Group Therapy for Addiction

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Week 9: Group Therapy for Addiction

Consider the following scenario:

The psychiatric mental health nurse practitioner is working for a community health clinic that offers state mandated “intensive outpatient rehabilitation” services for individuals who face incarceration for driving while under the influence. Mr. Smith, a 24-year-old male patient, shows up for his initial intake appointment and says, “Look, this sounds like it’s going to be an AA meeting. Can’t I just go there? I only had a couple of drinks. I don’t know why the judge was such a jerk.”

Clients with addictive disorders may present for therapy for various reasons. Some, like Mr. Smith, attend because it is court mandated. Some attend because family or friends have pushed them to do so, while others may attend because life has become unmanageable. Regardless of clients’ reasons for presenting for therapy, to reach these clients and effectively treat them, you must be able to break down barriers, establish relationships, and help them see the benefits of this therapeutic approach.

This week, you explore psychotherapeutic approaches to group therapy for addiction. You also develop diagnoses for clients receiving psychotherapy for addiction and consider legal and ethical implications of counseling these clients.

 

Learning Resources

Note:  To access this week’s required library resources, please click on the link to the Course Readings List, found in the  Course Materials  section of your Syllabus.

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

· Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)

 

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

· Chapter 13, “Problem Group Members” (pp. 391–427)

 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Gamble, J., & O’ Lawrence, H. (2016). An overview of the efficacy of the 12-step group therapy for substance abuse treatment. Journal of Health & Human Services Administration, 39(1), 142–160. Retrieved from http://jhhsa.spaef.org/

Note: Retrieved from Walden Library databases.

Kim, J. W., Choi, Y. S., Shin, K. C., Kim, O. H., Lee, D. Y., Jung, M. H., … Choi, I. (2012). The effectiveness of continuing group psychotherapy for outpatients with alcohol dependence: 77-month outcomes. Alcoholism: Clinical & Experimental Research, 36(4), 686–692. doi:10.1111/j.1530-0277.2011.01643.x

Note: Retrieved from Walden Library databases.

 

Document: Group Therapy Progress Note

 

Required Media

Allyn & Bacon (Producer). (2000). Motivational interviewing [Video file]. Mill Valley, CA: Psychotherapy.net.

 

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 102 minutes.

Laureate Education (Producer). (2013d). Levy family: Sessions 1-7 [Video file]. Baltimore, MD; Author.

 

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Psychotherapy.net (Producer). (2015). Group therapy for addictions: An interpersonal relapse prevention approach [Video file]. Mill Valley, CA: Author.

 

Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 83 minutes.

Optional Resources

Psychotherapy.net (Producer). (2000a). Cognitive therapy for addictions [Video file]. Mill Valley, CA: Author.

 

Assignment: Psychotherapeutic Approaches to Group Therapy for Addiction

When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.

Learning Objectives

Students will:

· Evaluate psychotherapeutic approaches to group therapy for addiction

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.

· View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

· Identify the psychotherapeutic approach that the group facilitator is using, and explain why she might be using this approach. ( The therapist used Exposure therapy)

· Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group, and justify your decision.( Yes)

· Identify an alternative approach to group therapy for addiction, and explain why it is an appropriate option.

· Support your position with evidence-based literature.

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 Provide a critique Kristen Swanson’s Theory of Caring, making sure to identify benefits,

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Provide a critique Kristen Swanson’s Theory of Caring, making sure to identify benefits, consequences and feasibility of application in clinical practice as a family nurse practitioner. Provide evidence using 2 (two) scholarly articles in order to support your critique.

The post  Provide a critique Kristen Swanson’s Theory of Caring, making sure to identify benefits, appeared first on Infinite Essays.

A multidisciplinary care team for people with motor neurone disease usually includes a doctor, allied health  professionals (such as a dietitian, occupational therapist, physiotherapist, social worker and speech  pathologist) and local palliative and community care workers.

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www.mndaust.asn.au

Freecall 1800 777 175

 

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Living Better for Longer: MND Australia Fact Sheet EB3

Multidisciplinary care team

What you should know  A multidisciplinary care team for people with motor neurone disease usually includes a doctor, allied health  professionals (such as a dietitian, occupational therapist, physiotherapist, social worker and speech  pathologist) and local palliative and community care workers. Other team members who have particular  expertise are involved as needed, such as a respiratory specialist.

 You can live better for longer with motor neurone disease when health professionals have a coordinated,  multidisciplinary approach to your care.

 In many areas of Australia, the regional/care advisor from your MND Association liaises with the team,  assisting you and the team get information, support and referral to other services when needs change.

About the multidisciplinary care team Multidisciplinary teams are also known as primary health care teams. Team members communicate with each  other about your care and help you get care from other members of the team when you need it.  Professionals providing multidisciplinary care can be from the same organisation, a range of organisations or  from private practice. They can work in the community, hospital, clinic, residential and other care settings. Each  discipline‐specific team member enriches the knowledge‐base of the team as a whole and, over time, the  multidisciplinary team composition can change to reflect changes in the person’s needs (Mitchell et al 2008).

Multidisciplinary care and MND Over the course of your disease progression you may find you need to talk with a respiratory specialist about  breathing, an occupational therapist about equipment, a speech pathologist about communication, a  physiotherapist about joint stiffness, a palliative care team about support and your general practitioner and  neurologist for regular symptom review. You can live better for longer with motor neurone disease when these  health professionals have a coordinated, multidisciplinary approach to your care (Traynor et al 2003, Van den  Berg et al 2005).

Importantly, multidisciplinary care provides you with a direct link to one person, who is a member of the team,  usually referred to as a key worker, case manager, care coordinator or team coordinator.

Your multidisciplinary care team key worker Your key worker:   maintains regular contact with you   initiates effective and timely response when  your needs change

 liaises with other team members and services   organises regular case conferences and team  meetings.

Who your key worker is depends on:   where you live in Australia   local health and community care service  availability

 the professional interests of individual health  and community care professionals in your area.

Your key worker may be a:   case manager   general practitioner   local occupational therapist, physiotherapist or  speech pathologist

 MND clinic nurse   MND regional/care advisor   MND shared‐care worker   neurologist   palliative care professional    other health or community care professional  with particular expertise in MND symptom  management.

 

 

 

 

© MND Australia 2012    EB3/201202  2

Members of a multidisciplinary care team

Community/aged care worker and case manager  Community/aged care workers provide general  household assistance, emotional support, care and  companionship to people in their homes. Case  managers assist people to access health and  community services.

Dietitian   Dietitians provide dietary and nutritional advice.

General practitioner  The general practitioner (GP) is a doctor providing  general medical care. GPs are usually your first  point of medical contact. The GP liaises with the  neurologist and other health and community care  providers.

MND Association regional/care advisor  MND Association regional/care advisors help  people with motor neurone disease connect to the  services they need. Regional/care advisors also  offer ongoing information to families and service  providers as questions arise or needs change.

Neurologist  The neurologist is a doctor who specialises in  disorders of the nervous system. The neurologist  coordinates the tests you need for diagnosis. The  neurologist also monitors the progress of the  disease and management of your symptoms.

Occupational therapist  An occupational therapist (OT) helps to maintain  mobility, function and independence. OTs provide  advice about home modification, different ways of  performing tasks and on selecting, acquiring and  adapting specialised equipment.

Palliative care team   The palliative care team specialises in interventions  that can improve quality of life for people with  eventually fatal conditions. Palliative care services  provide emotional support for people living with  MND and can assist you to plan your future care.

Physiotherapist  A physiotherapist helps you maintain physical  activity and mobility. Physiotherapists can also  show your family or carer how to safely help you  move from one position to another, for example,  moving from a chair to a bed.

Respiratory specialist  The respiratory specialist is a doctor who specialises  in disorders of the lungs and breathing. The  respiratory specialist provides information and  advice about breathing and motor neurone disease.

Registered nurse, MND nurse, clinical nurse  consultant or clinical nurse specialist   The role of the nurse is varied and can include  ongoing care and care coordination, often for  people in their own homes. Specialised MND nurses  usually work in MND clinics and have particular  expertise in motor neurone disease symptom  management.

Social worker, psychologist, or accredited  counsellor  A social worker, psychologist or accredited  counsellor provides counselling on the  psychological and emotional aspects of living with  motor neurone disease. In addition, a social worker  can provide information on community services  that may assist you with accommodation, legal,  financial and other issues.

Speech pathologist  A speech pathologist helps in the management of  communication and swallowing. They can advise  about communication aids and devices and also  about swallowing techniques and food consistency.

 

 

 

 

 

References  Mitchell GK, Tieman JJ, Shelby‐James TM 2008, ‘Multidisciplinary care planning and teamwork in primary care’, Med J Aust 188(8 Suppl).  Traynor BJ, Alexander M, Corr B, Frost E, Hardiman O 2003, ‘Effect of a multidisciplinary amyotrophic lateral sclerosis (ALS) clinic on ALS survival: a  population based study, 1996‐2000’, J Neurol Neurosurg Psychiatry 74(9).

van den Berg JP, Kalmijn S, Lindeman E, Veldink JH, de Visser M, der Graaff MMV, Wokke JHJ, van den Berg LHV 2005, ‘Multidisciplinary ALS care  improves quality of life in patients with ALS’, Neurology 65(8).

Living Better for Longer: MND Australia evidence‐based fact sheets  MND evidence‐based interventions ‐ an overview (EB1)  Multidisciplinary care (EB2)  Multidisciplinary care team (EB3)  Riluzole (EB4)  Breathing and motor neurone disease: an introduction (EB5)  Breathing and motor neurone disease: what you can do (EB6)  Breathing and motor neurone disease: medications and non‐invasive ventilation (EB7)  Considering gastrostomy ‐ PEG and RIG (EB8)

To find out about motor neurone  disease and other fact sheets in this

series contact the MND Association in  your state or territory

ph. 1800 777 175 or visit  www.mndaust.asn.au

The post A multidisciplinary care team for people with motor neurone disease usually includes a doctor, allied health  professionals (such as a dietitian, occupational therapist, physiotherapist, social worker and speech  pathologist) and local palliative and community care workers. appeared first on Infinite Essays.

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff,

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Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

The post You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, appeared first on Infinite Essays.