University of British Columbia (Okanagan), Kelowna, Canada.
PLoS One. 2024 May 31;19(5):e0302543. doi: 10.1371/journal.pone.0302543. eCollection 2024.
'Single Session Therapy' (SST) is a service delivery model that seeks to provide an evidence-based, solution-focused, brief intervention within a single therapy session. The stand-alone session affords the opportunity to provide brief psychological interventions while clients await access to longer-term services. The COVID-19 pandemic has adversely impacted individuals' mental health. However, the majority of research has investigated patient mental health within hospital settings and community organizations that offer long-term services, whereas minimal research has focused on mental health concerns during COVID-19 within an SST model. The primary aim of the study was to measure client experiences of a brief mental health service. The nature of client mental health concerns who access such services at various points during a pandemic was also investigated. The current study utilized client feedback forms and the Computerized Adaptive Testing-Mental Health (CAT-MH) to measure client experiences and mental health concerns. Qualitative analysis of client feedback forms revealed themes of emotional (e.g., safe space) and informational support (e.g., referrals). Clients also reported reduced barriers to accessing services (e.g., no appointment necessary, no cost), as well as limitations (e.g., not enough sessions) of the Walk-in clinic. Profile analysis of the CAT-MH data indicated that clients had higher rates of depression before COVID-19 (M = 64.2, SD = 13.07) as compared to during the pandemic (M = 59.78, SD = 16.87). In contrast, higher rates of positive suicidality flags were reported during the pandemic (n = 54) as compared to before (n = 29). The lower reported rates of depression but higher rate of suicidality during the pandemic was an unanticipated finding that contradicted prior research, to which possible explanations are explored. Taken together, the results demonstrate the positive experiences of clients who access a single session therapy.
“单次治疗”（SST）是一种服务提供模式，旨在提供基于证据的、以解决方案为重点的、单次治疗疗程内的简短干预。单次治疗疗程为客户等待获得长期服务的同时提供简短心理干预提供了机会。COVID-19 大流行对个人的心理健康产生了不利影响。然而，大多数研究都在医院环境和提供长期服务的社区组织中调查了患者的心理健康，而只有很少的研究关注 COVID-19 期间 SST 模式下的心理健康问题。该研究的主要目的是衡量客户对简短心理健康服务的体验。还研究了在大流行期间不同时间点访问此类服务的客户的心理健康问题的性质。本研究利用客户反馈表和计算机自适应测试-心理健康（CAT-MH）来衡量客户体验和心理健康问题。对客户反馈表的定性分析揭示了情感（例如，安全空间）和信息支持（例如，转介）方面的主题。客户还报告说，他们在获得服务方面的障碍减少了（例如，无需预约，无需费用），并且门诊服务有限（例如，会话不足）。CAT-MH 数据的分析表明，与 COVID-19 之前（M = 64.2，SD = 13.07）相比，客户在 COVID-19 期间的抑郁率更高（M = 59.78，SD = 16.87）。相比之下，在大流行期间报告的积极自杀倾向标志的比例更高（n = 54），而在大流行之前（n = 29）报告的比例较低。大流行期间报告的抑郁率较低但自杀率较高是一个出乎意料的发现，与之前的研究结果相矛盾，对此可能的解释进行了探讨。综上所述，研究结果表明，接受单次治疗的客户的积极体验。
