Walk-in Therapy in Low Barrier Primary Care

NCT06552325 | Not Yet Recruiting

• 2 other identifiers: STUDY000185573P30MH123248-03
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goals of the current research are to adapt an effective walk-in psychotherapy clinic intervention for the context of low-barrier primary care; and conduct a pilot implementation study in two low-barrier primary care clinics that are based in a community organization that is a drop-in center for people experiencing homelessness in North Seattle.

Conditions

Mental Health Issue; Hiv; Substance Use

Keywords

Houselessness; Brief narrative therapy; Implementation outcome; Integrated care; Reach

Outcome Measures

Primary Outcomes (1)

• Reach

  Number and representativeness of patients (with respect to gender, race/ethnicity, current substance use) who have ≥1 session with the therapist (compared to full clinic populations).

  Up to 4 months

Study Arms (1)

Single Session Narrative Therapy Intervention

EXPERIMENTAL

A single narrative therapy session with a trained licensed behavioral health provider will be offered to patients at \[Blinded\] low-barrier clinics.

Behavioral: Single Session Narrative Therapy

Interventions

Single Session Narrative Therapy BEHAVIORAL

The proposed single session narrative therapy intervention has been widely implemented in walk-in therapy clinics in Ontario Province, Canada. In these clinics, 60-minute psychotherapy sessions, informed by narrative therapy, are available on a walk-in basis. The therapist collaborates with a patient to co-develop a useful and meaningful focus for the session and then engages the patient in conversation that is respectful but shifts their way of thinking about the presenting problem. The therapist highlights and documents the patient's values and skills and works with the patient to create an action plan. If the therapist identifies additional treatment needs, the patient is offered an external referral to specialty mental health services.

Also known as: Brief Narrative Therapy

Single Session Narrative Therapy Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Will have completed at least one therapy appointment at the \[Blinded\] clinics
• Ability to provide informed consent
• Ability to complete the interview or questionnaire in English

You may not qualify if:

• Inability to provide informed consent
• Need for urgent mental health treatment (e.g., imminent risk of harm to self or others, acute withdrawal requiring medical detoxification)

Sponsors & Collaborators

• University of Washington: lead
• National Institute of Mental Health (NIMH): collaborator

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome; Substance-Related Disorders

Condition Hierarchy (Ancestors)

HIV Infections; Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Slow Virus Diseases; Genital Diseases; Urogenital Diseases; Immunologic Deficiency Syndromes; Immune System Diseases; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Lydia Chwastiak

  University of Washington

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Lydia Chwastiak

CONTACT

206-744-4840; lchwast@uw.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Psychiatry and Behavioral Sciences

Study Record Dates

• First Submitted: August 10, 2024
• First Posted: August 14, 2024
• Study Start: September 1, 2024
• Primary Completion: January 31, 2025
• Study Completion: February 28, 2025
• Last Updated: August 14, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will share
• Time Frame: Data will made available in alignment with the first data submission date required by the National Institute of Mental Health Data Archive.
• Access Criteria: Summary information on the data shared in NDA is available in the NDA Query Tool without the need for an NDA user account. To request access to record-level human subject data, a Data Access Request must be submitted.