Single-session therapy in outpatient mental health services: Examining the effect on mental health symptoms and functioning

Ewen, Victoria; Mushquash, Aislin R.; Mushquash, Christopher; Bailey, Steve; Haggarty, John; Stones, M. J.

doi:10.1080/15332985.2018.1456503

Cited by 19 publications

(21 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This limits the applicability of the findings. However, the findings align with emerging research in allied healthcare, 18,39 suggesting that further testing of the framework may validate its findings across contexts and settings. Variability may exist related to the quality of instruction and preparation for the simulation scenario, the level of student anxiety and motivation, and the actors' performance.…”

Section: Limitationssupporting

confidence: 75%

“…39 In such clinical interactions, the clinician needs to incorporate assessment, case management, and/ or treatment into the single session. Patients have recalled that the key skills of single-session healthcare included confidence, empathy, and knowledge 18 which were also reflected in the themes in the "ongoing" category of the thematic competency framework developed in this study: (1) use of self; and (2) scope of practice. Given the recommendation that single-session practice needs further exploration and legitimation in allied health, 39 research should explore the development of an evaluative tool focused on the competencies of single-session practice in allied health that could be utilized to train students in interprofessional health education.…”

Section: Implications For Allied Health Educationmentioning

confidence: 88%

“…15,16 Allied clinician activities in single sessions often include: conducting psychosocial assessments and interventions; providing supportive counseling for adjustment to illness; promoting health; and providing resources and referrals. [17][18][19] Maximizing the benefit of this single session also requires advanced competence that extends beyond diagnostics and biomedical treatments to the impact of social systems on health outcomes; multi-level advocacy for reduction of existing health disparities and equity in access to health and mental health services; and "working knowledge" of non-pharmacological treatments. 17,18,20 However, competencies for single session allied healthcare have not yet been empirically examined, and research on allied healthcare has primarily focused on team dynamics instead of direct practice with patients and their families.…”

Section: Competencies In Allied Healthcarementioning

confidence: 99%

“…The thematic framework emerging from this study of the critical competencies required for a single session in health social work further develops the research on singlesession practice by articulating the important skills to be employed during the three progressive phases of joining, working, and ending. Based on the 32 simulation videos analyzed, the coding team's decades of health practice experience, and extant literature on single-session healthcare, 18,39 these findings may be typical of competencies required for single-session healthcare. Prior research found that single-session practice may be considered the pinnacle of clinical expertise and skill because of the rapidity of engagement and information transfer required.…”

Section: Implications For Allied Health Educationmentioning

confidence: 99%

See 3 more Smart Citations

<p>Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session</p>

Craig¹,

McInroy²,

Eaton³

2020

JMDH

View full text Add to dashboard Cite

Introduction: Competencies that integrate research findings and practice expertise are necessary to maintain comprehensive evidence-based practice for allied health professions, such as social work. The context of modern multidisciplinary healthcare, especially in acute or emergency settings, means that an individual clinician may only have a single session with a patient. Maximizing the benefit of single sessions requires advanced competence that extends beyond diagnostics and biomedical treatments to the impact of social systems on health outcomes; multilevel advocacy for reduction of existing health disparities and equity in access to health and mental health services; and "working knowledge" of non-pharmacological treatments. Methods: This study employed a practice-based research methodology whereby health social workers group coded 32 simulation videos, drawn from an advanced social work practice course, to develop a practice-based competency framework that incorporates these advanced skills. Constructivist grounded theory was employed through a cyclical coding process of viewing video data, identifying and discussing skills and competencies, and summarizing/synthesizing the discussions for critical reflection. Results: The resulting Clinician Group Coding Method utilized systematic and collaborative group coding of practice simulation videos by three clinicians and two researchers to identify relevant competencies for a single session. Emphasis was placed on the progressive phases of single-session patient interactions (eg, joining, working, ending), a practice format that frequently occurs in social work and other allied health professions. These phases include themes of preparing, agenda setting and refining, addressing context, providing education, planning the next steps, and encouraging success. Discussion: The group coding process allowed for immediate discussions and clarifications, supporting the clinicians to synthesize their experiences toward shared understandings of "best practices" in single-session healthcare contexts. This approach facilitated the understanding of critical actions that allied health clinicians could undertake to improve singlesession interactions. This practice-based competency framework may have significant utility for multidisciplinary healthcare education and practice.

show abstract

Section: Limitationssupporting

confidence: 75%

Section: Implications For Allied Health Educationmentioning

confidence: 88%

Section: Competencies In Allied Healthcarementioning

confidence: 99%

Section: Implications For Allied Health Educationmentioning

confidence: 99%

See 2 more Smart Citations

<p>Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session</p>

Craig¹,

McInroy²,

Eaton³

2020

JMDH

View full text Add to dashboard Cite

show abstract

“…The substantial and well‐documented unmet mental health needs in Italy (de Girolamo et al, 2007; Volpe et al, 2014) and around the world have required many agencies to look for ways of providing services in more efficient and effective ways (Campbell, 1999; Ewen et al, 2018). Recently, there has been an emphasis on exploring ways to reduce waiting lists, as there is a growing realisation and concern that longer waiting time for treatment can result in a worsening of health outcomes (Reichert & Jacobs, 2018).…”

mentioning

confidence: 99%

Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Cannistrà¹,

Piccirilli²,

D’Alia³

et al. 2020

ANZ J of Family Therapy

View full text Add to dashboard Cite

Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1-3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.

show abstract

An online therapist-guided ultra-brief treatment for depression and anxiety: a randomized controlled trial

Bisby,

Balakumar,

Scott

et al. 2023

Psychol. Med.

View full text Add to dashboard Cite

Background There are many barriers to engaging in current psychological treatments, including time, cost, and availability. Ultra-brief treatments overcome some of these barriers by delivering therapeutic information and skills using significantly less time than standard-length treatments. We developed a therapist-guided online ultra-brief treatment for depression and anxiety and compared it to an existing 8-week, 5-lesson therapist-guided standard-length treatment and a waitlist control. Methods In a randomized controlled trial, adults with self-reported depression or anxiety were randomized (1:1:1) to the ultra-brief treatment, standard-length treatment, or waitlist control. The primary outcomes were depression symptoms and anxiety symptoms assessed at baseline, 5-weeks later, 9-weeks later (primary timepoint), and 3-months later. The trial was prospectively registered. Results Between 7 February 2022, and 16 August 2022, 242 participants were enrolled in the ultra-brief treatment (n = 85), standard-length treatment (n = 80), and waitlist control (n = 77). Participants were mostly women with an average age of 48.56 years. At 9-weeks post-baseline, participants in the ultra-brief treatment group reported significantly lower depression (between groups d = 0.41) and anxiety (d = 0.53) than the waitlist control. The ultra-brief treatment was non-inferior for anxiety at both 9-weeks and 3-months follow-up. Non-inferiority for depression was observed at 9-weeks. Conclusions The online ultra-brief treatment resulted in significant reductions in depression and anxiety that were non-inferior to a longer treatment course after 9-weeks. Remotely delivered ultra-brief treatments have the potential to provide accessible and effective care for those who cannot, or would prefer not to, access longer psychological interventions.

show abstract

Single-session therapy in outpatient mental health services: Examining the effect on mental health symptoms and functioning

Cited by 19 publications

References 21 publications

<p>Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session</p>

<p>Describing a Clinical Group Coding Method for Identifying Competencies in an Allied Health Single Session</p>

Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

An online therapist-guided ultra-brief treatment for depression and anxiety: a randomized controlled trial

Contact Info

Product

Resources

About