A structured problem-solving group for psychiatric inpatients

Abstract

The problem-solving group was used on an 18-bedded male acute inpatient ward. The aim was to provide a therapeutic activity to all patients which would teach them basic problem-solving skills as well as providing stimulation and social contact, and helping improve concentration and reasoning. Preparation was of great importance, both in terms of the materials used and encouragement of patients to attend. Each session lasted 30 minutes and followed the same format. Patients were given a written problem scenario and asked to first identify the problem, then generate possible solutions, and then discuss the advantages and disadvantages of the solutions. Two group facilitators were necessary to help keep to the format, encourage participation and deal with any problems that arose. The group was accepted well by patients and attendance varied with up to eight patients at any one session.