Table 2.

CBSST Session Content Covered

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	•Introduction and orientation to problem solving group •Introduce stepwise problem solving skill
Week 2	•Identify how participant wants his/her adaptive functioning situations to change	•Introduce concept of cognitive appraisal •Discuss and practice identifying thoughts •What are helpful and unhelpful thoughts?	In-person services were disrupted due to COVID-19 pandemic, services transitioned to telebehavioral health practice after a 2.5 week lapse.
In-person services were disrupted due to COVID-19 pandemic, services transitioned to telebehavioral health practice after a 2.5 week lapse.			•Telebehavioral health consent •Group expectations/norms for telebehavioral health •Introductions and orientation to social skills group •Introduce the importance of communication •Learn nonverbal communication skills •Practice active listening skills	•Telebehavioral health consent •Group expectations/norms for telebehavioral health •Learn to creatively brainstorm all possible solutions to a problem
Week 3	•Telebehavioral health consent •Group expectations/norms for telebehavioral health •Identify specific goal areas for deeper discussion •Identify barriers to developing goals and achieving goal steps •Review goal step accomplishment status	•Telebehavioral health consent •Group expectations/norms for telebehavioral health •Introduce reality testing and cognitive errors	No participants attended this session	•Learn to consider all solutions then assess them
Week 4	•Identify specific goal areas for deeper discussion •Identify progress and barriers towards goals	•Review reality testing and cognitive errors	•Practice active listening skills	•Learn to lay out a detailed plan to solve your specified problem
Week 5	•Identify specific goal areas for deeper discussion •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 •Expressing unpleasant feeling skill	•Practice problem solving issues related to goals
Week 6	•Identify specific goal areas for deeper discussion •Identify progress and barriers towards goals	•Practice generating alternative thinking •Practice cognitive reappraisal	•Learn expressing pleasant feelings skill	•Learn to lay out a detailed plan to solve your specified problem
Week 7	•Consolidate learning from group/reflect on progress •Identifying ongoing goals and reinforce continued treatment engagement •Identify progress and barriers towards goals •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	•Talk to others about goals/learn help seeking behavior •Practice making a positive request •Expressing unpleasant feeling skill	•Consolidate learning from group/reflect on progress •Identifying ongoing goals and reinforce continued treatment engagement •Ask for patient feedback on the group