PSYCHOSOCIAL REHABILITATION POLICY AND IMPLEMENTATION GUIDELINES FOR THE WESTERN CAPE PROVINCE

(REF: 19/6/3/3/3)

Draft 1 June 2004 Part 2 Dear Colleagues This is Draft 1 of the PSR implementation guidelines for circulation, input and comment. This is very much a working document so Please circulate and discuss as appropriate. Where possible a group review would be appreciated. Please forward your comments by 31 JULY 2004 Please submit comments to: Fadia Gamieldien Dept. of Health: WCP Directorate: Public Health Programmes Subdirectorate: Mental Health & Substance Abuse Tel: (021) 483 4572/4003 Fax: (021) 483 4345 Email: [email protected] Draft 1 Part 2 2

15 Tools Section 30 15.1 Guideline for Starting PSR Groups for Clients 31 15.2 Framework for Practice 32 15.3 Assessing Current Group Status Questionnaire 34 15.4 Statistics Collection Data Sheet 39 15.5 Community Mental Health Services Referral For Groups 42 15.6 Wellness Group Planning 44 15.7 Costing Exercise 56

16. Appendix 1 58 16.1 Background: PSR in South Africa and the National Policy Process 58 16.2 The Significance of PSR in South Africa 58 16.3 The Status Of Persons Affected by Mental Health Concerns 59 16.4 Reorientation to Focus on Community Based Services 59 16.5 Intersectoral Collaboration thus far 60 16.6 The Integration of PSR into Primary Health Care 60

Help! These are not included as yet but probably needs to be. Summary of key recommendations Implementation Context Critical Success factors Phases of implementation National. Provincial and district level responsibilities Staffing the service Cost of the PSR Service Estimated costs of implementing the policy Guidelines for CBR services Guidelines for Working Life area Guidelines for Living environments Guideline for learning environments

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15. Tools Section

In this section it would be great if we could collate all the different forms/tools currently in use as. Guidelines for setting up a part of the service. A lot of work has been done in the area of groups in the socialising area which is included here for comment Groups but the same materials are needed in the other life areas unclear. Any ideas??

It would have to read: Guideline for starting a range of living options? Guideline for vocational rehab groups? For starting a small business activity as part of vocational rehabilitation? Activity centres: what can be offered? Learning opportunities? Running a group home /halfway house?? Are these not best suited in a separate document like a technical report that you would read in conjunction with the policy? Else what u list needs to be broad principles. Specific details are meant for service protocols. ????????

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15.1 Guideline for starting a PSR (socialising) group for clients (refer to previous comments. Consider placing in a separate document) The following are different guidelines to consider when establishing a PSR group for clients. General Pointers for Group Work  The group should have a name (members decide) and a focus (does it cover one life area e.g. socialization only), how is this done by group or facilitator?  Facilitator should decide whether to have an open or closed group based on clinical assessment (this contradicts the above)  Determine if the group will mainly be a discussion group or a more active group including activities  Consider what is the best option for your group i.e. one facilitator versus a facilitator plus co- facilitator  Clients should ideally choose their own topics and the facilitator and clients should assess resources to decide how identified topic will be dealt with  Facilitator to plan groups and consider the following: choose topic, choose main goal, use activities, use ROPES, and see reading list for supporting material  Decide on one topic per session for effectiveness  Determine what the outcome of the group should be: Going through a process or producing an end product  Please remember that it takes time to integrate knowledge.  Groups should be as interactive as possible (e.g. give participant the task to do the review).  Concrete activities work better for persons with short concentration spans.  Research has shown that persons remember 80 % if they listen, participate and see at the same time.  Make use of recapping through sessions to review the reason for meeting and what would they like achieve.  Rehabilitation goal in life area(s) identified rather than emphasis on diagnosis. Life areas: Working, Living, Learning, Socialising  Focus on life area goal – group aim for session and individual aim for session  What do members get from the group: safe space, activities, peer support, socialization, life skills, and learning opportunities  For each theme try to include a life skills/ psycho education/ activity and support components to illustrate the theme  A reflection book (written or collage) for clients to monitor their own progress is often useful  Regular meeting times: daily, weekly, every 2nd week, monthly should be decided on by group  An attendance register is useful to monitor attendance and pick up fluctuations (Factors affecting attendance such as public holidays, weather, time of year, etc)  Facilitator should ensure that they have the contact details of each member  Possible Questions to ask: Where do you live/learn/work/socialise? Where would you like to live/learn/work/socialise?

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How can we assist you? Remember it is a slow process!

15.2 FRAMEWORK FOR PRACTICE OF PSR The framework if it is to be included has to be summarised into two or three paragraphs and maybe even presented diagrammatically. Your description of the framework has to include broad principles, which can be applied within any setting. ENTRY CRITERIA TO GROUPS

Clients must be medically stable INDICATORS Referral form Referral form needs to be standard across all settings Rehab goal set don’t duplicate information on discharge summary in discharge Rehabilitation goal summary or In life area(s) identified rather than emphasis on diagnosis with group facilitator Life areas: Working, Living, Learning, Socialising Physical disabilities (be careful of labelling) to be included Profile of priority goals WHAT MUST BE IN PLACE IN ORDER TO SET UP GROUPS across referrals Indicate who is responsible for what No. of referrals  Central collection point for: referrals, data, stats, files over time  Referring agents must know referring criteria No. of chronic  Set priorities for target groups (who does this ?) No. of at risk e.g. At risk groups which includes psychiatric patients, chronic care, the elderly, clients youth  Compile a resource / social map of rehabilitation services No. of referrals over time  Co-ordination of PSR activities per district to ensure continuity of care  Create a profile of the groups No. trained  Choose an accessible venue such as a community facility /GH/library/ church facilitators and which training Multipurpose centre, etc they received  Symbiotic relationship between mental health nurse and group facilitator – exposure, marketing, feedback, sustainability, support Client goals recorded  Health worker able to screen appropriate clients for groups  Trained group facilitators (who are they) Plan and evaluation for GROUP CONTENT (as determined by?) each session Groups may have a maintenance and active rehabilitation components. The mix of Variety and people attending often influences this. frequency of  Focus on life area goal desire and accomplishment for the group and different types of sessions individual aims.  Referral strategies (out of group) to ensure continuity of care and active Attendance registers stats WCP PSR Policy and Implementation Guidelines-2004 themes/ content Draft 1 Part 2 6

 rehabilitation  What do members get from the group: safe space, activities, peer  Support, socialization, life skills, learning opportunities  Reflect element of choice in group themes: combination of life skills/psycho- education/activity/ support components every month  Reflection book for clients to monitor own progress

MAINTAINING / ONGOING FUNCTIONING OF PSR GROUPS  Pre & post group planning and evaluation  Regular meeting times: daily, weekly, every 2nd week, monthly?  Attendance register  Members (reps) from group to attend district based forums (e.g. CCAB, rehab forum, CANSA, etc)  Group members co-facilitate groups via skills development  Link up with existing groups in district to encourage crosspollination  Monitoring tool for group and individuals. Consider: progress, Rehab goal achievement, no. of groups planned vs. happened, mergers, attendance  Regular referrals received  Referral out (to other agents e.g. vocational rehab/ social map)  Document/communicate with sister re clients progress as integrated clients have ltd. MHN contact  Factors affecting attendance (public holiday, weather, time of year)

Points to consider Need for cross-pollination i.e. include community members with a range of disabilities & diagnoses? Psychotropic meds are scheduled therefore can’t be issued by anyone In full Meds issued to MH clients on 6- month Basis (elaborate)

If this service is integrated into the clubs where a holistic health screener is offered (Physical & MH status assessed) then can it be argued that:  Waiting times will decrease  Health services will increase  Promotive services will improve  Productivity in other life areas will improve  Meds (in full) availability is a factor for what

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15.3 Assessing Current Community Group Status Questionnaire (With kind permission from the Directorate: Health Promotion, WCP)

What is the name of the Group? ______

______

What is the function of the Group? ______

______

Who facilitates the group? Nurse Social Worker Health Promoter NPO Other

Where does the Group meet? ______

______

How many people attend group sessions? Under 8 9 - 20 21 - 30 31 - 40 More that 41

How many members referred to the group? ______

______

Are the members locally based? Yes No

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Do members travel to the venue? Yes No

What is the furthest distance? ______

______

If members travel, are they financially supported? Yes No

Does a group meet on a regular basis?

Yes No

How often do members meet? Daily Weekly Fortnightly Monthly Other

Is there an attendance register? Yes No

Is the group self-supporting? Yes No

Is it funded? Yes No

If funded, who funds the group? ______

______

What is the main purpose of the group?

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______

______

What are the long-term objectives? ______

______What activities are offered? ______

______

Do group members set goals for themselves? Yes No

Are these goals set as a group? ______

______

Do members participate in determining group activities? Yes No

Do members share responsibilities for the organization of the group and it’s activities? Yes No

Do members participate in planning, monitoring and evaluate of the group? Yes No

Do members monitor their own projects? Yes No If so how? ______

______

Are there other ways in which group members are encouraged to participate and take responsibility for outcomes?

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______

______

______Does the group coordinate with other groups? Yes No

If yes, with what purpose? ______

______

______Does the group participate in forums in connection with the support group? ______

______

From where do you access services and resources to support group activities? ______

______

______

______Do you have a resource list for referral to other services, relevant activities? ______

______

Are the group members screened for overall physical and mental health status? Yes No

Is there a mechanism for regular feedback to the care provider? Yes No

What services are required that are not available to you/ your group? ______

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______

In you opinion, what are the emerging and unmet needs of the group/ group members? ______

______

______

______

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15.4 Statistics Collection Data Sheet GROUP NAME / AREA: ______

STATS FOR THE MONTH OF: ______

M O N T H L Y NO. NAME D A T E S 1 NO. OF GROUPS 2 NO. OF CLIENTS 3 ATTENDANCES 4 NEW REFERRALS 5 REFERRALS OUT 6 GROUP OUTINGS/PARTY 7 FUNDRAISING EVENTS 8 PROMOTIONAL EVENTS 9 CARER CONTACT: 10 PHONE 11 FACE TO FACE 12 CLINIC SR. CONTACT: PHONE 13 FACE TO FACE 14 15 HOME VISIT (initial) 16 HOME VISIT (ongoing) 17 INDIVIDUAL WORK 18 FAMILY MEETINGS 19 LIFESKILLS TOPICS 20 ACTIVITY TOPICS 21 22 COMMUNITY MEETINGS 23 ADVOCACY MEETINGS 24 COMMITTEE MEETINGS REASON WHY GROUP 25 DIDN’T HAPPEN: REASON FOR FACILITATOR 26 ABSENTEEISM 27 28 VISITORS TO GROUP SPECIFY TYPE OF FACILITATOR STUDENT CO-FACILITOR STUDENTS INVOLVEMENT

Insert heading NO. OF GROUPS: How many groups ran that month. NO. OF CLIENTS - refers to number on the register. ATTENDANCES - refers total number of attendances for the

WCP PSR Policy and Implementation Guidelines-2004 Draft 1 Part 2 13 month. NEW REFERRALS - refers to number of first time clients in the group for the month. REFERRALS OUT: refers to clients referred to other services outside of group (eg Cape Mental Health, Fountain House, SANCA, social services, etc GROUP OUTINGS - refers to social events organized for group. PROMOTIONAL EVENTS: refers to any health promotion activities/days which group hosted or participated in. CARER CONTACT - refers to telephonic or face-to-face contact you had with clients’ caregivers. Please differentiate between the two. HOME VISIT - initial refers to time you go to client when group is new. ONGOING - refers to follow-up home visits you went on. Please indicate if nurse or other staff or group member accompanied you on it. LIFESKILLS - refers to topic workshopped in-group session. ACTIVITY - refers to craft or activity themes for the group during the month. GREATER CAPE TOWN CLUB - refers to representative attendance during that month. Name please. CLINIC SISTER CONTACT – refers to either telephonic or fact to face contact you had with the sister to plan, discuss or give feedback on clients in the group. Please differentiate between the two. Does not include Friday supervision sessions COMMUNITY MEETINGS: Forums in community where clients have given input ADVOCACY MEETINGS: Consumer Advocacy meetings attended by clients REFERRAL OUT - refers to outside agencies you've referred group clients too (eg. Cape Mental Health; SANCA, Social Services; etc) FAMILY MEETINGS: refers to family support meeting attached to this group. COMMITTEE MEETINGS - refer to meetings held outside of group time. FACILITATOR - refers to person facilitating the group. Please provide name whether OTA/CPN/SWA or clients. Initial please CO-FACILITATOR - refer to anyone assisting facilitator in running the group.

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15.5 COMMUNITY MENTAL HEALTH SERVICES REFERRAL FORM

GENERAL PRACTITIONER NEAREST RELATIVE/CAREGIVER

Name: ……………………………..……………………….. Name: ……………………………………………………………

Address: …………………………………………….. Address: …………………………………………..

………………………………………………………………………….. Tel no: (h) ………………………………………………………. Tel no: (h) ………………………………. ……………………

Tel no: (w) ………………………………………………………. Tel no: (w) ………………………………………………….. Relationship to client: …………………………….. CLIENT DETAILS: Name:………………………………………………………………………………………………………………… Address: ………………………………………………………………………………………………………………………… …………………… ………………………………………………………………………………………………………………………… …………………………………… Date of birth ……………………..Gender: M/F HomeLanguage: Employed: Yes/ No Income: Yes/ No If yes, specify by ticking: Impairment grant Pension Other

MEDICAL INFORMATION Diagnosis: Axis I …………………………………………….(Primary diagnosis)

Axis II……………………………………………(Secondary diagnosis/ personality traits)

Axis III………………………………………..(Medical information/ conditions)

Axis IV…………………………………………..(Social stressors)

Axis V……………………………….……………(Functional capacity)

Community Health Centre/Clinic attending: …………………………………………………….

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Folder no: ……………………………………… Last hospital admission: ……………………….………

Current medication: …………………………………………………………………………..…………

SOCIAL ASPECTS/ BACKGROUND Please indicate whether applicant: Has a history of aggressive behaviour Presently abuses alcohol Presently uses other substances If yes, please specify: ………………………………………………………………………………………………

REASON FOR REFERRAL ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ……………………………………………………………………………..

PSYCHOSOCIAL REHABILITATION GOAL Does the client have a rehabilitation goal? Yes  No  In what life area does it fall? Living  Learning  Socialising  Working  If able to, please list the goal s/he wants to achieve ………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………

REFERRAL SOURCE Name: ……………………………………………………………………………………………………………..

Service/ Organisation: ………………………………………………………………………………………….

Address:……………………………………………………………………………………………………………

Tel no: ……………………………………… Fax no: …………………………………………………

Feedback preferred: telephonic/ written/ fax/none

Signature: …………………………………………………….. Date: ………………………………

Please complete and send to the service with client.

Queries may be directed to:

The Occupational WCP Therapist/PSR Policy and OccupationImplementation Guidelines-2004Therapy Assistants This referral form was originally used by the community mental health team: Metropole region and is still used where OTA’s are based Draft 1 Part 2 16

15.6 WELLNESS GROUP PLANNING: COMMUNITY MENTAL HELATH

Group: ______Facilitators: ______Month: ______Needs: ______Theme: ______Life Area: ______

WEEK 1: ACTIVITY 1. Aim(s): ______2. Activity: ______3. Steps: ______4. Equipment: ______5. Expected outcomes: ______6. Outcomes: ______7. Report of session: ______

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8. Evaluation: ______Score: (1: poor - 5: excellent) ______Comment by therapist: ______Signature of facilitator: ______Signature of therapist: ______

WEEK 2: SUPPORT GROUP

1. Aim(s): ______

2. Activity: ______

3. Steps: ______

4. Equipment: ______

5. Expected outcomes: ______

6. Outcomes: ______

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______

7. Report of session: ______

8. Evaluation: ______Score: (1: poor - 5: excellent) ______

Comment by therapist: ______

Signature of facilitator: ______

12. Signature of therapist: ______

WEEK 3: LIFE SKILLS

1. Aim(s): ______

2. Activity: ______

3. Steps: ______

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4. Equipment: ______

5. Expected outcomes: ______

6. Outcomes: ______

7. Report of session: ______

8. Evaluation: ______Score: (1: poor - 5: excellent) ______

Comment by therapist: ______

Signature of facilitator: ______

12. Signature of therapist: ______

WEEK 4: SUPPORT OR SOCIAL GROUP

1. Aim(s): ______

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______

2. Activity: ______

3. Steps: ______

4. Equipment: ______5. Expected outcomes: ______

6. Outcomes: ______

7. Report of session: ______

8. Evaluation: ______Score: (1: poor - 5: excellent) ______

Comment by therapist: ______

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______9. Signature of facilitator: ______10. Signature of therapist: ______

MONTHLY PLANNER (courtesy UCT 4th year OT students) INTRODUCTION This document serves as a guide to assist in the monthly planning of Wellness Groups. The importance of planning well in advance cannot be underestimated in ensuring the overall effectiveness of the groups. Planning will take place on a monthly basis and will be based on a central theme. The topic for the monthly theme can come from one of two sources: From the theme of the combined Community Mental health and Cape Mental Health workshops Or from other relevant topics identified by group members and SASO’s. Monthly planning will be done to cover four weeks of group sessions. The basic outline of these four weeks is as follows: Week 1 – Activity Group Week 2 – Support Group Week 3 – Life skills Group Week 4 – Support or Social Group

For the purposes of this document, an example of the April 2002 theme will be used. This theme was taken from the previous workshop theme and is titled ‘The parent-child relationship’. The main aim of using this theme is to review the parent-child relationships that group members have, to identify positive and negative aspects of this relationship, to identify problem areas or needs with regards to this relationship, to address problem areas, provide support and positive input for group members. The Wellness Groups are based on and run according to the psychosocial rehabilitation model. This is a process that aims to facilitate an optimal level of functioning of the individual in society and is also concerned with minimising the impact of impairment on the individual. Psychosocial rehabilitation focuses on four life areas: living, learning, working and socialising.

WEEK 1 - ACTIVITY GROUP: For the main activity as in accordance with the Monthly Planner we will be asking the group participants to create a collage. The aims of this activity is to elicit and highlight themes regarding the participants parent/child relationships. ACTIVITY: Making an independent collage. Ask the clients to select pictures from magazines that represent their parent/child relationship (or another immediate family member relationship if the parent/child relationship is not applicable). AIMS: To identify within the session, themes or dynamics regarding the client’s relationships with an immediate family member.

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To expose the client to the concept of the parent/child theme SUB-AIMS OF ACTIVITY: To encourage social interaction between individual group members To increase individual group members concentration by providing the client with a concrete activity STEPS OF ACTIVITY: Tell ( professional driven vs client centered how does this relate to PSR principles) the client about the theme a week before session and ask clients to bring magazines Prepare activity and grading according to specific clients needs Prepare room and equipment Explain the theme to the clients Ask each client to think about a relationship with an immediate family member. Discuss the relationship, in general, that the client has with this family member. I.e. Who it is, is it a good or bad relationship, what makes the relationship good or bad, etc. Ask clients to select pictures from magazines that represent this relationship Complete collage Discuss the activity with the group Discuss each persons collage individually The facilitator will be responsible for starting and guiding the discussion. Each group member will be asked to describe their collage and the pictures in their collage. The group members will be asked to explain why their pictures remind them of the relationship Write down themes concerning the clients’ relationship that has been identified during the discussion Use these themes in future weeks and planning. The group facilitator will keep the collage for the duration of the month so that it can be referred back to during the month. SESSION REQUIREMENTS: Should allow opportunity for success Should allow for others to witness success so that they can give praise Should encourage socialization and interaction with others through sharing of equipment Should be gradable in terms of the need to be assertive Should allow for achievement and provide satisfaction ACTIVITY REQUIREMENTS: Should be demonstrate able Should be concrete Activity must be broken down into smaller steps Instructions for the activity should be able to be given in numerous ways. (i.e. Verbal, demonstration, visual cues) Should be completed in a specific time frame. Recommended time being 20 –30 minutes to select pictures and paste them down. EQUIPMENT FOR COLLAGE: Glue Scissors

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A3 paper for each client Kokis Magazines Newsprint to write themes up Tables Chairs GRADING Downgrading: The facilitators can prepare some cut out pictures before hand. Therefore if cutting is proving to difficult for some members or if they are becoming too distracted paging through magazines they will be able to choose from the cut out pictures. Give individual attention to those group members who are battling with the task. If participants find it difficult to cut out pictures, encourage them to tear them out. TIME Introduction 5 minutes Icebreaker 15 minutes Collage 20 minutes Discussion 20 minutes Closure 5 minutes WEEK 2 – SUPPORT GROUP AIMS: In this session, to address and discuss problems (needs) identified during the making of the collage in week one. To allow each group member to have the opportunity to express his or her concerns, feelings, experiences regarding the theme. To provide support for group members through listening and working through problems relevant to the client. ACTIVITY: To discuss problems or needs identified in the previous week. To use role-plays of these problems or needs. To discuss the role-plays. STEPS: Begin group in normal fashion. I.e. For some groups this involves a prayer, for others an exercise session, for others a review of their week etc. Use an icebreaker. Discuss with the group what is going to be happening in the session and why. For example: Tell the group that in this session they will be discussing problems or needs which they came up with last week when they were doing the collages. Explain that this week the aim of the group session is to provide support and to give everyone a chance to talk about his or her problems or needs further. Explain that you might use role-plays in the session so that everyone understands. Then bring out the collages that were made last week and the pieces of paper on which last week’s problems or needs were written.

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Go over with the group what was said last week. Time will then be spent discussing problems and allowing group members to provide support and listen to one another. If applicable, role-plays can be used. In these role-plays group members can act out their problems that they are experiencing. Discussion can then continue regarding these role-plays. Each group member should be encouraged to contribute to the session. In conclusion of the session, the SASO should summarise what has gone on and what conclusions the group has come to. The group should end in the normal fashion. E.g. Playing of games etc. GRADING: As this is a support group, grading will involve offering either more or less support for group members. Prompting may be needed for some clients. For example, prompting may be required from the client who does not usually freely disclose information to the group. The SASO will have be aware as to how much input and guidance is needed by her in the session. EQUIPMENT: Equipment for icebreaker Collages from previous week Newsprint with identified problems or needs from previous week Games. TIME: 20 minutes Beginning of group 5 minutes Icebreaker 10 minutes Discussion of previous week 50 minutes Discussion, support, role-plays 30 minutes Games 5 minutes Closure WEEK 3 - LIFE SKILLS GROUP: ACTIVITY: Have a discussion and small group work. The icebreakers involve the making of polystyrene telephones in pairs and then explore the different methods of communication using this tool. AIMS: To address positive and negative communication skills SUB-AIMS: To make clients aware of conflict management skills STEPS TO ACTIVITY: Introduce the topic of communication to group. Have a discussion about what communication to introduce the topic. Group members to get into pairs Make ‘telephones’ out of polystyrene cups. Experiment with the telephones. Facilitator can demonstrate the use of the phone if needed

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Evaluate/discuss experimentation of telephone Discuss communication. The facilitator can facilitate the discussion by asking some of the following questions: What was the activity like? What stopped you from communicating with your partner? What helped you to communicate with your partner? How can this be applied to communicating with a family member, etc? Discuss specific problems that clients’ have with communication Provide the group with some practical steps/points on good and bad communication. If a pamphlet, or handout can be drawn up, this will facilitate continuum of the skills at home. Express the need for communication skills and how they are applied in the client’s situation/environment MAKING OF THE TELEPHONES: Get 2 polystyrene cups Pierce a small whole in the bottom middle of each cup. Cut a piece of string approximately 2-3 meters in length Thread each end of the string through the whole in the cup and make a small knot in the string so that it is tied to the cup Stand at a distance from each other. Make sure that the string is tight and experiment with the telephones by talking to each other. EQUIPMENT: Polystyrene cups String Scissors GRADING OF ACTIVITY: Downgrade: Make use of visual demonstration to illustrate the making of the telephones Grade the number of instructions given Demonstrate how to use the telephones Make use of prompting questions to facilitate discussion. TIME: Introduction 5 minutes Icebreaker 15 minutes Discussion 20 - 30 minutes Closure 5 minutes WEEK 4 – SUPPORT OR SOCIAL GROUP AIMS: To address any problems or needs still worrying clients regarding the parent child relationship To provide support with regards to previous role-plays and problems identified. ACTIVITY: To further discuss problems or needs identified in the previous weeks and provide support with regards to these.

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STEPS: As with week 2 GRADING: As with week 2 EQUIPMENT: Equipment for icebreaker Games. TIME: 20 minutes Beginning of group 5 minutes Icebreaker 10 minutes Discussion of previous week 50 minutes Discussion, support, role-plays 30 minutes Games 5 minutes Closure VENUE REQUIREMENTS: When selecting a venue take into consideration the following: Lighting - the lights should be switched on to provide optimal lighting. If there are blinds or curtains then these should be opened. Furniture – make sure that there are enough chairs for the clients and group facilitators (OTA’s and SASO’s) to sit on. If tables are required, make sure that there are enough to work on. Open windows to allow for ventilation When sitting in a circle, the group facilitator must ensure that they can see everyone, and can be seen by everyone Close doors to avoid outside distraction SESSION CHECKLIST AIMS: What are the specific aims and reasons for doing this activity? How can I ensure that these aims are met? GENERAL: What characteristics does the session have to help me decide if my clients would enjoy it? PRODUCTS: (If it is an activity group) What possible products can be made from this activity that are meaningful to my client To use for themselves To use for the organisation To sell or use as gifts To use for a group project REQUIREMENTS: (Materials, tools, space, time, furniture) What do I need for this activity? Do I have everything? Is there enough? Can some share?

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Can I use something else? Is anything dangerous to use? Is there enough space for everyone? Can it be done outside? Does it take a long time? Is there enough furniture? Do they need to sit? Is there enough light? Are there any precautions? STEPS, TASKS: (Planning, preparation, doing, terminating) What tasks need to be done for each step? Can everyone do all the tasks? Should some only do some tasks? Should some need more help than others? Should I get some to help me with the preparation? Do they need any protective clothing? Do surfaces need any protection? Should I seat them in any particular way? Where should I stand so that everyone can see and hear me? Are all the tasks necessary? Can I leave some out? DEMANDS: What does doing this activity demand from my clients? Do they have these abilities? How can I change anything to make it more possible for them to participate? Can I simplify anything? Can I use different methods? Can I give more help or support? How should I explain it so that everyone understands? Do I need pictures or examples? PRECAUTIONS: Are there any special precautions for anyone?

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15.7 COSTING EXERCISE: SETTING UP PSR GROUPS

Equipment Needs Radio/Tape combination 300 2-plate Stove 200 5 blank cassettes 30 Games: Monopoly 400 Scrabble Dominoes Cards Balls Soccer Ball 100 Plastic Balls Tennis Balls Volley Ball & Net

Kettle 100 Pot 40 Flipchart Stand 100 OPTIONAL: Gas stove & Skottelbraai

Consumable Stores 300 Tea, Coffee, Sugar Activity Materials Crayons 10 Scissors Cold glue Pritt/Glue stick Cardboard Poster paints Koki’s Flipchart Paper Cellotape TOTAL 1220

WCP PSR Policy and Implementation Guidelines-2004