Treatment manuals with detailed session-by-session outlines were developed to guide the group CBT leaders and mentors in their delivery of the ACCESS program. All CBT group sessions were video recorded but it was not possible to do so for the mentoring sessions due to space and equipment limitations. A random sampling and review of the CBT group sessions revealed excellent adherence to treatment, operationalized in terms of the number of content items in each session outline that were covered. All reviewed sessions exceeded the 90% threshold that was used to classify treatment delivery as satisfactory.