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Evaluating the Single-Session Consultation Service at the Krasner Psychological Center and Putnam (SSC@KPC&Putnam)

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ClinicalTrials.gov Identifier: NCT04069832
Recruitment Status : Recruiting
First Posted : August 27, 2019
Last Update Posted : October 7, 2019
Sponsor:
Information provided by (Responsible Party):
Jessica Schleider, Stony Brook University

Brief Summary:

Stony Brook University is home to several mental health clinics, that all work towards achieving overall wellness of their clients. The goals of Stony Brook University are met with the help of associated clinics that strive to improve wellness of individuals and their communities by helping to treat both mental and physical health impairments. Three of these many clinics are the Krasner Psychological Center (KPC), Mind Body Clinical Research Center (MBCRC), and Adolescent Outpatient Psychiatry (CAOP).

At present, the KPC, MBCRC and CAOP face a challenge common to virtually all mental health clinics across the United States: the demand for psychological services far outpaces the number of available providers. Indeed, in the US, approximately 70% of those in need of mental health services do not receive them. As such, wait-lists at mental health clinics like the KPC, MBCRC and CAOP are increasingly long, and longer wait-times for psychotherapy have predicted worse clinical outcomes once treatment is accessed (i.e., a 'nocebo' effect). Thus, there is a pressing need for effective, sustainable service delivery models that may facilitate more rapid access to care—for instance, providing a low-intensity service rapidly after an individual decides to seek treatment, capitalizing on client motivation. This sort of rapidly-provided, low-intensity service might have the added benefit of reducing overall waitlist lengths--e.g., if some subset of clients find the low-intensity service to be sufficient, a single session might be sufficient (in some cases) to spur positive behavioral and emotional change.

One solution to this problem is the integration of single-session services into mental health clinics. Extensive research suggests that both youths and adults can benefit from just one session of goal-directed counseling, and these clinical benefits have been observed for a wide array of problems—including anxiety, depression, self-harm, and interpersonal conflicts. This research suggests the possibility that, for some subset of clients, a single session of counseling may be helpful, or even sufficient, in reducing clinical distress. Therefore, the objective of this study is to examine the feasibility, acceptability, and short-term effects of the new Single-Session Consultation (SSC) service, which is presently being provided to clients on the waiting list for psychotherapeutic services at the Krasner Psychological Center, Mind Body Clinical Research Center and Child and Adolescent Outpatient Psychiatry. The SSC offers clients the opportunity to participate in a single, goal-directed consultation session based on Solution-Focused Brief Therapy (SFBT) within two weeks of inquiring about services at the KPC, MBCRC, and CAOP (typically, clients wait 2-6 months prior to their initial clinic appointment). SFBT is an evidence-based therapy approach that guides services offered by existing single-session therapy clinics internationally. Clients who participate in the SSC at any of these clinics may find the session helpful; two weeks after participating in the session, they receive the option to remain on the waitlist for long-term psychotherapy or remove themselves from the waitlist for psychotherapy, depending on whether they feel their clinical needs have been successfully addressed.


Condition or disease Intervention/treatment Phase
Mental Health Impairment Behavioral: Single-Session Consultation Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Evaluating the Single-Session Consultation Service at the Krasner Psychological Center and Putnam
Actual Study Start Date : October 1, 2019
Estimated Primary Completion Date : February 2020
Estimated Study Completion Date : December 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Arm Intervention/treatment
Intervention
SINGLE-SESSION CONSULTATION
Behavioral: Single-Session Consultation
A single, goal-directed consultation session based on Solution-Focused Brief Therapy (SFBT). SFBT is an evidence-based therapy approach that is primarily focused on the client's present problems and their immediate future. When using SFBT in a single-session the aim of the intervention becomes empowering the client to take the smallest possible steps towards their desired future.
Other Name: SSC




Primary Outcome Measures :
  1. Change in State Hope Scale score ('agency') [ Time Frame: Pre-Single-Session Consultation (SSC) & immediately Post-SSC (1-3 minutes post-intervention)) ]
    The State Hope Scale is a 6 item self-report measure of agentic, goal-directed thinking. Respondents rate 6 items on a Likert scale from 1 (definitely false) to 8 (definitely true). Higher mean scores reflect a greater sense of personal agency (i.e., personal capacity to pursue and sense of having attained goals). Scores range from 1-8.

  2. Change in Beck Hopelessness Scale - 4 item version score ('hope') [ Time Frame: Pre-Single-Session Consultation (SSC) & immediately Post-SSC (1-3 minutes post-intervention)) ]
    Respondents report agreement with 4 items, each rated on a 0-3 scale, indicating levels of hopelessness about the future. Higher summed scores reflect greater levels of hopelessness, and scores range from 0-12.


Secondary Outcome Measures :
  1. Change in Brief Symptom Inventory-18 [ Time Frame: Pre-SSC & 2 week follow-up ]
    The Brief Symptom Inventory-18 (BSI-18) assesses self reported psychopathology and distress. Respondents rate endorsement of 18 physical and emotional complaints on a 0-4 Likert scale. The total sum score yields an additional total distress score (range: 0-72). Higher scores indicate higher levels of overall psychological distress.

  2. Consultation Feedback Form [ Time Frame: Immediately Post-SSC (1-3 minutes post-intervention) only ]
    The consultation feedback form contains 5 items, rated on a 1 ("Not at all") to 5 ("Very much") Likert scale, indicating endorsement of a series of statements about responses to the Single Session Consultation program (e.g., "Did you find the consultation helpful in addressing your concern(s)?" and "How hopeful are you that the action plan will be useful?." Higher mean scores across these 5 items indicates greater perceived usefulness of the SSC.

  3. Therapist Beliefs about SSC [ Time Frame: Pre-SSC Training, Immediately post-SSC training, and 2 months after SSC training ]
    A brief measure examining therapists' perceived acceptability, feasibility, and effectiveness of the Single Session Consultation (SSC) program. The measure is comprised of questions rated on a 1 ("Completely Disagree") to 5 ("Completely Agree") scale, indicating endorsement of a series of statements about the Single Session Consultation Program, and short answer questions. Higher mean scores across these 5 items indicate greater perceived acceptability, feasibility, and effectiveness of the SSC. This measure will be administered to clinicians at Mind Body Research Center and Adolescent Outpatient Psychiatry only due to the delayed addition of this measure.


Other Outcome Measures:
  1. Brief Personal Data Questionnaire (Adult or Adolescent version) [ Time Frame: Pre-SSC only ]
    On this survey, participants report basic demographic information; whether they have a history of receiving past psychotherapy; whether they have a history of receiving past medication; and complete qualitative, open-ended questions on the nature of their presenting problem (i.e., why they have chosen to seek treatment). Because this is a demographic questionnaire, no scores are associated with this measure.



Information from the National Library of Medicine

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Ages Eligible for Study:   13 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All adolescent (ages 13+) and adult clients on the waitlist for clinical psychotherapy services at the KPC, MBCRC, and CAOP will be eligible to take part in this research.

Exclusion Criteria:

  • Child clients at the KPC, MBCRC, and CAOP under the age of 13 will not be eligible to participate in this study, because the Single-Session Consultation service presently being offered at the KPC, MBCRC, and CAOP is designed for use with adolescents and adults (i.e., it would be developmentally inappropriate for younger children.).
  • Non-English speaking individuals will not be eligible to receive any clinical services at the KPC, MBCRC, and CAOP because all therapists at the clinics are English-speaking.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04069832


Contacts
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Contact: Jessica L Schleider, PhD 631-632-4131 jessica.schleider@stonybrook.edu

Locations
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United States, New York
Stony Brook University Recruiting
Stony Brook, New York, United States, 11794-2500
Contact: Jessica L Schleider, PhD    631-632-4131    jessica.schleider@stonybrook.edu   
Sponsors and Collaborators
Stony Brook University
Investigators
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Principal Investigator: Jessica L Schleider, PhD Stony Brook University
  Study Documents (Full-Text)

Documents provided by Jessica Schleider, Stony Brook University:
Statistical Analysis Plan  [PDF] October 1, 2019


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Responsible Party: Jessica Schleider, Assistant Professor of Psychology, Stony Brook University
ClinicalTrials.gov Identifier: NCT04069832     History of Changes
Other Study ID Numbers: IRB2019-00362
First Posted: August 27, 2019    Key Record Dates
Last Update Posted: October 7, 2019
Last Verified: October 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: De-identified participant-level data will be made available on Open Science Framework upon conclusion of the pilot study (N= 60).
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No