Grief Support Peer Group Consent Form

Finding Silace in Grief welcomes you! 

Please read through the information below and feel free to ask your questions about our sessions and/or anything about us. 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.

WHAT IS PEER-LED GRIEF SUPPORT GROUPS

This peer-led grief support group provides a safe, non-judgmental space for individuals experiencing grief to connect, share, and support one another. The group is not a substitute for professional therapy, but is intended to offer community and understanding through shared experiences.

 

Group Format:

The group is led by trained peer facilitators, not licensed mental health professionals.
Sessions may include sharing, discussions, and group activities.
Participation is voluntary and you may pass or decline to share at any time.

 

 

CONFIDENTIALITY

We respect each and everyone's right to privacy and confidentiality and we shall make sure to maintain it that way. However, please understand that this is not absolute and is limited to provide for by 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 a child or any person;
• Sexual abuse against a child where the child is living with the abuser;
  Whenever we 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 it is necessary that the following is required to be complied with by its members:

1. Discussions made within the group session are not allowed to be discussed outside with anyone and 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 drunk, nor they are allowed to take alcohol or take drugs before or after therapy;
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.

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.

CONSENT

By signing below, you acknowledge that you:

Understand the purpose and structure of the group
Understand the limitations of confidentiality
Agree to uphold the group agreements
Recognize that this is a peer support group and not a clinical therapy group