style="font-size:15px;"> Pathways (volunteer-based)
Personality Type
Pet Therapy (volunteer-based)
Poetry
Positive Affirmations
Relapse Prevention
Seeking Safety
Self-esteem
Self-image
Self-reflection
Solve That Problem
Spiritual Care
Stress Management
Supportive Relationships
T’ai Chi Chuan
VR-based therapeutic and leisure activities
b) Exercise Sessions:
Primary need: developing strategies and healthier coping skills for mania, angry outburst and generalized disruptive behavior—Department understaffed for specific exercise-based therapeutic intervention/funding needed beyond existing operating budget.
Secondary need: providing patients with useful resources for self-improvement in outpatient settings upon discharge.
Primary Objective: promote exercise/fitness/physical health in inpatient psychiatry patients on Shepardson 3 and 6.
Secondary Objective: Therapeutic management of anger, anxiety, and depression; promoting self-esteem, healthier sleep, and anxiety reduction, as well as enhancing mood and emotional regulation.
Tertiary Objective: Promoting research in the psychophysiological effectors of exercise in combination with psychotherapy.
c) Group Attendance and Session Standardization:
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.
ERZEUGT DURCH JUTOH - BITTE REGISTRIEREN SIE SICH, UM DIESE ZEILE ZU ENTFERNEN
Chapter 1
Psychotherapy in Inpatient Psychiatry
1.1 General Aspects
When discussing psychotherapy-based approaches in inpatient psychiatry, we will have to “go back to the basics” of the very concept of a form of therapy applied to the psyche. Of course, in the general sense, this form of therapy focuses on the wellbeing of the individual via multiple approaches to foster positive changes in the behavior and the thought patterns of the subject as in the case of cognitive behavioral therapy) as well as through ameliorate forms of personal and interpersonal interaction, coping and communication skills (as in dialectic behavioral therapy). Other areas which can be addressed in this setting are personal cravings, passions, compulsions, needs, thoughts, and beliefs, as well as conscious, subconscious, preconscious and unconscious elements at the basis of the aforementioned characteristics, especially in relation to theories of personality, emotion and sociocultural components, for instance in social cognitive theory. From the perspective of legislation, the State of Vermont provides this definition:
“(6) “Psychotherapy” means the provision of treatment, diagnosis, evaluation, or counseling services to individuals or groups, for a consideration, for the purpose of alleviating mental disorders. “Psychotherapy” involves the application of therapeutic techniques to understand unconscious or conscious motivation, resolve emotional, relationship, or attitudinal conflicts, or modify behavior, which interferes with effective emotional, social, or mental functioning. “Psychotherapy” follows a systematic procedure of psychotherapeutic intervention which takes place on a regular basis over a period of time, or, in the case of evaluation and brief psychotherapies, in a single or limited number of interventions. If a person is employed by or under contract with the Agency of Human Services, this definition does not apply to persons
