At each session, the client reported on their homework assignment and received encouragement and new assignments. This approach worked with a general population. Obviously, the same approach could not be used with someone experiencing serious mental illness. If a client needs to be seen regularly, group approaches can be a good vehicle. In a group setting, members take turns, some working on issues while the others are in consolidation.
Members support, offer feedback to, and confront one another.
This is a good time for its resurrection as an outpatient treatment tool that makes good treatment sense and good economics for the provider. With groups, the provider's revenue stream is much less affected by no shows. Never exceed 8 members unless it's a classroom situation. Group complexity grows geometrically. In a group of 6, each member interacts with 5 others, which equals 30 interactions.