Group Therapy Informed Consent Form

Welcome to Therapy for our Daughters!

Please read through the information below and feel free to ask questions about our sessions and/or anything about our non-profit. Once you are ready to participate, please sign this informed consent form below so we will have on our records that you have read the information and that you have been properly informed about the therapy. There is no cost for this program, but we do ask for donations in order to keep this program sustainable. Please help us in continuing our mission to help women and children grow through what they go through at www.IAMPurposeD.org

WHAT IS GROUP THERAPY

Group Therapy is a unique kind of therapy where individuals that are experiencing similar challenges in their lives meet to share their experiences. By doing this, they are able to obtain support from others with shared experiences. Likewise, group therapy gives people the opportunity to listen to others, which can help put their problems into perspective. Sometimes, people can tend to feel alone, and knowing that there are others with similar life stressors can make them feel less alone.

We will make sure to maintain a safe environment that is conducive both for sharing and accepting each other where everyone can grow and trust one another and where each and everyone will feel respected and valued.

CONFIDENTIALITY

We respect each and everyone's right to privacy and confidentiality and we will make every effort to ensure this is maintained. However, please understand that this is not absolute and there are limitations as dictated by Alabama law. Certain limitations are as follows:

• Threatening one's self or another that may result in physical harm;
• An act of physical or emotional abuse against anyone under the age 18 or any person considered disabled or the elderly;
• Sexual abuse against a person under the age of 18 or of someone that is mentally inacapble of consent.
• If any group facilitators are summoned by court order to disclose information against a participant. However, we shall notify you and let you exercise your privilege in the right to deny the disclosure of your records with us.
• Your prior written consent to release records.

CONDUCT AND RELATIONSHIP

For the safety of group facilitators and for group members, it is necessary that the following is required to be complied with by all particpants:

1. Discussions made within the group session are not allowed to be discussed with anyone outside the group. Participants should maintain the practice of confidentiality in order to build trust with fellow members;
2. Members should maintain positivity and not induce disrespect among others;
3. Members should not be under the influence of any subtances (illicit or legal), nor they are allowed to engage in the use of alcohol or take illicit drugs before;
4. Maintain conduct that brings respect to fellow members' thoughts, emotions, or behavior.
5. Refrain from having a relationship with a fellow member other than therapeutic while engaged in the session.

THE THERAPIST(s) or Life Coaches

The therapists or life coaches will maintain a professional relationship with the participants at all times. Any relationship with a participant that may result in a "dual relationship" or coersion may affect the goals of the session. Any behavior that violates the professional relationship should reported to 

WHAT TO EXPECT

The sessions consist of processing on the issues that a member is involved where the others will give their feedback and reaction towards the said issue. This helps each member understand the issue from a different perspective in order to understand others. This also helps with one's reflection about his or her situation which can then help for insight and personal growth.

PARENT CONSENT

I agree to adhere to the norms and expectations for group therapy as indicated above for my child. I acknowledge that I have had the opportunity to ask questions and such questions were answered clearly and to my satisfaction.