1. Chapter 13: Groups in Mental Health Settings Introduction to Group Work, 5th Edition Edited by David Capuzzi, Douglas R. Gross, and Mark D. Stauffer

2. Introduction to Group Work, 5th Edition Edited by: David Capuzzi, Douglas R. Gross, and Mark. D. Stauffer The Mental Health System The delivery of mental health services in the US shifted in the 1960s with evolving ideas related to mental health and the burgeoning of pharmaceuticals. This change brought about the Community Mental Health Centers Act of 1963. Community mental health services were expected to replace the prevailing large state institutions with additional funding from Medicaid, Medicare, and Social Security. 44 million Americans are without medical and mental health coverage.

3. Introduction to Group Work, 5th Edition Edited by: David Capuzzi, Douglas R. Gross, and Mark. D. Stauffer Characteristics of Groups Member dropout Latecomers Absenteeism Clients with severe disorders Heterogeneous composition Clients with co-occurring disorders

4. Introduction to Group Work, 5th Edition Edited by: David Capuzzi, Douglas R. Gross, and Mark. D. Stauffer Caveats Because of the characteristics of groups in mental health settings, counselors have to be flexible and resourceful. Facilitating groups in mental health settings can be challenging, but such groups are still beneficial to clients.

5. Introduction to Group Work, 5th Edition Edited by: David Capuzzi, Douglas R. Gross, and Mark. D. Stauffer Examples of Outpatient Groups Presented in Chapter Adult women living with depression and anxiety A couples group for building healthy relationships Women with bulimia nervosa

6. Introduction to Group Work, 5th Edition Edited by: David Capuzzi, Douglas R. Gross, and Mark. D. Stauffer Elements of Example Groups Conceptual framework Purpose Goals Pre-group screening and orientation Challenges, restrictions, and ethical considerations Group sessions by stages Evaluation strategies Referral procedures and follow-up