Transcription

VA Psychosocial RehabilitationTraining ProgramSocial Skills Training forSerious Mental IllnessDirector: Alan S. Bellack, PhD, ABPPCo-Director: Richard W. Goldberg, PhD

VA Social Skills Training for Serious Mental IllnessVA Social Skills Training for Serious Mental IllnessHANDBOOK TABLE OF CONTENTSSection I: Program and Workshop InformationBrief Program DescriptionProgram Staff (Baltimore)Program Staff (Los Angeles)SST Workshop Agenda2345Section II: Practical ResourcesSocial Skills Training ResourcesGuideline for Individual SessionsBrief Goal Assessment: Social Skills Training Individual Goal Assessment (Example)Sample Group Expectations HandoutExample Group Information Handout to VeteransGroup Session SequenceGoals Monitoring Sheet: Social Skills Goals Clinician Rating Scale (Example)Strategies for Common ChallengesTips for Dealing with Other Common Challenges in SST Groups7891011121315Consultation ResourcesConsultation Plan: Tape Viewing Plan and Competence RatingsTips for Identifying and Using Individual SST GoalsSocial Skills Group Observation ChecklistWeb Based Consultation Tracking System – Information and User InstructionsTips for Entering Helpful Information into the Web Based System6263656770Audio Recording ResourcesAudio Taping Consent TipsPrivacy Officer Documentation – Audio Tape Procedures for SST Facilitators and ConsultantsAudio Recorder – User Instructions747577Preparing for Facilitating GroupsDeveloping a CurriculumSample Curriculum DomainsSocial Skills Training Task Checklist – Immediately After WorkshopSocial Skills Training Task Checklist – Individual SessionsSocial Skills Training Task Checklist – SST Group SessionsMaterial and Practical NeedsImportant Pages in the SST BookRecruitment Planning7981828384858687Recruitment ResourcesExample Recruitment Flier for Patients – Open GroupExample Recruitment Flier for Patients – Closed GroupExample Treatment Team Handouts899091Clinical Notes ResourcesExample Clinical Note Template – Individual sessionsExample Clinical Note Template – Group sessions9495Additional ResourcesReference List for Social Skills Training971

VA Social Skills Training for Serious Mental IllnessProgram and WorkshopInformation2

VA Social Skills Training for Serious Mental IllnessBRIEF PROGRAM DESCRIPTIONVA Psychosocial Rehabilitation Training Program(a.k.a. VA Social Skills Training for Serious Mental Illness)Director:Co-Director:Alan S. Bellack, PhD, ABPPRichard W. Goldberg, PhDThe VA Psychosocial Rehabilitation Training Program (VA-PRT) is funded bythe Office of Mental Health Services at VA Central Office as part of an overallemphasis on increasing availability of evidence-based psychotherapy andother psychosocial treatments for Veterans. The program, based at the VAMaryland Health Care System, provides training, technical support andconsultation in evidence based psychosocial interventions to VA practitionersand mental health program leaders working with seriously mentally illveterans and their families. The program will train VA staff members inSocial Skills Training, through a combination of 2-day face-to-faceworkshops and 24-weeks of follow-up clinical supervision and consultation.VHA staff from around the country will be trained in Maryland and California.The VA-PRT program has an evaluation plan to assess the effects of thetraining.Additionally, availability of Social Skills Training is required for individualswith serious mental illness as per the Uniform Mental Health Services in VAMedical Centers and Clinics (2008). Specifically, the handbook requires that: Recovery and rehabilitation-oriented programs must be available for allSMI patients. A minimum array of services available to veterans in the program throughPRRC staff needs to include Social Skills training. Social skills training is an evidence-based psychosocial intervention thatmust be available to all veterans with SMI, whether it is provided on site,by referral, or by telemental health. Social skills training must be provided at all medical centers.3

VA Social Skills Training for Serious Mental IllnessPROGRAM PERSONNEL DIRECTORY– BALTIMORE STAFFPROGRAM PERSONNEL– BALTIMOREAlan S. Bellack, PhD, ABPPDirector, VA Psychosocial Rehabilitation Training [email protected] W. Goldberg, PhDCo-Director, VA Psychosocial Rehabilitation Training [email protected] Strong Kinnaman, PhDProgram Manager/[email protected] Wiley, MPHProgram [email protected] S. Gearon, PhDTrainer/[email protected] Clark, RNTrainer/[email protected] N. Tenhula, PhDWorkshop [email protected] Drapalski, PhDTrainer/[email protected] Pasillas, PhDTrainer/[email protected] Autrey, MPHProgram [email protected] E. Karlin, PhDDirector, Psychotherapy ProgramsOffice of Mental Health Services, VA Central [email protected]

VA Social Skills Training for Serious Mental IllnessPROGRAM PERSONNEL DIRECTORY– LOS ANGELES STAFFStephen R. Marder, M.D.Director, VISN 22 [email protected] M. Glynn, Ph.D.Trainer/[email protected] H. Martin, san Gingerich, MSWWorkshop [email protected] A. Gilbert, a J. Hayden, m5

VA Social Skills Training for Serious Mental Illness2-DAY WORKSHOP AGENDADay 1:8:00a.m.Registration opens8:30a.m.Convene and Introductions8:45a.m.Plenary Presentation on Recovery and Introduction to VAinitiative for dissemination of Evidence Based Practices9:45a.m.Presentation of the Social Skills Training Model: What is themodel and how do you teach it?10:30a.m. Break10:45a.m. Video viewing of a SST group and discussion11:30a.m. Overview of VA-SST Project and Discussion of ConsultationModel12:00p.m. LUNCH1:00p.m.Breakout groups until 3:30p.m. (10-minute breaks at 1:50 and 2:50)3:45p.m.Orienting Veterans to the SST Groups4:15p.m.Brief role-play (in dyads) of dialogue with veteran to obtain consentand discussion4:25p.m.Participants will be asked to list three challenges they expect inimplementing social skills training groups at their agency.Participants will be asked to do this before they leave the room.4:30p.m.End of Training Day 16

VA Social Skills Training for Serious Mental Illness2-DAY WORKSHOP AGENDA (CONTINUED)Day 2:8:00a.m.Orientation to Day 28:15a.m.Panel discussion on strategies for common clinical challenges inconducting SST groups9:00a.m.Breakout groups until 12:00p.m. (10-minute breaks at 10 and 11)12:00p.m. LUNCH1:00p.m.Starting a Social Skills Training Group in the VA2:00p.m.BREAK2:15p.m.Technical Aspects of the VA-SST Project3:00p.m.Wrap-up and Evaluations3:30p.m.End of Training Day 27

VA Social Skills Training for Serious Mental IllnessSocial Skills TrainingResources8

VA Social Skills Training for Serious Mental IllnessGUIDELINE FOR INDIVIDUAL SESSIONS1. Introduction of facilitator(s)2. Discuss purpose of group; how different from “other” groups3. Discuss general format of groups (i.e., homework review, skillintroduction, role plays, feedback, homework)4. Discuss group expectations [NOTE: IF CLOSED GROUP MAY DOTHIS AT FIRST GROUP SESSION]5. Obtain informed consent for audio taping [NOTE: OBTAINCONSENT PRIOR TO AUDIO TAPING INDIVIDUAL TAPING]6. Goal setting7. Give handout with facilitator names and contact info, group settinginfo (time, room, etc.)9

VA Social Skills Training for Serious Mental IllnessBRIEF GOAL ASSESSMENT:SOCIAL SKILLS TRAINING INDIVIDUAL GOAL ASSESSMENT - EXAMPLEJane VeteranName:Date:9/15/08Education (highest level completed):11thCurrent occupation:Work in linen roomWork history:Used to clerical work ( 1982-1995); U.S. Army (1979-1982)What activities are you involved in on a daily or weekly basis?Watch t.v., go toVA to linen room and appointments, Go to coffee shop and play cardsAre there any activities that you are currently not participating in but would like to?Used to like to bowl, but can’t anymore with back problems; like to dopuzzles;Used to like photographyWho are the people you spend most of your time with?People in group home –especially Bob; People in linen room; My sister visits on some Saturdays ( 2Xper month)Are there people whom you do not currently spend time with but would like to?Iwouldn’t mind having a boyfriend; Can’t think of anyone elseIdentify two goals that you would like to achieve within the next 6 months (short-termgoals).1.Work 20 hours instead of 152.Maybe get camera fixedIdentify two goals that you would like to achieve within the next year (long-term goals).1.Get a boyfriend2.ndFrom Social Skills Training for Schizophrenia (2 ed.) by Alan S. Bellack, Kim T. Mueser, Susan Gingerich, and JulieAgresta. Copyright 2004 by The Guilford Press. Permission to photocopy this form is granted to purchasers of thisbook for personal use only (see copyright page for details).10

VA Social Skills Training for Serious Mental IllnessSAMPLE GROUP EXPECTATIONS HANDOUTSocial Skills TrainingGROUP EXPECTATIONS1.Please stay on the group topic.2.Only one person may speak at a time.3.No name-calling or cursing.4.No criticizing or making fun of each other.5.No eating or drinking during group.6.Others?11

VA Social Skills Training for Serious Mental IllnessEXAMPLE GROUP INFORMATION HANDOUT TO VETERANSWELCOME TO SOCIALSKILLS TRAININGGROUP!!In Social Skills Training groups, we will talk aboutand practice new ways of getting along with otherpeople. In this group we will not spend a lot of timetalking about problems and feelings. The main waygroup participants practice new skills is throughrole-plays (pretending to be in a particular situationand acting it out) and getting feedback from thegroup. The feedback is positive and the groups endup being fun.We look forward to you joining the group!Here is some important information for you about thegroups:Name of the Group Leader(s): Dr. GearonContact phone number: 222-5555When the groups are held: 3pm-4:30pm (time)Tuesdays & Thursdays (days of the week)Where the groups are held: 38 (building)2nd (floor)213B (room)12

VA Social Skills Training for Serious Mental IllnessGROUP SESSION SEQUENCE1. Review homework2. Give a rationale for the skill3. Briefly have members share a relevant experience or rationale4. Explain the steps of the skill5. Model the skill; review the model6. Have a group member role-play7. Give feedback8. Have the member role play again9. Solicit feedback from the group10. Repeat role-play again and provide feedback11. Repeat Steps 6-10 with each other group member12. Give out homework13

VA Social Skills Training for Serious Mental IllnessGOALS MONITORING SHEET:SOCIAL SKILLS GOALS CLINICIAN RATING SCALE - EXAMPLEName:Clinician:Jane VeteranDr. WhiteCheck Rating Period: Initial:Date: 12/27/08; 3 months X ; 6 months; Other time periodClinician: Please list all goals set at initial meeting as initial goals. All goals that aremodified should be listed in the lower section under “Modified/New Goals.” Any goalsset in subsequent meetings are also recorded in the “Modified/New Goals” section.Dates of goal outcomes should be placed in the selected boxes.Initial GoalsGoalsDate set1. Increase work hours9/15/08to 20 per week2. Start aconversation with amaleNotachievedPartially FullyModifiedachieved achieved (see New GoalsGoals5. Increase workModifiedfromgoal #Date set112/27/08NotPartially FullyModifiedachieved achieved achievedhours to 18 aweek6.7.8.ndFrom Social Skills Training for Schizophrenia (2 ed.) by Alan S. Bellack, Kim T. Mueser, Susan Gingerich, and JulieAgresta. Copyright 2004 by The Guilford Press. Permission to photocopy this form is granted to purchasers of thisbook for personal use only (see copyright page for details).14

VA Social Skills Training for Serious Mental Illness120PRINCIPLES, FORMAT, AND TECHNIQUESTABLE 8.2. Strategies for Common Problems in Social Skills Training GroupsGeneral Principles1. Encourage participation by each person according to his or her ability.2. Set clear expectations.3. Praise small steps toward improvement.Specific problemsDifficulty in followinggroup formatReluctance to role playProviding vague orcritical feedbackDifficulty in completinghomeworkStrategiesAt the beginning of group, remind members of format.As group progresses, point out each phase.Consistently redirect people when they go off the topic or interrupt others.Provide written handout or poster of format if problems persist.Acknowledge shy feelings.Engage person in observing others role play.Engage person in providing feedback.Start with a shortened version of role play.Gradually increase the number of steps to perform in a role play.Consistently model appropriate feedback.Guide people by asking questions about specific steps.Stop critical comments.Reframe criticisms into constructive suggestions.Provide handout or poster about feedback if problems persist.Write down assignments.Start with simple tasks.Help plan where, when, and with whom assignments will be completed.Review previous assignment at beginning of each session.Problem solve about obstacles encountered in completing assignments.Consistently assign and follow up homework.Request assistance in completion from family or staff members.Tailor assignment to the individual.ndFrom Social Skills Training for Schizophrenia (2 ed.) by Alan S. Bellack, Kim T. Mueser, Susan Gingerich, and JulieAgresta. Copyright 2004 by The Guilford Press. Permission to photocopy this form is granted to purchasers of thisbook for personal use only (see copyright page for details).15

VA Social Skills Training for Serious Mental Illness128PRINCIPLES, FORMAT, AND TECHNIQUESTABLE 8.3. Strategies for Problems Related to Clients Who Experience Severe S