Mosey's Groups

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Mosey's Groups
2010-11-15 20:23:11
OT psychodynamic

Description of Mosey's Developmental and Activity Groups, goals, and OT role
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  1. Mosey's Groups: 2 Types
    • 1. Developmental
    • 2. Activity
  2. 5 Types of Developmental Groups
    • 1. Parallel
    • 2. Project
    • 3. Egocentric-Cooperative
    • 4. Cooperative
    • 5. Mature
  3. 6 Types of Activity Groups
    • 1. Evaluation
    • 2. Task Oriented
    • 3. Developmental
    • 4. Thematic
    • 5. Topical
    • 6. Instrumental
  4. 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.
  5. Parallel Group: OT Role

    • Provides boundaries
    • Explains purpose
    • Explains expectations for behavior
    • Provides feedback on performance
  6. Parallel Group: Goal
    • To have each patient work on his own chosen task while
    • sharing space with other patients
  7. Project Group
    A group experience in which the patients are expected to come together to interact with each other in casual conversation and in order to complete a short term task (about ½ hour work period).
  8. Project Group: OT Role
    • Leader- plans and presents the short term task
    • available during the work period to support, assist, and guide patients as needed.
  9. Project Group: 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.
  10. Egocentric-Cooperative Group
    Patients come together to work on a task that is completed in 1 or 2 work sessions (1 hr.)
  11. Egocentric-Cooperative Group: 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
  12. Egocentric-Cooperative Group: 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. experiement 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
  13. Egocentric-Cooperative Group: Examples
    • assertiveness
    • communication skills
    • stress management
  14. Cooperative Group
    • Cohesive group in which patients come together to express and share their needs, thoughts, and feelings, and in which they listen to each other.
    • The task is used to promote sharing and listening, and does not seek to produce an end product
    • Behavior change is not the focus
  15. Cooperative Group: OT Role
    • Advisor
    • Helps for the group
    • Initiates the task experience
    • Becomes a participant who freely shares her thoughts and feelings
  16. Cooperative Group: Goals
    • Provide an experience for the patient that helps them to share:
    • thoughts
    • feelings
    • values
    • common interests
    • Gain pleasure and satisfaction from the shared experience
  17. Cooperative Group: Examples
    • Art, poetry, music, and other creative experiences that facilitate discussion of thoughts and feelings
    • Value clarification groups
  18. Mature Group
    • Patients independently select, plan, and complete a group task which is time limited and produces a specific end product
    • Function of the group and group needs have priority over individual needs
    • The task experience is processed in order to help patients learn the social-emotional and task roles of the group
    • During the task each patient will identify the social-emotional and task roles that they assume
  19. Mature Group: OT Role
    Group member, not the identified leader
  20. Mature Group: Goals
    Provide an activity that will allow the individual patient to put aside his needs for the betterement of the group and to help the group accomplish it's goal
  21. Mature Group: Examples
    • Community transition group
    • Group in the community
  22. Evaluation Group
    • The OT uses a short term activity to observe the patient's interpersonal skills and response to the activity.
    • Specific areas of function which are evaluated are determined by the frame of reference that is applied.
    • Intervention is not planned during this evaluation experience.
  23. Task Oriented Group
    • Has a tangible outcome (end product or service)
    • Patient learns from interactions with others and the activity increases awareness and understanding of himself and other patients
  24. Task Oriented Group: What does the patient learn?
    learns interpersonal skills, practices new behaviors, and explores the interaction of thoughts, feelings,and behaviors that occur
  25. Task Oriented Group: OT Role
    Helps the patient process the activity experience and actively seeks to change the patient's behavior through the group interaction that occurs
  26. Developmental Group
    • The patient learns group interaction skills through sequential, stage specific activities
    • Activities are graded simple to complex and short term to long term in order to provide progressive challenges
  27. Developmental Group: what do progressive challenges require?
    • collaborative effort
    • ability to complete
    • increased independence in problem solving and task completion
  28. Thematic Group
    • Uses purposeful activities to help the patients gain knowledge, skills, and attitudes necessary for function in a protective environment
    • Patient learns ADLs, work, and leisure skills through didactic, directive, and supportive experiences
  29. Topical Groups
    • Patient learns to independently use in the community the knowledge, skills, and attitudes gained in a protective environment
    • 2 types- anticipatory & concurrent
  30. Topical Groups: Anticipatory
    Patients focus on the future and the performance expectations needed in their future environment
  31. Topical Groups: Concurrent
    Patients focus on the knowledge, skills, and attitudes needed to function in the present roles that the patient has in the community
  32. Topical Groups: OT Role
    • Prescribe activities and facilitate discussion of role expectations
    • Identify the knowledge and skills needed to identify problems
    • Promote brainstorming and skill practice for solving problems
  33. Instrumental Groups
    • OT uses activities to:
    • maintain the patient's present level of function
    • promote an optimum level of health