Bereavement Professional

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Grief Group

  • 1.  Grief Group

    Posted 03-24-2023 10:51 AM

    Hi, me again. I'm back with questions about your Grief Support Groups! We have one once a month on the fourth Wednesday of every month. I'm curious if any of you watch a video or anything like that during your group? Our groups are only an hour long. any help is appreciated. Thank you!



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    Erin Staggers

    Volunteer/Bereavement Coordinator, Home Hospice
    UPMC Western Maryland
    1050 West Industrial Blvd, Suite 19
    Cumberland, MD 21502
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  • 2.  RE: Grief Group

    Posted 03-28-2023 11:41 AM

    Hi Erin, This is a great question and I am interested to see the answers you receive and learn from them as well.  We host 2 ongoing drop-in style groups one is every other Tuesday and the other is every other Friday.  The groups are 1.5 hrs (as we need to review ground rules and do intros each time) and during that time we do not typically show videos.  We open the floor to participants to bring up anything they would like if that conversation runs out or wanders off the topic of brv we always have a short (5 min or less) education and 3-5 discussion prompting questions related to that topic.  Typically the discussion/sharing portion of our groups is about 1 hr - 1hr 15 min.    

    I hope that helps!  -Lauren



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    LaurenEbertBrighton HospiceSt Louis ParkMN
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  • 3.  RE: Grief Group

    Posted 03-28-2023 12:15 PM

    I like that you have different options for different times for people to come. Can people come to each group? Or do they have to stick to one? My group is only Every fourth Wednesday of the month. For one hour. That's it. 



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    Erin Staggers

    Volunteer/Bereavement Coordinator, Home Hospice
    UPMC Western Maryland
    1050 West Industrial Blvd, Suite 19
    Cumberland, MD 21502
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  • 4.  RE: Grief Group

    Posted 03-28-2023 12:27 PM

    Hi Erin--We also offer a monthly grief group. It's a drop-in group for adults coping with death of a loved one.  Our group is 1.5 hours and I try not to structure it too much as I want to have an open space for sharing/discussion.  We, like Lauren mentioned, always start with reviewing the group guidelines.  If there are new attendees I have group members introduce themselves and give a brief share of their loss (if they chose to do so). This is done to assist the new attendees (and current ones as well) in a comfort level for sharing and to instill a sense of not being alone in their loss.  Because we have regular attendees I often ask for sharing of Highs and Lows since the last group (anything good or not so good that they experienced, i.e. the birth of a great grand daughter or an emotionally hard anniversary date).   I will always bring in additional topics in case the group is more quiet-topics will springboard sharing (Mourners Bill of Rights, Alan Wolfelt for example).  The hour and a half goes by quickly with group attendees sharing, so we have not used any videos.  Many of our churches in the community offer Grief Share, which is a faith-based grief support group that includes videos each session (13 week). With that in mind I prefer an open forum for sharing and providing support and educational resources for our group attendees. 

    Good luck and hope this helps��

    Wendy Tabor-Buth, LBSW

    Ethos Hospice Bereavement Coordinator

     

     






  • 5.  RE: Grief Group

    Posted 03-28-2023 12:40 PM

    That helps a lot, thank you! It makes me feel better to know that other places don't do a set structure to their groups. I treat it as a "please talk, if not, I don't mind talking to maybe help you talk. Get you comfortable." I have a gentleman that has been coming since his mom passed, two years ago. At this point, I think I'm just his interaction for the month :( . I appreciate your responses!! so helpful!



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    Erin Staggers

    Volunteer/Bereavement Coordinator, Home Hospice
    UPMC Western Maryland
    1050 West Industrial Blvd, Suite 19
    Cumberland, MD 21502
    ------------------------------



  • 6.  RE: Grief Group

    Posted 03-28-2023 01:35 PM
    Edited by Emily Feldberg 03-28-2023 01:35 PM

    Hi Erin, 

    I facilitate our grief support groups which are 1.5 hours. We have a 6 week group for adults and then a monthly drop in group for those who have attended our 6 week groups for continued support. In some of our groups I like to show a short story about grief that can be found at Speaking Grief, they also offer a fantastic documentary about grief  (https://speakinggrief.org). In our 6-week groups I use the loss discussion cards from Girls Gone Happy. I ended up laminating the cards and usually use them once the group has met for several weeks so they feel more comfortable together. I hope some of these ideas are helpful and I always like to see what other facilitators are doing! 

    - Emily 

     




  • 7.  RE: Grief Group

    Posted 03-30-2023 12:07 PM

    I am new to the role of Bereavement Coordinator.   I appreciate all the helpful info you all are sharing. THANK YOU.   Does anyone have any thoughts on the best time of day (or evening) to get regular attendance at Grief Support meetings?   And where are you holding these meetings?  Anyone successfully using online Zoom type meeting for outlying geographical areas or those who have travel difficulties?



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    Kimberlee Robinson MPH, MM
    Fellow in Thanatology
    Hospice Chaplain, Bereavement Coordinator
    Smoky Mountain Hospice
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  • 8.  RE: Grief Group

    Posted 03-30-2023 12:30 PM
    Fyi Beginning 5/12/2023, the CMS Covid PHE waiver ends so use of any non hipaa compliant software will cause agency violation penalties. This includes your video conference systems.  Please check with your Administrator for systems approved. 



    Regards, 
    Van Castaneda 
    VP/Administrator 
    (562) 317-1154 (direct)
    (866) 855-8387 (main)
    (951) 472-2630 (fax)


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  • 9.  RE: Grief Group

    Posted 04-04-2023 08:35 AM

    Hi Van, my organization has been discussing this as well and we don't believe that it effects grief support as long as there is no patient/provider relationship.  In the State of Florida (my state) the statute defining telemedicine specifically uses the word "patient". Since our hospice only provides psychotherapy services to our hospice patients and not their family members or other loved ones we do not believe that our virtual grief support groups are considered telemedicine.  However if you have any contradictory information I would definitely appreciate you sharing it as we definitely don't want to be out of compliance.



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    Jennifer Simmons, LCSW
    Bereavement Coordinator
    St Francis Reflections Life Stage Care
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  • 10.  RE: Grief Group

    Posted 03-31-2023 12:05 PM

    Hi Erin,
    We have an 8 week binder of material that we give to each new member of our ongoing weekly Grief Group.
    Meetings are held on Tuesdays 2:00pm-3:30pm.   Many participants find the reading material very helpful and it give everyones a shared understanding of grief to discuss.  

    We start the group with the same format every time.  Welcome, basics of group agreements and invitation to share, address concerns and questions about their grief.  Everyone shares their name, their loved one(s) they have lost and sometimes that is all.  This is a safe place to listen if that is all you are able or want to do.  As facilitators we often set the frame for the group which creates a safety for people to participate to the degree they are comfortable. 

    We often provide specific resources based on the questions and requests brought up directly in the group at the next meeting.



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    Betsy S. Kramer, MA
    Bristol Hospice Sacramento
    Bereavement Coordinator
    CA
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  • 11.  RE: Grief Group

    Posted 03-31-2023 02:16 PM

    Do you have specific paperwork, or where you found it to give them? I'm big on handouts - I think it really can help someone when they're home alone.



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    Erin Staggers

    Volunteer/Bereavement Coordinator, Home Hospice
    UPMC Western Maryland
    1050 West Industrial Blvd, Suite 19
    Cumberland, MD 21502
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  • 12.  RE: Grief Group

    Posted 04-03-2023 11:03 AM
    do you also have a scheduled 8 week program?

    We do both -- a 6 week program with a set curriculum 
    that meets with the same group of people each week for 6 weeks.

    We have a separate ongoing group to which people 
    are invited to participate as they want/need. We start it
    the same way you do and usually have a topic to prompt
    discussion if something isn't brought up.

    Thanks,

    Veronica M. Ibarra, MS, FT, BCC

    Bereavement Counselor

    Presbyterian Home Health, Hospice, and Palliative Care

    Albuquerque, NM

    Bereavement Services: 505-559-7055

    Cell: 505-377-1601

    Hospice Main: 505-559-1000


    "The journey through grief has a varied landscape but no permanent detours."

    - from Healing After Loss, Martha Whitmore Hickman



    *-*-*- Presbyterian_Healthcare_Services_DISCLAIMER -*-*-* This message originates from Presbyterian Healthcare Services or one of its affiliated organizations. It contains information, which may be confidential or privileged, and is intended only for the individual or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. All personal messages express views solely of the sender, which are not to be attributed to Presbyterian Healthcare Services or any of its affiliated organizations, and may not be distributed without this disclaimer. If you received this message in error, please notify us immediately at info@phs.org If you would like more information about Presbyterian Healthcare Services please visit our web site http://www.phs.org





  • 13.  RE: Grief Group

    Posted 04-03-2023 05:32 PM

    Hello Veronica,

    This is a new format for us.

    We had been doing the 8 week format.

    We resumed after COVID with the 8 week format.  The participants wanted to continue meeting after the eight weeks.  Based on our outside groups and our case load, we are not in a position to have an additional concurrent 8 week group and the ongoing grief group.  We created this hybrid and it has been working very well.  The participants that have been coming for longer like to offer their support and the newer participants feel encouraged to hear about the grief journey from the perspective of people longer in the process.

    With appreciation,

    Betsy S. Kramer, MA

    Bereavement Coordinator

     

    Bristol Hospice Sacramento, LLC.

    2140 Professional Dr. Ste. 210

    Roseville, CA 95661

    Phone: 916-782-5511

    Fax: 916-782-5635

     

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  • 14.  RE: Grief Group

    Posted 04-04-2023 08:25 AM

    Hi Kimberlee,

    We've had the most success with morning and afternoon groups, not so much evening groups and we've tried both in-person and on-line. When creating a new support group we try to keep them between the hours of 10 AM and 4 PM and will average anywhere between 6 to 10 attendees on any given day. Regarding the on-line format, it was popular during the pandemic but after in-person services opened up again we quickly realized that in-person was the preferred format due to the population served.  Most of our attendees feel more connected to other members when in-person.  However in our kids program our Teen group was a hybrid format because the meetings alternated between two areas of the county each week.  So the ones who were local that week would attend in-person while the ones who were in another part of the county attended via Zoom and they did extremely well with this format.  So I anticipate that in another 20 years on-line groups will become much more preferred.



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    Jennifer Simmons, LCSW
    Bereavement Coordinator
    St Francis Reflections Life Stage Care
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  • 15.  RE: Grief Group

    Posted 04-04-2023 10:56 AM
    We continue with our virtual/online groups and meet 2:30-4:00 pm with an occasional evening group 6:30-8:00 pm.
    We have anywhere from 9 to 15 attendees during the day and 6-10 in the evening. The sense of distance or anonymity
    seems to help with sharing. There is a safety participating from the comfort of one's home. 

    Veronica M. Ibarra, MS, FT, BCC

    Bereavement Counselor

    Presbyterian Home Health, Hospice, and Palliative Care

    Albuquerque, NM

    Bereavement Services: 505-559-7055

    Cell: 505-377-1601

    Hospice Main: 505-559-1000


    "The journey through grief has a varied landscape but no permanent detours."

    - from Healing After Loss, Martha Whitmore Hickman



    *-*-*- Presbyterian_Healthcare_Services_DISCLAIMER -*-*-* This message originates from Presbyterian Healthcare Services or one of its affiliated organizations. It contains information, which may be confidential or privileged, and is intended only for the individual or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. All personal messages express views solely of the sender, which are not to be attributed to Presbyterian Healthcare Services or any of its affiliated organizations, and may not be distributed without this disclaimer. If you received this message in error, please notify us immediately at info@phs.org If you would like more information about Presbyterian Healthcare Services please visit our web site http://www.phs.org





  • 16.  RE: Grief Group

    Posted 04-05-2023 03:12 PM

    Hi, Kimberlee-
    We have found that the 1- 2:30 pm time frame has worked well for many of our groups.  We offer both in person and virtual groups now that we have gotten through the heart of the pandemic and find that people out in the rural areas really appreciate having virtual groups as an option. This is also a nice option for those who are still working and can take a break during the day to attend or who have families at home but still want to attend a group.  Like many of the others we often bring something to share at group (there are some really good ted talks that aren't too long i.e Nora McInery's 'We Don't Move Forward From Grief. We Move On' etc). Sometimes the group is so talkative we don't get to the education and sometimes it serves as a great resource and conversation starter for attendees.  Best wishes to you!  



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    Heather Larson, LSW, CT
    Grief Specialist Supervisor
    Hospice of the Red River Valley
    Detroit Lakes, MN
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  • 17.  RE: Grief Group

    Posted 03-29-2023 03:33 PM

    How do you support families with multiple bereaved? 2+. Do you support 1:1 or in family only grief groups? I ask b/c we have a family of 5 and its not feasible to hold 5 different 1:1 sessions so would like to start with 1:1 session in month 1 and move them to group support but only for the family members. Is there a best practice you have as agenda for dedicated family groups? 



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    Van Castaneda
    Administrator
    American Veterans Hospice
    www.amvetshospice.com
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  • 18.  RE: Grief Group

    Posted 04-11-2023 01:55 PM

    Hello Erin!

    We have a once a month drop in group that is 1.5 hrs. At these drop in sessions, we have a different topic for each month as well as a different speaker - usually, someone who has been through the journey themselves. The speaker shares for about 15 minutes or so, and then we open up for questions & sharing. We have found this meaningful for both our bereaved as well as our speakers - many of whom are volunteers with us in other capacities as well.

    Hope this helps!



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    Bianca Staudt
    Bereavement Clinician
    Home Health & Hospice Care
    Merrimack, NH
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  • 19.  RE: Grief Group

    Posted 04-12-2023 09:52 AM

    Hi Erin,

    I have found over the years that group formats and needs vary based on the needs of the particular attendees to the groups.  I've sometimes offered one educational group and a few open format groups, so the bereaved have options, based on their need or comfort level.  I've not had good responses to educational groups lately.
    Currently we have 4 groups; they all meet once a month.  They are open groups, 1 is virtual and the others are in-person.  People are able to attend when they are available.  We don't have a set agenda.  We begin with a check-in time where they are all encouraged to share how things are going for them and any issues/questions they have.  Often times, we spend the rest of the group talking about the issues that are brought up in the check-in or other questions that they've brought to the group for the input of the other members.  However, I always have a few resources or supportive items with me just in case there are no needs or questions or the discussion winds down: a timely article, poem or other handout.  I hardly have to use the resources to generate conversation, but sometimes they are so timely that I give it/them out early so we can discuss or at the end for them to take home.  You never know what will come up as a need this way, but the goal of these groups is not education, but support for current needs.

    I've led educational groups in the past as well, for 6 or 8 weeks, with an outline of what is covered each session, but I've had better attendance and better connections formed between the members through these open groups, so I've been staying with the open format for the last number of years.

    Sometimes you just have to try different offerings and see what the response is to each one.  Maybe you want to ask the group if they would like to watch a video or have a guest speaker.  Of course, the practical piece is your availability to provide the different options.  Unless you are using a set curriculum, the educational format requires more preparation time.  The open format requires some prep for resources to have available, based on the specific needs of each group, but often the timely resources I gather are appropriate for all 4 groups.  

    Hope this is helpful!



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    Nancy Arnold CDP
    Bereavement Manager
    Supportive Care Center
    Visiting Nurse Association
    Southcoast Health | 200 Mill Road | Fairhaven, MA. 02719
    508-973-3227 / cell: 774-319-3007
    ArnoldN@southcoast.org
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