Coping Effectively with Spinal Cord Injuries: A Group Program Therapist Guide provides step-by-step instructions for conducting group sessions, listings of materials, group session outlines, and even copies of forms and evaluation methods. The inclusion of a supplementary workbook facilitates active participation by group members. Furthermore, a companion web site provides downloadable monitoring forms, worksheets, self-assessments, checklists, and charts. Here lies the value inherent in the evidence-based treatment approach of this Treatments That Work program, that of involvement of sound methodology from the perspectives of the clinician, researcher, and individual with spinal cord injury. Although the idea of “one size fits all” does not apply to individuals such as people with spinal cord injury, given the diversity of personal ability, function, and life experience, there is a foundation of significant content to address the major themes of coping after injury. Homework assignments, which may have value to some, may not always be met with readiness and acceptance. Also, some individuals may encounter difficulty in the completion of forms related to injury level and the need for assistance to complete writing tasks. Similarly, the use of relaxation technique may need to be tailored to personal preference and comfort level, along with ability to use specific instruction. Visual imagery instead of physical muscle tensing or breathing demand instruction might be more appropriate for some, and the clinician will need to adjust as needed.
When one encounters the need to cope with a life-changing event, the resource of information and skill building are critical aspects of successful life outcome. Mastery, self-efficacy, self-advocacy, management of stress, utilization of positive social network support, and personal growth are the hallmarks of coping effectiveness training (CET) to help people deal with the demands of spinal cord injury. The skills are taught across a group format of seven 60-minute treatment sessions. Typically, the frequency is twice a week, but it can be decreased to once a week in groups of 6 to 9 members.
In my experience, the beauty and power of sharing meaningful stories, experiences, and information are not only productive, but necessary to maximize rehabilitation outcome. Moving from a potential sense of isolation and helplessness to one of ability and opportunity are the main ingredients in coping. Professor Paul Kennedy provides a treatment framework and instructional materials to facilitate adaptive coping and empowerment after spinal cord injury. A much needed resource in the field is now available.