PowerPoint presentation- help me fix my PPP
Group CBT for Emotional Wellness
A group intervention and research proposal
Coalition for Independent Living Options (CILO)
Porsha Isma | October 2026
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Today I am presenting a proposed group program for adults with disabilities who experience depression or anxiety. This is a proposal for CILO to consider, not a program I am saying the agency currently offers. I will explain the group, how we could measure results, and how to protect participants.
About CILO
CILO supports people with disabilities through independent living skills, advocacy, referrals, housing resources, employment support, and community connections.
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My practicum agency is the Coalition for Independent Living Options. CILO helps people with disabilities work toward greater independence. Consumers may need assistance with housing, transportation, employment, and community resources. My proposed group would add a possible mental wellness support option, but clinical services would require agency approval and qualified staff.
Who Would Participate?
Adults 18+ served by CILO
Experiencing mild to moderate depression or anxiety
Interested in a voluntary, accessible support group
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I would focus on adults with disabilities who report mild to moderate symptoms of depression or anxiety. People experiencing an immediate mental health crisis or needing a higher level of care would be connected to appropriate services rather than placed in this group alone. We would make participation voluntary and ask each person about accessibility needs.
Group Intervention: What and Why?
Evidence-based group cognitive behavioral therapy (CBT)
Identify unhelpful thoughts
Practice coping and problem-solving
Build confidence and peer support
(Wong et al., 2024)
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The intervention is group cognitive behavioral therapy, or CBT. CBT helps people notice connections between thoughts, feelings, and actions and practice healthier coping strategies. Research supports group CBT for depression and related symptoms. The goal is not to tell people their struggles are their fault. We would also recognize disability discrimination, financial stress, and access barriers.
Group Structure and Resources
8 weekly sessions, 75 minutes each
6–8 participants per group
Private accessible room or secure video option
Licensed clinician, co-facilitator, handouts
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This proposal uses eight weekly sessions of about seventy-five minutes. A small group of six to eight would allow time for discussion. A licensed mental health clinician trained in CBT would lead, with a support staff member helping with accessibility and coordination. We would need accessible materials, a private space, and an option for secure virtual participation when appropriate.
Implementation Plan
Obtain agency approval and referral partners
Train facilitators in group CBT and accessibility
Use session checklists and supervision
Budget staff time, materials, technology, transportation support
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Before starting, CILO would need to approve the program, confirm funding, and partner with qualified clinical providers. Staff would receive training in the CBT approach, disability access, confidentiality, and crisis response. A checklist after each meeting and supervision would help ensure the group follows the plan. Costs would include clinician time, staff support, materials, technology, and possible transportation assistance.
Research Question
Does an eight-week accessible group CBT program reduce depression and anxiety symptoms among participating CILO consumers compared with usual services?
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Our research question asks whether participants improve after attending the group, compared with people receiving the services normally available to them. We are measuring change in symptoms, not claiming that a small pilot would prove the program works for everyone. The findings could help CILO decide whether the group is useful and practical.
Two Measurable Outcomes
Depression: PHQ-9 total score (0–27)
Anxiety: GAD-7 total score (0–21)
Lower scores indicate fewer symptoms
Use the same instructions each time
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The two dependent variables are depression symptoms and anxiety symptoms. The PHQ-9 is a nine-question depression measure, and the GAD-7 is a seven-question anxiety measure. Each produces a total score. We would use the same wording and administration method each time, offer accessible formats, and have qualified staff respond to any safety concerns revealed by screening.
When We Collect Data
Week 0: consent and pretests
Weeks 1–8: sessions and attendance
Week 8: post-tests
Week 12: optional follow-up
Compare score changes across groups
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The study would last about twelve weeks including follow-up. Before the first meeting, participants would consent and complete the questionnaires. We would track attendance during eight sessions. At the end, participants would complete the same questionnaires, and we could check again four weeks later. We would look at changes in both groups and note missing responses.
Recruiting Participants
CILO referrals and approved community partners
Accessible flyers and plain-language invitations
Private eligibility screening
Voluntary consent; services unaffected by refusal
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Staff could share a short flyer and refer interested adults from CILO or partner organizations. People would contact the project team privately so they do not have to disclose mental health information in public. We would explain the program in plain language, screen for fit and safety, and make clear that saying no will not change access to regular CILO services.
Research Design
Small pilot with two groups
Pretest–posttest comparison
Group CBT plus usual services versus usual services
Track attendance and accessibility barriers
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I would propose a small, practical comparison study. Both groups would complete the same questionnaires at the same times. One group would receive group CBT in addition to their usual services; the comparison group would continue usual services. This design helps us see whether changes are greater in the intervention group, while recognizing that a small pilot has limits.
Comparison Group and Fairness
Offer usual services to everyone
Random assignment only with informed consent and approval
If not feasible, use a matched comparison group
Offer later group access when possible
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Random assignment could make the groups more comparable, but only if participants understand the process and agency or research oversight approves it. No one would lose existing services. If random assignment is not possible, we could use a comparison group with similar starting symptoms and describe the limits of that approach. If resources allow, comparison participants could be offered a later group.
Sharing the Results
Share group averages and attendance with CILO
Explain what improved and what did not
Ask participants for feedback
Protect privacy; report no identifying details
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At the end, I would prepare a short summary for CILO staff and the agency instructor. It would show average changes in depression and anxiety scores, participation, and feedback about accessibility. Participants could receive a simple summary too. We would not share names or individual scores in public reports. The results would help decide whether to improve, expand, or discontinue the pilot.
References
Wong et al. (2024). Cognitive Behaviour Therapy.
Joaquim et al. (2023). Cognitive Therapy and Research.
Reinholt et al. (2022). Psychotherapy and Psychosomatics.
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APA references:
Wong, C. P. S., Yeung, J. T. K., Fong, D. Y. T., Smith, R. D., Ngan, A. H. Y., Lam, Y. Y. L., Chan, K. S. S., Leung, H. H. Y., Wang, M. P., & Wong, J. Y. H. (2024). Effectiveness of group cognitive behavioral therapy for depression in adults: A systematic review and meta-analysis of delivery by different healthcare professionals. Cognitive Behaviour Therapy, 53(3), 302–323. https://doi.org/10.1080/16506073.2024.2313741
Joaquim, S. B., Almeida, R. S., & Marques, A. J. (2023). Transdiagnostic cognitive behavioral group interventions: A systematic review. Cognitive Therapy and Research, 47, 303–326. https://doi.org/10.1007/s10608-023-10372-x
Reinholt, N., et al. (2022). Transdiagnostic versus diagnosis-specific group cognitive behavioral therapy for anxiety disorders and depression: A randomized controlled trial. Psychotherapy and Psychosomatics, 91(1), 36–49. https://doi.org/10.1159/000516380