Table 1.

CBSST Session Objectives

Session	Goal	Cognitive	Social Skills	Problem Solving
Week 1	•Introduction and orientation to goal group and entire CBSST program •Group expectations •Identify participants’ current dream life goal •Identify top two adaptive functioning situations (e.g. work, housing, transportation, behavioral health treatment, medication treatment) •Complete a portion of the Adaptive Behavior Functioning Inventory	•Introduction and orientation to cognitive group •Introduce cognitive triad (linking thoughts, feelings & behavior) •Discuss difference between thought versus feeling	•Introductions and orientation to social skills group •Introduce the importance of communication •Learn nonverbal communication skills •Practice active listening skills	•Introduction and orientation to problem solving group •Introduce stepwise problem solving skill
Week 2	•Goal Brainstorming •Review Adaptive Behavioral Functioning Inventory, Part II (school/training, leisure/fun, self-care)	•Introduce concept of cognitive appraisal •Discuss and practice identifying thoughts •What are helpful and unhelpful thoughts?	•Telebehavioral health consent •Group expectations/norms for telebehavioral health •Learn expressing pleasant feelings skill	•Learn to specify problems •Assess how thoughts related to problems
Week 3	•Specific Measurable Achievable Relevant Time-bound (SMART) goal generation in Adaptive Behavioral Functioning domain of interest	•Introduce reality testing and cognitive errors	•Learn making a positive request skill	•Learn to consider all solutions then assess them
Week 4	•SMART goal generation •Develop plan for progress towards goals •Identify progress and barriers towards goals	•Practice generating alternative thinking •Practice cognitive reappraisal	•Talk to others about goals/learn help seeking behavior •Practice making a positive request	•Learn to lay out a detailed plan to solve your specified problem
Week 5	•Review SMART goals •Review and update plan for progress towards goals •Identify progress and barriers towards goals	•Practice cognitive reappraisal •Introduce behavioral experiments	•Expressing unpleasant feeling skill	•Practice problem solving issues related to goals
Week 6	•Review SMART goals •Review and update plan for progress towards goals •Identify progress and barriers towards goals	•Practice cognitive reappraisal and behavioral experiments	•Catch up and practice skills already introduced	•Catch up and practice skills already introduced
Week 7	•Consolidate learning from group/reflect on progress •Identifying ongoing goals and reinforce continued treatment engagement •Ask for participant feedback on the group	•Consolidate learning from group/reflect on progress •Identifying ongoing goals and reinforce continued treatment engagement •Ask for participant feedback on the group	•Consolidate learning from group/reflect on progress •Identifying ongoing goals and reinforce continued treatment engagement •Ask for participant feedback on the group	•Consolidate learning from group/reflect on progress •Identifying ongoing goals and reinforce continued treatment engagement •Ask for patient feedback on the group