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Single-Session Consultations Delivered in a Gender-Responsive Clinic: A Case Series on Implementation and Lessons

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Single-session consultation (SSC) interventions show promise for mental health care access. This study found SSCs feasible and acceptable in a community program for young women and gender-expansive youth, increasing hopefulness.

Keywords:
acceptabilityconsultationfeasibilityinterventionsingle-session

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Area of Science:

  • Mental Health Services Research
  • Psychiatry
  • Public Health

Background:

  • Single-session consultation (SSC) interventions offer a scalable model for delivering timely, evidence-based mental health care.
  • Community-based, gender-responsive programs are crucial for addressing the unique needs of young women and gender-expansive youth.
  • Early implementation data is vital for understanding the feasibility and acceptability of novel mental health interventions.

Purpose of the Study:

  • To describe the early implementation, feasibility, and acceptability of a single-session consultation (SSC) intervention.
  • To assess the impact of the SSC intervention on psychological symptoms, hopelessness, and agency in a community-based setting.
  • To identify implementation challenges and lessons learned for optimizing SSC delivery in gender-responsive mental health programs.

Main Methods:

  • A 45-60 minute single-session consultation (SSC) intervention was delivered to six clients.
  • Individualized goals, action steps, supports, and coping strategies were identified during the SSC.
  • Pre- and post-session measures assessed psychological symptoms, hopelessness, agency, and satisfaction; case studies were presented.

Main Results:

  • The SSC intervention was found to be feasible and acceptable for young women and gender-expansive youth in a community clinic.
  • Clients reported the intervention was helpful and aligned with their goals; preliminary results indicated increased hopefulness.
  • Clinicians found the SSC intervention easy to train, viable to implement, and effective.

Conclusions:

  • Single-session consultation (SSC) interventions are a promising, feasible, and acceptable approach for community-based mental health care for young women and gender-expansive youth.
  • Implementation challenges included lower-than-expected uptake and difficulties in re-engaging clients, highlighting the need for flexible delivery and engagement strategies.
  • Structured action planning and intentional engagement are key to successful implementation of SSC interventions in this population.