Another group I have done with low level clients is a feeding group.  Maybe 
that is too low level for your clients.

Where I am helping cover while another OT is on maternity leave(SCI rehab),we 
do one group activity/week that changes between the ones you mentioned.  They 
call it GAP-group activity participation.  We also include Recreation.  
1)The first week I was there we did a scavenger hunt.  We had paired them in 
groups of 2-3 with a staff member if needed.  We gave each group a slightly 
different list of items to obtain that would send them to various places in the 
facility.  It might be to get the room number of PT gym.  To find a pencil.  
To get there blood pressure read.  To get someone's signature(maybe someone in 
the office that they might need to know or maybe the dieticians).  The object 
was w/c mobility, to help them get used to the facility and find there way 
around(so we tended to pair a client who had been there longer with a new 
client), and cognitive.  The groups worked together and came up with stategies to get 
their items the fastest.  Some split the list up etc.  It was really fun!

2)The second week they played a game called Taboo that I would say was 
cognitive and fun group.   I did not attend this session so do not have details.  It 
is a game which you have a list of words that you can not use to help you 
teammates try to guess the word you are describing.

3)Next week, we are having a cooking activity.  Two of our client's are going 
home so it is also a celebration.
Lori
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