Children’s Mental Health of

Leeds & Grenville

WALK-IN AND BRIEF THERAPY

A Shift in Thinking

To implement brief services such as walk-in/single session counselling effectively, we need to significantly shift the way we view the children, youth and families who come to us for help.

WHAT IS BRIEF THERAPY?A brief therapy approach is not about providing traditional services faster.

It is about providing services differently, which results in a briefer duration of involvement.

It is not rush therapy, but about adopting a different set of assumptions, principles and practices about how people change.

BRIEF THERAPY Philosophy that more is not better;

better is better Shift our philosophy from a focus

on problems to a focus on strengths Shifts the focus of every visit, to a

therapeutic encounter and places uncompromised priority on strengths‐based tools

BRIEF THERAPY It is collaborative, highly respectful and taps into peoples’ knowledge, skills and abilities.

As a result of working this way, people tend to require a briefer amount of involvement and are more prone to embrace their own resources.

They become the primary agents of change, which results in better clinical outcomes (Duvall & Beres, 2011).

EVIDENCE BASED

Studies have shown that engaging with families through genuine collaboration, listening to and consulting them about what they want, and how they want services delivered, results in greater participation in the therapeutic process and better outcomes.

(Orlinsky, Grawe & Parks, 1994; Clemente, C., McGrath, Stevenson, & Barners, J., 2006; Lambert & Bergin, 1994).

EVIDENCE BASED

Evidence gathered on clients’ length of involvement in services had shown that “the most common number of sessions attended by clients is one” (Talmon, 1990)

This demonstrates that therapists need to maximize the impact of the first and possibly only session with clients.

EVIDENCE BASED

Research also indicates that constructive change ramps up most significantly in the first two to three sessions

(Hubble, Duncan, & Miller, 1999; Lambert, 1992).

PHILOSOPHY & GUIDING ASSUMPTIONS IN BRIEF SERVICES AND WALK-IN:

Offer therapy when people are ready and asking for it

Many people can benefit from a single session and may not need more

Many people will use sporadic single sessions when they want help

Everyone is multi-storied, with many versions of problem and solution events

People come for therapy because they are limited by their current known and familiar ideas/actions/choices

People have knowledge, abilities, skills to discover and develop

PAST WALK IN CLINICS August 2012 17 clients Offered in all sites, various days

July and August 2013 47 Clients Offered in all sites various days

SUMMER 2013-94%

I was heard and supported during my session.

Strongly Disagree

Moderately Disagree

Slightly Disagree

Neither Disagree nor Agree

Slightly Agree

Moderately Agree

Strongly Agree

SUMMER 2013-90%

I have new knowledge about the current issues to help me move forward.

Strongly Disagree

Moderately Disagree

Slightly Disagree

Neither Disagree nor Agree

Slightly Agree

Moderately Agree

Strongly Agree

SUMMER 2013-80%I am more confident in my ability to handle the

current issues.

Strongly Disagree

Moderately Disagree

Slightly Disagree

Neither Disagree nor Agree

Slightly Agree

Moderately Agree

Strongly Agree

SUMMER 2013-90%I have a plan to help manage the issues that brought

me here today.

Strongly Disagree

Moderately Disagree

Slightly Disagree

Neither Disagree nor Agree

Slightly Agree

Moderately Agree

Strongly Agree

SUMMER 2013- 90%Today was successful. Coming to Children’s

Mental Health Walk In Clinic was helpful in ad-dressing the issues that brought me here today.

Strongly Disagree

Moderately Disagree

Slightly Disagree

Neither Disagree nor Agree

Slightly Agree

Moderately Agree

Strongly Agree

SUMMER WALK IN CLINIC

Walk in Clinic will run in all 5 sites

Please encourage clients to come into office when convenient for them, they can call ahead if they wish

Clients come in as many times as they like

Children’s Mental Health of Leeds & Grenville

IMPORTANTJuly and August 2014

New referrals Will be seen through our

WALK-IN CLINICAppointments 9am-3pm

BROCKVILLE OFFICE-MONDAY/WEDNESDAY/FRIDAYGANANOQUE OFFICE-TUESDAYKEMPTVILLE OFFICE- TUESDAYPRESCOTT OFFICE- THURSDAY

Individuals in crisis can call the office during business hours(8:30 a.m. – 4:30 p.m.) After 4:30 p.m.

Please contact the KIDS Help Phone at 1-800-668-6868Visit our website at www.cmhlg.ca 613-498-4844 or 1-800-809- 2494

CONTACT US Children’s Mental Health of Leeds and

Grenville is dedicated to providing timely service across all of Leeds and Grenville. We have five community offices, Brockville, Elgin, Gananoque, Kemptville and Prescott.

Serving Leeds & Grenville Monday to Friday, 8:30 AM - 4:30 PM

Call us toll free at 1.800.809.2494 or email us at reachus@cmhlg.ca