The Walk-in Counselling Model of Service Delivery: Who Benefits Most?
Publication: Canadian Journal of Community Mental Health
17 May 2019
Abstract
The walk-in counselling (WIC) model of service delivery has been found to reduce psychological distress more quickly than a traditional model of service delivery involving a wait list. A question remains, however, as to the relative benefit of the WIC model for different client groups. The present study uses graphical inspection and multilevel modelling to conduct moderator analyses comparing two agencies, one with a WIC clinic and the other with a traditional wait list approach, and their relative impact on psychological distress. Key findings regarding the differential benefits for different types of presenting problems as well as clients at different stages of change are discussed.
Résumé
La recherche démontre qu’un service de consultation sans rendez-vous réduit la détresse psychologique plus rapidement qu’un modèle traditionnel fonctionnant avec liste d’attente. Une question demeure toutefois quant aux bénéfices relatifs du modèle de consultation sans rendez-vous pour différentes clientèles. La présente étude fait appel à l’inspection visuelle de graphiques et à la modélisation multiniveaux pour la réalisation d’analyses modératrices comparant deux cliniques, l’une sans rendez-vous et l’autre suivant le modèle traditionnel avec liste d’attente. L’étude examine les impacts relatifs de ces différents types de services sur la détresse psychologique. Les principales constatations quant aux bénéfices différentiels selon les problématiques de santé mentale rencontrées et suivant les différentes étapes de changement où se trouvent les usagers sont abordées dans la présente étude.
Formats available
You can view the full content in the following formats:
References
Bellis J. M. 1994 The transtheoretical model of change applied to psychotherapy: A psychometric assessment of related instruments Dissertation Abstracts International 54B 3845 UMI No. AAC9332421
Berg I. K. 1989 Of visitors, complainants and customers: Is there really such a thing as resistance? Family Therapy Networker 13 1 21 -15
Bhanot-Malhotra, S., Livingstone, S., & Stalker, C. A. (2010). An inventory of walk-in counselling clinics in Ontario. Unpublished report.
Barwick M., Boydell K. M., Cunningham C. E., and Ferguson H. B. 2004 Overview of Ontario’s screening and outcome measurement initiative in children’s mental health The Canadian Child and Adolescent Psychiatry Review 13 4 105 -109
Boyhan P. A. 1996 Clients’ perceptions of single session consultations as an option to waiting for family therapy Australian and New Zealand Journal of Family Therapy 17 2 85 -96
Cait C. A., Skop M., Booton J. A., Stalker C. A., Horton S., and Riemer M. 2016 Practice based qualitative research: Participant experiences of walk-in counselling and traditional counselling Qualitative Social Work Published online
Campbell A 1999 Single session interventions: An example of clinical research in practice Australian and New Zealand Journal of Family Therapy 20 4 183 -194
Cohen J. 1992 A power primer Psychological Bulletin 112 155 -159
Gawrysiak M., Nicholas C., and Hopko D. R. 2009 Behavioral activation for moderately depressed university students: Randomized controlled trial Journal of Counselling Psychology 56 3 468 -475
Goldberg, D. P. (1972). The detection of psychological illness by questionnaire. London: Oxford University Press.
Grosh M. and Glewwe P. 1998 The World Bank’s living standards measurement study household surveys Journal of Economic Perspectives 12 187 -196
Hampson R., O’Hanlon J., Franklin A., Pentony M., Fridgant L., and Heins T. 1999 The place of single session family consultations: Five years’ experience in Canberra Australian and New Zealand Journal of Family Therapy 20 4 195 -200
Harper-Jaques S. and Foucault D. 2014 Walk-in single-session therapy: Client satisfaction and clinical outcomes Journal of Systemic Therapies 33 3 29 -49
Harper-Jaques S., McElheran N., Slive A., and Leahey M. 2008 A comparison of two approaches to the delivery of walk-in single session mental health therapy Journal of Systemic Therapies 27 4 40 -53
Hoyt, M. F. (1994). Single session solutions. In M. Hoyt (Ed.), Constructive therapies. (pp. 140–159). London: Guilford Press.
Hoyt, M. F., Rosenbaum, R., & Talmon, M. (1992). Planned single-session psychotherapy. In S. H. Budman, M. F. Hoyt, & S. Friedman (Eds.), The first session in brief therapy. (pp. 59–86). New York, NY: Guilford Press.
Hoyt, M. F., & Talmon, M. (2014). Capturing the moment: Single session therapy and walk-in services. Bethel, CT: Crown House Publishing Co.
Hymmen P., Stalker C. A., and Cait C. A. 2013 The case for single-session therapy: Does the empirical evidence support the increased prevalence of this service delivery model? Journal of Mental Health 22 60 -71
Iveson, C., George, E., & Ratner, H. (2014). Love is all around: A single session solution-focused therapy. In Hoyt, M. F. & Talmon, M. (Eds.). Capturing the moment: Single session therapy and walk-in services, Bethel, CT: Crown House Publishing Limited. pp. 325–348.
Kunik M., Braun U., Stanley M., Wristers K., Molinari V., Stoebner D., and Orengo C. 2001 One session cognitive behavioural therapy for elderly patients with chronic obstructive pulmonary disease Psychological Medicine 31 4 717 -723
Lewis C. C. Simons A. D. Silva S. G. Rohde P. Small D. M. Murakami J. L.…March J. S. 2009 The role of readiness to change in response to treatment of adolescent depression Journal of Consulting and Clinical Psychology 77 3 422 -42
Lamprecht H. Laydon C. McQuillan C. Wiseman S. Williams L.…Reilly J. 2007 Single-session solution-focused brief therapy and self-harm: A pilot study Journal of Psychiatric and Mental Health Nursing 14 6 601 -602
Littrell J. M., Malia J. A., and Vanderwood M. 1995 Single-session brief counselling in a high school Journal of Counselling and Development 73 4 451 -458
McConnaughy E. A., DiClemente C. C., Prochaska J. O., and Velicer W. F. 1989 Stages of change in psychotherapy: A follow-up report Psychotherapy 26 494 -503
McDowell, I. (2006). Measuring health: A guide to rating scales and questionnaires. New York; Oxford: Oxford University Press.
Miller J. 2008 Walk-in single session team therapy: A study of client satisfaction Journal of Systemic Therapies 27 3 78 -94
Miller J. K. and Slive A. 2004 Breaking down the barriers to clinical service delivery: Walk-in family therapy Journal of Marital & Family Therapy 30 1 95 -103
Miranda J., Nakamura R., and Bernal G. 2003 Including ethnic minorities in mental health intervention research: A practical approach to a long-standing problem Culture, Medicine and Psychiatry 27 467 -486
Norcross J. C., Krebs P. M., and Prochaska J. O. 2011 Stages of change Journal of Clinical Psychology: In Session 67 2 143 -154
Nuthall A. and Townend M. 2007 CBT-based early intervention to prevent panic disorder: A pilot study Behavioural and Cognitive Psychotherapy 35 1 15 -30
Ollendick T. H., Öst L., Reuterskiöld L., Costa N., Cederlund R., Sirbu C., et al. 2009 One-session treatment of specific phobias in youth: A randomized clinical trial in the United States and Sweden Journal of Consulting and Clinical Psychology 77 3 504 -516
Perkins R. 2006 The effectiveness of one session of therapy using a single-session therapy approach for children and adolescents with mental health problems Psychology and Psychotherapy: Theory, Research and Practice 79 215 -227
Price C. 1994 Open days: Making family therapy accessible in working class suburbs Australian and New Zealand Journal of Family Therapy 15 4 191 -196
Prochaska J. O. and DiClemente C. C. 1982 Transtheoretical therapy: Toward a more integrative model of change Psychotherapy, Theory, Research and Practice 19 276 -288
Prochaska J. O. and DiClemente C. C. 1983 Stages and processes of self-change of smoking: Toward an integrative model of change Journal of Consulting and Clinical Psychology 51 390 -395
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods, (2nd Ed.). Newbury Park, CA: Sage.
Reid G. I., Toban J. I., and Shanley D. C. 2008 What is a mental health clinic? How to ask parents about help-seeking contacts within the mental health system Administration and Policy in Mental Health 35 241 -249
Singer, J. D., & Willett, J. B. (2003). Applied Longitudinal Data Analysis: Modelling Change and Event Occurrence. New York: Oxford University Press.
Stalker C. A., Horton S., and Cait C. 2012 Single session therapy in a walk-in counselling clinic: A pilot study Journal of Systemic Therapies 31 1 38 -52
Stalker C. A., Riemer M., Cait C. A., Horton S., Booton J., Josling L., Bedggood J., and Zaczek M. 2015 A comparison of single-session walk-in counselling and the traditional model for delivering counselling services Journal of Mental Health Published online 15/12/15
Westbrook D. and Kirk J. 2005 The clinical effectiveness of cognitive behaviour therapy: Outcome for a large sample of adults treated in routine practice Behaviour Research and Therapy 43 10 1243 -1261
Yuan, Y. C. (n.d.). Multiple imputation for missing data: Concepts and new developments (Version 9.0). Rockville, MD: SAS Institute Inc.
Information & Authors
Information
Published In
Canadian Journal of Community Mental Health
Volume 37 • Number 2 • July 2018
Pages: 29 - 47
History
Version of record online: 17 May 2019
Key Words
Mots-clés
Authors
Metrics & Citations
Metrics
Other Metrics
Citations
Cite As
Manuel Riemer, Carol A. Stalker, Livia Dittmer, Cheryl-Anne Cait, Susan Horton, Narges Kermani, and Jocelyn Booton. 2018. The Walk-in Counselling Model of Service Delivery: Who Benefits Most?. Canadian Journal of Community Mental Health.
37(2): 29-47. https://doi.org/10.7870/cjcmh-2018-019
Export Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
There are no citations for this item
View Options
View options
Get Access
Login options
Check if you access through your login credentials or your institution to get full access on this article.
Subscribe
Click on the button below to subscribe to Canadian Journal of Community Mental Health
