Coles - IASPGAS to interact with each other in casual

conversation and in order to complete a

● Introduction
● Activity
● Sharing
● Processing
● Generalization
● Application
● Summary
1. Mosey's Groups: 2 Types
o 1. Developmental
1. Parallel
2. Project
3. Egocentric-Cooperative
4. Cooperative
5. Mature
o 2. Activity
1. Evaluation
2. Task Oriented
3. Developmental
4. Thematic
5. Topical
6. Instrumental
1. Parallel Group
- A group composed of patients who have
the ability to trust others enough to
tolerate being with
- more than one person at a time.
- OT Role
- Leader
- Provides boundaries
- Explains purpose
- Explains expectations
for behavior
- Provides feedback on
performance
- Goal
- To have each patient
work on his own chosen
task while
- sharing space with
other patients
2. Project Group
- A group experience in which the
patients are expected to come together
short term task (about ½ hour work
period).
- OT Role
- Leader- plans and presents the
short term task
- available during the work
period to support, assist, and
guide patients as needed.
- Goal
- provide patients with the
opportunity for trial and error
- learning for group interaction
around a task, and for a balance
of cooperative and competitive
experiences.
2. Egocentric-Cooperative Group
- Patients come together to work on a
task that is completed in 1 or 2 work
sessions (1 hr.)
- OT Role
- Democratic Leader
- makes suggestions and allows
patients to choose and carry
out the task and group plan
- Resource for facilitating task
completion and a support that
promotes an atmosphere of
acceptance and safety
- Goals: To have a task group in which the
patients will learn to:
1. identify group norms
and goals
2. use their own
knowledge and skills to
respond in the group
3. experiment with
different group roles
4. identify themselves as a
group member with
rights
5. respect the rights of
other members' needs
6. gain satisfaction from
participating in the
group experience
- Examples
 o assertiveness
o communication skills
o stress management
3. Cooperative Group
o Cohesive group in which
patients come together to
express and share their needs,
thoughts, and feelings, and in
which they listen to each other.
o The task is used to promote
sharing and listening, and does
not seek to produce an end
product
o Behavior change is not the
focus
- OT Role
o Advisor
o Helps for the group
o Initiates the task experience
o Becomes a participant who
freely shares her thoughts and
feelings
- Goals
o Provide an experience for the
patient that helps them to
share:
o thoughts
o feelings
o values
o common interests
o Gain pleasure and satisfaction
from the shared experience
- Examples
o Art, poetry, music, and other
creative experiences that
facilitate discussion of thoughts
and feelings
o Value clarification groups
4. Mature Group
o Patients independently select,
plan, and complete a group task
which is time limited and
produces a specific end product
o Function of the group and
group needs have priority over
individual needs
o The task experience is
processed in order to help
patients learn the
social-emotional and task roles
of the group
o During the task each patient will
identify the social-emotional
and task roles that they assume
- OT Role
- Group member, not the
identified leader
- Goals
- Provide an activity that will
allow the individual patient to
put aside his needs for the
betterment of the group and to
help the group accomplish its
goal
- Examples
o Community transition group
o Group in the community
1. Evaluation Group
o The OT uses a short term
activity to observe the patient's
interpersonal skills and
response to the activity.
o Specific areas of function which
are evaluated are determined
by the frame of reference that is
applied.
o Intervention is not planned
during this evaluation
experience.
2. Task Oriented Group
o Has a tangible outcome (end
product or service)
o Patient learns from interactions
with others and the activity
increases awareness and
understanding of himself and
other patients
● What does the patient learn?
- learns interpersonal skills, practices new
behaviors, and explores the interaction
of thoughts, feelings,and behaviors that
occur
- OT Role
- Helps the patient process the
activity experience and actively
seeks to change the patient's
behavior through the group
interaction that occurs
3. Developmental Group
o The patient learns group
interaction skills through
sequential, stage specific
activities
o Activities are graded simple to
complex and short term to long
term in order to provide
progressive challenges
- What do progressive challenges
require?
o collaborative effort
o ability to complete
o increased independence in
problem solving and task
completion
- Patients focus on the future and
the performance expectations
needed in their future
environment
- Concurrent
- Patients focus on the
knowledge, skills, and attitudes
needed to function in the
present roles that the patient
has in the community
- OT Role
o Prescribe activities and facilitate
discussion of role expectations
o Identify the knowledge and
skills needed to identify
problems
o Promote brainstorming and skill
practice for solving problems
6. Instrumental Groups
o OT uses activities to:
o maintain the patient's present
level of function
o promote an optimum level of
health

4. Thematic Group
o Uses purposeful activities to
help the patients gain
knowledge, skills, and attitudes
necessary for function in a
protective environment
o Patient learns ADLs, work, and
leisure skills through didactic,
directive, and supportive
experiences

5. Topical Groups
o Patient learns to independently
use in the community the
knowledge, skills, and attitudes
gained in a protective
environment
o 2 types- anticipatory &
concurrent
- Anticipatory