Do not allow these patients to derail the group or hold the group hostage to their tirades. Again, even these patients can benfit from boundaries. At the end of the group. They give everyone the opportunity to make any final observations. They might ask if there is anyone in the group that can remember the names of everyone in the group.
Small groups increase quality of interaction among members.
A good patient to staff ratio improvesthe quality of that interaction. Groups emphasizing patient interaction increase patient social skills and provide increased assessment opportunities. It is a highly structured group that requires directive leadership. The point of the group is not the activities that provide the structure for interaction but the interaction that is generated from the activities. When the patients leave the group they will feel more connected to their peers and staff that participated in the group.