Читать книгу Mind-Body Medicine in Inpatient Psychiatry - David Låg Tomasi - Страница 12

This research area focuses on therapy groups’ attendance in relation to unit structure and scheduling and therapeutic strategies, including length, types and typologies of groups as well as patient behavior during therapeutic sessions. It is aimed at verifying the positive outcomes, in terms of statistically relevant data, of the changes to the unit in terms of patients’ attendance to Therapeutic-Process, Task, and Leisure Groups over a 12-month period (May 2015–May 2016). Each of the therapeutic groups offered on the units Shepardson 3 South and Shepardson 6 is led by a Psychotherapist/Group Therapist. The Psychotherapist provides psycho-educational, skills-based, psychotherapeutic, and social groups to individuals receiving care on Inpatient Psychiatry. In addition to facilitating group sessions, clinical duties include collaboration and consultation with other members of the multidisciplinary team (attending psychiatrists, resident psychiatrists, nurses, social workers, and other group therapists, as shown in Fig. 1), assessment of new patients, and providing individual support to patients on an as-needed basis. Outside of direct patient care, the Psychotherapist is also responsible for administrative and organizational tasks, including but not limited to timely and satisfactory documentation, participation in various committees dedicated to improving patient care, and ordering materials for use in groups. Specific data collected:

Time in group (minutes):

 [range] 1,2,3,4,5–10–15–20–25–30–35–40–45–50–55–60–65–70–75–80–85–90

Attendance:

 Absent; Excused, Declined; Had Intent

Reason for Non-Attendance:

 Asleep; Showering; Visitors; Off the Unit; On the phone; Medically inappropriate; Clinically inappropriate; Other (please comment) [ex. meeting with MD or RN]

Group Number per day2:

 1, 2, 3, 4, 5

Group Type:

 Process; Task; Education. [of note, a group could be of all three types]

Figure 1. The Multidisciplinary Treatment Team (GT, MD, RN, SW, etc.) and the Administrative/Clinical Support Team (MHTs, LPNs, LNAs, USs) at the University of Vermont Medical Center Inpatient Psychiatry Unit

1 Important note. The professional title of this discipline has changed over the course of this research. In this work, we will use the terms “Psychotherapists” and “Group Therapists” interchangeably (regardless of the level of academic degree achieved, doctoral or master’s), while we will maintain the term “Activity Therapists” in the original form vs. format used in the survey and questionnaires administered in the study.

2 Of note, the Group Number per day is a direct result of the implementations to the Inpatient Psychiatry Group Therapy Schedule processes as a result of the research studies discussed in this work.