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HelpGroups:
Mutual Help through Support Groups
| Course Number |
LWL220 |
| Objectives |
At the end of this course, you will
be equipped to 1. plan, 2. organize, 3.
participate in, and 4. lead small help groups. |
| Credit Hours and Fee |
3.0 CE Credit Hours with a fee of $24.00 |
| Instructor |
Rudolf Klimes, PhD (Indiana University), MPH
(Johns Hopkins University);
Adjunct Professor at Folsom Lake College, Folsom CA. |
Welcome
to this accredited
3-contact-hour Continuing Education course with instant online processing and
certification 24/7. Study the course below, take the 12-question
multiple-choice
TEST, register and pay online. If
you score 75% or above, you may print your CE certificate on your printer as
soon as you finish.
If you have difficulty printing your certificate,
click here..
You may retake the test once.

People diagnosed with
cancer and their families face many challenges
that may leave them feeling overwhelmed, afraid, and
alone. It can be difficult to cope with these
challenges or to talk to even the most supportive
family members and friends. Often,
support groups can help people affected by
cancer feel less alone and can improve their ability
to deal with the uncertainties and challenges that
cancer brings. Support groups give people who are
affected by similar diseases an opportunity to meet
and discuss ways to cope with the illness.
- How can support groups help?
People who have been diagnosed with cancer
sometimes find they need assistance coping with
the emotional as well as the practical aspects
of their disease. In fact, attention to the
emotional burden of cancer is sometimes part of
a patient’s treatment plan. Cancer support
groups are designed to provide a confidential
atmosphere where cancer patients or cancer
survivors can discuss the challenges that
accompany the illness with others who may have
experienced the same challenges. For example,
people gather to discuss the emotional needs
created by cancer, to exchange information about
their disease—including practical problems such
as managing
side effects or returning to work after
treatment—and to share their feelings. Support
groups have helped thousands of people cope with
these and similar situations.
- Can family members and friends participate
in support groups?
Family and friends are affected when cancer
touches someone they love, and they may need
help in dealing with stresses such as family
disruptions, financial worries, and changing
roles within relationships. To help meet these
needs, some support groups are designed just for
family members of people diagnosed with cancer;
other groups encourage families and friends to
participate along with the cancer patient or
cancer survivor.
- How can people find support groups?
Many organizations offer support groups for
people diagnosed with cancer and their family
members or friends. The
NCI fact sheet National Organizations
That Offer Services to People With Cancer and
Their Families lists many cancer-concerned
organizations that can provide information about
support groups. This fact sheet is available at
http://www.cancer.gov/cancertopics/factsheet/support/organizations
on the Internet, or can be ordered from the
Cancer Information Service at 1–800–4–CANCER
(1–800–422–6237). Some of these organizations
provide information on their Web sites about
contacting support groups.
Doctors,
nurses, or hospital
social workers who work with cancer patients
may also have information about support groups,
such as their location, size, type, and how
often they meet. Most hospitals have social
services departments that provide information
about cancer support programs. Additionally,
many newspapers carry a special health
supplement containing information about where to
find support groups.
- What types of support groups are available?
Several kinds of support groups are available
to meet the individual needs of people at all
stages of cancer treatment, from
diagnosis through followup care. Some groups
are general cancer support groups, while more
specialized groups may be for teens or young
adults, for family members, or for people
affected by a particular disease. Support groups
may be led by a professional, such as a
psychiatrist,
psychologist, or social worker, or by cancer
patients or survivors. In addition, support
groups can vary in approach, size, and how often
they meet. Many groups are free, but some
require a fee (people can contact their health
insurance company to find out whether their plan
will cover the cost). It is important for people
to find an atmosphere that is comfortable and
meets their individual needs.
Source: http://www.cancer.gov/cancertopics/factsheet/support/support-groups
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A support group can offer group
members parenting and/or child care
resource and referral information and
explain personnel flexibilities
available in their agencies that may
help employees balance work and
caregiving demands.
There also may be interest in
starting a support group newsletter that
could include newspaper and magazine
articles on parenting, child care and
children's issues, resource and referral
information, and the date and time of
the next support group meeting. A
newsletter is especially helpful to
members who temporarily lose contact
with the group.
Support Group Leader
Because attendance at support group
meetings may be sporadic at times, the
consistent attendance of the group
leader at the meetings can help to
maintain the group. The group leader can
be responsible for advertising future
group meetings, arranging meeting space,
and maintaining a current list of group
members and their telephone numbers (see
section on Meeting
Time and Place.
If an employee assistance counselor
or work and family specialist is not
available to attend meetings on a
regular basis, a leader may emerge from
the group. This individual could be
responsible for arranging the meetings
or writing a newsletter, or these tasks
could be shared by members on a rotating
basis. Keep in mind that these are
merely suggestions for a potential group
leader. Each group will conduct itself
differently.
Meeting Time and Place
Establish the time, place, and
frequency of the support group meetings.
Generally, employees like to meet at
lunch time and will bring their lunches.
Participants will decide how often they
want to meet. Usually, a meeting room
must be reserved in advance. Contact the
agency building services office to find
out how to reserve a room. Once a
meeting time has been established,
advertise the meeting at least two weeks
in advance by placing announcements in a
location where employees are certain to
see them (bulletin boards or employee
newsletters, for instance).
Goals/Purposes/Expectations
It is important to explore what
members wish to accomplish at the
meetings. Members should discuss the
goals of the support group at the first
gathering. The goals may change as new
members are added or as problems or
concerns change. These goals and
purposes should be considered each time
the group meets. Members also may wish
to explain what they hope to gain from
attending the meetings.
Confidentiality
Support group members must agree not
to discuss the personal aspects of the
meetings they attend. Certainly it is
appropriate to share resource
information outside the group, but the
personal problems and concerns of
members should remain private. This
agreement of confidentiality should be
stated at the first meeting and whenever
newcomers attend a meeting.
Open or Closed Ended Group
Support groups can be open-ended or
closed-ended. An open group accepts new
members at any time while a closed group
establishes a group but does not add new
members for a specified period of time.
The person that establishes the support
group may make this decision or the
members present at the first meeting may
decide. An agency parenting support
group may be better suited to an
open-ended format since many employees
experience parenting difficulties
suddenly.
Resource and Referral Information
Mothers and fathers, whether they
have small children, teenagers, or adult
children, sometimes need assistance with
the parenting problems they encounter.
From finding quality child care to
locating a math tutor for a ninth
grader, parenting resources are
available in the community. An employee
assistance counselor or work and family
specialist can often provide such
information. However, these
professionals may not be readily
available to the group on a regular
basis or may have limited access to such
information.
Employees can call Child Care Aware,
a toll-free telephone number
(1-800-424-2246) operated by the
National Association of Child Care
Resource and Referral Agencies, to
locate a nearby child care resource and
referral agency.
Employees also can contact their
county government human services office
or a local hospital. Both organizations
have extensive knowledge of available
parenting resources.
The Office of Work/Life Programs can
provide parenting support groups with
copies of the Child Care Resources
Handbook for Federal Employees. This
publication is written for employers and
mothers and fathers of small children
and includes information on selecting
day care and lists national
organizations and resources that can be
of assistance to mothers and fathers.
Source:
http://www.opm.gov/Employment_and_Benefits/WorkLife/OfficialDocuments/HandbooksGuides/Parents/index.asp

C. Small Group Techniques
What are small group techniques?
Small groups have fewer than 20 or so members, making it easier for
people to actively participate. They meet as small gatherings or as break-outs
of large meetings and offer many opportunities for creative, flexible
interchange of ideas and lively, meaningful participation.
Small group techniques help people participate freely and actively.
They include special activities or formats that help interest and engage people.
They foster active participation and steer participants toward constructive
activities and dialogue. They help avoid complaint-oriented or conflict-driven
sessions.
Small group techniques have certain basic characteristics:
they emphasize active participation and interaction;
they are usually run by a group leader or facilitator;
they have a task, theme, or goal;
they help reach consensus or develop priorities;
they gather a range of ideas, opinions, and concerns;
they are applied to either planning or project development;
in a breakout group, a small group task reflects the larger group agenda;
and
breakout groups report back to the larger group.
Specific small group techniques covered in this section include
breakout groups, workshops, seminars, community juries, roundtables, study
circles, conflict utilization opinionaires, decision science, delphi, dialogue
facilitation, nominal group process, open space technology, Samoan circle, SWOT
(strengths, weaknesses, opportunities, threats), synetics, and value analysis.
Brainstorming is also used in small groups and is discussed as a separate
technique. (See Brainstorming.)
The definitions given here are generated from common practice and various
materials. However, the techniques are far from standardized, and their
names, conduct, and organization vary throughout the country. Some techniques
overlap, or a "hybrid" meeting or process uses elements from each. The key to
using them is to identify the element or structure that addresses the needs of
the participants and the goals of the meeting.
Why are small group techniques useful?
They encourage broad participation and promote a sense of equality among
members. Individuals speak and are heard. Participants ask questions and
comment freely.
Small group techniques foster interaction between participants.
People are encouraged to speak frankly and openly. Ground rules, such as
allowing only one person to speak at a time, help level the playing field
between participants. Open and fair meeting processes promote give-and-take and
interaction.
They make a larger meeting more efficient and productive. Break-out
groups use various techniques to address a specific issue. Many ideas are
brought forth in small groups that might not surface in a large gathering. The
larger gathering becomes more productive as break-out group findings on specific
topics are reported and incorporated.
Small group techniques foster dissemination of information to
the broader community. Representatives meet in small sessions, cover issues, and
report back to their constituents. The Portland, Oregon, Metro holds small group
meetings in neighborhoods throughout the region. Spokespersons from each group
report back to their peers, their elected officials, and other people about
transit issues.
These techniques usually make meetings more fun and interesting. The
interactive nature of small group activities makes them spirited and engaging.
People are willing to attend and participate when they know the session will be
interesting and productive. The Dallas, Texas, Area Rapid Transit uses small
group meetings to obtain candid reactions to innovative proposals. (See
Improving Meeting Attendance.)
Small group techniques offer a strategy for achieving a meeting goal.
They help keep conversation on track or establish a step-by-step process for
handling discussion. They help develop consensus or an action plan. To review
elements of its 2020 long-range plan, the New Jersey Department of
Transportation (NJDOT) sponsored four issues groups -- economic development,
goods movement, and mobility and quality of life -- made up of key stakeholders.
Are there special uses?
Small group techniques are useful on controversial issues. They
provide a non-threatening venue for all sides to express opinions and encourage
mutual respect and constructive listening. They help reduce tension and defuse
polarized groups.
Small groups provide a forum for technical issues. Complex issues and
concepts receive needed explanation and review, because each individual has time
to absorb material and ask questions. Participants feel more confident in an
analysis if they understand the technical issues and methods involved. The
Connecticut DOT used small groups of participants organized by modal interest
(i.e., those favoring transit and those favoring highway options) to develop
alternatives for repair or replacement of a major bridge.
Small group meetings can re-charge a participatory process with
interesting and different ways of looking at a topic. Disenchanted group members
are encouraged to rejoin if they see a way to achieve goals in a new and focused
process. To critique and revise its public involvement program, the Central
Puget Sound Regional Transit Authority (RTA) called together 60 com munity
leaders and organized them into small groups to work on specific elements of the
process.
Participants affect the substance of plans and projects through small
group work. The Southwestern Pennsylvania Regional Planning Commission used a
small group to simplify its Trans portation Improvement Program for easier
understanding by the public.
How are small groups structured?
The style, format, and organization of small group meetings vary. Some
techniques are familiar and regularly used; others (frequently with fancy names)
are less common. Some use innovative, creative group processes.
Breakout groups are subdivisions of a larger meeting to deal with
specific issues. Small groups meet in separate areas -- corners of a large room
or several smaller rooms. Each group appoints or elects a discussion leader, and
each participant has a chance to express an opinion. Afterwards, groups report
back to the large meeting. In neighborhood meet ings to discuss transit service
issues, the Boston Transportation Department asked break out groups to identify
priority issues. After each group reported, the larger meeting set priorities to
report to the regional transit authority. In Washington, D.C., breakout groups
from sub-regions worked within a larger meeting on the area’s long-range
transportation plan and reported their area concerns to the larger group.
Some small groups are established from the beginning, instead of being
formed from a larger group. The format is designed specifically to accomplish
the goals of the session.
Workshops are small groups that focus on one or more topics, working
intensively over a short period of time. (See Conferences, Workshops, and
Retreats.)
Seminars give participants an opportunity to learn about a particular
topic and exchange information and viewpoints. A seminar usually focuses on a
single topic. Often, a seminar offers a short presentation followed by
discussion by a panel or participants. A seminar is distinctive in the high
level of interest and knowledge participants bring to it. In Wilmington,
Delaware, the Metropolitan Area Planning Coordinating Council began a larger
meeting with a seminar with experts to stimulate discussion. Wisconsin DOT
sponsored five issue-based seminars on land use, economic development, urban and
rural issues, tourism, and freight shipping for its long-range transportation
plan.
Community juries consist of individuals impaneled to hear testimony
related to a specific issue. Jurors, chosen for their impartiality, hear reviews
of an issue by neutral experts. The jury discusses and deliberates and
subsequently issues its findings. Always non-binding and with no legal standing,
the findings of such juries can pinpoint "fatal flaws" or gauge public reaction.
The Minnesota DOT assembled a community jury to determine public attitudes
toward congestion pricing as a traffic-reduction measure. The jury met for five
days of hearings with more than 20 witnesses and voted in favor of reducing
traffic but against congestion pricing. The jury then voted for increases in the
gas tax and for allowing its use in funding transit improvements.
Roundtables are meetings, usually around a table, to examine an issue
through discussion by all participants. Each participant is a stakeholder, so
the issue is debated from many sides. Free discussion and diverse opinions are
encouraged. Experts in a field can participate, as well as residents, business
people, and interest groups. Roundtables are often breakout groups, focusing on
one or more topics related to the entire issue or proj ect. Seminars and
workshops often use a roundtable format, but what is distinctive about
roundtables is their emphasis on thorough discussion of an issue. The Kansas
DOT, Albany’s Capital District Transportation Committee, and the San Diego
Association of Governments use roundtables in many projects and long-range
planning efforts. The Central Puget Sound Regional Transit Authority held
numerous roundtable discussions with community and business leaders to identify
priorities for its regional transit plan.
Study circles hold a series of meetings to discuss critical issues.
Members are assigned readings and other tasks between meetings. The process is
very structured, often using study guides and discussion questions developed by
an agency or a steering committee. Participants discuss each facet of the issue
in detail. The same group meets periodically to investigate and debate the
issue. Participants are appointed or self-selected. In Lima, Ohio, 40 churches
with Caucasian, African American, and other members held study circles led by
trained leaders to discuss ways to alleviate racial tensions. Study circles on
race relations have been formed in Albuquerque, New Mexico; Baton Rouge and New
Orleans, Louisiana; Portsmouth, Virginia; and Columbus, Ohio.
How do people work within a small group?
Problem-solving strategies are essential for small group accomplishment.
Small groups need a specific format or process to achieve the goals of a
meeting. These alphabetically listed tech niques can be used within the specific
meeting structures cited above:
A conflict utilization opinionaire uses survey techniques to explore
how individuals deal with conflict. It enables a group to use writing and
discussion to deal with conflicts or controversies. Before addressing the
project issue at hand, a group of 8 to 20 people meet and fill out a
questionnaire or complete a writing task to express their attitudesabout
conflict. They then discuss how staff or leaders should deal with it and suggest
the best techniques for reaching consensus or understanding.
Decision science is a process of reaching consensus or formulating
alternatives. It narrows the focus of discussion to the distinguishing
characteristics of various options. A group begins by agreeing on elements that
are not in dispute. The group agrees on as many points as possible; for example,
"We all agree that we should minimize the impact on the agricultural
properties," or "We think improved access to that abandoned factory will
encourage economic development." Eventually the group reaches points on which
they do not agree. By laying a foundation of mutually agreed-upon
assumptions, decision science enables subsequent discussion to directly target
unresolved issues. The technique requires a facilitator to develop the consensus
items and organize discussion to resolve an issue or formulate a group of
alternatives. The U.S. Fish and Wildlife Service used this technique to develop
water management alternatives and explore structural versus opera tional
solutions to water resource issues.
Delphi (also known as policy delphi) reaches consensus by asking a
small group of experts to give advice. The results can generate further
discussion at committee or public meetings. The delphi process begins when an
agency distributes questionnaires to a panel of experts, whose responses are
then tabulated. Results are sent back to the panelists, who reflect on their
colleagues’ opinions and either alter their stances or provide reasons for
holding to their own positions. This process is continued until basic concepts
and ele ments of a project or plan are identified by a majority. The Atlanta
Regional Commission (ARC) conducted a delphi process to define critical issues
facing the region and to sug gest possibilities for the future. These findings
were presented at ARC’s Outlook Confer ence in May 1992 to launch the VISION
2020 public process. Delphi is considered a survey technique as well as a way of
involving small groups.
Dialogue facilitation lets participants speak on deeply-held personal
beliefs about an issue. People hold conversations that are outside the bounds of
the topic under discus sion. They can focus around a meal as an icebreaker.
Here, individuals do not know which side of the main issue other people are on;
they chat about families, interests, etc. Participants then discuss the main
issue -- not as enemies or antagonists, but as indivi duals. Consensus is not
expected. Rather, the goals are to open up communication and knowledge that
differing opinions can be held. Using a principle of family therapy (you have to
live together, so you might as well get along!), dialogue facilitation asks each
person to participate in conversation.
A nominal group process is a term used for several different methods
of identifying issues and priorities. One variation, employed by the
Pennsylvania DOT, uses index cards for participants to register priority issues
and other information; the cards are then tallied or analyzed. In another
variation, participants generate ideas silently as individuals, and then list
them as a group. They discuss what each means and thensilently and individually
rank the ideas. Yet another method is to have experts discuss an issue with a
small group and prepare suggestions for participants’ reactions. To develop
priorities for watershed management, the New Jersey Water Resources Authority
held successive small group sessions. In the first, after a brief presentation,
experts and participants discussed the issue. In the next session, the experts
presented in ballot form an array of personal concerns and opinions culled from
the previous discussion. The group used the ballot to rank their collective
views. The top quarter of the selected priorities formed the basis of a survey
mailed to other people participating in the public involvement effort. The
results helped to define the Watershed Management Plan.
Open space technology is a method of assigning meeting leadership.
The Colorado DOT used this to manage breakout sessions of a large group.
Participants introduced a topic or concern, wrote it on a card, and posted it on
the wall. Examining the cards to choose a topic, group members signed their
names on the card of their choice. Topics with the largest number of names were
chosen for discussion groups. People who introduced the topic were responsible
for leading a breakout session on it. The Colorado DOT chose issues from these
sessions as part of a management review effort.
A Samoan circle derived its name very loosely, with only vague
reference to the Pacific island group called Samoa. In fact, the formal
structure began during a land use study in Chicago. Its purpose is to organize
discussion of controversial issues or within large groups, instead of holding a
free-for-all, no-holds-barred complaint session. It serves to identify
stakeholders or to give priorities to actions to be taken or areas of agreement,
although this is not a frequent used. A Samoan circle has no facilitator, chair,
or mod erator. Participants are expected to maintain their own discipline. They
gather in two concentric circles -- an inner circle with a table and four
chairs, and an outer circle, with ample walking and aisle space. Everyone begins
in the outer circle. The issue is pre sented, and discussion begins. Those most
interested take chairs in the inner circle. Those less interested stay in the
outer circle. All are able to move in or out of the center as the discussion
flows or topics change. Each speaker makes a comment or asks a question.
Speakers are not restricted in what they say or how they say it, but they must
sit in the inner circle. Someone wishing to speak stands behind a chair; this
signals those already in the circle to relinquish their chairs. No outside
conversations are allowed. Comments are often recorded. Votes of opinions held
by non-speakers are taken at the end, if desired. To close a meeting, empty
seats are taken away one by one until there are no more chairs. The U.S. Army
Corps of Engineers frequently uses the technique for both internal and public
meetings to define priorities and stakeholders in project planning. The Village
of Northfield, Illinois, used it to organize discussion of controversial pro
posals for community development plans in a forum of 150 residents and
officials. The technique was used in a meeting of FHWA officials and
representatives of six Midwes tern states in discussing ways to improve working
relationships around environmental protection concerns related to projects and
planning.
SWOT (strengths, weaknesses, opportunities, threats) analysis takes
an analytic approach to a concept or issue, identifying its strengths and
weaknesses, along with opportunities it represents and threats to its success.
Using those criteria, the group evaluates chances for success or effectiveness.
Priorities are resolved by voting and reaching consensus within the group. The
Iowa DOT used the technique in establishing the basis for its strategic plan. In
a related technique, force field analysis, a group defines "helping" or
"hindering" forces and their effects on the group’s objective or discussion.
Synetics re-charges a discussion by diverting it away from the issue
being addressed. After discussing an unrelated topic, a group analyzes the
dynamics of the side discussion to shed light on interpersonal relationships
during discussion of the main topic.
Value analysis helps evaluate alternatives and their consequences in
terms of values (say, a clean environment or governmental cost reductions)
widely held in the community. This technique is frequently used in the utilities
industry. Participants compute the attrac tiveness of each alternative, assign
points for each value, then total them into composite scores. The technique
shows what values are in conflict and what trade-offs might be possible. It is
often used in siting decisions -- for example, by the Florida Power Corpora tion.
It has been used by the Department of Energy in planning for a Tank Waste Reme
diation System in Washington State and for the Santa Barbara County (California)
Oil Transportation Plan. The Oregon DOT has used it to evaluate specific agency
actions in relation to project alternatives’ analyses. The Ohio Housing Finance
Agency used it to establish suburban integration incentives in Cleveland.
How do agencies use the output?
Agencies use results to refine plans or projects and move a process
forward. Small groups generate information, ideas, and opinions. The
Wisconsin DOT interviews small groups about preferences and viewpoints. Small
groups are a way to achieve consensus.
Small groups provide creative solutions or new ideas and scenarios. In
a small group session in Boston’s Charlestown neighborhood, a local resident
architect sketched out a bold idea that became the conceptual design for a major
roadway reconstruction. Small groups foster further interaction between agencies
and the public, often with a heightened level of trust.
Who leads?
Agency staff or outside experts lead small groups, but training is
necessary to lead them effectively. Training overcomes individual worries about
acting as a discussion leader.
Community people also lead small groups. A neutral outside facilitator
is important for small groups dealing with difficult issues. Some agencies offer
training for local residents in leading discussions; others use outside experts.
In Wilson, North Carolina, a local bank donated the time and expertise of
several senior staff members to supplement agency managers. Working on the
county’s strategic planning/visioning process, the bank staff helped facilitate
breakout groups focused on specific transportation topics.
Small groups usually have one or two leaders. Co-leaders are chosen
from opposing sides of an issue to make sure all positions are adequately heard.
This is important when no one group leader is viewed as neutral or objective on
the issue being discussed.
The choice of a leader depends on the complexity of the technique. In
cases where a specialized technique is attempted, it is important to have an
experienced leader.
What do small group techniques cost?
While actual monetary costs are minimal, staff time for preparation
and management is sometimes considerable. The staff records events and reports
back to a larger group or to the agency. A person is assigned the role of
recorder to write down ideas on newsprint or blackboard. In some instances,
agency staff facilitate. Triangle Transit Authority in North Carolina used staff
members as facilitators of sub-groups analyzing transit potential and land
use/development impacts of a new fixed guideway.
Training staff or participants to run small groups is a factor.
Training improves productivity and leads to fewer meetings, thus offsetting
training costs to some extent. One alternative is retaining consultants to
manage small group sessions. Also, with minimal training, participants can play
other roles that help cut outside costs, acting as recorders or reporters or in
other support roles. These roles reduce the need for staff effort.
Meeting facilities become a cost when a neutral location is desired.
To contain costs, publicly-owned facilities such as schools or colleges should
be considered.
Equipment, supplies, and refreshments usually have modest costs.
Adequate provisions engender good will between a sponsoring agency and group
participants.
How are they organized?
The format and organization of small group work need to be carefully
conceived. Good preparation is necessary. The choice of technique must be
targeted to the intended goals and topics of the meeting and whether the process
is short- or long-term. The organization of the process should aim to achieve
limited goals within a specified deadline. Policy-makers must beinformed of the
process and its goals to assist in its support.
Small group techniques must respond to both agency and participant needs.
Agencies may want to solicit opinions, develop action items, and evaluate
alternatives, while participants want to explore impacts, suggest various
alternative actions, and make their voices heard. To remedy low attendance at
large regional forums, the New Jersey DOT sent staff out to hear from certain
populations about its long-range plan. Small groups met on Saturday afternoons
in senior citizen centers, colleges, and center-city neighborhoods.
Participants need to feel that a meeting is structured well enough to
produce results. Audiovisual techniques -- video, overheads, displays,
laptops -- are just as important in small groups as in large meetings,
particularly when technical information or concepts are being dis cussed. (See
Video Techniques.) They help engage participants, grab their attention, and
estab lish a firm beginning. Meetings should be dynamic, fun, and interesting
for participants. A method of summarizing, documenting, and reporting findings
and agreements must be estab lished before a meeting. Even a large meeting that
is not well-attended can produce results when participants work in small groups
to focus on specific issues or tasks.
The process must be fair and open. All participants need to have equal
roles and be treated as peers. A group must be as inclusive of as many points of
view as possible. Potential interests and stakeholders must be identified before
assembling a small group, so that no one is ignored. If a large number of
interests is represented, agencies often hold more than one small group session.
A method for selecting leaders must be determined before a group meets
-- whether leaders are to be appointed or chosen by the group. In some cases, it
is appropriate to train small group leaders and clarify the responsibilities
they are to undertake.
Participants need to understand the process, their role, and the expected
outcome of a meeting. As in a larger session, the context, purpose, and goal
of a meeting should be carefully explained and understood. If the process is
unusual, participants need an animated leader to explain it and carry it
forward.
Specialized and unusual techniques have specific guidelines for
implementation that should be carefully explained to a group. Before
beginning a meeting, it is essential to review the use of small groups, the
proposed format, and the procedures, as well as possible issues that may arise
and the results anticipated.
Adequate facilities and supplies are important. Groups use easels with
newsprint and markers to record ideas. Refreshments help create a comfortable,
informal atmosphere. Equipment such as overhead projectors aids in reviewing a
proposal. Breakout rooms are desirable for small-group sessions that are part of
larger meetings. Supplies must be available for specific tech niques, such as
cards for the open space technique.
Implementation validates both the findings and the process. If
follow-up is required, staff or appropriate parties make sure it is done. A
small group that is part of a larger gathering should be linked back to it.
Pennsylvania DOT held large public meetings for its statewide pedestrian and
bicycle plan, breaking into smaller facilitated sessions. Participants
identified critical design problems as they affect cyclists and pedestrians. The
groups then offered possible solutions and reported their key findings to the
large group.
How are they used with other techniques?
Small groups must be integrated into an overall public involvement
strategy. A regular series of small group meetings ascertains participants’
views. Small group meetings are held periodically to update community groups and
interested people on the progress of a planning effort or project development.
Such meetings supplement larger group meetings by developing detailed
information or exploring specific issues.
Small groups adopt techniques available to larger groups, including
charrettes, facilitation, visioning, and surveys. (See Charrettes; Facilitation;
Visioning; Public Opinion Surveys.) Alter native dispute resolution techniques
such as mediation are used when an impasse is reached. (See Negotiation and
Mediation.)
Small groups can meet by teleconferencing. The use of
telecommunications brings people together without the need for extensive travel.
(See Teleconferencing.)
What are the drawbacks?
Preparation takes time and extends a project or planning process. But
small groups also save time in the long run if they provide opportunities
for many people to participate and become familiar with a proposal’s its
elements and impacts.
Small groups require care and feeding. Space must be available and
notices distributed promptly and to the right people. Staff often lead meetings
or record their progress. Agencies sometimes provide a neutral site and
refreshments for the group.
The support of small groups requires a commitment from both the agency and
the public. Both need to be assured that small group meetings are
worthwhile, productive, and needed and that the results will be of use in the
overall process of public involvement. It is sometimes appro priate to have
agency officials participate in small groups or observe the process to
demonstrate its utility.
Are they flexible?
Small groups are inherently flexible. They are used in a variety of
situations, with a number of different organizing techniques, at various times
in the process, at nearly any location, and with a wide variety of participants.
They are organized to respond to specific issues and participants. Also, small
groups meet just about anywhere. Many meet in public agency offices, schools, or
universities; some in private business facilities. Staff members from the New
Jersey DOT have met with small groups in private homes. (See Non-traditional
Meeting Places and Events.)
Small groups contribute to almost any larger process. The intended use
of small groups must be identified early in a meeting process so interested
people can comment. In a large meeting, breakout sessions should be identified
on the agenda.
When are they used most effectively?
Small groups are effective at many different times in a process. They
are effective at the beginning to alleviate polarization and early perceptual
problems. When a process stalls, small groups re-start public involvement or
move it forward. They are used before issues reach an impasse, or if
participants are feeling excluded. They are used in either planning or project
development to prioritize issues or work on action items.
Source:
http://www.fhwa.dot.gov/reports/pittd/smlgroup.htm

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D: Help Groups
Clearinghouse |
info@selfhelpgroups.org
selfhelpgroups.org 
Other Contact Information
Saint Clare's Health System
25 Pocono Road
Denville, NJ 07834-2995
800-367-6274 (Voice - In-state only)
973-326-6789 (Voice, National Helpline)
Description
Though its keyword-searchable online
database, national helpline and Sourcebook, the
American Self-Help Group Clearinghouse puts people
in touch with any of over 1,100 national,
international, model, and online self-help groups
covering a wide range of illnesses, disabilities,
addictions, bereavement, and stressful life
situations. They also provide referrals to local
self-help clearinghouses that exist in some states.
The Clearinghouse provides information and
consultation nationally to help people start new
types of national self-help groups when none
currently exist. Telephone services are available on
weekdays from 8:30 a.m. to 5 p.m., EST.
Print Resources
The Clearinghouse publishes the
Self-Help Group Sourcebook, a listing of national
group headquarters and model self-help groups,
review of what self-help groups are, how they work,
research studies done of groups, information on
starting groups, and the availability of online
computer support groups.
Source:
http://www.healthfinder.gov/orgs/HR1681.htm

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www.supportworks.org
http://rarediseases.info.nih.gov/asp/resourhttp://health.dir.groups.yahoo.com/dir/Health___Wellness/Supportces/int_info.asp
http://health.dir.groups.yahoo.com/dir/Health___Wellness/
http://health.dir.groups.yahoo.com/dir/Health___Wellness/Support
Lists of Support Groups:
http://www.mentalhelp.net/selfhelp
http://www.geneticalliance.org
http://www.grohol.com/howto.htm

Test
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3 hours for an
approved (RN-CEP 11430, MFT- PCE 39) 3-hours Continuing Education Certificate (0.3
CEUs).
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here for the self-correcting test & online payment, and 2) receive your
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