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00500	C00004 00003	.HEDDING(EDUCATIONAL BACKGROUND:)
00600	C00005 00004	.next page
00700	C00012 00005	January, 1977 - present:  I am currently a psychiatric social worker
00800	C00018 00006	.HEDDING(PROFESSIONAL SOCIETY MEMBERSHIPS:)
00900	C00019 00007	.HEDDING(REFERENCES:)
01000	C00021 ENDMK
01100	C⊗;
     

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01600	%b↓_CURRICULUM_↓   ↓_VITAE_↓
01700	
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01900	
02000	%bMerle Ellyn Lenat
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02200	
02300	142 Anita Ave.
02400	Pittsburgh, Pa. 15217
02500	
02600	Telephone:  521-4617
02700	
02800	March, 1978
02900	.skip 2
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04900	
     

00100	.HEDDING(EDUCATIONAL BACKGROUND:);
00200	
00300	
00400	.INDENT 0,6,0
00500	
00600	High School: Philadelphia High School for Girls; June, 1968.
00700	
00800	B.A. in Psychology: Temple University, Philadelphia, Pa.; May, 1972.
00900	
01000	M.A. in Psychology: San Francisco State University,  S.F.,  Ca.; December,
01100	1974.
01200	
01300	"Transactional  Analysis 101" course; May, 1975.
01400	(Entitled    me   to   join   the  ITAA)
01500	
01600	M.A. in  Family and  Marriage Counseling:  U. of  Santa Clara,  Santa
01700	Clara, Ca.; March, 1976.
01800	
01900	.next page;
02000	
     

00100	.next page;
00200	
00300	.hedding(WORK EXPERIENCE:);
00400	
00500	1971:  Worked  with  mentally  retarded   and  emotionally  disturbed
00600	children   and   adults,  teaching   them  such   living   skills  as
00700	socialization and educational skills.  I counselled several of  these
00800	people  on a  one-to-one  basis and  found it  very rewarding.   The
00900	relationships  I formed  with them  were intense,  and I  will always
01000	remember the experience.
01100	
01200	1972: Worked as an employment  counselor at an employment agency.   I
01300	interviewed clients, found out  what they wanted and what skills they
01400	had, and I then tried to match them up with interested employers.   I
01500	did not enjoy this, due to pressures to place the client with 
01600	%banyone%*, just
01700	so the agency could get its fee. Therefore, I left.
01800	
01900	1973-1974: Worked as a research assistant with two psychiatrists, Dr.
02000	Ken Colby and  Dr. Frank Hilf,  at Stanford University.   Part of  my
02100	duties involved working with psychiatric  inpatients at the Palo Alto
02200	Veterans Administration  Hospital, on ward 4B3.  I attended community
02300	meetings run  by the patients,  staff meetings,  intakes done by  the
02400	staff, and small group therapy  meetings.  Through one way mirrors, I
02500	observed family groups  and some individual  therapy.  I  interviewed
02600	the  patients  on  a  one-to-one  basis  about  their  feelings  and
02700	"illness", and worked with them on the interviewing via the computer.
02800	
02900	.ONCE INDENT 6
03000	
03100	During the summer of 1974 I also became an observer in the hospital's
03200	Family Study Unit.   I gave feedback  to the therapists doing  couple
03300	and sex therapy and family therapy.  These experiences inspired me to
03400	become a marriage and family counselor myself.
03500	
03600	1974 - July, 1976:  Working as a volunteer therapist and student intern at
03700	Central Mental Health  Agency of Santa  Clara County.  My  experience
03800	has  been broad  there,  including seeing  individuals,  couples, and
03900	families as clients.   On  the immediate treatment  service (ITS),  I
04000	diagnosed  and  referred   patients  to  appropriate   counselors  or
04100	settings, as well as doing actual crisis counseling.  I have done
04200	both conjoint therapy (with a male  therapist) and
04300	therapy I conduct myself.  Groups are also a part of my experience at
04400	the  clinic.  During this past year I  co-led a "parent" group once a
04500	week.  The  group consisted  of parents of  hard to control  children
04600	(age 4-7) who needed support  and help for themselves.  We dealt with
04700	many individual problems  such as  low self  esteem, guilt  feelings,
04800	relationship problems, and of course "parental"  problems.  This year
04900	I co-led a "family" group consisting of parents of adolescents
05000	and, once  a month,  the children  as well.   In  this  group we  
05100	dealt with  couple problems, so  a great deal  of time was  spent on
05200	working out hassles with the spouses. I also observed a T.A.  group in
05300	which I sat among  the clients.  After  the group there would be  a seminar
05400	where the observers give  feedback to the therapists and discuss T.A.
05500	concepts.  As part of my service to the clinic I received
05600	 supervision
05700	from  a Licensed  Clinical  Social Worker,  Mr.  James O'keefe.    We
05800	would
05900	discuss therapeutic stratagies  as well as my personal feelings about
06000	the people involved  (e.g., how to  keep my  own hang-ups and  values
06100	from getting in the way of therapy).  Also, I attended a  weekly student
06200	seminar  where staff and students present  cases they are working on,
06300	for suggestions and  self-clarification.  Last  year I presented  two
06400	case studies to my colleagues and their suggestions helped me a great
06500	deal.
06600	
06700	March, 1975 - June, 1975: Co-led a sensitivity group at University of
06800	Santa Clara.  The members of the group  were students and teachers in
06900	the counselling department.   My co-leader and I used many techniques
07000	to gain group cohesiveness: using "I" messages, talking in  the "here
07100	and now", group hugs, and no  gossiping about group members.  We also
07200	promoted individual growth by using techniques such as confrontation,
07300	assertiveness training,  doubling, and  giving loads of  support.   I
07400	found  this  experience  very   challenging,  for  I  led  the  group
07500	completely on my  own a  few times  when my  co-leader was  sick.   I
07600	learned  much about  myself  those times,  and  found the  experience
07700	invaluable.
07800	
     

00100	January, 1977 - present:  I am currently a psychiatric social worker
00200	at the inpatient unit at St. John's Hospital in Pittsburgh, Pa.
00300	As such, I coordinate overall patient care.  
00400	When a patient is admitted, I first do an initial assessment.
00500	This consists of collecting clinical and social
00600	data from the patient, his family, staff members, and other agencies
00700	having knowledge of the patient or his situation.  Examples of the
00800	clinical information I seek include checking the patient's affect
00900	to see whether it is flat, suspicious, manic, etc., as well
01000	as his mental status.  I also check the patient for data concerning
01100	his physical condition including whether there has been weight loss,
01200	sleep disturbance, or any somatic complaints.
01300	
01400	.once indent 6;
01500	
01600	I then provide individual, family, and group therapy for each patient
01700	around crisis areas that exist that might have precipitated the 
01800	psychotic break.  For individual therapy, my therapeutic techniques
01900	include both the verbal reality therapy and the nonverbal approach
02000	which sometimes include just sitting there and being with the person.
02100	In the groups that I have led, especially with the more psychotic
02200	patients, there has been an emphasis on art therapy techniques: group
02300	paintings, individual clay work, painting what one feels at the moment.
02400	When the art phase is over, each member of the group shares what he
02500	created and what the creation means to him.  Other therapeutic 
02600	approaches I have tried individually and in our groups include 
02700	listening to songs and reading the words to the songs that might 
02800	have meaning to their lives.  [E.G. "I've Got A Friend", "Sitting 
02900	Alone In Your Room", "I Am A Rock".]  In some of my more verbal
03000	sessions with the group we deal with important topics such as
03100	"what is depression and how can we prevent it from taking control",
03200	"assertiveness or how to get what you want and need effectively",
03300	"the stigma of mental illness and how to deal with that",  "the 
03400	importance of following through with after-care medications and 
03500	outpatient therapy", and "how to deal with your anger without
03600	getting into trouble".  In family counseling sessions which I 
03700	emphasize in therapy, I work with them on their feelings about 
03800	the "patient", the acceptance of the situation, expectations
03900	about the hospitalization that are real and point out those
04000	that are not attainable.  I support them as well as being the patient
04100	advocate.  I try to answer any questions they might have about the
04200	patient and the process of recovery.  As well as this, I am 
04300	modeling for them appropriate handling of the patient, and at the 
04400	same time, I am trying to deal with the crisis areas in the family.
04500	Communication skills are stressed here.
04600	Since this is a very short term hospitalization experience of
04700	two to three weeks I can not do intense family psychotherapy. 
04800	However, I do stress the continuation of family, as well as
04900	individual, therapy after discharge from the hospital.
05000	
05100	.once indent 6;
05200	
05300	As this is a team approach, I go to frequent staff meetings (three
05400	times a week) where we discuss patient treatment goals, and patient
05500	status.  Upon imminent discharge of the patient I do discharge planning.
05600	This includes setting up living arrangements, setting up outpatient
05700	follow-up appointments, as well as giving treatment reccomendations
05800	for follow-up.  Along with each patient I write up and send with the
05900	chart a social history.  This includes all relevant information
06000	regarding patient's life course and recent problem areas.  Also in
06100	this social history is included what was accomplished by the present
06200	hospitalization and how the patient related to his family, staff, 
06300	friends and other patients while he was in the hospital.
06400	Finally, I put down reccomendations for further treatment.
06500	.skip 2;
06600	
     

00100	.HEDDING(PROFESSIONAL SOCIETY MEMBERSHIPS:);
00200	
00300	Psi Chi (Psychology Honorary Organization)
00400	
00500	I.T.A.A. (International Transactional Analysis Association)
00600	
00700	C.A.M.F.C. (California Association of Marriage and Family Counselors)
00800	
00900	A.A.M.F.C. (American Association of Marriage and Family Counselors) 
01000	
01100	W.P.G.P. (Western Pennsylvania Group Psychotherapy Association)
01200	
01300	
01400	.apart; group;
01500	
01600	
     

00100	.HEDDING(REFERENCES:);
00200	
00300	1. Mr. Rod Coffman, MH/MR Emergency and Inpatient
00400	Service  Coordinator, St. John's Hospital,
00500	Pittsburgh, Pa., 412-766-8300 x388.
00600	.<<  After July 5, 1977,Ms. Garland will assume the position of Butler CountyMH/MR Coordinator.>>;
00700	
00800	
00900	2. Dr. Harry J. Ross,  Psychiatrist on MH/MR inpatient unit,
01000	St. John's hospital, Pittsburgh, Pa., 412-766-8300 x208.
01100	
01200	3. Mr. James O'keefe, L.C.S.W.  Central Mental Health Agency of Santa
01300	Clara Valley, Bascom and Moorpark Aves., San Jose, Ca.  408-286-5442.
01400	
01500	4.  Professor Charles Swenson, University  of Santa Clara, Department
01600	of Graduate Humanities, Santa Clara, Ca.  408-984-4434
01700	
01800	5. Eileen Bobrow, M.A.   San Andreas  Health Council, Palo Alto,  Ca.
01900	415-326-8655
02000	
02100	6. Dr.  Franklin D.  Hilf, M.D.   20 W. 64th  Street, Apt.  #41K, New
02200	York, New York 10023.  212-352-1619.
02300	
02400	7. Professor Mary Ann Smith, University of Santa Clara, Department of
02500	Graduate Humanities, Santa Clara, Ca.  408-984-4434
02600	
02700	8. Professor Kenneth Blaker, University of Santa Clara, Department of
02800	Graduate Humanities, Santa Clara, Ca.  408-984-4434
02900