Improving Access to Child and Youth Addiction and Mental Health Services in New Brunswick: Implementing One-at-a-Time Therapy Within an Integrated Service Delivery Model.

This study examines the process of implementing One-at-a-Time (OAAT; i.e., single-session) therapy into child and youth addiction and mental health services in New Brunswick. The implementation process was retrospectively mapped onto implementation science frameworks. Providers were recruited to par...

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Publicado en:International Journal of Mental Health & Addiction Vol. 23; no. 5; pp. 4096 - 4118
Autores principales: Harris-Lane, Laura M., King, Alesha C., Bérubé, Stéphane, Burke, Katie, Churchill, AnnMarie, Cornish, Peter, Jaouich, Alexia, Michaud, Mylène, Losier, Anne, Shah, Jai, Rash, Joshua A.
Formato: Artículo
Publicado: Springer Nature Oct2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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        atl: Improving Access to Child and Youth Addiction and Mental Health Services in New Brunswick: Implementing One-at-a-Time Therapy Within an Integrated Service Delivery Model.
      aug:
        au:
          Harris-Lane, Laura M.
          King, Alesha C.
          Bérubé, Stéphane
          Burke, Katie
          Churchill, AnnMarie
          Cornish, Peter
          Jaouich, Alexia
          Michaud, Mylène
          Losier, Anne
          Shah, Jai
          Rash, Joshua A.
        affil:
          https://ror.org/04haebc03 Department of Psychology, Memorial University of Newfoundland, 230 Elizabeth Ave, A1B 3X9, St. John's, NL, Canada
          https://ror.org/02wk8wx53 Addiction & Mental Health Services, Department of Health, Government of New Brunswick, Fredericton, NB, Canada
          https://ror.org/021j5fe33 Organizational Change Management Practice, Mariner Innovations, Halifax, NS, Canada
          Stepped Care Solutions, Mount Pearl, NL, Canada
          https://ror.org/02wk8wx53 Quality Improvement, Department of Health, Government of New Brunswick, Fredericton, NB, Canada
          https://ror.org/01pxwe438 Department of Psychiatry, McGill University, Montreal, QC, Canada
      su:
        New Brunswick
        Mental health services
        Mental health
        Client satisfaction
        Minors
        Solution-focused brief therapy
        Integrated health care delivery
        Health outcome assessment
        Translational research
      sug:
        subj:
          Mental health services
          Mental health
          Client satisfaction
          Minors
          New Brunswick
          Offices of Mental Health Practitioners (except Physicians)
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Solution-focused brief therapy
          Integrated health care delivery
          Health outcome assessment
          Translational research
      keyword:
        Adolescent
        Child
        Implementation science
        Medical and Health Sciences Public Health and Health Services
        Single session therapy
        Adolescent
        Child
        Implementation science
        Medical and Health Sciences Public Health and Health Services
        Single session therapy
      ab: This study examines the process of implementing One-at-a-Time (OAAT; i.e., single-session) therapy into child and youth addiction and mental health services in New Brunswick. The implementation process was retrospectively mapped onto implementation science frameworks. Providers were recruited to participate in research associated with the system change, and completed surveys to assess readiness for implementation. Client satisfaction and system-outcomes were measured through surveys and system indicators, respectively. Key implementation considerations included age of consent for services, implementation within an integrated service delivery model, and mapping the client journey to conceptualize changes in service delivery. Providers (N = 214) felt that OAAT therapy was acceptable and appropriate to implement into practice, and would lead to observable short-term outcomes. During the implementation (April–December 2022), 2266 sessions were delivered, resulting in a 62% waitlist reduction. Most clients who completed the satisfaction survey (N = 518) reported benefit. This study elucidates the successful implementation of OAAT therapy for children and youth, and can serve as a heuristic for comparable practice change initiatives.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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