Description
The Cognitive Adaptation Training Manual is your guide to CAT — an evidence-based psychosocial intervention designed to bypass the cognitive and motivational impairments associated with serious mental illness so individuals can achieve real functional improvement. Rather than relying on willpower or memory alone, CAT uses environmental supports like signs, checklists, alarms, pill containers, and organized belongings to cue and sequence adaptive behaviors right in a person’s home. Every intervention is individualized based on a standardized assessment of that person’s unique needs and challenges. The results speak for themselves: CAT has been shown to decrease rates of relapse and improve functioning across multiple domains. Whether you’re a case manager, therapist, or program director, this manual is the practical toolkit that turns “they just can’t seem to manage” into “here’s exactly how we help them thrive independently.”
This version was updated in 2025 and contains streamlined assessments, custom illustrations, and real-world photographs of interventions.

