Counseling Children and Adolescents ECG 558

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Counseling Children and Adolescents

ECG 558

Chapter 11

Small-Group Counseling

Introduction

 Groups allow for peer support and feedback

 Increase social interaction and selfexpression

 Provide opportunity for behavior modeling

 Provide a practice ground for new skills

Benefits of Group Counseling with Children and Adolescents

Major Benefit: increase skills & knowledge for making choices

Intent: promote personal growth & resolve problems

Promotes exploration of personal thoughts, feelings, attitudes, values, and interests and the way these influence personal choices

Works well for elementary-, middle-, and highschool students

Valuable supplement to individual counseling

Benefits of Group Counseling with Children and Adolescents

Group counseling with children differs from group work with older students

Young children should be in play and activity groups

With increased verbal ability, groups include more verbal activities and social interaction training

Groups may be the preferred counseling mode for adolescents

Adolescent groups have the same group counseling procedures as adult groups

Stages in the Group Process

I. Initial stage

• build rapport & cohesion among group members

Set group rules, goals, and objectives

Ensure member commitment

Great place to conduct an icebreaker activity

Stages in the Group Process

II.

Transition Stage

- Characterized by conflict, resistance, and challenges to the leader

Group is trying to find the “real” purpose

- Establishment of trust essential

Stages in the Group Process

III.

Working Stage

- Group has progressed through preliminary issues and now begin to help individuals deal with their problems

- in the working stage, the group is there to help members achieve their personal goals

Stages in the Group Process

IV.

Termination

- Evaluation of the group process and individual progress

- Reinforcement of learning during group

- planning for after-group arrangements

The Counselor’s Role

Before – Logistics and Collaboration

 Primary facilitator of the group process with children and adolescents

 Initial needs assessment

 Work on establishing rapport, leading the group through all four stages, and reaching group and individual goals

 Guide and direct the group

The Counselor’s Role

During-Facilitating Group Processes

 Promote group interaction

 Model behaviors such as confronting resistance

 Safeguard the integrity of the group and stop harmful group behaviors

 Lead the group through all four stages to reach group and individual goals

 Evaluates the group process as a whole

 Contacts parents and teachers for feedback on the effectiveness of group

The Counselor’s Role

After-Evaluating and Accountability

 Evaluates the group process as a whole

 Helps the group conduct an evaluation of the group process

 Contacts parents and teachers for feedback on the effectiveness of group

 Empirically demonstrate effectiveness of the group

 ASCA requires data-driven programs

Ethical Considerations in Group

Work with Minors

Group leaders need to protect client welfare

Minors need assistance making responsible choices for themselves

Ethical responsibility of the counselor to advise young clients of their rights in counseling

Parents have a legal and ethical right to be informed about their child’s progress in group

Counselor should collaborate with parents – perhaps prepare an information sheet about the group and send to parents

Ethical Considerations in Group

Work with Minors (cont)

 Counselors need to discuss confidentiality issues

 Obtain written parental permission (even if not required by laws in the area of practice)

 Recommended that participants sign a contract indicating adherence to rules of group

 Counselors need to practice within local and state laws regarding child neglect/abuse

 Recording is only possible after the members

(parents) have been informed and consented to it

Group Formation: Selecting

Participants for the Group

Offer orientation sessions for parents/teachers before the start of the group

Common goal: Being motivated to work cooperatively

Group goals are based on student need

Student needs determined individually: consult teachers, parents, or through school-wide survey

Contact parents/teachers to schedule group

Interview and screen each prospective group member

Explain the purpose to potential members

Be sure to discuss confidentiality issues, group rules, logistics,

& purpose with future members

Obtain Parental permission

Group Formation: Selecting

Participants for the Group

Allow time for questions by potential group members

Reiterate group rules, confidentiality issues, & the purpose of the group – 1 st session

Good group composition – members accepting each other, willingness to self-disclose, voluntary participation & a balance of personal characteristics

Heterogeneous groups have many advantages

Level of functioning should be about the same

Elementary school children usually grouped by grade

Middle school groups usually same-sex groups

Students with severe discipline problems and antisocial tendencies should not be in groups

Group Formation: Determining the Size of the Group

 Consider group leaders group management skills

 Primary Grade - Play groups - 3-4 members

 Older children & adolescents: 6-8 members or possibly 5-10 members

 Student absenteeism needs to be considered in the size of a group

 Co-leadership recommended

Group Formation: Determining

Length & Number of Group Meetings

Usually 90-120 minutes once a week

School counselors need to adjust to students’ schedules (lucky – 30 minutes)

 Groups in schools tend to meet for a normal class hour 1X or 2X/week for 8-12 weeks

 Groups in schools can be held several times per week

 Counselors preferences should be considered

Group Formation:

Setting Group Rules

 Collaborative determination of group rules promotes ownership in group

 As group matures members assume more responsibility for rule adhesiveness

 Allow children/adolescents to practice positive skills, such as assertiveness, standing up for self, expressing thoughts/ emotions & finding alternative choices

Group Formation:

Setting Group Roles

 Voluntary group membership

 Group attendance

 Active involvement in the group

 Obeying group rules

 Confidentiality

 Groups tend to set additional rules

 Counselor and members are bound by the group rules

Evaluation

 Feedback form the group during termination stage

 Individual members evaluate their own progress

 Counselor can use rating sheets and questionnaires for group evaluation

 Counselor can ask parents/teachers for feedback on the effectiveness of the group

 Data collection is important to counseling program

Types of Counseling Groups

Common Elements

3 types: problem-centered, developmental and topic-specific

Definite purpose delineated in goals & objectives

Requirements for member participation/ enforce rules

Include structured procedures (4 stages, length of session, etc.)

Leader is responsible for including activities to make the group meaningful and productive

Types of Counseling Groups:

Common Element Groups

Help young clients meet the challenges of everyday, normal issues in the growing-up process

Skill development and instillation of knowledge

Focused on growth/prevention

Open to all students but recommended for students who are developmentally delayed

Have a central theme depending on the students’ level of functioning

Counselor needs to have knowledge on developmental issues

Types of Counseling Groups:

Problem-Centered Groups

Openended and topics focus on members’ concerns at a particular time

Members help each other & foster problem-solving processes

Emphasis is on the here-and-now

Empowerment of individuals to take action

Older students are more likely to benefit from this type of group due to their problem-solving abilities

Members commit to work on their own issues & help others

Open to all students and might be used as follow-up to individual counseling

Members are often similar in age & have similar concerns

Types of Counseling Groups:

Developmental Groups

 Oriented toward growth/prevention rather than remediation

 Fosters skill development in areas of counseling - personal development, academic achievement, & career planning

 Open to all students-may target specific needs

 Directed to developing specific behaviors

 Specific developmentally appropriate theme

Types of Counseling Groups:

Topic-Specific Groups

Designed to meet the needs of individuals with circumstances/stress that interferes with normal functioning

Assist members in handling serious immediate concerns

Includes skill development

Members share similar concerns

Issue is explored in depth

Counselors may use media, structured activities, role-play,

& homework assignments

Group may arise out of crisis situation (divorce, grief, aggressive behavior, stress, suicide, abuse, etc.)

Membership: children who have difficulty with a specific issue or who are at risk

Summary

 Group counseling is an efficient, effective, and viable approach for young clients

 Groups reach more students and provide feedback and support

 Small groups do not replace individual counseling or classroom guidance

 Groups help in preventing and remediating problems

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