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4 Dilemmas Illness Support Group Leaders May Discover By Lisa CopenAfter weeks, or even months, of planning for your support group, the time for your firstmeeting has finally arrived. You have prepared a proposal to start up a support groupwhich has been approved by an organization or church. You have gathered items for awelcome package and have topic or speakers ready to go.So, you're meeting is sure to run perfectly, Right? Unfortunately, all the plans in theworld cannot cancel out a few unforeseen situations. Below are four of the aggravationsyou may experience during those first few meetings. Knowing what hurdles you mayencounter can help you be prepared in advance.(1) Only a couple of people come.How it feels: Disheartening. After putting in so much of your personal time (despite your own illness), it can be very disappointing to feel like dozens of people aren't benefitingfrom all of your hard work and passion. Recognize that a low turnout is typical and notsomething to be taken personally. It can be extremely difficult to organize people who areill to show up at the same place at the same time. One obvious reason is that when theyfeel ill, they are less likely to leave their home and go socialize with others. Just talkingcan be physically draining. And when they feel well, the last thing they may want to do issit around and talk about the days they are in physical pain.What to do: Hope for the best and prepare for the few. As a Christian organization, theHopeKeepers small group program founder says, "Although it's disheartening when just acouple of people show up, I know that God created that appointment. When I led a grouponce, just one person came, but we had the best conversation and she admitted that shewas extremely shy and likely would not have even spoken if other people had attendedthe meeting."Also, keep an outline of your lesson, and even include what kinds of topics peopleshared. This way you can easily "repeat" the meeting with little preparation as a followup. You may want to call people and, without pressuring them, ask if there is anythingthat you can do to make it easier for them to attend. Do they need a ride? What istypically a good time of day for a meeting?(2) No one wants to follow your lesson plan.How it feels: As though your ideas aren't interesting or inspiring enough to keep their attention. It can also feel as though no one appreciates all of the time you spent in preparation.What to do: Allow some flexibility at first and then add in more structure as the groupmeets. The truth is that most people are probably excited and even relieved to have other  people who understand what they are going through. Simply gathering people together in
 
one room and can open the floodgates of emotions that people have held back for years.It's hard to hold up a book and a lesson plan and force people to remain focused when amember is in tears over the ending of her marriage, for which she blames her illness. Thissituation can occur at any meeting, but may be more frequent during the first month.Talk openly with the group about your desire to have plenty of time available for peopleto share, but that you also want everyone to leave the meeting feeling refreshed.Regardless of what occurs during the meeting, you will be ending the time together withan inspiring article, scripture, poem, prayer, devotional, etc.(3) Everyone complains! About relationships, medical professionals, their illness-everything!How it feels: Like you are expected to fix the entire world in an hour or at least listen toevery complaint they may have. You will find that people have years of emotions buriedin their hearts that have wounded them deeply. Hearing cruel words, having woundedfeelings, facing unjust consequences, and even coping with severe medical errors are allnormal parts of living with illness. For the group leader you can be left wondering whatto do if you can't fix the problem. You want to show compassion, but need to keep thisgroup on the path of encouragement and support, and not a downward spiral.What to do: Write up some guidelines, before your first meeting if possible, and includethe "venting guidelines." Read "10 Ways to Make Your Illness Support Group Uplifting."One practical tool is to set a timer and allow everyone to have 60 seconds to share their most frustrating experience of the week. Brainstorm about a contest your group couldhave that would bring some humor to the venting. For example, the person who handledtheir irksome situation the best or most creatively could win the "Aggravated theAlligator (a rubber alligator) Award" to take home for the week.Allow people the freedom to share their concerns and frustrations, but include others inthe discussion. Say, "Jane, we can relate with what you are sharing. Can someone else tellus how she or he has dealt with these emotions?" If you are doing a study you can say,"Since we have limited time, lets go ahead and move on to the next question. If anyonehas some encouragement for Jane, they can share that with her after our meeting."(4) One person dictates the conversations, wants to rule the meetings, and has totaldisregard of any plans you have, or the need other people have to talk.How it feels: Infuriating! After all your preparation it can be annoying to have someoneoverride your entire meeting and take the group down a path that lacks theencouragement you want to provide. You justifiably could be concerned about her impacton the group and how many people she could scare away.What to do: Set firm boundaries from the beginning. While it's vital that people areencouraged to communicate their frustrations, they are also responsible for respecting

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You know many people could benefit from your wisdom. Lawyers, doctors, social workers and others are in this situation of receiving complaints all day long - it is their job but can take a toll on them if they are not prepared by the Divine Hand or by this type of discussion. I'd like to see more of your work as you post online.