College Depression

& Life Skills Group

Gary Mayne COUN 547- Group Process

November 13, 2014

Presenting Problem

Depression

Preventative Intervention

Transitional time of life

Life Skills

Assertiveness Training

Support Systems

Positive Self-talk

-Symptoms of Clinical Depression-

(Wisdom, Clark, Green, 2006)

Rationale of Program

persistent, sad, anxious, or "empty" moodsleeping too little or too muchchanges in weight or appetiteloss of pleasure or interest in activitiesfeeling restless or irritable

persistent physical symptoms, like headaches and stomach aches that don't respond to treatmentdifficulty concentrating, remembering, or making decisionsfatigue or loss of energyfeeling guilty, hopeless, or worthlessthoughts of suicide or death.

Rationale of Program…Depression highly prevalent mental disorder in university students, with rates of major depressive disorder (MDD) in this 8% to 20% depending on schoolDepression in college students strongly associated with:

suicidal behavior substance abusecollege dropoutloss of academic productivityacute infectious illnessantisocial behavior

Inhibit occupational path and earning

Variables identified as collegiate depression risk factors:

female gender being a first year college student lower social classyounger agenot being married or in a domestic partnershipliving in urban areashigher levels of irrational beliefs and stressful life events less engagement in sports or fun activities

Lower rates of pleasant activities and less assertiveness were also included as risk factors High levels of anxiety lead to depression

(Blanco, Rohde, Vasquez, Otero, 2014)

Clinician Qualifications

CBT Competent

Clinical Group Therapy Training/Experience

MDD Competent

Supervised by University LCSW and LCPC

Setting & Format

University Health Center

Classroom

10 Members

Semi-Structured

Closed Group

10 Sessions

No Cost

1 Hour Sessions

Freshman Orientation

Table set-up with information (handouts & pamphlets)

Beck’s Depression Index (Screening Tool)

Score of 30+ qualify student for individual session

Sign-up for a contact from Group Clinician

Schedule individual session- screen for group admittance

Participants Recruitment and Selection

Session 1“What White Lie?”

Ice Breaker

Write Two Truths and a Lie

Participants Vote on which statement is a lie

Person with fewest votes wins

Establish Group Norms

Establish Group Rules

“What is Depression”

Free Response

Session 2Check-In

Goal Setting

Strength Inventory

Improvements

Gestalt Approach

Free Response to different areas of college and their challenges

Session 3

Check-In

Free Response

A-B-C Model

Feelings, thoughts, behaviors, interventions

Cognitive Restructuring

“Thought Stopping”

Session 4Check-In

Free Response

Self-Esteem Activity

Strengths

Qualities

Self Talk

“Up-talk”

“Down-talk”

Session 5

Check-in

Free Response

Self-Care

Well-being Steps

Homework distributed

Self-Esteem Journal

Session 6Check-in

Free Response

Review A-B-C Model

Share Completed Homework

Free Response

Response to Self-Care?

Session 7Check-in

Free Response

Communication Inventories

Aggressive

Assertive

Passive

Passive-Aggressive

Session 8

Check-in

Introduce Termination

Review Communication Styles

“I Statements”

Role Play

Free Response

Session 9Check-in

Free Response

Conflict Resolution

Problem-focus, not person

Active listening skills

Time-outs

Resolution

Scripted Conflict Role Play

Session 10Check-in

Free response

Termination

Progress made

Memories of group

Changes to process for future groups?

Blanco, V., Rohde, P., Fernando, L. V., & Otero, P. (2014). Predictors of prevention failure in college students participating in

two indicated depression prevention programs. International Journal of Environmental Research and Public Health, 11(4),

3803-3821.

LaRue, D., & Herrman, J. (2008). Adolescent Stress through The Eyes of High-Risk Teens. Pediatric Nursing, 34(5), 375-380.

Dugas, Erika, MSc;Low, Nancy C P, MD, MSc;Rodriguez, Daniel, PhD;Burrows, Stephanie, PhD;Contrera, Early Predictors of

Suicidal Ideation in Young Adults Canadian Journal of Psychiatry; Jul 2012; 57, 7; ProQuestpg. 429

Wahl, M., Patak, M., Pössel, P., & Hautzinger, M. (2011). A school-based universal programme to prevent depression and to

build up life skills. Journal of Public Health, 349-356.

Wisdom, J., Clarke, G., & Green, C. (2006). What Teens Want: Barriers To Seeking Care For Depression. Administration and

Policy in Mental Health and Mental Health Services Research, 133-145.

Johnson, Andrew O, PhD;Mink, Michael D, PhD, MPA;Harun, Nusrat, MSPH;Moore, Charity G, PhD, MSPH; Violence and

Drug Use in Rural Teens: National Prevalence Estimates The Journal of School Health; Oct 2008; 78, 10; ProQuest, pg. 554

Robb, A. (1999). Teens &Depression: Recognizing Red Flags. National Women's Health Report, 21(2).

Gladding, S.T. (2011). Groups: A Counseling Specialty (6th Ed.). Upper Saddle River, NJ: Merrill/ Prentice Hall

Therapist Aid: Therapy Worksheets, Tools, and Handouts. (n.d.). Retrieved November 12, 2014.

References

http://img.thesun.co.uk/multimedia/archive/01492/Munch_1492554a.jpg

http://th00.deviantart.net/fs29/PRE/f/2008/128/9/b/Depression__line_art__by_ShadowandSniper.png

http://depann2000.com/gallery/temp/depression-tumblr-art-7119.jpg

http://cfs.appstate.edu/images/filecabinet/folder1/depression_art.jpg

http://3.bp.blogspot.com/-Z3TbVKdc9fA/TrmbP15YraI/AAAAAAAAAUc/N_gmPblpFiE/s1

http://www.mytherapy.com/discussion/member_images/KXHUWZRXYUQ

http://www.palomar.edu/counseling/Images_Counseling/DiverseStudents_Zoom.jpg

http://shoeboxblog.com/wp-content/uploads/2013/01/cheer-up.jpg

References