We have a recovery based model but we also embrace harm reduction. One good thing about motivational interviewing is that we can work with them to become less harm reductive and more recovery based. If it interferes with the group process we see them individually. We indicate that patients need to be “present” in the group setting. If they cannot be present then we refer them to individual treatment.
Some of the best groups I’ve had have been three. Optimal group size is probably 6-8 and maximum would be 10 in terms of dynamics. Small groups allow for more time with each individual and going above 10 can be problematic in that regard. However if the group is too small it can seem overwhelming to the patients to be outnumbered by the team members.
Patients sign a Group Consent Form as well as a Consent Form for Treatment. The Group Consent Form explains the treatment in a group setting. With concern about federal confidentiality regulations, it’s important to have your forms vetted by someone knowledgeable of the law to ensure that you are adhering to these regulations.
