David, Melissa D.BSN3Y2-2B

REMOTIVATION THERAPYRemotivation is a method of group interaction that has been developed to increase the contact between a psychiatric nursing assistant and his patients, one which can be used by any and all nursing assistants. It is believed to help patients turn toward "reality." By "reality" is meant that the patients become more aware of others and outside events, interacting on a level that the staff considers appropriate. Examples of behavior at this level of awareness are knowing the names of the aides, responding when addressed, responding to direct questions, and participating in simple conversations.Purpose: to promote discussions of topics that may bring participants closer in touch with the world outside the institutionProcess: Group (8-15) interaction for 45-60 min Conducted by a trained staff sometimes an aid (remotivator) Attempt to renew interest in environment by: Planning conversations that stress simple, objective features of everyday life not related to their emotional difficulties (e.g. gardening, baseballavoid controversial subjects such as sex, politics) Establish warm, accepting atmosphere Deal with well parts of client Encourage rediscovery of interests Begin to establish control over leisure selection

5 phase process (each 10 min)1. Climate of acceptance a. Greet each participant by nameb. Shake handsc. Made some comment about participants appearanced. Purpose is to create a warm, supportive environment

2. Bridge to realitya. Develop group discussion around a themeb. Start by reading a poem, story or article related to themec. Ask questions to encourage participants to recall and share ideas related to topic When you were little did you have a train set? What were the cars like? Read poem Freight Cars

3. Sharing the world we live ina. Visual aids and questions used to encourage clients to share personal storiesb. Attempt to move focus to world as it currently is What are some uses of freight cars? What other cars are in a train? Show a picture of a train

4. Appreciation of the work of the worlda. Get participants to think about pros and cons of the topicb. Help relate the topic to other things in the worldc. Encourage to rediscover past hobbies or occupations d. Projections to the future are encouraged Who is the boss of the train? What are the other jobs on the train? What jobs are in the freight yard? Which of these jobs would you like?

5. Climate of appreciationa. Review what has been saidb. Comment about how each person participatedc. Than the people for attendingd. Tell about plans for next session