Dual Diagnosis Concept and Baker Act Psychotherapy Group Proposal HW


Psychotherapy Group Proposal.

This is a master’s level assignment.

This is a previous case presentation I did, the proposal could be based on this case presentation but with the requirements explained here.

Based on dual diagnosis concept, group of 9 patients hospitalized under Baker act due to severe depression and suicidal ideas or attempt. Most of the patients have multiple diagnosis coexisting with depressive disorder, including PTSD, Bipolar Disorder, OCD, schizoaffective disorder, GAD among others.We had a previous interview with each individual patient and were instructed on the goal planned for group therapy treatment, about confidentiality and the benefits of this as a treatment.Inpatient group therapy is a short-term modality, we gather specific information to address the client’s immediate needs, such as the presenting problem and the client’s support system. Treatment goals were discussed with each client and treatment plan was formulated, with specific measurable objectives. Also, was discussed how treatment success will be measured and the estimated length of treatment.

Leading the group the therapist and we (My preceptor and me)as additional clinicians.Started by the therapist with a real story of anonymous patient with severe depressive who attempted suicide, which kind of loosened everyone else up.

Observed different stages among the members, but the therapist with a great skill technique focused the direction on universality, most of the members easily engage in the dynamic of the group, although 3 of them were maintaining some resistance. Session started helping to decrease the members shame and isolation about the problem while offering needed support (American Psychological Association, 2014). Offering Instillation of hope, the first feeling that all participating members had lost when they committed the act of suicide.

Group Experience Discussion:

Most of the members were accepting comments about their behavior voluntarily from other group members, with an excellent achievement in the practice of social skills in group treatment settings and we managed to implement the psychoeducational component. (McGrath, Cumming, Burchard, Zeoli, & Ellerby, 2009)

Suicide was the main topic in the discussion among members, we went over guidelines, things they can get from the group, the chance to introduce themselves, we show a National Suicide Prevention Lifeline video that shows stories of others who have survived a suicide attempt and they can relate, talk about stigma and other concerns, also was discussed relationship with anxiety, social isolation, self-esteem, and was discussed the topic about the plan on cases of crisis.

This session was structured with planned activities and goals, The section was a complex and emotionally charged process, due to the variety of components, but an opportunity for personal growth was also achieved.

1)Self-appraisal: Identifying

My experience on this session was that who lead the group therapy should be emotionally stable, have basic knowledge in behavioral science and special familiarity and training in the area of suicide prevention. Beyond that I think that any particular type of therapist, psychologist, physician, clergyman or social worker, is more effective than any other. I participated as an educator but, I learned the perspective that everyone is a learner and teacher.

Although most patients who attend were extremely depressed and difficult to manage, We have not felt overburdened because the responsibility and transference were shared by all.

2)Description of one member: Identifying

I identified the Member “A” a young men 18 years old, AM, was admitted for severe depression andsuicidal attempt after he found that his girlfriend was having an affair with his best friend, AM was defiant and guarded during the session, he asked the therapist about “confidentiality. Therapist explained to all members about limits of confidentiality, “patients are able to make informed decisions about self-disclosure. Doing emphasis that “Beneficence and nonmaleficence have an important role in confidentiality” adding a phrase used in group therapy, “What’s said in group stays in group.”

I learned that “Confidentiality” should become one of the most important group norms, and it should be discussed openly, thoroughly and often among group members. What constitutes a breach of confidentiality should be clearly defined, and consequences for breaking confidentiality should be openly discussed.

4) Relation of group session to outside experience: Identifying

How you might use something that you learned in this class or took from your group sessions if you would apply and practice it into your daily life?

This experience helps me in my daily life with the understanding that group therapy is a helpful therapeutic method.

According to Stanford University’s Irvin David Yalom, MD, in the 2005 book “The Theory and Practice of Group Psychology,” hearing from peers may be more helpful than receiving guidance from a therapist since peers can identify with one another. Those peer interactions appear to translate to real-world gains. In a meta-analysis of five studies, Kelly L. Callahan of Harvard Medical School found that sexual abuse survivors improved markedly after participating in group therapy (Journal of Group Psychotherapy, 2004).

And as participants improve, the group as a whole benefits, says Brown. “Members can be agents of change for each other,” she says. “Seeing others’ progress can help group members realize they, too, can cope and feel better.”

Group therapy also offers advantages for the psychologist: The approach allows therapists to observe relational patterns, says Kivlighan. Rather than rely on the accuracy (or inaccuracy) of self-reports, patients reveal their problems through interactions with other members.

“The group becomes a mini-re-creation of the patients’ universes,” says Kivlighan. “You have so much more data available to you in the group setting. All you have to do is watch.”


American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. (5thed.). Arlington, VA: American Psychiatric Publishing.

Carlat, D.J. (2017). The psychiatric interview (4th ed.). Philadelphia, PA: Wolters Kluwer.

Corey, G. (2017). Theory and Practice of Counseling and Psychotherapy (10th ed). Brooks/Cole. Cengage

Hegge, M. (2013). Nightingale’s Environmental Theory. Nursing Science Quarterly,26(3) 211–219.

Wheeler, K. (2013). Psychotherapy for the Advanced Practice Psychiatric Nurse: A how-to guide for evidence-based practice (2nd Ed) St. Louis: Mosby.

Yalom, I. & Leszcz, M. (2006). The theory and practice of group psychotherapy (5th ed.). New York:Basic Books.

To make this job easier I need the proposal based on this case presentation ….

_ Create a proposal for a counseling group you would like to organize and lead in a community setting. The Group Plan is meant to help you develop a written plan for a specific population on a specific topic.

_ Write a 5-10-page paper with references utilizing the APA 6th edition format with headers as noted

by each roman numeral below.

Proposal should include the following:

I. Statement of purpose

II. Setting – private or community setting, location, describe the setting, is there a cost

III. Target Population – including why this population was selected, needs of this group, age, gender,

homogeneous/heterogeneous, rationale for group, rather than individual counseling

IV. How members will be selected (10 pts) – what is the inclusion criteria, or needs assessment

V. Logistics – time, length of the sessions, how often, place/location of sessions

FYI——In hospital setting there is two sessions daily – each one 60 to 90 mins.

VI. Leader skills – discuss the skills the leader should have to facilitate this group

VII. Plan for each session – Plan should be at least 8 sessions –

1. Objective for each session

2. Discuss how you will integrate counseling standards

3. Icebreaker

4. What ethical dilemma you may encounter in practice as a group therapy facilitator? Describe

possible course of action with rationale. –

5. Agenda for each session – explaining how you will facilitate the group session –

6. Closing activity for each session –

VIII. Final closing Activity for the entire group process –

IX. Evaluation Tool– how do you know the group is accomplishing its objectives? How

often will you evaluate? What tools will you use?

X. Consent form and flyer)

XI. Ground rules (what rules will be in place, how will they be communicated)

XII. Group stages (what do you expect to be the characteristics of the various stages of the group?

What will be your function at each of these stages? What will be your expectations of each of

these stages?

XIII. Reference Pages and format – . (how does the literature support this design)

XIV. Visual Presentation of plan – colorful, organized, innovative –

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