1. Community Support Services Training Session 6
Rutgers, The State University of New Jersey
School of Health Professions
Department of Psychiatric Rehabilitation and Counseling Professions

2. Review from Session 5 IRP-agency transition Checklist Red Flags
Progress Notes

3. Progress Note Activity
Use DAP checklist to determine if your progress note contains all the key components.
If necessary, rewrite your progress notes to reflect what is required.

4. Learning Objectives
Practice writing a progress note that contains the key components for CSS
Learn/review skills necessary to facilitate a structured task group
Become familiar with characteristics and skills of an effective group facilitator
Become familiar with Evidence-Based Practices
Learn strategies and content in Illness Management and Recovery (IMR) and its relationship to CSS.

5. Group Activity-Problem Solving

6. Discussion Questions What is a group?
In what situations are you called on to facilitate a group?
How can you support your staff in their efforts to facilitate a group?

7. What impacts a group? Content- materials brought to group
Dynamics-internal issues (interrelationships between members)
Forces- external issues (time of day, membership, environment)
Leadership- attitude, preparedness

8. Curative Factors in Groups
Installation of Hope
Universality
Imparting of Information
Altruism
Corrective Recapturing of Family Group
Development of Social Skills
Imitative Behavior
Interpersonal Learning
Group Cohesion
(Yalom, 1983)

9. Types of Groups Counseling Groups – focus on growth and development
Psychotherapy Groups – focus on antecedents/diagnosis/links to present
Self-Help Groups – peers share, support, and learn from each other
Task/structured Groups – skills learning and development (our focus)

10. Task/Structured Groups
Characterized by a central theme
Often singular or short-term
Include readings, structured exercises and practice opportunities (homework)
Don’t require advanced clinical training
Serve a variety of purposes: provide information, problem solving, teach skills, share ideas, provide support
NOT therapy or counseling groups

11. Structure of the Group Each group has a lesson plan
Plan describes the purpose and direction of the group (the what, why, how)
Each session addresses a topic based on the plan
Group leader is responsible for maintaining focus on the group’s purpose

12. Group Planning Process - Forms & Discussion
Let’s take a look at a lesson plan form. Is this plan different, or the same, as you would use for meeting with an individual? Can any of these steps be applied to your current preparation for meeting with an individual?

13. Characteristics of a Productive Group
There is a focus on the here and now
Goals of members are clear and specific
Cohesion is high – a sense of emotional bonding in the group
Conflict in the group is recognized and explored
Members are willing to make themselves known
Trust is increased and there is a sense of safety
(Corey, 2002)

14. The Group Counselor: Person and Professional
Courage
Modeling
Goodwill and caring
Openness
Non-defensiveness
Becoming aware of your own culture
Personal power
Stamina
Willingness to seek new experiences
Self Awareness
Sense of humor
Inventiveness
Dedication and commitment

15. Group Leadership Skills
Active Listening
Questioning
Reflecting
Linking
Clarifying
Confronting
Summarizing
Supporting
Facilitating
Blocking
Empathizing
Evaluating
Interpreting
Terminating

16. Round Exercise

17. What makes IMR an evidenced-based practice?
Objective Definition and Description of the Innovation
Service Innovation
Empirical Research Confirming Results
Empirical Research Confirming Results
Empirical Research Confirming Results
Development of a Fidelity Scale
Evidence Based Practice
(Pratt, Gill, Barrett & Roberts, 2014)

18. What are Evidence-Based Practices?
Integrated Dual Diagnosis Treatment (IDDT)
Assertive Community Treatment (ACT)
Pharmacologic Treatment
Psycho-Education for Families
Supported Employment
Illness Management and Recovery (IMR)

19. Illness Management and Recovery(IMR)
IMR is an evidence-based practice that helps people with mental illness:
Set meaningful personal goals
Acquire skills necessary to cope with and manage their illness
Make progress toward their recovery

20. Core Values of IMR Hope is the key ingredient The person is the expert
Personal choice is a must
Practitioners of IMR are partners
Practitioners demonstrate, not dictate
Respect is always present

21. IMR Modules Recovery Strategies Practical Facts about Mental Illness
The Stress-Vulnerability Model
Building Social Support
Using Medication Effectively
Drug and Alcohol Use
Reducing Relapses
Coping with Stress and Common Problems
Coping with Symptoms
Getting your Needs Met in the Mental Health System
Healthy Lifestyles

22. IMR: Group Discussion Thinking of services contained in CSS
Thinking of expected outcomes of CSS
How do we use the tenets of IMR as an impetus to support change?

23. How does IMR relate to Community Support Services (CSS)?
Improved ability to manage one’s illness is a common recovery goal
Avoiding relapses and re-hospitalizations gives people greater control over their lives
Less time spent dealing with mental illness allows more time to be spent on personal recovery
Less distress due to symptoms leads to a better quality of life
Increases independence through skill development

24. Strategies Motivational -Convey confidence and hope
-Relate learning to goals
-Explore pros and cons of change
Educational
-Active teaching
-Multiple methods
-Simple, normalizing language

25. Strategies, cont’d Cognitive Behavioral Shaping Role Playing Modeling
Reinforcement
Homework
Jointly agreed upon
Individualized and goal related
Behaviorally specific
May involve or be facilitated by others
Should be followed up

26. Anticipated Outcomes Reduce relapses/re-hospitalization
Reduced symptom severity
Increased knowledge base
Increased medication management
Improved coping skills
Increased hopefulness and optimism
Improved social skills
Improved collaboration

27. Small Group Activity - IMR
Get in groups
Identify a group facilitator
Using the module provided, facilitate an IMR group
Be prepared to discuss your experience as a participant and facilitator in a larger group

28. Learning Application Ask a consumer to define recovery.
Bring back the consumer’s definition of recovery.

29. Q&A

30. Zakia Clay, MSW, LCSW, CPRP Anthony Zazzarino MA, LPC, ACS, CPRP
Contact Information
Zakia Clay, MSW, LCSW, CPRP
Ann Reilly MA, LSW, CPRP
Anthony Zazzarino MA, LPC, ACS, CPRP

31. References
Brady, K.T., & Sinha, R. (2005). Co-occurring mental and substance use disorders: The neurobiological effects of chronic stress. The American Journal of Psychiatry, 162(8),
Corey, M.S., Corey, G. (2002). Groups: process and practice. Pacific
Grove, CA. Wadsworth Group.
Jacobs, E. E., Masson, R.L., Harvill, R.L., Schimmel, C.J. (2009). Group counseling strategies and skills. (7th ed.) Belmont, CA: Brooks/Cole.
Pratt, C. W., Gill, K. J., N.M, & Roberts, M. M. (2014). Psychiatric Rehabilitation. (3rd ed.) San Diego, CA: Elsevier Inc.
Yalom, Irvin D. (1983). Inpatient Group Psychotherapy. Basic Books, NY.