Single-session/one-at-a-time walk-in therapy

Hoyt, Michael F.; Bobele, Monte; Slive, Arnold; Young, Jeff; Talmon, Moshe

doi:10.4324/9781351112437-1

Cited by 23 publications

(18 citation statements)

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“…(SSIs) are defined as "specific, structured programs that intentionally involve just one visit or encounter with a clinic, provider, or program" . SSIs may serve as stand-alone programs (e.g., where no other treatment is accessible, as is true for many individuals with mental health needs; Kazdin, 2019) or as adjunctive supports within existing care systems (see Hoyt et al, 2018, for examples of both application types). Evidence supports both applications.…”

Section: What Are Single-session Interventions and Why Deliver Them? mentioning

confidence: 99%

Open Pilot Trial of a Single-Session Consultation Service for Clients on Psychotherapy Wait-Lists

Jl¹,

Sung²,

Bianco³

et al. 2020

Preprint

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Background. The demand for psychological services outpaces the number of available providers. Waitlists at mental health clinics range from weeks to months in length, and longer wait-times predict less favorable outcomes once treatment begins. There is a need for efficient, sustainable service models that provide faster access to care. Offering interim, low-intensity supports to treatment-seekers may both strengthen clinically-relevant proximal outcomes and prevent clinical deterioration while waiting for longer-term treatment. Thus, we tested the acceptability and short-term effects of a solution-focused single-session consultation (SSC), offered to individuals waiting for therapy at two outpatient mental health clinics. Method. Clients wait-listed for outpatient therapy at either clinic were offered an SSC. Participants self-reported overall psychological distress at baseline and two-week follow-up, along with levels of hopelessness and perceived agency at baseline and post-intervention. Participants also rated the SSC’s acceptability. Results. Of 90 treatment-seeking individuals offered an SSC, 46 (51.11%) scheduled an appointment, and 30 (65.21%) attended the session (M age = 31.2, 72.67% female). SSC recipients reported significant pre- to post-intervention improvements in perceived agency (d_z = 1.11, p < .001) and hopelessness (d_z = 1.43, p < .001). Psychological distress significantly decreased from baseline to follow-up (d_z = .73, p = .002). Participants rated SSC sessions as highly acceptable, useful, and worth recommending to others. Conclusions. A solution-focused single-session consultation was associated with improvements in hopelessness, agency, and psychological distress in treatment-seeking adults. Pending larger-scale controlled trials, the SSC may help prevent clinical deterioration among individuals on therapy wait-lists.

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Section: What Are Single-session Interventions and Why Deliver Them? mentioning

confidence: 99%

Open Pilot Trial of a Single-Session Consultation Service for Clients on Psychotherapy Wait-Lists

Jl¹,

Sung²,

Bianco³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Single-session psychotherapy theory (Hoyt & Talmon, 2014), based for the most part in solution-focused therapy principles, forms the basis for the primary care walk-in approach. The term “single session therapy” is somewhat misleading because unlike brief therapy or long-term therapy, consultation is open-ended and flexible as is the case with visits to a primary care physician.…”

Section: Stepped Care 20mentioning

confidence: 99%

“…As with any major change, implementation may be met with initial reluctance or resistance. Given that many training programs do not prepare clinicians on flexible single-session therapy models (e.g., Hoyt & Talmon, 2014), professional development opportunities offered through a period for adjustment may be helpful. The following represents the experience of a postdoctoral counselor: Today I discussed with my Director how I was feeling anxious, uneasy, and even unsure about the new stepped care model.…”

Section: Implementation Experiencesmentioning

confidence: 99%

Meeting the mental health needs of today’s college student: Reinventing services through Stepped Care 2.0.

Cornish

Berry

Benton

et al. 2017

Psychological Services

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A new stepped care model developed in North America reimagines the original United Kingdom model for the modern university campus environment. It integrates a range of established and emerging online mental health programs systematically along dimensions of treatment intensity and associated student autonomy. Program intensity can be either stepped up or down depending on level of client need. Because monitoring is configured to give both provider and client feedback on progress, the model empowers clients to participate actively in care options, decisions, and delivery. Not only is stepped care designed to be more efficient than traditional counseling services, early observations suggest it improves outcomes and access, including the elimination of service waitlists. This paper describes the new model in detail and outlines implementation experiences at 3 North American universities. While the experiences implementing the model have been positive, there is a need for development of technology that would facilitate more thorough evaluation. (PsycINFO Database Record

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“…Single-session therapy adopts a one-session-at-a-time approach to treatment, and each session of therapy is considered as one self-contained psychotherapy with a beginning, middle, and end (Talmon, 1990 ; Hoyt and Talmon, 2014 ; Hoyt et al, 2021 ). In SST, the therapist adopts a single-session mindset, which involves avoiding assumptions about future meetings with the patient and using his/her resources to move him/her in the direction of his/her goal (Talmon, 1990 ).…”

Section: Introductionmentioning

confidence: 99%

“…Single-session therapy is well-supported by decades of research (Silverman and Beech, 1984 ; Talmon, 1990 ; Hoyt et al, 1992 ; Hoyt and Talmon, 2014 ). A review of studies suggests that the greatest features of SST are its ability to be clinically effective and to be perceived by people as sufficient and helpful (Hymmen et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Single-Session Therapy by Appointment for the Treatment of Anxiety Disorders in Youth and Adults: A Systematic Review of the Literature

et al. 2021

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Purpose: This systematic review provides a summary of the available evidence of the efficacy of single-session therapy (SST) on anxiety disorders in both youth and adults.Methods: PubMed, Scopus, Medline, and Google Scholar databases were search for relevant articles, and the Cochrane Collaboration's tool for assessing the risk of bias in randomized trials was used for transparent reporting of the methodological quality of each selected study.Results: The search of electronic databases identified 18 reports based on rigorous inclusion criteria. Single-session therapy was found superior to no treatment in reducing anxiety symptoms, and similar results were observed while comparing SST to multi-treatment sessions.Discussion: The findings support the benefits of SST in enhancing cognitive, behavioral, and psychological outcomes in both youth and adults suffering from anxiety disorders across treatment conditions and approaches, SST thus appears to be a promising way of providing access to both private and public therapeutic services efficiently and cost-effectively.Conclusions: Single-session therapy is effective in treating anxiety disorders. Further research is required to quantify its cost-effectiveness and deepen the knowledge of effective treatment ingredients for both young people and the adult population suffering from diverse anxiety disorders.Systematic Review Registration: PROSPERO, identifier [CRD42021232024].

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Single-session/one-at-a-time walk-in therapy

Cited by 23 publications

References 0 publications

Open Pilot Trial of a Single-Session Consultation Service for Clients on Psychotherapy Wait-Lists

Open Pilot Trial of a Single-Session Consultation Service for Clients on Psychotherapy Wait-Lists

Meeting the mental health needs of today’s college student: Reinventing services through Stepped Care 2.0.

Single-Session Therapy by Appointment for the Treatment of Anxiety Disorders in Youth and Adults: A Systematic Review of the Literature

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