SOCIALIZATION GROUP ACTIVITY THERAPY

SAMBANG LIHUM PSYCIATRIC HOSPITAL

BANJARMASIN

By:
Group VI
Citra Fithriya
Indah Putri Suciati
Nor Linda Afriyanti
Rara Purnamasari
Wahyudi Kurniawan

MUHAMMADIYAH BANJARMASIN HEALTH COLLAGE

INTERNATIONAL CLASS OF NURSING DIPLOMA PROGRAM
ACADEMIC YEAR 2014/2015

CHAPTER I
INTRODUCE
A. DEFINITION OF GAT (GROUP ACTIVITIES THERAPY )
Therapeutic modality therapy group activity is carried nurse to a group of clients who
have the same nursing. Activities are used as therapy, and used as a target group care.
In the dynamics of group interaction occurs interdependent, mutual need and become
a laboratory where clients practicing new behaviors are adaptive to maladaptive repair
old behavior.
B. KIND OF GROUP ACTIVITIES THERAPY
Activity Group Therapy based nursing mental problems most commonly found
grouped as follows:
1. Activity Group Therapy socialization (for clients to withdraw that has reached the
stage of being able to interact in small groups and physically fit).
2. Activity Group Therapy sensory stimulation (for clients who experience sensory
disturbances).
3. Reality orientation therapy group activity (for clients who have to control his
hallucinations hallucinations, delusions clients who have can be oriented to
reality and physically fit).
4. Therapeutic activity stimulation group perception: hallucinations (for clients with
hallucinations
5. Therapeutic activity group improved self-esteem (for clients with HDR)
6. Therapeutic activity of energy distribution group (for clients who have been
violent behavior may express anger constructively, clients can withdraw that
relate to others gradually and physically fit).
C. PREPARATION OF ENVIRONMENT
1. Ventilation good
2. Lighting enough
3. The atmosphere is quiet
4. Setting seating position (setting)

D. ROLE AND FUNCTION OF THERAPIST

1. Leader
Task:
a. Lead the group activity therapy.
b. Plan, control, and set the course of therapy.

c.
d.
e.
f.

Opening the event

Deliver material to the purpose group activity therapy.
Lead group discussions
Closing the discussion.

2. Co Leader
Task:
a. Accompanying the Leader
b. Took over as Leader if Leader blocking
c. Handing back the position of the leader
3. Fasilitator
Tasks:
a. Participate in group activities
b. Provide stimulus and motivators on group members to actively follow the
course of therapy
4. Observer
Tasks:
a. Noted and observed the client responses (recorded in a format that is
available).
b. Supervise the activities of the group began preparation, process, until closing.
5. Operator
Tasks
a. Regulate the flow of the game (Turning on and off the music)
b. Timer (Set the time).

E. SELECTION PROCESS
1. Based on the observation of everyday behavior of clients that are managed by
nurses.
2. Based on the information and discussion about the daily behavior of the client as
well as the possibility of the client group in the room with the nurse.
3. Make eye contact on the client to participate in activities that will do.

CHAPTER II
GROUP ACTIVITY THERAPY : SOCIAL ISOLATION
Group activities therapy : Socialization is an attempt to facilitate a client's ability to socialize
with the issue of social relations.
A. Purpose:
1. The general objective
Clients can improve social relations within the group gradually.
2. Specific objectives
a. Clients are able to introduce themselves
b. Client is able to get acquainted with a group of family members

c.
d.
e.
f.
g.

Client is able to talk - a conversation with members of the group

Client is able to convey and discuss the topic of conversation
Client is able to convey and discuss personal problems on others.
Clients are able to work together in a social game group
Client is able to deliver an opinion on the benefits of the activities that have

been carried out taks.

B. Activities and Indications
Activity taks done 2 sessions that train social skills the client. Clients who have
indications taks is a client with impaired social relations following:
1. Clients low self esteem are quite cooperative
2. Clients that are difficult to express their feelings through verbal communication
3. Clients with low self esteem disorder that has been able to interact with others.
4. Clients with physical conditions in a healthy state (not being certain physical diseases
such as diarrhea, thypid, etc.)
C. Setting
1. The client and therapist sat together in a circle.
2. The rooms were comfortable and quiet.

Explaination :
L
: Leader
Co
: Co Leader
F
: Fasilitator
O
: Observer
C
: Client
Op
: Operator

Guideline:
Client sit together around the nurse.

Socialization Group Activity Therapy Method

1. Group dynamic
2. Question and answer
3. Role play and simulation

D. Time and Place of Implementation

This group activity therapy will be held on:
Day/ date
: Thursday, January 29th 2015
Time
: 10.00
Place
: Akasia Ward

E. Clients name and Ward

Client who follow this activity its about 8 people while the other as the reserve. The
name of clients are :
1. Mr. I
2. Mr. S
3. Mr. M
4. Mr. A
5. Mr. R
6. Mr. H
7. Mr. T
8. Mr. S
F. Tools and Equipments
1. Spoon and beans
2. Handphone (MP3)
G. Arrangement of implementation
a. Leader
: Wahyudi Kurniawan
b. Co. Leader : Rara Purnamasari
c. Fasilitator
: Indah Putri Suciati
d. Observer
: Nor Linda Afriyanti
e. Operator
: Citra Fithriya
H. Step Activity
1. Preparation
a. Choosing a client in accordance with the indications, namely social isolation:
withdrawal
b. Make a contract with the client
c. Preparing tools and meeting places
2. Orientation
At this stage the therapist do:
a. Provide therapeutic greetings: greetings from therapists
b. Evaluation / Validation: ask the client feeling today
c. contract:
Explain the purpose of activities that introduce myself
Explain the rules as follows:
If there are clients who will leave the group had to ask permission to the

therapist.
The duration of activity of approximately 45 minutes.
Each client to follow the activities from beginning to end.

3. Work Phase
1) Explain to the client that they should play the game from the beginning till the
end.
2) Explain the activity will be begin when the music is played. Put the bean at the
spoon. Then client start the game.
3) Client should put the spoon at their mouth and bring it till the finish line.
4) Client who winning the game will get a reward and client who lose the game will
get the punishment.
4. Termination phase
a. ask the clients feeling today.
b. give the compliment for the succes under the group
c. Planning of advance activity
d. Suggest all of the member to train themselves to introducing themselves.
e. Insert client to the daily activity schedule.
f. Contract for the next time
g. make an ageement for the next activity
h. prepare the time and place
I. Evaluation Criteria
1. Evaluation of Input
a. A team of 5 people consisting of one leader, one co-leader, 1fasilitator, 1observer
b.
c.
d.
e.

and 1 operator.
Environment has extensive requirements and good circulation.
Mp3 sound system equipment is functioning properly.
Available spoon and bean atom
no difficulty selecting clients who fit the criteria and characteristics of the client

to do the therapy group socialization activities.

2. Evaluation Process
a. Leader explains the rules of the game clearly.
b. Facilitator put yourself in the middle of the client.
c. Observer put yourself in a place that allows it to be able to oversee the game.
d. 100% of clients who follow the game can follow the activities of the active from
start to finish.
3. Evaluation of Output
After holding therapy group socialization activities with 8 clients are observed, the
expected result is as follows;
a. 100% of clients who follow the game can follow the activities of the active from
start to finish.
b. 100% client can improve nonverbal personal communication: move to follow
instructions, facial expression bright, bold eye contact.
c. 100% client can improve verbal communication (say hello to another client or
nurse, express feelings with nurse).

d. 100% client will be able to improve the ability of the group's activities (following
the activities from start to finish).
e. 100% client is able to perform social relationships with the environment (want to
interact with nurses / other clients).

SOCIAL GROUP ACTIVITIES THERAPY

SESSION I AND SESSION II
A. PURPOSE
SESSION I
Clients are able to introduce themselves by mention: full name, nickname,

address, and hobbies.

SESSION II
Client is able to express the feelings experienced now.

B. EVALUATION
Session I: Ability Introduce itself
Session II: Ability To acquantied with other people
a. verbal ability
Rated aspect
1. State the full name
2. Mention the name calling
3. Mention origin
4. Mention hobby
b. nonverbal ability

Rated aspect
1. Eye contact
2. Sit upright
3. Using the appropriate body language
4. Following the events from start till the end
Session II the ability to express feelings experienced now
a. verbal ability
Rated aspecT
1. Delivering feelings clearly
2. Delivering feelings succinctly
3. Delivering relevant feelings
4. Delivering feelings spontaneously
b. nonverbal ability
Rated aspect
1. Eye contact
2. Sit upright
3. Using the appropriate body language
4. Following the events from start to finish

C. DOCUMENTATION
1. Session I
Documentation capabilities of the client when TAK`pada satatan nursing process
each client. For example, following the first session taks client, the client is able to
introduce themselves verbally and non-verbally, it is recommended to introduce
themselves to other clients in the ward (for schedule).
2. Session II
Documentation capabilities of the client when TAK`pada records nursing process
each client. For example, a client session II taks, the client is able to express the
feelings felt during therapy.