Abstract

The development of comprehensive approaches to the treatment and rehabilitation of persons with severe mental illness has influenced the conceptualization and practice of group therapy with this population. We resent a typology of group approaches, based on the dimensions of structure and locus of intervention. Structure refers to the presence or absence of a defined curriculum, and locus of intervention refers to where treatment is provided. Education groups, group skills training, and some group residential models are more structured than traditional therapies, whereas psychosocial rehabilitation centers, drop-in centers, and self-help groups are more integrated with the natural environment. We discuss the advantages and disadvantages of the various approaches and implications for training and research.

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