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An Informal Club for Disturbed Adolescents

Early Stages There were considerable difficulties in establishing the club. First of all the premises were unsatisfactory-the main problem being that it was difficult to get a self-contained area for the club activities, or in other words to establish clear physical boundaries between the club and other areas of clinical activities. We discovered that many staff members found it very stressful to work together in this informal setting. Through a period of self selection staff members who were able to form a working team and form a kind of &dquo;fit&dquo; between each other continued to operate the club. The major problem was staff members getting used to the unusual situation of working together as a team in an informal setting. This mixture of therapeutic and informal relationship was stressful for some staff who had normally been operating in a more orthodox way with patients. Furthermore staff members were used to a pattern of professional relationships which was disturbed by working in this more informal setting. Early attempts at involving the youngsters in decisions about activities were quite discouraging. There was a lack of ideas and a general passivity indicating that the staff would have to take most of the initiative. The club meets once weekly for 21 hours. The age group of the patients is 15 to 19 or 20. We felt that twelve patients would be the optimum number, and the attendance has varied between eight and 14.