Group Work With IDD Members 
             With Co-occurring Issues
                               Debra H. Harrill, MSW, LCSW
                                 RHA Health Services, Inc.                                   
                                 debra.harrill@rhanet.org
          Group Work With IDD Members 
             With Co-occurring Issues
     u1.  Thinking Outside the “Group Box”
     u2.  Radical Acceptance 101!
     u3.  Going With the Flow
     u4.  Using the Power of Listening
     u5. Making Sure You Include “Fun!”
     u6. Evidence of Change
     u7. In Closing…
                  Thinking Outside the “Group Box”
           u Group with IDD members is a lot          u When you are preparing, think: 
              the same: Group rules, the group            SIMPLIFY but don’t be afraid to 
              process and teaching skills.                integrate the foundations of 
           u However, there is a lot that is              therapy into the session. i.e. DBT, 
              different:  Dialogue, attention             CBT, etc.
              span, greater need for repetition,      u Facilitating group requires the 
              and emphasis on cause-and-effect.           therapist to accept the clients 
           u The lesson should be on a level              where they are “that day.”  This 
              that they can understand.  Middle-          may require a Plan B or C.  
              school level has worked beautifully     u Appeal to the child within to build 
              in “Life Skills.”                           rapport…