Single Session Narrative Therapy Study

University of Washington

Status: Enrolling

Conditions: Substance Use; HIV; Mental Health Issue

Treatments: Behavioral: Single Session Narrative Therapy

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06479980

STUDY00018612

5P30MH123248-03 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This pilot research study will provide timely access to behavioral health services through the provision of a single-session narrative therapy intervention. The goal of this 6-month study is to test the acceptability, feasibility, and fit of the intervention in an integrated primary care clinic serving people living with HIV.

Full description

Single-session interventions are designed to address barriers to engaging in care and address the issues of long waitlists and limited provider availability. Offering a single session intervention soon after a referral is made is a strategy on a stepped-care continuum model that has been found to be an effective approach to manage population mental health needs. This study aims to 1) pre-pilot a single-session narrative therapy intervention with patients currently on the waitlist for psychotherapy services at an HIV primary care clinic to evaluate the acceptability of this treatment option for patients and the feasibility of proposed data collection followed by 2) a 6-month pilot study of the same intervention to evaluate intervention acceptability, fit, and impact on service and clinical outcomes. At the end of this study, patient and provider-level data on the utility of integrating a single-session psychotherapy service as part of the continuum of behavioral health services in an integrated care setting will be obtained, which the investigators can utilize to design a larger implementation-effectiveness trial.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Patient Inclusion Criteria

• Adults (age 18 years and older) who are patients at [Blinded] Clinic
• Have agreed to participate in the single session intervention
• Ability to complete the interview and research surveys in English

Patient Exclusion Criteria:

• Participants with need for urgent mental health treatment (e.g., at imminent risk of suicide or harm to others; disabling symptom presentation)
• Inability to provide informed consent

Provider Inclusion Criteria:

• Adults (age 18 years and older)
• Referring providers at [Blinded] clinic (social worker, primary care physician, mental health professional etc.)
• Ability to complete the research survey or interview in English.

Provider Exclusion Criteria:

• Inability to provide informed consent
• Non-referring providers

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 1 patient group

Single Session Narrative Therapy Intervention

Experimental group

Description:

A single 60-75 minute narrative therapy session with a trained licensed behavioral health provider will be offered to patients on the psychotherapy waitlist of an HIV primary care clinic.

Treatment:

Behavioral: Single Session Narrative Therapy