TY - JOUR AU - A. Greig AU - E. Benedetto AU - I. Livitz AU - H. Huang A1 - AB - There is inadequate availability and access to behavioral health services to meet demand, and this issue amplified during the pandemic, creating a mental health crisis. Group therapy is an effective way to meet this need. The rapid implementation of telehealth group psychotherapy as part of a Primary Care Behavioral Health Integration program in a U.S. safety-net health care setting is described. Implementation lessons are summarized as barriers or facilitators, using thematic analysis of qualitative data from meeting notes. Major facilitators identified include having key staff serve as technology champions, dedicated administrative leadership to operationalize workflows, and communication and collaboration across teams and layers of infrastructure. Major barriers include uncertainty about operational workflows and technological challenges. While group visit volume initially waned, it began to rebound and quantitative analysis of demographic data shows that important underserved populations were reached. Frequent communication, collaboration, and adaptation among teams are critical elements for improving the likelihood of successful telehealth group therapy. It is feasible to expeditiously implement telehealth group psychotherapy in safety-net health care systems with limited resources. AD - Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA 02139, USA.; Department of Primary Care, Cambridge Health Alliance, Cambridge, MA 02139, USA.; Boston Veterans Affairs Health System, Boston, MA 02130, USA. AN - 40001785 BT - Behav Sci (Basel) C5 - HIT & Telehealth CP - 2 DA - Jan 31 DO - 10.3390/bs15020154 DP - NLM ET - 20250131 IS - 2 JF - Behav Sci (Basel) LA - eng N2 - There is inadequate availability and access to behavioral health services to meet demand, and this issue amplified during the pandemic, creating a mental health crisis. Group therapy is an effective way to meet this need. The rapid implementation of telehealth group psychotherapy as part of a Primary Care Behavioral Health Integration program in a U.S. safety-net health care setting is described. Implementation lessons are summarized as barriers or facilitators, using thematic analysis of qualitative data from meeting notes. Major facilitators identified include having key staff serve as technology champions, dedicated administrative leadership to operationalize workflows, and communication and collaboration across teams and layers of infrastructure. Major barriers include uncertainty about operational workflows and technological challenges. While group visit volume initially waned, it began to rebound and quantitative analysis of demographic data shows that important underserved populations were reached. Frequent communication, collaboration, and adaptation among teams are critical elements for improving the likelihood of successful telehealth group therapy. It is feasible to expeditiously implement telehealth group psychotherapy in safety-net health care systems with limited resources. PY - 2025 SN - 2076-328X (Print); 2076-328x ST - Lessons Learned from the Rapid Implementation of Telehealth Group Psychotherapy at a Safety-Net Health System in the U.S T1 - Lessons Learned from the Rapid Implementation of Telehealth Group Psychotherapy at a Safety-Net Health System in the U.S T2 - Behav Sci (Basel) TI - Lessons Learned from the Rapid Implementation of Telehealth Group Psychotherapy at a Safety-Net Health System in the U.S U1 - HIT & Telehealth U3 - 10.3390/bs15020154 VL - 15 VO - 2076-328X (Print); 2076-328x Y1 - 2025 ER -