Single-session consultation (SSC) interventions are a promising approach for increasing access to timely evidence-based mental health care. This manuscript describes the early implementation, including feasibility and acceptability, of an SSC intervention delivered in a community-based gender-responsive mental health program at an academic medical center in the United States. Six clients completed a 45-60-minute SSC intervention that identified individualized goals, action steps, internal and external supports, and coping strategies. Pre- and post-session measures assessed psychological symptoms, hopelessness, agency, and satisfaction with care. Illustrative case studies are presented for two transition-aged youth. In both cases, the young women collaboratively completed the SSC and their post-session feedback indicated that they found the intervention helpful and aligned with their goals. Clinicians found the service easy to be trained in, viable to implement, and effective. Initial/preliminary results suggest the SSC intervention is feasible and acceptable for use in a free, community-based outpatient clinic serving young women and gender expansive youth. Findings highlighted increases in hopefulness mirroring findings from previous SSC studies. Implementation challenges included lower-than-expected uptake, including difficulty re-engaging youth who did not attend their SSC appointment. Lessons learned included the importance of flexible delivery, structured action planning, and intentional engagement strategies for successful implementation.
Irgens et al. (Wed,) studied this question.