Single-session counseling is a modality that is used in a variety of settings: e.g., community mental health, family service agencies, university counselling centers, agencies working with the homeless, etc. To satisfy funders, it is often necessary to provide statistical measures to demonstrate the value of the service.
There are some pre-therapy, post-therapy and two-month follow-up inventories for single-session therapy. Please see the appendices of An Inventory of Walk-in Counseling Clinic of Ontario (pp. 46-62).
https://legacy.wlu.ca/documents/46045/Walk_In_Inventory-_June_6_final.pdf
Stephen, thank you for this. The appendices are a good start. I wonder what methods other people are using?
Although single-session therapy has been around for some time, I haven't come across too much work on its efficacy.
For research purposes, the Behavior and Symptom Identification Scale-24 (BASIS-24), the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and the Session Rating Scale (SRS), etc. have been used.
The following links my interest you.
http://knowledgecommons.lakeheadu.ca:8080/xmlui/bitstream/handle/2453/787/EwenV2016m-1a.pdf?sequence=3
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4757779/
Thank you. I concur that up to now not a lot has been written about the efficacy of SST.
Please find below a couple of brief reports produced by counseling agencies that use a single-session delivery model as one of the services they provide. These brief reports provide information about their methodology, including the measures used to evaluate outcomes.
http://www.woodshomes.ca/site/DocServer/From_Practice_to_Research-Examining_Outcomes_of_Single_S.pdf?docID=7439
http://www.kwcounselling.com/wp-content/uploads/2013/04/Walk-In-Counselling-vs.-Traditional-Services.pdf
I would say that Motivational Interviewing- or Brief Intervention- would be the most useful one session counselling framework to use. 1. You can teach it and assess its use easily, 2. Measures would be based on fidelity to the model and demonstration of correct assessment of the client's "stage of change" (precontemplation, contemplation, action or maintence stage)- with the counselling session then tailored to each stage as per the model of motivational interviewing. Documenting the increase in amount of change talk, or dealing effectively with sustain talk would be evidence of a successful counselling session. MI has its roots in addiction but has been very successfuly used by health care practitioners and is a patient centred, ethical and effective method of engagement. http://www.tandfonline.com/doi/abs/10.1080/15412550802093108?journalCode=icop20
I strongly encourage the use of Motivational Interviewing techniques in our Walk-In counseling program. Another framework we find useful is Narrative Therapy.
Practically, short feedback, preferably written tick the box around 3 questions, after the session, not in the front of the therapist. email or text message.
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