Transcript group therapy

ADNAN MENDERES UNIVERSITY
PSYCHIATRIC CLINIC AND
PSYCHIATRIC NURSING PRACTICES
DR. HÜLYA ARSLANTAŞ
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Adnan Menderes University
Psychiatric Clinic
 There are 10 beds for inpatients
 4 men and 6 women
 Approximately 200 patients per year
 Daily acceptance of 9 outpatient
 Accepts 600 – 700 patients per month in policlinics
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Of Patients:
 35% have anxiety disorders, somatoform
disorders and personality disorders
 20% bipolar affective disorder
 15% psychotic disorder
 30% others (Sleep disorder, other disorders,
etc.)
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MONDAY
TUESDAY
WENDESDAY
THURSDAY
FRIDAY
GOOD
MORNING
MEETING
VISIT
GOOD
MORNING
MEETING
GROUP
THERAPY
OCCUPATIONAL
THERAPY
VISIT
GROUP
THERAPY
Activity
Groups
VISIT
VISIT
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Hospitalization of Patients
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Acceptance
Introducing the service
Explaining of the servis rules
Explaining the clinical visiting times
Explaining the visiting times
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Weekly Duties
 Good Morning Meeting
 Group Therapy
 Occupational Therapy
 Activity Groups
 Education Meetings for Patients and Families
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Good Morning Meetings
All hospitalized patients are get together in
the meeting room of the clinic
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In this counsil following are discussed:
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How the patients experienced in processed day
and by the night.
If there is any clinic-related problem(s)
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Group Therapy
In the history
 Groups are made like Yalom
Currently
 Interpersonal Role Analysis Group Therapy Model
(KARAT-G) is used
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This model was developed by the Director of our
clinical and seems the most appropriate for our culture.
KARAT-G is a six-stepped therapy method, ant has
the same patient choice criteries and group
improvement factors of Yalom
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The Steps of the KARAT-G
Definition of the role
Quid pro quo or the cost of the role
The gain of the role
 The acquisition of the role
The relation of the role with the disease
The normalization of the role
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Occupational Therapy
I
 Implemented by an instructor from People
Education Center and an occupational
therapist nurse
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Attendants are patients who will this therapy
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Patients are not under pressure to do anything
Patients do not make anything inevitable.
Sufficient is when they are sitting on an
occupational desk and observing other patients
actively involved into therapies
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Occupational Therapy
II
 The products of occupational therapy
sessions are sold in a kermes or bazaar
organized once per year by the patients
themselves
 Money from kermes is used to get new
supplies
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Activity Groups
 Every Wendesday’s afternoon an activity
named “Sweed Wendesday” organized by the
hospitalized patients is made.
 Caks, pies, deserts etc. were made and eaten
by the patients themselves
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Activities
 Sometimes patients are tooked away to go to
films, theaters, or conserts
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Education
I
 Educational meetings for patients and
families are made.
 In general, such meetings are organized
for the patients with schizophrenia,
mood disorders and their families
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Education
II
 The topics of education in these meetings are:
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Communication skills
Problem solving skills
Relaxation exercises
Drugs side effects
The symptoms of the patients and coping with
them
The refractory symptoms of patients and coping
strategies
Avoiding alcohol and addicts
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Some Other Universities
I
 Some university clinics carry out certain
different activities in addition to those made
by us.
 Hacettepe University in Ankara
 Cumhuriyet University in Sivas
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Some Other Universities
II
 Good Morning Meetings
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Expression of patients themselves
Social activities milieu
Determination of the similar life histories
 Oriantation Meeting to Work
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Decreasing the social izolation
Improving self-esteem
Supporting the self-esteem
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Some Other Universities
III
 Book reading sessions
 Flowers’ care sessions
 Wall paper (My mind plays game to me)
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[A newspaper prepared by the patints self]
 Social activity sessions
 Cinema session
 Sports session
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Some Other Universities
III
 Education meetings
 Taking responsibility
 Coping skills
 Corrections of false knowledge
 Avoiding abusive addictions/habits
 Sleep hygiene
 Medicine education
 Coping with stress
 Relaxation exercises
 Psychoeducation
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Some Other Universities
IV
 Occupational therapies
 Tea/coffee times
 Group therapies
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Some Other Universities
V
 Family edutaion sessions
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Coping skills
Corrections of false knowledge
Avoiding abusive addictions/habits
Sleep hygiene
Medicine education
Coping with stress
Relaxation exercises
Psychoeducation
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THANK YOU VERY MUCH
FOR YOUR ATTENTION
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