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Group Cognitive-Behavioral Therapy via Telebehavioral Health for Those With Psychotic Spectrum Disorders: A Case
Hannah L Joseph1, Ana Martinez de Andino2, Keith Wood2
1Georgia State University.
Cognitive and Behavioral Practice
|March 14, 2022
Summary
Telebehavioral health successfully transitioned a Cognitive Behavioral Social Skills Training group for schizophrenia patients during COVID-19. Participants showed improved engagement and skills, with reduced barriers, suggesting telehealth viability for this population.
Area of Science:
- Psychiatry and Mental Health
- Digital Health and Telemedicine
- Clinical Psychology and Psychosocial Interventions
Background:
- Telebehavioral health use surged during COVID-19 for continuous mental health care.
- Limited research exists on telebehavioral health implementation for schizophrenia spectrum disorders.
- Previous studies suggest feasibility but lack detailed implementation and effectiveness data.
Purpose of the Study:
- To describe the transition of an in-person Cognitive Behavioral Social Skills Training group to telebehavioral health.
- To evaluate participant outcomes, attendance, and engagement in the virtual format.
- To identify facilitators and barriers to telebehavioral health implementation and its impact on the therapeutic relationship.
Main Methods:
- A case series approach detailing staff procedures for transitioning the group.
- Analysis of participant outcome and session attendance data.
- Surveys of facilitators and participants on barriers, facilitators, and the virtual platform's impact.
Main Results:
- Two participants transitioned successfully, showing improved treatment engagement, goal progress, and skill acquisition.
- Surveys indicated advantages such as improved therapeutic relationships and reduced transportation barriers.
- Implementation challenges included technological connectivity and ensuring confidential spaces, but no harm was reported.
Conclusions:
- Telebehavioral health appears to be a viable modality for psychosocial treatment in schizophrenia spectrum disorders.
- Improved attendance and participation were reported, addressing critical engagement issues in this population.
- Further rigorous research is needed to confirm the effectiveness and optimize telebehavioral health delivery.
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