The Experience of Service Users with Session-Limited Psychosocial Interventions

Publication: Canadian Journal of Community Mental Health
21 December 2022

Abstract

This brief report focuses on the experience of service users in the context of a new public institutional framework limiting the number of psychosocial intervention sessions offered per person. Qualitative data of nine group discussions composed of 12 past service users and 12 professionals working in local community health centres were analyzed with content analysis. The study revealed that service users expressed mostly negative emotions and views attributed to session limits. This brief report suggests that rigid session-limited psychosocial interventions are perceived negatively and could have adverse consequences on recovery in vulnerable individuals.

Résumé

Ce bref rapport explore l’expérience d’utilisateurs de services dans le contexte d’un nouveau cadre institutionnel public limitant le nombre de séances d’intervention psychosociale offertes par personne. Les données qualitatives de neuf discussions de groupe composées de 12 anciens utilisateurs et de 12 professionnels de centres locaux de services communautaires ont été analysées avec une analyse de contenu. L’étude suggère que les utilisateurs exprimaient des émotions et des points de vue plus négatifs concernant les limites du nombre de séances. Les résultats suggèrent que ces limites rigides de séances d’interventions psychosociales pourraient avoir des conséquences négatives sur le rétablissement des personnes vulnérables.

Get full access to this article

View all available purchase options and get full access to this article.

References

American Psychological Association, Presidential Task Force on Evidence-Based Practice 2006 Evidence-based practice in psychology American Psychologist 61 271 -285 https://doi.org/10.1037/0003-066X.61.4.271
Anderson E. M. and Lambert M. J. 2001 A survival analysis of clinically significant change in outpatient psychotherapy Journal of Clinical Psychology 57 7 875 -888 https://doi.org/10.1002/jclp.1056
Bloom B. L. 2002 Brief interventions for anxiety disorders: Clinical outcome studies Brief Treatment & Crisis Intervention 2 4 https://doi.org/10.1093/brief-treatment/2.4.325
Cole M. G. 2008 Brief interventions to prevent depression in older subjects: A systematic review of feasibility and effectiveness The American Journal of Geriatric Psychiatry 16 6 435 -443 https://doi.org/10.1097/JGP.0b013e318162f174
Cuijpers P., Huibers M., Ebert D. D., Koole S. L., and Andersson G. 2013 How much psychotherapy is needed to treat depression? A metaregression analysis Journal of Affective Disorders 149 1–3 1 -13 https://doi.org/10.1016/j.jad.2013.02.030
De Geest R. M. and Meganck R. 2019 How do time limits affect our psychotherapies? A literature review Psychologica Belgica 59 1 206
Fleury M. J., Grenier G., Vallée C., Aubé D., and Farand L. 2017 Implementation of integrated service networks under the Quebec mental health reform: Facilitators and barriers associated with different territorial profiles International Journal of Integrated Care 17 1 https://doi.org/10.5334/ijic.2482
Glass C. R., Arnkoff D. B., and Shapiro S. J. 2001 Expectations and preferences Psychotherapy 38 455 -461 https://doi.org/10.1037/0033-3204.38.4.455
Harnett P., O’Donovan A., and Lambert M. J. 2010 The dose response relationship in psychotherapy: Implications for social policy Clinical Psychologist 14 2 39 -44 https://doi.org/10.1080/13284207.2010.500309
Knekt P., Lindfors O., Härkänen T., Välikoski M., Virtala E., Laaksonen M. A., Marttunen M., Kaipainen M., and Renlund C. 2008 Randomized trial on the effectiveness of long-and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up Psychological Medicine 38 5 689 -703 https://doi.org/10.1017/S003329170700164X
Lindfors O., Knekt P., Heinonen E., Härkänen T., and Virtala E. & Helsinki Psychotherapy Study Group 2015 The effectiveness of short-and long-term psychotherapy on personality functioning during a 5-year follow-up Journal of Affective Disorders 173 31–38 https://doi.org/10.1016/j.jad.2014.10.039
Markussen H. V., Aasdahl L., Viksveen P., Hedberg B., and Rise M. B. 2021 A treatment strategy for meeting life as it is. Patients’ and therapists’ experiences of brief therapy in a district psychiatric centre: A qualitative study PloS One 16 10 e0258990
Ministère de la Santé et des Services sociaux. (2016). Plan d’action sur la primauté de la personne dans la prestation et l’organisation des services. (Publication No. 16-914-05W). https://publications.msss.gouv.qc.ca/msss/fichiers/2016/16-914-05W.pdf
National Institute of Excellence in Health and Social Services. (2013). Efficacité des interventions sociales et psychologiques de courte durée: revue systématique (Publication No. 1915-3082). https://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/ServicesSociaux/INESSS_interventions_sociales_psycho_courte_duree_28112013.pdf?sword_list%5B0%5D=alzheimer&no_cache=1
National Center of Excellence in Mental Health. (2017). Guide d’accompagnement pour le déploiement d’une offre de services de 1re ligne en santé mentale adulte (SMA). Ministère de la santé et des services sociaux.
Norcross, J. C. (Ed.). (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patient needs. New York: Oxford University Press.
Roberge P., Fournier L., Menear M., and Duhoux A. 2014 Access to psychotherapy for primary care patients with anxiety disorders Psychologie Canadienne [Canadian Psychology] 55 2 60 -67
Robinson L., Delgadillo J., and Kellett S. 2020 The dose-response effect in routinely delivered psychological therapies: A systematic review Psychotherapy Research 30 1 79 -96
Strøm A. and Fagermoen M. S. 2014 User involvement as sharing knowledge–an extended perspective in patient education Journal of Multidisciplinary Healthcare 7 551 https://doi.org/10.2147/JMDH.S73343
Vaismoradi M., Turunen H., and Bondas T. 2013 Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study Nursing & Health Sciences 15 3 398 -405 https://doi.org/10.1111/nhs.12048

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 41Number 4October 2022
Pages: 67 - 74

History

Version of record online: 21 December 2022

Key Words

  1. mental health
  2. public services
  3. service user
  4. professional
  5. short-term intervention
  6. Québec

Mots-clés

  1. santé mentale
  2. service public
  3. usager
  4. professionnel
  5. intervention de courte durée
  6. Québec

Authors

Affiliations

Corentin Montiel
Université du Québec à Montréal
François Lauzier-Jobin
Université du Québec à Montréal
Stephanie Radziszewski
Université du Québec à Montréal
Julie Bordeleau
Centre of Excellence on Partnership with Patients and the Public
Pasquale Roberge
Université de Sherbrooke
Martin D. Provencher
Catherine Hudon
Université de Sherbrooke
Hélène Provencher
Janie Houle [email protected]
Université du Québec à Montréal

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

Get Access

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Community Mental Health

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF

View PDF

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media