Group Dynamics and Facilitation Flashcards

A TBI survivor asks to record group sessions on their phone as a memory aid. The facilitator should:

Answer: Obtain consent from all group members and establish privacy agreements before allowing any recording

Recording requires informed consent from all members to protect confidentiality, a cornerstone of therapeutic group ethics.

Which facilitator technique is MOST effective for ending a TBI group session productively?

Answer: Providing a 5-minute warning, summarizing key themes, and inviting brief closing reflections

Structured closings with warnings and summary help members with TBI transition out of sessions and consolidate what was discussed.

What is the MOST important reason to conduct pre-group screening for TBI rehabilitation groups?

Answer: To assess readiness, identify potential group fit issues, and set individualized goals

Pre-group screening ensures member readiness, identifies concerns that could disrupt the group, and personalizes therapeutic focus.

A TBI survivor discloses suicidal ideation during a group session. The facilitator should FIRST:

Answer: Calmly acknowledge the disclosure, ensure immediate safety, and follow the crisis protocol

Safety takes priority; acknowledging the disclosure and activating crisis protocol protects the individual while maintaining appropriate confidentiality.

Which of the following BEST describes the 'norming' stage in a TBI support group?

Answer: The group establishes shared norms, cohesion increases, and roles stabilize

During norming, groups resolve earlier conflicts and develop cooperation, shared identity, and stable interaction patterns.

When a TBI survivor with impulsivity consistently blurts out other members' confidential information, the facilitator should:

Answer: Address confidentiality in the group, privately coach the member on impulse strategies, and consider individual sessions to supplement group work

Addressing confidentiality at the group level and coaching the individual balances group safety with neurologically-informed support for impulsivity.

Which outcome measure is MOST appropriate for evaluating the effectiveness of a TBI group intervention targeting social participation?

Answer: Community Integration Questionnaire (CIQ) or Mayo-Portland Adaptability Inventory (MPAI-4) social subscale

The CIQ and MPAI-4 social subscale directly measure community integration and social participation outcomes relevant to group intervention goals.