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A qualitative methodology using observation, narratives, face-to-face interviews, and a survey was employed. The findings suggest systemic and organizational issues concerning policies and procedures which include a neglect and lack of positive rewards, reduced staffing and high turnover rates, differing approaches to care planning, constant policy changes, lost leadership, and staff refusal to float. 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It consisted of six weekly sessions using readings from the book Healing for damaged emotions by David A. Seamands and discussion questions to stimulate group interaction. Group assessments consisting of pre- and post-test questionnaires were utilized to determine the effectiveness of small group ministry with this group of at-risk men. 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