Running MUCH Better Treatment Groups Fred Zackon M.Ed.

Running MUCH Better Treatment Groups Fred Zackon M.Ed.

Running MUCH Better Treatment Groups Fred Zackon M.Ed. June 20 2012 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 1 This presentation is about how groups are run from the perspective of your programs OPERATING SYSTEM. So if your program were a computer: Groups Staff, facilities, building, physical things, would be your Hardware. Program componentsevidence-based, traditional, institution-specific, etc.,

your Applications (apps). Therapeutic culture, orientation, norms, procedures, structural organization, etc., the Operating System. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 2 Program Applications Operating Systems Impacts client/offenders directly with specific well-defined protocols APP-land Groups

Supports and enhances Apps and other therapies OS-land Needs MUCH more attention This is where most of the action-- research, training, etc.-- is these days This is what we know most about and have most experience with 3 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 3 Lets begin by identifying a few Relevant First Principles Groups

2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 4 1st Principles: RECOVERY Recovery is a multi-dimensional developmental learning process. No two recoveries are identical, but for any given population, most all include similar achievements. 2011 Fred 2011 Zackon FredPermission Zackon Permission granted for granted use byfor BJA use

funded by BJA RSAT funded programs RSAT programs 5 1st Principles: INMATES & OFFENDERS T Th heeyy aar ree 9 999..99++%% u us Groups s..

Except Except for for their their experiences. experiences. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 6 1st Principles: ADULT LEARNING It requires at least one of the following: The practice effort is engaging. Groups Ones progress is evident and rewarding. The expected pay-off is desirable. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs

7 Something REALLY IMPORTANT about learning that we SHOULD NOT FORGET: WE WE FORGET. FORGET. Groups Without lots of practice and reinforcement we return to our unlearned condition. This is especially true of new behaviors intended to replace strong habits. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 8 Groups are concentrated contexts for learning, specifically social learning. Social Learning: The acquisition of skills, behaviors, attitudes,

and ideas that results from communicating with, or being instructed by, or observing other people. [per FZ] Groups 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 9 Four Drivers of Social Learning Practical Guidance & Modeling Sincere Encouragement & Approval Groups Role Models with Whom to Identify Peers Sharing the Learning Experience This is the essential stuff of effective groups. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 10 The 4 drivers of social learning, when appropriately utilized, can make a group an extraordinarily rugged and

powerful recovery vehicle. Even a small group 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 11 Two general categories of treatment groups CONTENT DELIVERY PERSONAL FOCUS Issue Presentation Personal Issues Discussion Concept or Information Teaching Inter-personal Issues Discussion Skills Training or Coaching

Groups Community Issues Discussion MIXED Community Management Twelve Step Fellowship Meetings Content or Issue Processing 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 12 Treatment Groups can Teach important ideas and concepts helpful for recovery Instruct and train in skills especially important for recovery Deepen learning through discussion and exchanges with peers Allow application of learning Groups in order to solve problems together Stimulate moral reasoning and moral insight Provide empathy, support, and healing perspectives Elicit moments of truth and the resolve to resolve them

Enable peer evaluation and therapeutic confrontation Enable deliberative group decision-making 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 13 and groups can also perform House-keeping Get important or urgent information to everyone Groups Allow for safe venting of potentially destructive emotions Address issues that need urgent community attention 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 14 What makes treatment group sessions effective? Cha nce

Skill Groups FZs FZs best best estimate estimate Preparation 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 15 The Counselors Skills Are Secondary Groups Even great drivers can get nowhere with a faulty vehicle, or on confusing roads, or in bad conditions. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs

16 3 Vital Elements of Effective Groups Structure & Norms Membership Standards Content & Objectives 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 17 Membership Standards Whos In Every member is in an appropriate recovery or treatment status relative to the intended therapeutic content. Every member demonstrates Groups

capacity to participate respectfully. Structure &Norms Every member abides by the group rules. Every member prepares appropriately. Membership Standards Content& Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 18 Structure & Norms How the session runs

Useful Group Rules Structure &Norms Listen and think. Groups Look for the value. Membership Standards Ask for clarity. Content& Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs Be prepared to participate. Keep to the topic. Dont hijack the Obviously these are for group

members. And for the counselor? discussion. Be respectful to all. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 19 Structure & Norms How the session runs Structure &Norms The session has a clear beginning. The Groups name and purpose is stated. Membership Standards Group rules are referenced. Content&

Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs Groups Issues to be engaged (preferably pre-determined) are stated. Allotted time for each issue is stated. Issues are engaged according to an appropriate standardized format. Respectful, consistent methods are used to control divergent discussion. Clear, consistent limits are maintained and time schedules are honored. The session has a clear wrap-up and conclusion. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 20 Content & Objectives What the session is about Content is clearly relevant to members recoveries or needs. Content is suited to group members state of recovery or treatment. Objectives are specific.

Content is formatted similarly to Groups all similar content. Content builds on or reinforces prior content. Structure &Norms Content uses/connects tools and precepts that are used and reinforced throughout program. Membership Standards Member progress can be assessed. Content& Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs Content aims to enhance abilities, not disparage persons. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 21

Some Specifics for Leading Content Delivery Groups (Didactic/Instructional/Training) Know the content well. Know the content well. (This isnt a typo.) Know the content well. (Neither is this.) Structure &Norms Membership

Standards Content& Objectives Follow the approved format. Have several ways to demonstrate or explain the idea or skill. Have several ways to show the contents relevance and value. Be ready to respond to likely questions and concerns.

Have ways to gauge progress toward learning/skill acquisition. Know the source or legitimacy of any claim you make. Stay focused on the content, not on individuals. 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs Groups 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 22 Some Specifics for Facilitating Personal Focus Groups (addressing members situations)

Be prepared to listen and learn. Do not presume you know a good solution before the facts are gathered. Groups Look for appropriate applications or illustrations of learning content. Focus more on how to solve the problem than on a given solution. Use standard procedures and tools so that problem-solving methods can be learned.

Structure &Norms Membership Standards Content& Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 23 Some Specifics for Facilitating Any Inmate Group DO Commendwithout faked enthusiasmconstructive participation. Solicit some participation from every member. Respectfully confront violations Groups of, or encroachments against, the

rules or norms. Structure &Norms Re-orient promptly any member who strays from the groups topic or purpose. Stay as alert as possible to inmate cues regarding their interest and attention. Membership Standards Content& Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs Get allies by building mutually respectful relationships with at least two constructive members. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 24 Some Specifics for Facilitating

Any Inmate Group DONT Structure &Norms Fake your knowledge or experience. Pace the group for the slowest learners. Membership Standards Content& Objectives 2011 Fred Zackon Permission granted for use by BJ A funded RSAT programs Humiliate or enable others to humiliate a group member. Groups Respond to an obviously tough personal issues with a clich. Tolerate 80/20 situations (i.e., give 80% of your effort to 20% of the group).

Mistake authentic emotion for authentic learning. Mistake adaptation to the group for progress in recovery. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 25 1st Principles: RECOVERY Recovery is a multi-dimensional developmental learning process. No two recoveries are identical, but for any given population, most all include similar achievements. 2011 Fred 2011 Zackon FredPermission Zackon Permission granted for granted use byfor BJA

use funded by BJA RSAT funded programs RSAT programs 26 1st Principles: INMATES & OFFENDERS T Th heeyy aar ree 9 999..99++%% u us Groups

s.. Except Except for for their their experiences. experiences. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 27 1st Principles: ADULT LEARNING It requires at least one of the following: The practice effort is engaging. Groups Ones progress is evident and rewarding. The expected pay-off is desirable. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs

28 Four Drivers of Social Learning Practical Guidance & Modeling Sincere Encouragement & Approval Groups Role Models with Whom to Identify Peers Sharing the Learning Experience This is the essential stuff of effective groups. 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 29 3 Vital Elements of Effective Groups Structure & Norms Membership Standards Content &

Objectives 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 30 Thank you for being with me today, especially if you tried to follow along. Much more than that, thank you for workingusually unheralded and Groups underpaid, often in soul-sucking conditionsto bring skills, knowledge, and your own humanity to people so very deeply in need. Really, thanks. 31 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 31 Next Presentation Partnering with Public Behavioral Health Authorities to Build Effective Aftercare Programs July 18, 2012 2:00-3:00 p.m. EDT

Aftercare programs are increasingly important to public mental health and behavioral health authorities that are becoming more invested in creating partnerships that serve the needs of the "whole" client, including those with criminal justice involvement. This includes reaching out to service systems with which they have not historically had close ties, including corrections. The goal of this training is to introduce participants to the goals and structure of state systems of public behavioral health care, discuss the partnerships with corrections agencies that have been developed, and review the kinds of aftercare programming activities that these partnerships have produced. Aftercare program theory, research, and practice relevant for people with mental health and substance abuse disorders will be discussed. Presenter: Bruce Emery 32 2011 Fred Zackon Permission granted for use by BJA funded RSAT programs 32

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