Matching clients to group therapies based on psychological readiness

In both inpatient and outpatient settings, there are diverse theoretical approaches, psychosocial programs, and formats for providing group therapies to those with psychological problems. A strategic approach for determining client readiness and "what to do when" may organize the various approaches and increase participation, the number of individuals who respond to therapy, and the extent to which individuals respond. This article describes the application of a conceptual, phase-specific model that was implemented within the outpatient and inpatient settings of a state psychiatric facility to enhance alignment between group interventions and individual psychological state. Specific psychological factors for assigning clients to three general phases, as well as the general types of interventions appropriate for each phase, are described. This heuristic model can be used to integrate the diverse approaches to group treatment currently in use and to better tailor group interventions to individuals.