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The Walk-in Counselling Model of Service Delivery: Who Benefits Most?

Publication: Canadian Journal of Community Mental Health
17 May 2019


The walk-in counselling (WIC) model of service delivery has been found to reduce psychological distress more quickly than a traditional model of service delivery involving a wait list. A question remains, however, as to the relative benefit of the WIC model for different client groups. The present study uses graphical inspection and multilevel modelling to conduct moderator analyses comparing two agencies, one with a WIC clinic and the other with a traditional wait list approach, and their relative impact on psychological distress. Key findings regarding the differential benefits for different types of presenting problems as well as clients at different stages of change are discussed.


La recherche démontre qu’un service de consultation sans rendez-vous réduit la détresse psychologique plus rapidement qu’un modèle traditionnel fonctionnant avec liste d’attente. Une question demeure toutefois quant aux bénéfices relatifs du modèle de consultation sans rendez-vous pour différentes clientèles. La présente étude fait appel à l’inspection visuelle de graphiques et à la modélisation multiniveaux pour la réalisation d’analyses modératrices comparant deux cliniques, l’une sans rendez-vous et l’autre suivant le modèle traditionnel avec liste d’attente. L’étude examine les impacts relatifs de ces différents types de services sur la détresse psychologique. Les principales constatations quant aux bénéfices différentiels selon les problématiques de santé mentale rencontrées et suivant les différentes étapes de changement où se trouvent les usagers sont abordées dans la présente étude.

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Information & Authors


Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 37Number 2July 2018
Pages: 29 - 47


Version of record online: 17 May 2019

Key Words

  1. service delivery models
  2. walk-in counselling
  3. single-session therapy
  4. moderator
  5. mental health service
  6. hierarchical linear modelling


  1. Modèles de prestation de services
  2. consultation sans rendez-vous
  3. thérapie à séance unique
  4. modérateur
  5. services de santé mentale
  6. modèle linéaire hiérarchique



Manuel Riemer mriemer@wlu
Wilfrid Laurier University
Carol A. Stalker
Wilfrid Laurier University
Livia Dittmer
Wilfrid Laurier University
Cheryl-Anne Cait
Wilfrid Laurier University
Susan Horton
University of Waterloo
Narges Kermani
Wilfrid Laurier University
Jocelyn Booton
Wilfrid Laurier University

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