Outpatient Mental Health

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G R O U P D E S C R I P T I O N S Outpatient Mental Health is designed to provide a variety of daily therapy groups including process groups, addressing particular issues, psycho-educational groups, teaching specific skills & areas of knowledge, and other groups which provide an opportunity for expanding socialization skills & the ability to move comfortably in the community.

P r o c e s s G r o u p s Exploring Your World Through Film This group is designed to use film as a vehicle for exploring feelings, one s sense of Self, perceptions of others, and to provide exposure to different ways of being in the world. Films will be selected to offer a broad array of themes. After viewing a film, clients will have the opportunity to share their experience as well as to process. Relationship Skills The relationship group is focused on different types of interpersonal relating. The group is mixed and addresses intimate relationships, family relationships, peer or business relationships, as well as friendship relationships. In addition, we look at a variety of communication styles, and develop communication skills and effective ways to deal with conflict and boundary setting. The Art of communication In this interactive group members will learn communication skills building that include listening, self-disclosure, eye contact, assertiveness training, negotiation, and conflict resolution. By learning the steps necessary for effective communication group members will improve their ability to communicate verbally in social, family, business, and school settings. Expressive Bookmaking Expressive Bookmaking is a process group in which members have the opportunity to creatively explore the story of their lives. Members will build a foundation for their books through a timeline that encompasses the stages of life, significant events, phases of personal growth as well as the evolution of the Self and ones relationships. This will be expressed through mixed media including, but not limited to: collage, painting, drawing, poetry, and storytelling.

Poetry Therapy This is a process group in which reading and writing poetry is a vehicle for exploring feelings, thoughts, conflicts a full range of issues. The overall goal is to explore the Self in ways that will positively impact how participants move in the world and to develop or enhance the place of writing & reading poetry in connection with their deeper selves. Examples of themes include: hope, coping with life s stresses, mindfulness, family, self-worth, childhood issues, coping with anger, fear, loss and change and/or life transitions, among others. Appreciating music/music Therapy Connecting with others through music can be a powerful and healing experience. These groups foster emotional and social connections between clients through discussions and expressions of feeling, thoughts, and memories. Social and emotional bonds are cultivated through participation in music-related activities including: active music listening experiences, songwriting, creating music, and exploration of different musical genres. Topics for discussion will arise from the completion of tasks centering around music and the auditory senses. Art Therapy Art therapy is a process group in which clients have the opportunity to engage in the making of visual expressions for personal exploration and growth. Gaining insight and understanding as well as expressing feelings for communication to self and others is the main focus. The therapist will facilitate the group members use of art materials and various art processes in discovering paths to solve problems, console pain, face losses and disappointments, acknowledge and celebrate success and to reveal self. Incorporating reflection from group members provides the opportunity for processing these group experiences.

An expression of grief and loss The focus of this group is on identifying the range of life experiences around which humans grieve. These experiences could range from the death of a loved one to the loss of one s own talents and former self through mental illness. Clients explore and learn about the nature of the grieving process. In addition, through the act of using their personal experience and hearing of those of others, clients begin to grasp the range of ways and journeys used by others to deal with loss. Building connection: healing shame through resiliency This evidenced-based psychoeducational group uses the curriculum developed by Dr. Brene Brown. In group, clients complete worksheets, participate in discussion and activity to learn about and heal past shame, and develop skills to enhance their capacity for empathy, resilience to shame, and connection with others in order to live an authentic and resilient life of wellness with a chronic illness. Reflections, Myths & Fables This group encourages the processing of internal conflict through the use of projective material delivered through readings. Traditionally, fairy tales and myth are often used as models of healing and conflict resolution. Each session begins with a reading and the group will then be asked to process the reading through mutual discussion. Members will be encouraged to dig deeply into their feelings, but will also be permitted to approach the material from a more intellectual viewpoint.

High level wellness This process oriented group teaches participants how to balance and manage the important aspects of their lives. This includes managing their mental illness, physical issues, addictions, intellectual needs, relationships, vocational pursuits, creativity, recreation and meaning in life. Cognitive behavioral skills for depression, anxiety, anger management, assertiveness, stress management, positive selfesteem, relationship building and more will be learned and applied to participants lives while concurrently planning and implementing an overall wellness lifestyle. Trauma and recovery Participants in this group will both see and understand that the healing of traumas places them on a road where they are able to express themselves, their gifts, talents, and skills more fully. It s a road to better relationships in the present, and future, by healing the past which provides a more fulfilling life in general. Topics covered include the steps to resolving traumas while the focus will be on changing thoughts, emotions, somatic experiences, and behaviors.

D i a l e c t i c a l B e h a v i o r a l T h e r a p y DBT Psychosocial Skills Training These psycho-educational groups provide a safe environment for members to effectively develop skills to manage undesirable behaviors and realize more of their potential. The focus is on interpersonal effectiveness, emotion regulation, distress tolerance and mindfulness. Members are instructed in the use of a Diary Card to support symptom management and desired behavior change. In addition to the Diary Card, homework assignments are given and reviewed each week for the purpose of skills integration. DBT GROUPS OFFERED DBT PSYCHOSOCIAL SKILLS TRAINING GROUPS CO-OCCURRING DBT SKILLS TRAINING GROUPS INDIVIDUAL DBT COACHING SESSIONS

P s y c h o - E d u c a t i o n a l G r o u p s Career Exploration & Development This group enables members to process concerns and/or barriers in identifying, developing, and implementing their educational and occupational goals. Group member s interests, skills, work related values, personal strengths, and limitations are explored. Concurrent activities include: resume writing, job interviewing skills, vocational exploration, and navigating symptoms in a school or work setting. Members will also learn the independent living skills necessary to manage their lives in the community. Smoking Cessation This group is designed to enhance each clients motivation to stop smoking and assist the client in developing a personalized smoking cessation plan. As such, we explore and cultivate resources and strategies for coping with triggers, withdrawal, stress, anxiety, and other emotions/experiences related to smoking history. Nicotine replacement therapy will also be a topic of discussion as the group members provide ongoing support and encouragement toward a commitment to quit. Addictions, Triggers, & Patterns The purpose of this group is to provide resources and support for group members to identify and explore a wide range of addictions, triggers and/or behavioral/thought patterns. The focus will be allinclusive, and will not be limited to just those involving substance abuse. Clients will work to assess their needs, understand how the pattern or behavior serves them and eventually create individualized plans for addressing the issues/behaviors/ thinking that interfere with that individual s growth & sense of well-being. Sharing of ideas and feedback amongst members will be encouraged, as well as artwork and writing as an alternative means of expression.

A mindful approach to healthy eating This group educates members about the significant role wellness and healthy eating plays in one s recovery. Group members will explore the concepts of intuitive eating, balanced nutrition, how to make healthy food choices outside of one s home and routine, and goal setting in regards to healthy eating habits. Participants will also have the opportunity to learn how to prepare and cook healthy, balanced meals during the group. Anger/Depression Management This process and psycho-educational group uses evocative art directives to create personal awareness of how anger is triggered, experienced and expressed. Through nonverbal and verbal processes clients are coached to recognize feelings and communicate them in modulated and functionally adaptive ways. Interactive exercises promote empathy, recognize feelings, and provide relationship building skills. Living Well Living Well is a psycho-educational group designed to assist group members with learning the key skills necessary to prepare for an navigate independent living. Topics include: budgeting for independent living, learning to navigate public transportation, developing awareness of community resources, learning organizational strategies for home and life, strategies for managing daily living skills such as laundry, cleaning, and grocery shopping. The facilitator also focuses on providing a supportive environment in which members feel comfortable sharing independent living challenges into the group for discussion, feedback, and to explore solutions.

Acceptance Group This interactive group is designed to provide support and resources for members to explore the challenges presented by their mental illness and other life circumstances in a safe, nurturing environment. The facilitator aims to provide support and understanding while also empowering members to explore skills and strategies to better assert themselves and navigate their symptoms and challenging circumstances. The support of the group and skills taught by the facilitator are designed to equip members to work towards a place of healthy acceptance. Positive Psychology Positive Psychology is the study of strengths that enable individuals and communities to thrive and how positive emotions influence personal development. The core belief within positive psychology is that people want to lead meaningful and fulfilling lives, to cultivate what is best within themselves, and to enhance their experiences of love, work, and play. This group introduces topics from the field and applies these concepts through discussion, exercises, worksheets, journaling, and other exploratory activities. Through Strength and Struggle This group focuses on empowering its members to gain the skills necessary to sustainably navigate through stressors and stressful stimuli. The goal is to reliably, practically, and consistently integrate new coping skills into members everyday lives. The primary focuses are: recovery, mental health wellness and relapse prevention, healthy lifestyle and mental health recovery. Group members will learn, practice, and be held accountable for implementing practical coping skills weekly. The group will achieve this aim through a guided curriculum which includes reading materials, in-group handouts/worksheets, experiential interventions, and healthy coping modeling exemplified in the process of the group itself.

Creating a Successful Job Seeking Campaign This interactive group is designed to provide support and resources for members to explore the challenges presented by their mental illness and other life circumstances in a safe, nurturing environment. The support of the group and skills taught by the facilitator are designed to equip members to work towards a place of healthy acceptance. Observations in gratitude This psycho educational group provides members with an opportunity to explore all the unique gifts in our life, no matter the circumstances. Through meditation, journaling, breathing exercises, and other mindful practices, members will focus on and process with the group the positive aspects of their lives. These practices are designed to increase empathy, improve self-esteem, reduce anxiety and depression, and provide an overall better quality of life. Exploring industries Is designed to provide group members with the opportunity to explore the local job market via outings in the community. Each week the group facilitator will choose site visits tailored to the interests of the members as they work toward overall group objectives. Problem solving with c.b.t. This psycho educational group is designed to educate members around the use of Cognitive Behavioral Therapy as a means to problem solve issues and challenges in their lives. Members will learn the seven steps to solving a problem and also the five steps of CBT that help in the process.

T h e r a p e u t i c R e c r e a t i o n a l G r o u p s Current Events This group focuses on the social interaction between clients and while offering an awareness of the larger world. Clients watch and read local and world news stories from a variety of newspapers and news sites and then engage in lively conversation with each reviewing and commenting on a news story. Hiking This is a therapeutic socialization group that has as its overall goals: to learn to utilize community resources; interact cooperatively with others; utilize the natural environment, exercise for stress reduction, and improve comfort level in unstructured group environments. Staff models and coaches for social interaction, encourages environmental awareness and facilitates group decisionmaking. Women s group This group offers clients the opportunity to socialize with other women, of similar ages and varied life experiences. This shared social experience can offer personal growth opportunities adjunctive to individual therapy, such as normalization of experiences. The group will engage in a variety of activities such as playing games, taking outings in the community, discussing books and film and gathering to complete craft and baking projects. Group members will be encouraged to collaborate and provide input regarding recreational possibilities for the group, which will be incorporated, allowing the group to evolve over time.

Sanctuary Centers of Santa Barbara P.O. Box 551 Santa Barbara, CA 93102 Phone: 805.569.2785 Fax: 805.563.1977 Our Goal: To ensure clients have a safe, inviting environment in which to do the personal work that has led them to seek a day treatment program. We hope the experience all our clients have in the Arlington program will allow them to develop and enhance a range of skills and a sense of well being. It is our hope that their experience here will contribute to a strengthened sense of self as they walk in the world and enable them to pursue directions that tap their greatest potential. for more Information regarding Outpatient mental health groups, call: 805.569.2785