Adolescent IOP Group

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IOP Telehealth Rules

Lokiten Behavioral Health (LBH) employs the use of telehealth to reduce barriers in receiving mental health care, which may include geographical obstacles (i.e. rural location), or time restrictions (i.e. the busy working adult, school for kids). Telemedicine (also called telehealth or telepsychiatry) is care provided via the use of a live two-way video interaction between the client and provider through a HIPAA secure internet connection.

If you are attending IOP group virtually, you agree to:

  • Have the technological means to attend the group. This includes being on a secure
    internet connection.
  • Always keep video on unless previously arranged or approved by group facilitator for
    other accommodations.
    Be logged on by scheduled start time of group.
  • Have all supplies easily accessible.
    Be in a confidential space where you can feel comfortable sharing and to assure others in
    your environment cannot hear other members of group.
  • Not take breaks until designated breaks given to the rest of the group.
  • Not use nicotine, alcohol, illicit drugs or other substances that could alter your mental
    state and/or trigger others.
  • Be in a space free of distractions, where you are alone and can speak freely.
  • Not be driving!
  • Not take any recordings of the group or taking screenshots of the group members.
  • Consider use of headphones/earbuds so that what group members are sharing is more
    protected.
  • Refrain from using the chat feature on the platform and communicate directly with your
    group.

Group Agreements

Maintain Confidentiality – I understand that everything said in group is confidential and must not be shared with anyone outside of the group. This includes the name and identity of group members and anything said while in attendance. Confidentiality is incredibly important for group dynamics and for creating and maintaining safety.

 

Attendance and Punctuality – I commit to attending all scheduled group sessions and arrive on time. Consistent attendance is crucial for the group’s cohesion and progress. Each member will do their best to be on time and to remain in the room throughout the session so as not to create too much distraction or to take away from group activities. If I leave the group mid-session, I understand that my caregivers will be notified. I agree to arrive on time, and if I am late, enter the room without disruption. If 3 groups are missed within the 8-week period, discharge from group will be considered.

 

Participation – I will work to be fully present and participate in group activities and discussions. However, I have the right to ‘pass’ on a topic if I am not feeling safe or comfortable. I agree that will never pressure other group members to participate in any discussion or activity after the member has passed. I understand that the group leader is obliged to protect this right. I also understand that I will benefit more from group the more I am able to take risks in sharing and participating. Please limit distractions and put away phones during group.

 

Relationships – I agree to not have relationships with group members outside of group which includes dating or exclusive relationships. This can disrupt the cohesion and therapeutic process and cause additional harm or emotional distress. This includes texting, calling, or interacting on social media. If you do see a group member in public, please be sure to respect their confidentiality and share with the group at the next session that this occurred.

 

Drugs or Alcohol – Group members cannot participate in the group under the influence of alcohol or other mind-altering drugs. When under the influence of chemicals, people do not have access to their emotions and have less control over their behavior. I understand that if the leader believes that I am under the influence of alcohol or other drugs, I will be asked to leave the group. This includes discussing the use of drugs or alcohol. Other members may be in active recovery, and discussing drug use can be harmful for them.

 

Gossip – disagreements and conflict happens. However, I agree to not talk about other group members in a derogatory way and will address concerns or issues face-to-face with that group member. I will reach out for support from the group facilitator during this process if needed.

 

Respect – I understand that the group facilitator is leading the group and may need to enforce these rules at times. I will respect their decisions and comply to all group guidelines. Everyone in the group should treat each other with respect and courtesy. This includes listening attentively when others are speaking and refraining from interrupting, making inappropriate comments or using harsh language. This means we will use words and not actions to convey our thoughts whenever possible. If our actions get the best of us, we will put words to them at the next best opportunity.

 

No Judgement – It’s essential that group members refrain from passing judgment on others. The group is a place for support and understanding, not criticism or condemnation.

 

Redirection – The facilitator may redirect the group to support staying on topic, place limits on sharing or to assist an interaction. When “redirection” happens, group members will remember the spirit of this is growth and never unhealthy guilt or shame.

 

Termination – Depending on the type of group, group members may finish group at the same time, or at different times. At times a group member may have to leave unexpectedly. I will work to communicate if I plan to leave the group unexpectedly in order to maintain the therapeutic dynamics.

 

Your Needs – If there is something we can do to help you feel more comfortable during group, let us know! We want you to be successful and comfortable during group sessions.

 

Feedback – Constructive feedback is encouraged, but it should be delivered in a respectful and supportive manner. Members should not provide unsolicited advice or engage in criticism.

 

Safety – If a member is in crisis or at risk of harming themselves or others, it’s essential to prioritize their safety, and each member will consider emotional and physical safety a priority. No member will be allowed in group if they are actively using substances, or actively suicidal. If a group member is in crisis, all other participants will be removed from the area for their safety, and emergency services will be contacted.

 

Completing Homework – Each member commits to attempting and sharing any homework assigned regularly to maximize the benefits of therapy.

 

Avoiding Distractions – Cell phones will be kept on silent or vibrate. If a phone must be used, utmost care will be taken not to disturb the group process. Food will not be allowed. Water and other liquids are okay so long as they are in spill-proof containers and do not result in distraction.

 

These rules and guidelines help create a structured and safe environment in which group therapy can be effective. They contribute to the development of trust, cohesion, and emotional safety within the group, allowing participants to work through their issues and make progress in their therapeutic journey

Our Group Schedule

Who can be Benefit from IOP?

  • Individuals needing more than weekly therapeutic support
  • Individuals discharging from an inpatient level of care such as residential care
  • Individuals discharging from an acute care stay in a psychiatric facility
  • Individuals who are high utilizers of the emergency department for their mental health issues