Profiles and Service Utilization for Children Accessing a Mental Health Walk-In Clinic versus Usual Care

Many children and adolescents with mental health problems do not receive the treatment they need. Unmet need raises questions about specific barriers that may prevent service use, and/or the characteristics of children and families who are less likely to receive care. Brief interventions or single-session psychotherapy delivered in a highly accessible manner are methods of addressing the problems associated with waitlists and limited access to care. In the current study the authors offer an exploratory evaluation of the West End Walk-In Counseling Centre for children and youth with psychosocial problems. Children 4 to 18 years of age who accessed the Walk-In Counseling Centre and a comparison group of clients who accessed usual care were assessed at intake, post-treatment, and 3-month follow-up on demographic characteristics, behavioral/emotional adjustment and functioning, client satisfaction, and service use. Children in the walk-in group had more severe behavioral/emotional adjustment and functioning than usual care clients at baseline. At post-treatment, walk-in clients had lower scores on Total Mental Health Problems and Internalizing Behaviors, and exhibited fewer problems across all scales at follow-up. Walk-in clients found the wait time for service more reasonable and at follow-up, felt the service addressed concerns and had higher regard for counselor availability and cultural sensitivity of the service than usual care clients. Service utilization, assessed at post-treatment and 3-month follow-up, showed that both groups were more likely to access mental health and education services rather than health or child welfare services, and were more likely to have used services in the 12 months prior to service than the 3 months following service completion. Walk-in clients had steeper rates of improvement compared to usual care clients despite equivalence in psychosocial functioning at baseline. The walk-in model may be an effective alternative to usual care, particularly for those clients only willing to wait up to 2 weeks for service

Alternative medicine · Mental health · Psychiatry · Psychological intervention · Psychosocial · Service (business · Session (web analytics · Walk-in · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption · Clinical Psychology · Family and Disability Support Research · Medicine · Psychology

• Efficacy of an online single-session therapy intervention in a randomised controlled trial

  Laura Vilela E Souza, Letícia Trombini Vidotto et al.•British Journal of Guidance and…•2025

  Incluir item

• Snakes and Ladders

  Open Access•Kristina Newman, Kapil Sayal et al.•SSM - Mental Health•2024

  Incluir item

• A scoping literature review of service-level barriers for access and engagement with mental health services for children and young people

  Open Access•Joanna Anderson, Joanna K Anderson et al.•Children and Youth Services Review•2017

  Incluir item

• A Mental Health Drop-In Centre Offering Brief Transdiagnostic Psychological Assessment and Treatment in a Paediatric Hospital Setting

  Open Access•Matteo Catanzano, Sophie Bennett et al.•International Journal of…•2021

  Incluir item

• Waitlist management in child and adolescent mental health care

  Open Access•Julie A Eichstedt, Kara Turcotte et al.•Children and Youth Services Review•2024

  Incluir item

• Family experience of barriers to treatment and premature termination from child therapy.

  Alan E Kazdin, Lisa Holland et al.•Journal of Consulting and…•1997

  Incluir item

• Children's Mental Health Service Use Across Service Sectors

  Barbara J Burns, E Jane Costello et al.•Health Affairs•1995

  Incluir item

• Ontario Child Health Study

  David R Offord•Archives of General Psychiatry•1987

  Incluir item

• Stages of change and decisional balance for 12 problem behaviors.

  James O Prochaska, Wayne F Velicer et al.•Health Psychology•1994

  Incluir item

• A continuum of care

  Leonard Bickman•American Psychologist•1996

  Incluir item

• A continuum of care

  Leonard Bickman•American Psychologist•1996

  Incluir item

• Use, Persistence, and Intensity

  Open Access•Elizabeth M Z Farmer, Dalene Stangl et al.•Community Mental Health Journal•1999

  Incluir item

• Addressing the barriers to mental health services for inner city children and their caretakers

  Open Access•Mary M Mckay, Kathleen McCadam et al.•Community Mental Health Journal•1996

  Incluir item