PMID- 35470152 OWN - NLM STAT- Publisher LR - 20240220 IS - 1938-887X (Electronic) IS - 0889-8391 (Linking) DP - 2022 Apr 25 TI - Cognitive-Behavioral Social Skills Training Adapted for Youth at Clinical High Risk for Psychosis. LID - JCP-2021-0029.R1 [pii] LID - 10.1891/JCP-2021-0029 [doi] AB - Interventions for functional impairments in adolescents and young adults at clinical high risk (CHR) for psychosis are needed. Cognitive-Behavioral Social Skills Training (CBSST) has been found to improve functioning in patients with schizophrenia. The CBSST manual was adapted for CHR and implemented across 3 sites. The key changes that were made were to present a focus of normalization and destigmatization of attenuated psychotic symptoms and since CBSST has a major focus on role plays, problem solving and challenging thoughts, examples of these were changed to be more appropriate for this young CHR population. We describe the manual modifications and present fidelity data to examine the success of training and supervision methods in a multi-site randomized controlled trial of CBSST in CHR youth. Fidelity was high and comparable across sites. Case vignettes are presented to demonstrate how CBSST techniques were adapted for UHR individuals to target functional impairments. CI - (c) Copyright 2022 Springer Publishing Company, LLC. FAU - Kelsven, Skylar AU - Kelsven S AD - Department of Psychiatry, University of California, San Diego, La Jolla, CA Center of Excellence for Stress and Mental Health, Veterans Affairs San Diego Healthcare System. FAU - Brummit, Kali AU - Brummit K AD - Hotchkiss Brain Institute, University of Calgary, Calgary, Canada. FAU - Devoe, Dan AU - Devoe D AD - Hotchkiss Brain Institute, University of Calgary, Calgary, Canada. FAU - Santesteban-Echarri, Olga AU - Santesteban-Echarri O AD - Hotchkiss Brain Institute, University of Calgary, Calgary, Canada. FAU - Auther, Andrea AU - Auther A AD - Division of Psychiatry Research, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY. FAU - Cornblatt, Barbara AU - Cornblatt B AD - Division of Psychiatry Research, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY. FAU - Cadenhead, Kristin AU - Cadenhead K AD - Division of Psychiatry Research, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY. FAU - Granholm, Eric AU - Granholm E AD - Division of Psychiatry Research, Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY. FAU - Holden, Jason AU - Holden J AD - Department of Psychiatry, University of California, San Diego, La Jolla, CA Center of Excellence for Stress and Mental Health, Veterans Affairs San Diego Healthcare System. FAU - Kelly, Mickinsey AU - Kelly M AD - Department of Psychiatry, University of California, San Diego, La Jolla, CA Center of Excellence for Stress and Mental Health, Veterans Affairs San Diego Healthcare System. FAU - Addington, Jean AU - Addington J AD - Hotchkiss Brain Institute, University of Calgary, Calgary, Canada jmadding@ucalgary.ca. LA - eng PT - Journal Article DEP - 20220425 PL - United States TA - J Cogn Psychother JT - Journal of cognitive psychotherapy JID - 8806397 SB - IM OTO - NOTNLM OT - Cognitive Behavioral Social Skills Training OT - clinical high risk OT - psychosis EDAT- 2022/04/27 06:00 MHDA- 2022/04/27 06:00 CRDT- 2022/04/26 05:58 PHST- 2022/04/26 05:58 [entrez] PHST- 2022/04/27 06:00 [pubmed] PHST- 2022/04/27 06:00 [medline] AID - JCP-2021-0029 [pii] AID - 10.1891/JCP-2021-0029 [doi] PST - aheadofprint SO - J Cogn Psychother. 2022 Apr 25:JCP-2021-0029.R1. doi: 10.1891/JCP-2021-0029.