Cost-effectiveness analysis of single-session walk-in counselling

Lamsal, Ramesh; Stalker, Carol; Cait, Cheryl-Anne; Riemer, Manuel; Horton, Susan

doi:10.1080/09638237.2017.1340619

Cited by 6 publications

(12 citation statements)

References 34 publications

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“…Services addressing the mental health needs of vulnerable social groups in Canada are diverse. Many community-based nonprofit organizations have sought to alleviate issues pertaining to mental health by responding with wellness programs, such as counselling services (Jordans et al, 2019;Lamsal, Stalker, Cait, Riemer, & Horton, 2018), peer and mutual-help groups (Sotskova, Woodin, & St. Cyr, 2016;Turpin & Shier, 2017), or arts-based programming (Bone, 2018;McKeown, Weir, Berridge, Ellis, & Kyrarsis, 2016). However, nonprofits continue to grapple with meeting the demand for accessible services (Ganann et al, 2019;Knight & Winterbotham, 2019), as service users are commonly faced with large wait-lists (Kowalewski, McLennan, & McGrath, 2011;Lamsal et al, 2018) or poorly suited programs that are not capable of providing personalized support (Ibaraki & Hall, 2014;Presley & Day, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Many community-based nonprofit organizations have sought to alleviate issues pertaining to mental health by responding with wellness programs, such as counselling services (Jordans et al, 2019;Lamsal, Stalker, Cait, Riemer, & Horton, 2018), peer and mutual-help groups (Sotskova, Woodin, & St. Cyr, 2016;Turpin & Shier, 2017), or arts-based programming (Bone, 2018;McKeown, Weir, Berridge, Ellis, & Kyrarsis, 2016). However, nonprofits continue to grapple with meeting the demand for accessible services (Ganann et al, 2019;Knight & Winterbotham, 2019), as service users are commonly faced with large wait-lists (Kowalewski, McLennan, & McGrath, 2011;Lamsal et al, 2018) or poorly suited programs that are not capable of providing personalized support (Ibaraki & Hall, 2014;Presley & Day, 2019). Consequently, mental health services often fail to reach those who live on the margins of society (Curtis-Boles, 2019;Eamer, Fernando, & King, 2017), primarily because programs are not capable of addressing the accessibility needs of this group (Pantalone, Scanlon, Brown, Radhakrishnan, & Sprague, 2018;Sevelius, Patouhas, Keatley, & Johnson, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Assessing the Social Impact of Mental Health Service Accessibility by a Nonprofit Social Enterprise: A Mixed--methods Case Study

Turpin

Shier²,

Scowen³

2021

CJNSER

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The following study sought to examine the social impact of a social enterprise mental health services model by assessing its impact on service accessibility and mental health stigma. A novel approach to case study – a mixed methods design was developed by collecting data from service users, counsellors, and community members of a social enterprise in Toronto, Ontario, using qualitative interviews and the Mental Health Knowledge Schedule (MAKS) survey. Findings show how the social enterprise increases service access and challenges mental health stigma by engaging in a variety of activities, including providing low--cost counselling, diversifying services, offering a positive and safe non--clinical environment, and engaging with the public directly by utilizing a storefront model. As a result of data triangulation analysis, common themes and discrepancies between respondent groups are identified and discussed. No significant relationships were found between mental health stigma and community member demographic characteristics. Insights on replication of this social impact assessment model are discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessing the Social Impact of Mental Health Service Accessibility by a Nonprofit Social Enterprise: A Mixed--methods Case Study

Turpin

Shier²,

Scowen³

2021

CJNSER

View full text Add to dashboard Cite

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“…All ten included study articles are of a moderate to high quality, according to the JBI quality appraisal checklists [31][32][33][34][35][36][37][38][39][40] (See Appendix 3).…”

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confidence: 99%

Is lifestyle coaching a potential cost-effective intervention to address the backlog for mental health counselling? A Rapid Review

Makanjuola

Granger

Pisavadia

et al. 2023

Preprint

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Aim: The aim of this rapid review was to investigate whether lifestyle coaching could provide a cost-effective alternative to counselling for the UK National Health Service (NHS) treatment of common mental health conditions such as stress, anxiety and depression. Methods: A rapid review approach was used to determine the evidence of health economics evaluations in the field of mental health services. A literature search of PubMed, CINAHL, Cochrane Library, ASSIA, PsycINFO and MEDLINE produced 2807 articles. We removed 778 duplicates, and 2029 study articles remained. Two reviewers screened titles and abstracts (RG and KP), and 37 papers met the inclusion criteria of this review. Following a full-text screening, a further 27 papers were excluded due to lack of relevance. Study designs which did not include economic evaluations (n=15) or did not include an evaluation treatment of mental health conditions with talking therapies (n=15) did not meet the inclusion criteria. Ten papers were included in the final rapid review. Results: The database search yielded study articles which focused on the cost-effectiveness of counselling and other talking therapies such as Cognitive Behavioural Therapy (CBT). No literature was found to determine the cost-effectiveness, or effectiveness of lifestyle coaching. Due to a lack of economic evaluations, this review could not determine the potential cost-effectiveness of lifestyle coaching as a means of addressing the backlog for mental health support such as counselling in the NHS. Conclusion: This review highlights the research gap in assessing the cost-effectiveness of lifestyle coaching for treating common mental health disorders. The proposed next step is to evaluate the effectiveness and cost-effectiveness of lifestyle coaching versus current treatment as usual (counselling) by using a feasibility randomised control trial.

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“…8 Moreover, emerging evidence identifies that a single session approach is an effective way to respond to people's immediate needs and expedite access to appropriate services, thereby reducing costly implications of health deterioration and escalation of crisis. 9 While single session has now been embedded in different public mental health settings, it has not been implemented in the context of the acute adult mental health setting. In 2014-2015, the Bouverie model of the single session approach was trialled in an Acute Care Team (ACT) 10 in a major metropolitan public mental health service in Brisbane, Australia.…”

mentioning

confidence: 99%

“…8 Moreover, emerging evidence identifies that a single session approach is an effective way to respond to people’s immediate needs and expedite access to appropriate services, thereby reducing costly implications of health deterioration and escalation of crisis. 9…”

mentioning

confidence: 99%

Single session work: Implementing brief intervention as routine practice in an acute care mental health assessment service.

Gros

Wyder

Brunelli

2018

Australas Psychiatry

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Objectives: The study describes the implementation and adaptation of a brief intervention model as routine clinical practice in an acute care service. Methods: An action research process informed the evaluation and design of the intervention. Results: The model’s theoretical framework enhanced clinical practice and benefited consumers, though it was too rigid to be implemented in an acute care setting, so was adapted to suit this environment. Conclusions: This paper highlights the value in realigning practice with fundamental engagement principles to improve practice outcomes.

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Cost-effectiveness analysis of single-session walk-in counselling

Cited by 6 publications

References 34 publications

Assessing the Social Impact of Mental Health Service Accessibility by a Nonprofit Social Enterprise: A Mixed--methods Case Study

Assessing the Social Impact of Mental Health Service Accessibility by a Nonprofit Social Enterprise: A Mixed--methods Case Study

Is lifestyle coaching a potential cost-effective intervention to address the backlog for mental health counselling? A Rapid Review

Single session work: Implementing brief intervention as routine practice in an acute care mental health assessment service.

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