureProvide:TransportationFoodSupportReminders
14. Group FormatGround rules:Respect for each otherConfidentiality“I” statements – not “we” statementsConstructive criticism / feedbackProviding alternativesOverlap with addictions groups
15. FormatWhy male to co-facilitate women’s group?Why bi-weekly?Why format / rules?Teach them to be group members
16. FormatIntroduction to group rulesRocks Phone lists / contact information shared
17. FormatFood before groupCelebration of anniversaries, birthdaysChildren attend when they need toEnd with holding hands, serenity prayer and hugs
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20. Group structureOpen with poemMoment of silenceIntroductionsIntroduction of new membersWho needs to talk?Who wants to talk?Update on group members not attendingFocus on new members first
21. Group rulesWhat happens in the group stays in the group.Respect other people’s timeProvide feedback
22. Action StepsUnconditional positive regardConducive environment for relating, sharing and becoming open to being educatedNavigation of client resistorsValidation, encouragement and support of self-efficacy
23. Principles/strategiesmodified from motivational interviewingExpress Empathy – listen without judgmentFacilitator: genuine, real and always aware of maintaining a safe environmentConducive for individual expression and group connectedness
24. Develop DiscrepancyHelp consumers identify, understand and develop a plan to make behavioral changesUse: exploration, examination to point out discrepancies and explore consequencesResult: action plan for consumer
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26. Avoid ArgumentationIf resistance is sensed – shift strategiesImportant to maintain motivationMost people will not be motivated to change if they feel they are not supported – or must defend their actions
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28. Roll with the ResistanceIf there is resistance: face it don’t fight itEmploy empathetic communication skills:Open ended questions, reflective listening, interpretation, feedback, alternativesIf consumer is less resistant – facilitator might educate or coach (role plays)
29. Support self-efficacyFacilitator will support consumer’s confidence in her ability to make and maintain positive changesWill present consumers with examples of positive changes; praise, validate and affirm
30. Major successesGroup cohesivenessSense of communitySupport through:DeathsIncarcerationsAnniversariesRelapsesBad relationshipsHard times
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37. Consumer Advisory BoardThe group has also functioned as a Consumer Advisory BoardConsistent forum for feedback on programsConsumer Satisfaction Surveys run through the groupFocus group function throughout the years (nutrition, risk reduction and Hepatitis C)Piloted risk reduction education with group
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39. Survivors
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42. ChallengesGroup cohesivenessAttention span of groupFunding to continueNeed for new groupsConfidentialitySpaceStaff Burnout
43. PoemDo not stand by my burial site and weep;I am not there; I do not sleep,I am a thousand winds that blow,I am the diamond’s glitter on the snow,I am the sunlight that shines on the flowers and your faceI am the gentle autumn’s rain, when you awake in the morning’s hush,I am the swift uplifting rush of air as the birds circle in flight.I am the stars that shine brightly in the night. Do not stand by my burial site and weep,I am not there.But please don’t forget me. Keep your memories of me alive.