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Psychotherapy Groups at the Rachel Upjohn Building

Important: To refer to groups, each referred patient must be an established patient in Ambulatory Psychiatry. The patient must also have an identified clinician (referring clinician or otherwise) responsible for purposes of crisis care and concurrent review (as needed) for insurance purposes. When budgeting resources, be sure to account for the fact that group visits count against their mental health insurance benefit.

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Depression Groups

CBT Basic Group for Depression

MeetsFirst four Tuesday nights of each month from 5:30-7:00pm in room 1924. The group will run the first three weeks of December only and resume in January. 

Facilitator: Joanne Shipman

Format: 4 week open, rolling admission; this means patients can start any week of the month and do four weeks from that point.

Content: Introduction to CBT for depression, helping patients understand depression and CBT, identify thoughts and behaviors that exacerbate depression, and make good choices about next steps in treatment. Topic 1: Depression 101; Topic 2: Mindfulness; Topic 3: Cognitive Skills; Topic 4: Behavioral Activation

Appropriate patients: Have depression and are new to therapy or CBT and agree that depression is the primary focus of treatment. They will seem to be interested in CBT for depression after being given a description of CBT and willing to try an educational group format.

Caveats: This group may not be best for patients with severe emotion regulation problems (where DBT may be indicated), patients with more severe depression, for example with psychosis (where individual treatment may be indicated), patients that identify interpersonal issues as their primary concern (where IPT may be a better fit), and patients that are highly resistant to a group format even after the attempted “sell.”

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to have the patient signed up for the CBT Basic Group for Depression (RUB ADULT CBT BASIC DEP). MiChart smartphrase is .GRPDEPCBTBASIC.

Logistics: Maximum numbers for registration: 28 (for non-Depression Team patients) or 33 (for Depression Team patients). 

CBT Behavioral Activation Group for Depression 

Meets: First four Thursday nights of each month from 5:30-7:00 pm in room 1937. This group will not meet in December.

Facilitator: Chassi Jensen

Format: 4 week cycle; patients must start in the first week of the month. It is common for patients to continue to cycle through this group for between 8 and 16 weeks or do it concurrently with the CBT Cognitive Skills Group for Depression.

Content: Focused specifically on Behavioral Activation for depression, which aims to address maladaptive depressive behaviors (such as isolating socially) by adding more adaptive behaviors that fit with the patient’s life aims.

Appropriate patients: Patients are typically referred directly from the CBT Basic Group for Depression, but can also be referred without completing the CBT Basic Group for Depression if they already have adequate CBT experience.

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to have the patient signed up for the CBT Behavioral Activation Group for Depression (RUB ADULT CBT BEHAV ACT DEP). MiChart smartphrase is .GRPDEPBEHAVIORALACTIVATION.

Logistics: Group maximum for registration is 10. 

CBT Cognitive Skills Group for Depression 

Meets: First four Tuesdays of each month from 5:30-7:00pm in room 1444. This group will not meet in December.

Facilitator: Kristen Miner

Format: 4 week cycle; patients must start in the first week of the month. It is common for patients to continue to cycle through this group for between 8 and 16 weeks or do it concurrently with the CBT Behavioral Activation Group for Depression.

Content: Specifically related to addressing the content of negative automatic thoughts in the context of depression.

Appropriate patients: Patients are typically referred from the CBT Basic Group for Depression but can also be referred without completing the CBT Basic Group for Depression if they already have adequate CBT experience.

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to have the patient signed up for the CBT Cognitive Skills Group for Depression (RUB ADULT CBT COGNITIVE DEP). MiChart smartphrase is .GRPDEPCOGNITIVE.

Logistics: Group maximum for registration is 10. 

Mindfulness-Based Cognitive Therapy (MBCT) for Depression Relapse Prevention

Meets: Fridays from 1-2:30pm in room 1817.

Facilitator: Sharon Mudd

Format: Closed/waitlist; the group is offered in 8-week cycles

Appropriate patients: Patients with depression who are at or near remission.

Content: Patients will practice mindfulness meditations at each session and will be expected to follow up with daily practice between groups. This is an evidence-based therapy for the prevention of depression relapse.

To refer: Contact the group facilitator, Sharon Mudd (via MiChart Inbasket message), who will screen potential group members for appropriateness (RUB ADULT MINDFUL DEP). 

Anxiety Groups

CBT Basic Group for Anxiety 

Meets: First four Monday and Tuesday nights of each month from 5:30-7:00 pm in room 2763. The group will run the first three weeks of December only and resume in January. 

Facilitators: Pam Schweitzer (Monday); Veronica Saint and Michelangelo Trujillo (Tuesday).

Format: 4-week open, rolling admission; this means patients can start in any week of the month and do the four weeks from that point.

Content: An introduction to CBT for anxiety, which helps patients understand anxiety and CBT to make good choices about the next steps in treatment. Topic 1: Anxiety Management; Topic 2: Relaxation; Topic 3: Exposure and Desensitization; Topic 4: Cognitive Skills.

Appropriate patients: Have anxiety and are new to therapy or CBT, agree that anxiety is the primary focus of treatment, seem to be interested in CBT for anxiety after being given a description of CBT, are willing to try a group format, and are those that the referring clinician believes would operate well in an educational group format.

Caveats: This group may not be best for patients with severe emotion regulation problems (where DBT may be indicated), or patients that are highly resistant to a group format even after the attempted “sell.”

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to have the patient signed up for the CBT Basic Group for Anxiety (RUB ADULT CBT BASIC ANX).  MiChart smartphrase is .GRPANXCBTBASIC.

Logistics: If necessary, patients can complete the group on Monday or Tuesday nights any given week to fit their schedule. Also, if the patient plans to move on to one of the other groups for anxiety (below), they may choose to only complete the last 2 or 3 sessions of this group to facilitate a smooth transition (these groups require the patient to start at the beginning of the month). Patients may also drop in and be added on to the Basic Group. Maximum numbers for registration: 28 (for non-Anxiety Clinic patients) or 33 (for Anxiety Clinic patients). 

CBT Exposure Group for Anxiety 

Meets: Every Tuesday night from 5:30-7:00 pm in room 1937. The group will run the first three weeks of December only and resume in January. 

Facilitator: Dan DeSena

Format: It has a monthly cycle; patients must start in the first week of the month. It is common for patients to continue to cycle through this group for between 8 and 16 weeks or do it concurrently with the CBT Cognitive Skills Group for Anxiety.

Content: Specifically related to anxiety problems where avoidance or excessive protective/ritualistic behaviors are occurring, such as social anxiety, OCD, panic disorder with agoraphobia, specific phobias or mild cases of simple PTSD.

Appropriate patients: This group may not be best for patients with severe PTSD or OCD where individual treatment may be indicated. Patients are typically referred from the CBT Basic Group for Anxiety but can also be referred without completing the CBT Basic Group for Anxiety if they already have adequate CBT for anxiety experience.

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to have the patient signed up for the CBT Exposure Group for Anxiety (RUB ADULT CBT EXPOSURE ANX). MiChart smartphrase is .GRPANXEXPOSURE.

Logistics: Group maximum for registration is 15. 

CBT Cognitive Skills Group for Anxiety 

Meets: First four Monday nights of each month from 5:30-7:00 pm in room 1937. This group will not run in December. 

Facilitator: Ricks Warren

Format: It has a 4 week cycle; patients must start in the first week of the month. It is common for patients to continue to cycle through this group for between 8 and 16 weeks or do it concurrently with the CBT Exposure Group for Anxiety.

Content: Specifically related to addressing the content of negative automatic thoughts and core beliefs in the context of anxiety.

Appropriate patients: This group may not be best for patients with OCD or severe PTSD where exposure or individual work would generally be indicated. Patients are typically referred from the CBT Basic Group for Anxiety but can also be referred without completing the CBT Basic Group for Anxiety if they already have adequate CBT for anxiety experience.

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to have the patient signed up for the CBT Cognitive Skills Group for Anxiety (RUB ADULT CBT COGNITIVE ANX). MiChart smartphrase is .GRPANXCOGNITIVE.

Logistics: Group maximum for registration is 15. 

Mindfulness-Based Treatment for Anxiety Group 

Meets: First four Wednesdays each month, Thursdays from 5:30-7:00 pm in room 1924. The group will run the first two weeks of December only and resume in January. 

Facilitators: Michelangelo Trujillo

Format: It has a 4-week cycle. Patients must start in the first week of the month.

Content: The CBT Basic Group for Anxiety is not a prerequisite for this group. The group aims to provide patients with opportunities to recognize and experience mindful states through practice of formal and informal techniques. Patients will leave group with tools and resources to apply mindfulness to their anxiety management.

To refer: Send a MiChart follow-up to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” and use the MiChart smartphrase is .grpanxmindfulness. MiChart group name is RUB ADULT MINDFUL ANX.

Logistics: Group maximum for registration is 10.

Dialectical Behavior Therapy (DBT) Groups

Adult DBT Basic Group

*This group is a prerequisite to the Adult DBT Skills Group. Patients must attend all four sessions prior to being enrolled in the Adult DBT Skills Group. 

Meets: First four Monday evenings of each month from 4-5pm in room 1937. 

Facilitators: Chamisa MacKenzie and Jared Konecny

Format: 4-week open, rolling admission; this means patients can start in any week of the month and do the four weeks from that point.

Content: Introduction to the basics of Dialectical Behavior Therapy, including a presentation of the potential value of a mindfulness-based skills treatment.

Appropriate patients: individuals experiencing chronic emotional dysregulation, deficits in the ability to regulate and express emotions, dysfunction in interpersonal relationships, and poor frustration tolerance. 

To refer:  Send a MiChart follow-up to front desk or Inbasket message to "p RUB PSYCH ADULT ADMIN SUP" to have the patient signed up for the DBT Basic Group (RUB ADULT DBT BASIC). MiChart smartphrase for referral is .GRPDBTBASIC.

Adult DBT Skills Groups

Meet: Mondays from 5:00-6:30pm or Thursdays from 10:30am-12:00pm in room 1924. Will not run on December 28th. 

Facilitators: Monday: Chamisa MacKenzie and Jared Konecny. Thursday: Natalie Burns and Martin Heggestad.

Format: Open, rolling admission; this means they can start at any time and complete as many group sessions as are pertinent to their particular problem area. However, the Adult DBT Basic Group is a prerequisite to enter this group. Please be sure the patient has completed all four sessions of the Basic Group before enrolling them in Adult DBT Skills Groups.

Content: A series of weekly sessions that meet for one month on each topic:
 Mindfulness (January, May, September); Emotion Regulation (February, June, and October); Interpersonal Effectiveness (March, July, November); Distress Tolerance (April, August, December) 

Appropriate patients: DBT groups are appropriate for a wide variety of patients dealing with difficulties regulating emotion in the context of various problem areas, including depression and anxiety.

To refer: Most patients that attend this group will be referred directly from the Adult DBT Basic Group. Patients that already have DBT experience may enter the group without attending the basic group. If this is the case, send an Inbasket messge to Chamisa MacKenzie or Jared Konecny to screen the patient. 

Logistics: No maximum for registration. 

Perinatal Dialectical Behavior Therapy (DBT) Group

Meets: Mondays from 10:30AM-12PM (will move to Mondays 10:00-11:30am starting in November) in the Garden Level Conference Room (B1742). Will not meet October 23rd or December 4th. 

Facilitator: Katie Bresky

Format: The group runs in 6 week modules, with a 2 week orientation/entry period.  Patients may attend 6 weeks or can continue for full round of 24 weeks to complete all of skills modules (4).  They may repeat as desired.

Content:  Mindfulness and relaxation, Interpersonal Effectiveness/building the patient's support network, Distress Tolerance, stress management, Emotion Regulation and self-care.  

Appropriate Patients: Perinatal DBT groups are appropriate for women who are pregnant or postpartum up to 2 years and are experiencing moderate to severe symptoms. They may be dealing with difficulty related to emotion regulation, chronic relational issues, impulsivity, self-harm, suicidal thoughts, poor frustration tolerance. 

Caveats: The patient must be followed by a provider in the department of psychiatry and must be able to be maintained safely in an outpatient setting. They may not have a primary diagnosis of untreated substance abuse or active psychosis. 

To refer: Send a follow-up message to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to enroll in the Perinatal DBT group; also send an InBasket message referencing the patient to facilitator Katie Bresky (MiChart name: RUB ADULT PERINATAL DBT).

*Patients are also welcome to bring their infant, toddler or preschool children to group (school-aged children are not appropriate)

Logistics: No maximum for registration. 

Adolescent DBT Multifamily Group

Meets: Wednesdays from 5:00 to 6:30pm in the RUB Auditorium; it runs in two cycles, fall and winter (11 weeks each: October-December and January-March). Current cycle is 10/4 to 12/20 (no group 11/22). The group will run the first three weeks of December only, and resume on 1/3/18. Next cycle is 1/3/18 thru 3/28/18. No group on 1/31. 

Facilitator: Jonathan Marin

Format: Open admission-- patients can begin the group at any time; they do not need to start at the beginning of a cycle. 

Appropriate patients: Teens 13-19 and their parents. DBT groups are appropriate for a wide variety of patients dealing with difficulties regulating emotion in the context of various problem areas, including depression and anxiety.

Content: DBT Skills including Mindfulness, Emotion Regulation, Interpersonal Effectiveness, and Distress Tolerance skills

To refer: Send an Inbasket message or email to Jonathan Marin with information on the patient.

*Attendees must have a designated clinician or therapist at UM Outpatient Psychiatry.  

*Teens and parents both attend. 

Teen DBT Summer Group

Meets: Mondays from 1-2pm in room 1924; next round is summer 2018. 

Facilitator: Jonathan Marin

Format: One 6 week cycle over the summer

Content: DBT Skills including Mindfulness, Emotion Regulation and Distress Tolerance skills

Appropriate Patients: Teens 13-19. DBT groups are appropriate for a wide variety of patients dealing with difficulties regulating emotion in the context of various problem areas, including depression and anxiety.

To refer:  Send an Inbasket message or email to Jonathan Marin with information on the patient.

*Attendees must have a designated clinician or therapist at UM Outpatient Psychiatry.  

*Teens attend on their own in this group.

Sleep Disorders Groups

Group Therapy for Insomnia

Meets: Tuesday nights from 4:00-5:30 pm in the Sleep Laboratory, room 2331.

Facilitators: Deirdre Conroy and other sleep clinic staff and faculty.

Format: This group is a 6-week CLOSED admission group. Patients must start at the next dedicated start date.

Content: CBT for insomnia, which guides patients through behavioral, lifestyle, and thinking changes to help their sleep.

Appropriate patients: Have insomnia, are new to CBT for insomnia, agree that insomnia is the primary focus of treatment, are willing to try a group format, and are likely to operate well in an educational group format. This group may not be best for patients with uncontrolled medical or psychiatric disorders.

If your patient is having sleep problems and you think they would benefit from insomnia group, they will need a NEW PATIENT evaluation in the Behavioral Sleep Medicine Clinic.

To refer: Send a note to p RUB PSY BEHAV SLP ADMIN SUP with the smartphrase .GRPINSOMNIA. This allows us to ensure that the patient has chronic insomnia disorder over and above the other sleep, psychiatric, or medical disorders that may present as insomnia. (MiChart name: INSOMNIA GROUP).

Perinatal Groups

Perinatal Dialectical Behavior Therapy (DBT) Group

Meets: Mondays from 10:30AM-12PM (will move to Mondays 10:00-11:30am starting in November) in the Garden Level Conference Room (B1742). Will not meet October 23rd or December 4th. 

Facilitator: Katie Bresky

Format: The group runs in 6 week modules, with a 2 week orientation/entry period.  Patients may attend 6 weeks or can continue for full round of 24 weeks to complete all of skills modules (4).  They may repeat as desired.

Content:  Mindfulness and relaxation, Interpersonal Effectiveness/building the patient's support network, Distress Tolerance, stress management, Emotion Regulation and self-care.  

Appropriate Patients: Perinatal DBT groups are appropriate for women who are pregnant or postpartum up to 2 years and are experiencing moderate to severe symptoms. They may be dealing with difficulty related to emotion regulation, chronic relational issues, impulsivity, self-harm, suicidal thoughts, poor frustration tolerance. 

Caveats: The patient must be followed by a provider in the department of psychiatry and must be able to be maintained safely in an outpatient setting. They may not have a primary diagnosis of untreated substance abuse or active psychosis. 

To refer: Send a follow-up message to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to enroll in the Perinatal DBT group; also send an InBasket message referencing the patient to facilitator Katie Bresky (MiChart name: RUB ADULT PERINATAL DBT).

*Patients are also welcome to bring their infant, toddler or preschool children to group (school-aged children are not appropriate)

Perinatal Adjustment Group

Meets: Wednesdays from 1:30-3:00 PM in room B1742 (Garden Level Conference Room); start date is June 21st, 2017

Facilitators: Katie Bresky and Natalie Burns

Format: 7-week open rolling admission; this means patients can start any week of the month and do 7 weeks from that point. They may repeat as needed.

Content: Provides basic interpersonal and cognitive skills for women adjusting to pregnancy or the postpartum period, in a supportive group environment. 

Appropriate patients: Pregnant and postpartum women (up to 1 year) who are experiencing adjustment disorders or mild to moderate symptoms of anxiety or depression.

Caveats: This group is not appropriate for women with severe psychiatric symptoms, active psychosis, chronic maladaptive behaviors, primary untreated substance abuse, or who have had a partial or inpatient psychiatric admission within the last year.

To refer: Send a follow-up message to front desk staff or Inbasket message to “p RUB PSY ADULT ADMN SUP” to enroll in the Perinatal Adjustment Group; also send an InBasket message referencing the patient to facilitator Katie Bresky (MiChart name: RUB ADULT PERINATAL DBT). (MiChart name: RUB ADULT PERINATAL ADJUST) 

*Women may bring infants and toddlers to group. 

*Consult with facilitator prior to referring patients with reproductive loss.

MOM Power

Meets: Recruiting for the next round: Wednesdays 12:30-3:15 from July 19th through September 20th at Corner Health Center. 

Facilitator: Nicole Bongers and Caroline Zavala

Format: It is a closed, 10-week parenting and self-care skills group for women and their children. 

Content: This is a therapeutic group intervention for mothers who experience parenting their young children (up to age 6) as a challenge and want to learn more effective skills.  Mom Power provides a nurturing and safe environment for families to heal and grow and is a good fit for mothers struggling with depression, anxiety, trust issues, or feelings of being overwhelmed by parenting.  Mothers can bring their children to the group and lunch is provided.

Appropriate Patients: It is appropriate for patients with depression, anxiety, PTSD or who endorse challenges in parenting. Patients will learn attachment-based parenting concepts as well as practice self-care skills at each session. Patients are invited to bring their children.

To refer: If you know of moms (under age 26) who may be interested, please have them contact Nicole Bongers at 734-714-2226 or email nbongers@cornerhealth.org

Logistics: Maximum for registration is 10. 

Bipolar Groups

Bipolar Wellness Clinic

Meets: Third Tuesday of every month from 1:30-3:30 pm in the Garden Level Conference Room (B1742).

Facilitators: Alyssa Alfieri and Sharon Mudd

Content: This is a medical model, mood maintenance group for patients that have bipolar disorder.

Appropriate Patients: Patients in this group should be relatively stable on their current medication regime, with little to no need for medication changes.

To refer: Send an InBasket message to Alyssa Alfieri and/or Sharon Mudd so they can contact the patient directly about involvement. (RUB ADULT BIP WELLNESS). MiChart smartphrase is .GRPBIPWELLNESS.

Logistics: Maximum for registration is 18.

Meds Plus Group

Meds Plus Clinic

Meets: Every Thursday, 1:00-3:00 pm in room 1937.

Facilitators: Sharon Mudd, Kris Konz, and Julie Kuebler

Content: This is a medical group model, a maintenance group for patients with chronic mental illness.

Appropriate Patients: Patients in this group should be relatively stable on their current medication regime, with little to no need for medication changes. Patients receive medication management, socialization, and supportive psychotherapy in a group setting.

To refer: Send a MiChart Inbasket message to facilitators Sharon Mudd, NP, Kristine Konz, LMSW and Julie Kuebler, NP using the MiChart smartphrase .MEDSPLUSSCR. The MiChart name for this group is RUB ADULT MEDSPLUS CLINIC.

Continuing Care Clinic Group

Continuing Care Clinic Group for Healthy Coping

Meets: First four Wednesdays of each month from 2:30-3:30pm in room 1937. This group will not meet in December 2017.

Facilitator: Pam Schweitzer

Format: Rolling admission, meaning patients may start any week of the month

Content: Skill-building for management of emotional distress based on identified problematic coping strategies.

Appropriate Participants: This group is only open to patients already in the Continuing Care Clinic.

To Refer: Patients must be referred to and accepted into the Continuing Care Clinic (CCC) and cannot be referred directly into this group. To refer patients to the CCC use smart phrase: .PSYCCCREFERRAL. Patients will be evaluated for acceptance into the clinic. If the patient does not meet inclusion criteria they will be asked to schedule follow up with the referring provider. Please direct any questions to Charlotte Allport, Julie Kuebler or Pam Schweitzer.


Early Psychosis Groups

Multifamily Group for Early Psychosis (PREP Clinic)

Meets: Meets every 1st and 3rd Monday from 5:30-7:00 pm, in the GLCR.

Facilitators: Alyssa Alfieri and Jim Svensson

Format: Accepts new patients on a rolling basis, but requires screening for admission. 

Appropriate Patients: For young adults, aged roughly 14-30 who have a diagnosis of schizophrenia or schizoaffective disorder or a psychotic spectrum illness and their parents or guardians.

To refer: send a MiChart Inbasket message to Alyssa Alfieri and Jim Svensson with information on the patient.

*Family members and clients both attend.

Logistics: No maximum for registration. 

Child/Adolescent Groups

Pediatric Exposure Group for Anxiety

Meets: Every Wednesday from 1:00-2:30 pm in room 1604, from June 28th to August 30th (excluding July 19th). Next round may be fall, 2017. Confirmation of this TBA.

Facilitator: Emily Bilek

Format: Rolling admission – patients may begin at any time.

Content: Exposure based treatment group for teens with OCD, Social Anxiety, or a specific phobia. 

Appropriate patients: This group requires previous knowledge of CBT and exposure. Participants must be currently receiving cognitive behavioral therapy, or must have already received a course of CBT (and had a good response). The goal of this group is to provide additional exposure sessions to increase the dose of therapy for individuals who may need a boost. 

Caveats: This group is not appropriate for individuals with elevated risk (i.e. comorbid depression, suicidal ideation, etc), unless these concerns are being actively monitored in concurrent individual therapy.

To referSend a MiChart InBasket message directly to Emily Bilek referencing the patient at hand. She will screen the patient for appropriateness. MiChart name is RUB CHILD PEDIATRIC EXPOSURE.

Adolescent DBT Multifamily Group

Meets: Wednesdays from 5:00 to 6:30pm in the RUB Auditorium; it runs in two cycles, fall and winter (11 weeks each: October-December and January-March). Current cycle is 10/4 to 12/20 (no group 11/22). The group will run the first three weeks of December only, and resume on 1/3/18.

Facilitator: Jonathan Marin

Format: Open admission-- patients can begin the group at any time; they do not need to start at the beginning of a cycle. 

Appropriate patients: Teens 13-19 and their parents. DBT groups are appropriate for a wide variety of patients dealing with difficulties regulating emotion in the context of various problem areas, including depression and anxiety.

Content: DBT Skills including Mindfulness, Emotion Regulation, Interpersonal Effectiveness, and Distress Tolerance skills

To refer: Send an Inbasket message or email to Jonathan Marin with information on the patient.

*Attendees must have a designated clinician or therapist at UM Outpatient Psychiatry.  

*Teens and parents both attend. 

Teen DBT Summer Group

Meets: Mondays from 1-2pm in room 1924; next round is summer 2018. 

Facilitator: Jonathan Marin

Format: One 6 week cycle over the summer

Content: DBT Skills including Mindfulness, Emotion Regulation and Distress Tolerance skills

Appropriate Patients: Teens 13-19. DBT groups are appropriate for a wide variety of patients dealing with difficulties regulating emotion in the context of various problem areas, including depression and anxiety.

To refer:  Send an Inbasket message or email to Jonathan Marin with information on the patient.

*Attendees must have a designated clinician or therapist at UM Outpatient Psychiatry.  

*Teens attend on their own in this group.


Substance Abuse (UMATS) Groups (Adult)

*Note: For referral to the UMATS clinic for services and/or intake, send a MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL or call 734-764-0231 for a New Patient Evaluation. If a patient is referred to a group with no previous evaluation with UMATS, the referring clinician will continue to “own” the patient (i.e. not a transfer of care). 

Adult Discovery Group

Meets: Every Wednesday from 4:00-5:00pm in room 1602. 

Facilitator: Erin Bonar

Format: 6 week open, rolling admission; this means patients can enter at any time and should complete 6 weekly sessions from that point.

Appropriate Patients: Appropriate for adults ages 18+, does not require a new patient evaluation in the UMATS clinic, and can be attended by patients from other clinics.

Caveats: The group is not able to accommodate Medicaid patients.

Content: The Discovery Group explores the role of substance use in patients’ physical, mental, and psychosocial functioning. It is Motivational Interviewing-based to assist patients in considering making changes in their substance use.

To refer: Send a MiChart Inbasket message to “p RUB PSY ATS ADMN SUP” and use smart-phrase .GRPUMATSADULTDISCOVERY, or contact facilitator Erin Bonar, PhD with questions.

Dual Diagnosis Group

Meets: Thursdays 2-3:30pm in room 1604.

Facilitator: Ed Humenay

Appropriate patients: For adults with chemical dependency and co-occurring psychiatric diagnoses; pts must be thinking seriously about abstinence to attend. Pt. must have done a UMATS intake to participate.

To refer: Send an Inbasket message or e-mail to facilitator Ed Humenay to gauge appropriateness of the referral and cc Karen Kairys on the email.

Adult Intensive Outpatient Program (IOP)

Meets: MWF from 9am-12pm in room 1817.

Facilitators: Nancy McCorry and Lisa Ruggeberg.

Format: Course for each pt. is 4 weeks (12 sessions). 

Appropriate Patients: Pt. must have done a UMATS intake to participate, and must meet criteria for dependency. The program is abstinence-based; pt. must be motivated to work towards abstinence.

Content: Combination of process and didactic/education.

To refer: First schedule pt. for a UMATS intake by sending MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL.

Early Recovery Group

Meets: Tuesdays from 6-7:30pm in room 1604 (with Nancy McCorry) or Wednesdays 6:00-7:30pm in room 1602 (with Kim Bakhai).

Format: Open, rolling admission

Content: This is a therapeutic process group designed to provide a safe, healing, supportive environment for those with the intent to remain abstinent (minimum 30 days free of addictive substances required), willingness to be honest, and open to making changes necessary for successful treatment of a Substance Use Disorder.

Appropriate Patients: This group is appropriate for adults ages 18+. Most patients that are enrolled in this group have recently finished the IOP.

To refer: schedule pt. for an NP Substance Abuse Assessment with the appropriate group leader by sending MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL

Health Professional Therapy Groups

Meets: Mondays from 5:30-7pm and Thursdays 9-10:30am in room 1602.

Facilitator: Wendy Yallop

Format: Open, rolling admission

Appropriate Patients: Participants may utilize the group for up to 2 years in duration. We ask that once in individual begins a group that they do not switch between the groups.

Content: This is a support/process group for health professionals to discuss issues related to their professions, their substance use and mental health recovery. Many of the participants are also involved with the Michigan Health Professional Recovery Program.

To refer: Please schedule pt. with facilitator Wendy Yallop for a UMATS intake by sending MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL.

Opioid Maintenance Therapy (OMT) Group

Meets: 3rd Monday of each month from 6:30-8:00pm in room 1924.

Facilitator: Ed Humenay

Appropriate Patients: Patients must be on buprenorphine maintenance therapy and stable to participate.

Content: Primarily support/process.

To refer: Send an e-mail to facilitator Ed Humenay

CBT for Addictions Group

Meets: This is a rolling group that meets Tuesdays 4:00-5:00pm in room 1937.

Facilitators: Brian Hicks and Kimberly Bakhai

Format: Open, rolling admission

Content: This is a structured, 16-session group-based intervention focused on learning behavioral and cognitive strategies to reduce alcohol and drug use.

Appropriate Patients: This group is appropriate for adults ages 18+ who have either (1) a mild to moderate substance use problem or (2) persons who have recently participated in more intensive treatment (inpatient, intensive outpatient) who are seeking treatment for relapse prevention.

To refer: schedule pt. for an NP Substance Abuse Assessment to ensure this is the appropriate level of care by sending MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL.

Logistics: Maximum numbers for registration: 14

Managing Pain During Recovery Group

Meets: Every Thursday from 4:00-5:00pm in room 1604. (Anticipated start date: 8/24/17)

Facilitators: Kim Bakhai and Anne Fernandez

Format: 11 week open, rolling admission; this means patients can enter at any time and should complete 11 weekly sessions from that point.

Appropriate Patients: Appropriate for adults ages 18+. Pt. must have done a UMATS intake to participate, and must meet criteria for a substance use disorder as well as chronic pain. Pt. M-Strides Pain90 screening score must fall in the range of 5 and above.  

Content: A structured CBT/Acceptance focused group on managing chronic pain while engaging in recovery. Members will learn about chronic pain and skills to minimize and manage discomfort. Coping strategies to avoid reliance on alcohol and drugs will be introduced. This group will assist participants in getting the most out of life while managing chronic pain. 

To refer: First schedule pt. for a UMATS intake by sending MiChart in basket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL. Following completion of intake, if patient presents appropriate schedule an individual session with facilitator Kim Bakhai prior to group participation for an orientation of group material. MiChart name is RUB ATS PAIN MANAGEMENT.

Substance Abuse (UMATS) Groups (Adolescent/Family)

Adolescent/Young Adult Discovery Group

Meets: Tuesdays 4:30-5:30pm in room 1817.

Facilitator: Charles Graham

Format: Patients may start any week of the month. They can wait in the UMATS waiting area on the first night.

Content: This group offers patients ages 15-23 (or under 15 if deemed appropriate) the opportunity to safely explore their substance use amongst peers in their age range.

Appropriate Patients: Patients need only minimal motivation (pre-contemplative) to attend. This group is appropriate for pts. on probation and other mandates for treatment (school, parents). Patients participate in weekly drug screens. Patients are free to participate as long as they deem it necessary and helpful (the average length of participation is 8 weeks).

To refer: Send an inBasket message to P RUB PSY ATS CLIN SUPPORT with cc: Charles Graham (mandatory). This group is open to anyone working with a health practitioner in the health system as long as it is not full.

Adolescent Intensive Outpatient Program (AIOP)

Meets: Mondays 4:30-6pm, Wednesdays 4:30-5:30pm and Thursday 4:30-6pm.

Facilitators: Lori Shulman, Sarah Rollins and Charles Graham

Format: Minimal required duration of participation is approximately one month of 3 sessions per week (12-24 total modules). 

Content: Group themes include coping skills for early sobriety, relapse prevention, refusal skills and boundaries, dual diagnosis, parental psychoeducation, & psychiatric care.

Appropriate Patients: Pt. must be willing to be abstinent from all illicit substances (external validation is acceptable). Pts. may be opt to receive school or legal credit for attendance and documentation related to attendance and completion can be provided. Family participation is required. Pts. undergo weekly drug tests.

To refer: Pt. must complete a UMATS intake by sending a MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL. A UMATS clinician must make the referral to this group.

Adolescent Early Recovery Group (aftercare from AIOP)

Meets: Thurs 4:30-6pm in room 1817. 

Facilitators: Lori Shulman, Sarah Rollins, and Charles Graham

Content: Group themes include relapse prevention and building life skills as related to sober identity as well as coping strategies for underlying mood difficulties.

Appropriate Patients: Pts. are typically those that have completed UMATS AIOP with at least 30-60 days of sobriety. Patients should be somewhat intrinsically motivated to stay sober and have at least 30 days of sobriety to be referred to this group. Pts. may be on probation. Drug screens are semi-random, monthly.

To refer: Pt. must complete a UMATS intake by sending a MiChart Inbasket message to P RUB PSY ATS CLIN SUP using smart phrase .UMATSREFERRAL. They must also participate in the AIOP program and be referred by a UMATS clinician. 

Support Groups

Family Education Workshop

Meets: 1st Wednesday of every other month from 6:00-8:00pm in the Garden Level Conference Room (B1742). Dates in 2017: 2/1, 4/5, 6/7, 8/2, 10/4, 12/6 

Content: This free workshop offers patients and families the opportunity to learn about depression and bipolar illness and gather information about risk factors, treatments, impact on families, and healthy ways of communicating with one another. Social work clinicians from the University of Michigan Depression Center will present the most important facts about depression and bipolar illness and its effects on different age groups. They will also lead discussions, allowing participants to ask questions within a supportive environment. The workshop is free, however advance registration is required.

To register: To register a patient, have them call Sue Wonnacott at 734-764-0250 or visit the website: www.med.umich.edu/depression/groups.htm

Support Groups for Patients with Depression and Bipolar Illness

Meets:  2nd and 4th Wednesdays from 6:00-7:15pm. 

Depression/Bipolar patients (18 and above): rooms 1937 and 1922

Families of Depression/Bipolar patients: rooms 1444 and 1408

Format: Open drop-in (patients and family members are free to show up as they wish)

Content: Unstructured support; all groups are facilitated by UM social workers and offer a supportive environment to process emotions around the challenges of depression and bipolar illness. 

To refer: No sign up is required, simply encourage them to attend.

UMATS Family Psychoeducation/Support Group for Addiction

Meets: Every 2nd Monday of each month from 5:30pm-7pm in the Garden Level Conference Room (B1742).

Facilitators: Carol Kahn and Ed Humenay

Appropriate Patients: All family members, friends and patients are welcome to this seminar. It is free to all.

Content: The first half will give a perspective on the effect of addiction on the brain and the individual. The second half will cover the impact on families and offer support on how families can be helpful. Resources will also be shared. This is an interactive session lead by an addiction psychiatrist, an addiction nurse, and one of our own talented therapists. People in recovery are welcome.

To refer: No sign up is required, simply encourage them to attend.

Survivors of Suicide Support Group

Meets:  This a closed group that meets every other week; the group runs in 8-session cycles, about 3 times per year at the UM Psychological Clinic, 500 E. Washington St., Suite 100, Ann Arbor, MI 48104.
 
Facilitators: Jim Svensson and John Kettley
 
Format: closed (interested parties must wait until the next round opens) with waiting list 
 
Content: This is a support group for anyone that has lost someone to suicide. This means there is no formal content, but rather the group process allows for emotional expression, support, and grieving. Some exercises are suggested that support the grieving process.
 
To refer: E-mail the facilitators at  survivors-of-suicide-group@umich.edu for more information.


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