A Pilot Evaluation of a Therapeutically Applied Tabletop Role Playing Game Group Therapy Among Veterans

Social connectedness is a fundamental human need that is thwarted by chronic loneliness. The therapeutic application of role-playing games (TA-RPG) has the potential to promote social connection and flourishing by providing opportunities to work on mental health through immersive, collaborative storytelling. The purpose of this discussion is to describe the pilot implementation and evaluation of a TA-RPG group at VA medical center. Four group cycles were conducted over 18 months. Sixty-five percent of those who initiated the group completed treatment, attending an average of 11 out of 12 sessions. Qualitative analyses identified themes of perceived benefit and impactful group processes. Participants reported a high degree of satisfaction. These preliminary findings suggest that TA-RPGs may be a viable and engaging group therapy approach for fostering connection.