Use the following information… Target Population Severe and persistent mental

Use the following information… Target Population Severe and persistent mental illnesses (SPMI) encompass conditions such as schizophrenia, bipolar disorder, and major depressive disorder, which significantly impair daily functioning and require long-term management. Cognitive Behavioral Therapy (CBT) has shown promise in addressing the complex needs of this population. This paper outlines the rationale for implementing a CBT program for SPMI patients, detailing their needs and potential outcomes if those needs remain unmet. Individuals with SPMI face significant challenges, including persistent symptoms, social and occupational dysfunction, and frequent hospitalizations. According to the National Institute of Mental Health, SPMI affects approximately 4-5% of the U.S. population, with a higher prevalence among adults aged 18-25 and a notable gender difference favoring males (NIMH, 2019). These individuals often struggle with comorbid conditions such as substance abuse, anxiety disorders, and physical health problems, further complicating their treatment (Mueser et al., 2015). SPMI patients require comprehensive care that addresses both their psychiatric and psychosocial needs. Empirical evidence highlights several critical needs: Symptom Management: Persistent symptoms, including hallucinations and delusions in schizophrenia, necessitate ongoing therapeutic intervention (Kopelovich et al., 2019). Social Skills Training: Many SPMI patients experience social isolation and impaired interpersonal skills, leading to diminished quality of life and increased vulnerability to relapse (Glynn et al., 2017). Cognitive Rehabilitation: Cognitive deficits, particularly in memory, attention, and executive functioning, are prevalent in SPMI and impede daily functioning (Medalia & Choi, 2009). Emotional Regulation: Difficulty in managing emotions often exacerbates psychiatric symptoms and contributes to maladaptive behaviors (Hofmann et al., 2012). Failing to address the needs of SPMI patients can result in severe consequences: Increased Hospitalizations: Unmanaged symptoms lead to frequent crises and hospital admissions, burdening healthcare systems (Prince et al., 2015). Chronic Unemployment: Cognitive and social impairments hinder job retention, resulting in financial instability and poverty (Cook et al., 2016). Social Isolation: Persistent social deficits can lead to isolation, exacerbating mental health issues and increasing the risk of suicide (Hawkley & Cacioppo, 2010). Comorbid Substance Abuse: Untreated emotional regulation problems often result in substance abuse as a form of self-medication, complicating treatment and recovery (Drake et al., 2008). CBT is an evidence-based approach that addresses the multifaceted needs of SPMI patients. Research demonstrates that CBT can effectively reduce psychiatric symptoms, improve cognitive functioning, and enhance social skills. For example, a study by Wykes et al. (2008) found that CBT significantly reduced the severity of psychotic symptoms in schizophrenia patients. Additionally, CBT interventions targeting cognitive deficits have shown improvements in memory and executive function, contributing to better overall functioning (Reeder et al., 2017). Implementing a CBT program tailored to SPMI patients can mitigate the adverse outcomes associated with unmet needs. By addressing cognitive deficits, enhancing social skills, and providing tools for emotional regulation, CBT can improve quality of life and reduce the burden on healthcare systems. Moreover, the long-term benefits of improved functioning and reduced hospitalizations underscore the cost-effectiveness of such programs (Mueser et al., 2015). A CBT program for SPMI patients addresses critical needs, such as symptom management, cognitive rehabilitation, and social skills training, thereby improving overall outcomes. The integration of CBT into standard care practices offers a promising approach to enhancing the quality of life for SPMI patients and alleviating the societal and economic burdens associated with these conditions. Investing in such programs is not only a compassionate choice but also a pragmatic one, ensuring better futures for individuals and communities alike. Stakeholder and Advisory Board/Counsil Primary Stakeholders Clients and Their Families Clients with Severe and Persistent Mental Illnesses (SPMI) and their families are the primary stakeholders of the Cognitive Behavioral Therapy (CBT) program. They have a direct interest in the program’s success as it directly impacts their mental health and quality of life. Why They Are Stakeholders Clients with SPMI face significant challenges, including persistent symptoms, social and occupational dysfunction, and frequent hospitalizations. Their families often bear the emotional and financial burdens associated with these conditions. By involving clients and their families as stakeholders, the program can ensure that it addresses their specific needs and provides relevant support. Engagement Strategies Regular Communication: Maintain open lines of communication through newsletters, meetings, and feedback sessions to keep them informed and involved in the program’s development and progress. Feedback Mechanisms: Implement surveys and suggestion boxes to gather their input on program effectiveness and areas for improvement. Support Groups: Organize support groups for families to share experiences and provide mutual support. Sustaining Engagement To keep clients and their families engaged, it is crucial to: Provide Regular Updates: Share progress reports and success stories to demonstrate the program’s impact. Offer Incentives: Recognize and reward participation through certificates or small gifts. Ensure Accessibility: Schedule meetings and events at convenient times and locations. Mental Health Professionals Mental health professionals, including psychologists, psychiatrists, and social workers, are critical stakeholders due to their expertise and direct involvement in delivering CBT. Why They Are Stakeholders These professionals will be responsible for implementing the CBT program and ensuring its effectiveness. Their expertise is essential for adapting CBT techniques to meet the unique needs of SPMI patients. Engagement Strategies Training and Workshops: Provide comprehensive training on CBT principles and techniques tailored to SPMI patients. Collaborative Meetings: Facilitate regular meetings to discuss cases, share experiences, and troubleshoot challenges. Professional Development: Offer opportunities for continuing education and professional development. Sustaining Engagement To keep mental health professionals engaged: Provide Support: Offer supervision and consultation to ensure they feel supported and confident in using CBT. Acknowledge Contributions: Recognize their contributions through awards or professional recognition. Facilitate Networking: Organize conferences or forums for networking and knowledge exchange. Healthcare Administrators Healthcare administrators, including hospital and clinic managers, play a vital role in supporting the infrastructure and resources necessary for the CBT program. Why They Are Stakeholders Healthcare administrators are responsible for resource allocation, policy implementation, and ensuring that the program aligns with institutional goals and standards. Their support is crucial for the program’s sustainability and integration into existing healthcare systems. Engagement Strategies Strategic Meetings: Involve administrators in strategic planning sessions to align the program with organizational objectives. Resource Allocation: Work with them to secure necessary resources, such as funding, facilities, and staffing. Performance Metrics: Develop and share performance metrics to demonstrate the program’s value and impact. Sustaining Engagement To maintain their engagement: Regular Reporting: Provide detailed reports on program outcomes and cost-effectiveness. Policy Integration: Ensure the program is integrated into broader institutional policies and procedures. Incentivize Participation: Highlight the program’s contributions to institutional goals and public health outcomes. Advisory Board/Council Mental Health Experts Who They Are Mental health experts, including academic researchers and experienced clinicians, will serve on the advisory board to provide scientific and clinical guidance. Why They Are Advisory Members Their expertise is critical for ensuring that the program is grounded in the latest research and best practices in CBT. How They Can Help Guidance on Best Practices: Provide insights into effective CBT strategies and emerging research. Program Evaluation: Assist in developing evaluation metrics and interpreting data. Training Support: Offer training sessions and workshops for program staff. Engagement Frequency Meet quarterly to review program progress, discuss challenges, and provide ongoing guidance. Patient Advocacy Groups Who They Are Representatives from patient advocacy groups, such as the National Alliance on Mental Illness (NAMI), who have a vested interest in improving mental health services for SPMI patients. Why They Are Advisory Members These groups advocate for the rights and well-being of individuals with mental illnesses and can provide valuable perspectives on patient needs and program accessibility. How They Can Help Advocacy: Advocate for the program at local and national levels to secure funding and policy support. Community Outreach: Assist in raising awareness and promoting the program within the community. Feedback: Provide feedback on program design and implementation from a patient-centered perspective. Engagement Frequency Meet biannually to discuss advocacy strategies, outreach efforts, and program feedback. Social Service Agencies Who They Are Representatives from social service agencies that provide support services, such as housing, employment, and substance abuse treatment, to individuals with SPMI. Why They Are Advisory Members These agencies can offer comprehensive support and ensure that the program addresses the holistic needs of SPMI patients. How They Can Help Resource Coordination: Facilitate coordination of services to address patients’ diverse needs. Referral Networks: Establish referral networks to ensure seamless access to complementary services. Holistic Support: Provide insights into the broader social determinants of health affecting SPMI patients. Engagement Frequency Meet annually to review collaboration efforts, discuss service integration, and update referral networks. Needs Assessment Needs Assessment Process Data Collection To gather comprehensive data on the needs of SPMI patients, a multi-method approach will be employed: Surveys: Standardized surveys will be distributed to patients, caregivers, and mental health professionals to gather quantitative data on the prevalence of symptoms, cognitive deficits, and social skill impairments. Interviews: In-depth interviews with patients and caregivers will provide qualitative insights into their lived experiences, challenges, and unmet needs. Focus Groups: Conducting focus groups with mental health professionals and stakeholders will help identify systemic issues and potential barriers to effective CBT implementation. Existing Records: Reviewing medical and psychiatric records will offer historical data on hospitalization rates, treatment adherence, and comorbid conditions. Data Analysis The collected data will be analyzed using both quantitative and qualitative methods: Quantitative Analysis: Statistical methods, such as descriptive statistics and inferential analysis, will be used to identify patterns and correlations in survey data. Qualitative Analysis: Thematic analysis will be employed to interpret interview and focus group transcripts, identifying recurring themes and significant insights into patient needs. Stakeholder Support and Involvement Gaining Support To gain stakeholder support, it is crucial to demonstrate the value and potential impact of the CBT program: Present Evidence: Share empirical evidence on the effectiveness of CBT for SPMI patients, highlighting improved outcomes and cost-effectiveness. Engage Stakeholders: Involve key stakeholders, such as mental health professionals, patient advocacy groups, and healthcare administrators, in the planning process through regular meetings and consultations. Communicate Benefits: Clearly communicate the benefits of the program for patients, caregivers, and the healthcare system, emphasizing improved quality of life and reduced hospitalizations. Involving Stakeholders Stakeholders can be actively involved in the data collection process through: Participatory Research: Engaging stakeholders in designing survey instruments and interview guides to ensure relevance and comprehensiveness. Advisory Committees: Establishing advisory committees comprising stakeholders to oversee the needs assessment process and provide ongoing feedback. Workshops and Training: Conducting workshops and training sessions to equip stakeholders with the necessary skills and knowledge to participate effectively in data collection and analysis. Data Collection Tools Surveys Surveys will be designed to capture a wide range of data, including: Symptom Severity: Standardized scales such as the Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Cognitive Functioning: Tools like the Montreal Cognitive Assessment (MoCA) to assess cognitive deficits. Social Skills: Questionnaires to evaluate social interactions and skills, such as the Social Skills Inventory (SSI). Interviews Structured interview guides will cover topics such as: Daily Challenges: Exploring the impact of symptoms on daily functioning. Treatment History: Gathering information on previous treatments and their outcomes. Support Needs: Identifying specific areas where patients and caregivers require additional support. Focus Groups Focus groups will be facilitated to discuss: Systemic Barriers: Identifying barriers to accessing and benefiting from CBT. Program Design: Gathering input on the proposed design and implementation of the CBT program. Impact on Others Indirect Benefits While the program primarily targets SPMI patients, it may also benefit: Families and Caregivers: Improved patient outcomes can reduce the burden on families and caregivers, enhancing their quality of life. Healthcare System: Reduced hospitalization rates and improved treatment adherence can alleviate pressure on the healthcare system and lower costs. Community: Enhanced social skills and emotional regulation in SPMI patients can lead to better community integration and reduced stigma. Sample Needs Assessment Form Needs Assessment for CBT Program for SPMI Patients Part 1: Demographic Information Age: __________ Gender: __________ Diagnosis: __________ Duration of Illness: __________ Part 2: Symptom Severity 1. Rate the severity of your symptoms on a scale of 1 to 5 (1 = Not Severe, 5 = Extremely Severe): Hallucinations: ___ Delusions: ___ Depression: ___ Anxiety: ___ Part 3: Cognitive Functioning Have you experienced difficulties with memory or attention? (Yes/No) If yes, please describe: ____________________________________ Part 4: Social Skills How often do you engage in social activities? (Never, Rarely, Sometimes, Often, Always) Do you feel comfortable in social situations? (Yes/No) Part 5: Emotional Regulation How often do you experience difficulty managing your emotions? (Never, Rarely, Sometimes, Often, Always) Please describe any strategies you use to manage your emotions: ____________________________________ Part 6: Support Needs 1. What areas do you feel you need the most support in? (Check all that apply) Symptom management Cognitive functioning Social skills Emotional regulation Other: _______________________ Mission Statement Transforming the lives of individuals with SPMI by providing a CBT program that equips them with skills to manage symptoms, build social connections, and achieve greater independence, ultimately reducing hospitalizations and fostering a more fulfilling life. Needs Outline Needs Addressed This Way Research to Support Symptom Management Ongoing therapeutic intervention targeting hallucinations and delusions. Kopelovich et al. (2019) found that CBT reduces symptoms in schizophrenia. Social Skills Training Structured social skills training sessions. Glynn et al. (2017) reported improvements in social functioning with CBT. Cognitive Rehabilitation Activities focusing on improving memory, attention, and executive functioning. Medalia & Choi (2009) showed cognitive rehabilitation enhances daily functioning. Emotional Regulation CBT techniques to manage and regulate emotions. Hofmann et al. (2012) demonstrated CBT’s effectiveness in emotional regulation. Preventing Hospitalizations Crisis intervention and relapse prevention plans. Prince et al. (2015) noted reduced hospitalizations with consistent symptom management. Employment Support Cognitive and social skills training tailored for workplace settings. Cook et al. (2016) found that addressing cognitive and social deficits improves job retention. Combating Social Isolation Group therapy sessions and community integration activities. Hawkley & Cacioppo (2010) discussed how improving social skills can reduce isolation. Addressing Substance Abuse Integrated CBT approaches addressing both SPMI and substance abuse. Drake et al. (2008) highlighted CBT’s role in treating comorbid substance abuse. Budget and Staffing Plan Expense Category Estimated Cost Clinicians (5 full-time) $400,000 Front Desk Staff (2 full-time) $60,000 Office Space (Annual Rent) $50,000 Utilities and Maintenance $10,000 Office Supplies and Equipment $5,000 Training and Professional Development $10,000 Insurance and Licensing $15,000 Marketing and Outreach $5,000 Miscellaneous Expenses $5,000 Total $560,000 Funding Sources: Federal Grants: The federal government offers numerous grants for mental health services. For instance, the Substance Abuse and Mental Health Services Administration (SAMHSA) provides grants for programs that aim to reduce the impact of substance abuse and mental illness on America’s communities (SAMHSA, n.d.). State Grants: The state of Wisconsin also provides funding for mental health programs. The Wisconsin Department of Health Services has several grant opportunities for organizations that provide mental health services (Wisconsin Department of Health Services, n.d.). Private Foundations: Private foundations such as the Kellogg Foundation offer grants for health-related programs. The Kellogg Foundation’s mission includes supporting children, families, and communities as they strengthen and create conditions that propel vulnerable children to achieve success (W.K. Kellogg Foundation, n.d.). Corporate Giving Programs: Many corporations have giving programs that support community initiatives. For example, Walmart’s Local Community Grants program provides funding for organizations that address the needs of the communities they serve (Walmart, n.d.). Professional Associations: Professional associations like the American Counseling Association offer funding opportunities for programs that advance the counseling profession and enhance the quality of life for individuals (American Counseling Association, n.d.). The budget for this program is based on the minimum reimbursement rates for programs as codified by the Centers for Medicare and Medicaid Services (CMS) and Wisconsin state guidelines. The cost of clinicians is calculated based on the average salary for mental health counselors in Wisconsin, which is approximately $80,000 per year (Bureau of Labor Statistics, 2020). The cost of front desk staff is based on the average salary for administrative assistants in Wisconsin, which is approximately $30,000 per year (Bureau of Labor Statistics, 2020). The cost of office space is estimated. Outline of Program Curriculum/Facilitation Needs Addressed How the Program Will Address These Needs Research to Support Symptom Management The program will provide ongoing therapeutic intervention targeting hallucinations and delusions. Kopelovich et al. (2019) found that CBT reduces symptoms in schizophrenia. Social Skills Training The program will include structured social skills training sessions. Glynn et al. (2017) reported improvements in social functioning with CBT. Cognitive Rehabilitation The program will incorporate activities focusing on improving memory, attention, and executive functioning. Medalia & Choi (2009) showed cognitive rehabilitation enhances daily functioning. Emotional Regulation The program will teach CBT techniques to manage and regulate emotions. Hofmann et al. (2012) demonstrated CBT’s effectiveness in emotional regulation. Preventing Hospitalizations The program will include crisis intervention and relapse prevention plans. Prince et al. (2015) noted reduced hospitalizations with consistent symptom management. Employment Support The program will provide cognitive and social skills training tailored for workplace settings. Cook et al. (2016) found that addressing cognitive and social deficits improves job retention. Combating Social Isolation The program will include group therapy sessions and community integration activities. Hawkley & Cacioppo (2010) discussed how improving social skills can reduce isolation. Addressing Substance Abuse The program will integrate CBT approaches addressing both SPMI and substance abuse. Drake et al. (2008) highlighted CBT’s role in treating comorbid substance abuse. Referral Document Demographic Information: Name: Date of Birth: Gender: Address: Phone Number: Email Address: Emergency Contact: Clinical Information: Primary Diagnosis Symptoms (to be addressed in program): Previous Mental Health Treatments: Current Medications: Insurance Information (if applicable): Referring Provider: Referral Date: Referral and Admission Process Clients eligible for referral to the CBT program include individuals diagnosed with Severe and Persistent Mental Illnesses (SPMI), such as schizophrenia, bipolar disorder, and major depressive disorder, who require specialized cognitive and behavioral interventions. Referrals can originate from various healthcare providers and community organizations involved in mental health care, ensuring a diverse referral base that captures the needs of our target population. Referral Sources: Community Mental Health Centers: Mental health professionals at community clinics can refer individuals exhibiting symptoms of SPMI that align with the program’s treatment focus on cognitive deficits, social skills impairments, and emotional regulation difficulties. Primary Care Physicians: General practitioners may refer patients who present with severe psychiatric symptoms that necessitate specialized therapeutic interventions beyond primary care capabilities. Psychiatric Hospitals: Discharge planners and psychiatrists from inpatient settings can refer patients transitioning to outpatient care, ensuring continuity of treatment for individuals with complex mental health needs. Outpatient Mental Health Providers: Therapists and counselors in outpatient settings may refer clients who require more intensive and structured interventions to manage persistent symptoms and improve functional outcomes. School Counselors: Educational professionals can refer students exhibiting symptoms of SPMI that interfere with academic performance and social interactions, facilitating early intervention and support. Utilization of Referral Form: The referral form plays a pivotal role in the program design and implementation by serving as a comprehensive tool to gather essential demographic and clinical information. This structured approach ensures that each referral is assessed for eligibility based on the presence of primary symptoms related to SPMI, such as hallucinations, delusions, cognitive impairments, and difficulties in emotional regulation. Components of the Referral Form: Demographic Information: Includes personal details necessary for contact and identification purposes, ensuring effective communication with clients and their support networks. Clinical Information: Focuses on capturing relevant clinical history, including previous mental health treatments, current medications, and specific symptoms that indicate suitability for CBT interventions. Insurance Information: Facilitates verification of insurance coverage to ensure financial accessibility and streamline administrative processes related to billing and reimbursement. Referring Provider Details: Identifies the healthcare professional or organization initiating the referral, fostering collaborative relationships and ensuring continuity of care. Referral Date: Documents the date when the referral was initiated, aiding in tracking the timeliness of intake assessments and program admissions. Informed Consent Document Cognitive Behavioral Therapy (CBT) Program for Individuals with Severe and Persistent Mental Illnesses (SPMI) This document serves as an informed consent for participation in the Cognitive Behavioral Therapy (CBT) Program for individuals with Severe and Persistent Mental Illnesses (SPMI). Please read this document carefully and ask any questions you may have before deciding to participate in the program. Purpose of the Program: The purpose of this program is to provide comprehensive CBT to individuals with SPMI to help manage symptoms, improve cognitive functioning, enhance social skills, and provide tools for emotional regulation. Description of the Program: The program involves regular counseling sessions with trained mental health professionals who will use CBT techniques tailored to the needs of individuals with SPMI. The program may also include group therapy sessions, social skills training, cognitive rehabilitation activities, and emotional regulation techniques. Risks and Benefits: Participation in this program may involve some risks, including emotional discomfort when discussing personal experiences and symptoms. However, the program is designed to help manage and reduce these symptoms over time. The potential benefits of participation include improved symptom management, enhanced cognitive and social functioning, and improved emotional regulation. These benefits can lead to improved quality of life and reduced hospitalizations. Confidentiality: All information shared during the program will be kept confidential and will only be used for the purpose of providing and improving the program. Information may be shared with other healthcare providers involved in your care, but only with your explicit consent. Voluntary Participation: Participation in this program is voluntary. You have the right to withdraw from the program at any time without any negative consequences. Consent: By signing this document, you acknowledge that you have read and understood the information provided above, have had the opportunity to ask questions, and agree to participate in the Cognitive Behavioral Therapy (CBT) Program for individuals with Severe and Persistent Mental Illnesses (SPMI). Participant’s Name (Print):______________________ Date:___________ Participant’s Signature: ______________________ Date: ___________ Counselor’s Name (Print): ______________________ Date: ___________ Counselor’s Signature: ______________________ Date: ___________ Please keep a copy of this document for your records. Evaluation of Design 1. Objectives and Outcomes The primary objectives of the CBT program for SPMI patients are: 1. Improve symptom management 2. Enhance cognitive functioning 3. Develop social skills 4. Improve emotional regulation 5. Reduce hospitalization rates 6. Increase employment rates 7. Decrease social isolation 8. Address comorbid substance abuse issues To evaluate these objectives, we will focus on the following outcome measures: – Symptom severity – Cognitive performance – Social functioning – Emotional regulation skills – Hospitalization frequency and duration – Employment status – Social engagement – Substance use patterns 2. Evaluation Design We will employ a mixed-methods approach, combining quantitative and qualitative data collection and analysis. The evaluation will follow a pre-post design with follow-up assessments at 6 and 12 months post-intervention. 2.1 Quantitative Measures a) Symptom Severity: – Tool: Positive and Negative Syndrome Scale (PANSS) – Frequency: Baseline, post-intervention, 6-month follow-up, 12-month follow-up b) Cognitive Functioning: – Tool: MATRICS Consensus Cognitive Battery (MCCB) – Frequency: Baseline, post-intervention, 12-month follow-up c) Social Functioning: – Tool: Social Functioning Scale (SFS) – Frequency: Baseline, post-intervention, 6-month follow-up, 12-month follow-up d) Emotional Regulation: – Tool: Difficulties in Emotion Regulation Scale (DERS) – Frequency: Baseline, post-intervention, 6-month follow-up, 12-month follow-up e) Hospitalization Rates: – Data Source: Medical records – Frequency: Continuous monitoring, analyzed at 6 and 12 months post-intervention f) Employment Status: – Tool: Custom employment questionnaire – Frequency: Baseline, 6-month follow-up, 12-month follow-up g) Social Isolation: – Tool: UCLA Loneliness Scale – Frequency: Baseline, post-intervention, 6-month follow-up, 12-month follow-up h) Substance Use: – Tool: Addiction Severity Index (ASI) – Frequency: Baseline, post-intervention, 6-month follow-up, 12-month follow-up 2.2 Qualitative Measures a) Semi-structured interviews with participants b) Focus groups with family members/caregivers c) Therapist feedback forms 3. Data Collection and Analysis 3.1 Quantitative Data Quantitative data will be collected using standardized assessments and questionnaires. Statistical analyses will include: – Paired t-tests to compare pre- and post-intervention scores – Repeated measures ANOVA to assess changes over time – Cohen’s d to calculate effect sizes – Multiple regression to identify predictors of positive outcomes 3.2 Qualitative Data Qualitative data will be collected through interviews, focus groups, and feedback forms. Analysis will involve: – Thematic analysis to identify recurring themes and patterns – Content analysis to quantify the frequency of specific themes – Triangulation with quantitative data to provide a comprehensive understanding of program effectiveness 4. Evaluation Timeline Month 0: Baseline assessments Month 3: Post-intervention assessments Month 9: 6-month follow-up assessments Month 15: 12-month follow-up assessments Month 16-18: Data analysis and report writing 5. Ethical Considerations The evaluation will be conducted in accordance with ethical guidelines for research involving human subjects. Informed consent will be obtained from all participants, and confidentiality will be maintained throughout the evaluation process. 6. Reporting and Dissemination A comprehensive evaluation report will be prepared, detailing the findings, strengths, and areas for improvement in the CBT program. Results will be disseminated through: – Presentations to stakeholders and advisory board members – Peer-reviewed journal publications – Conference presentations – Program newsletters and updates to participants and their families 7. Sample Evaluation Tools 7.1 Participant Satisfaction Survey Please rate your agreement with the following statements on a scale of 1 (Strongly Disagree) to 5 (Strongly Agree): 1. The CBT program helped me manage my symptoms better. 2. I feel more confident in my social interactions after participating in the program. 3. The program improved my ability to regulate my emotions. 4. I have noticed improvements in my cognitive functioning (e.g., memory, attention) since starting the program. 5. The therapists were knowledgeable and supportive throughout the program. 6. The program met my expectations. 7. I would recommend this program to others with similar mental health challenges. Open-ended questions: 8. What aspects of the program did you find most helpful? 9. What aspects of the program could be improved? 10. How has your life changed since participating in the program? 7.2 Therapist Feedback Form 1. How well did the

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