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The young people's consultation service: An evaluation of a consultation model of very brief psychotherapy

By Liz Searle, Louise Lyon, Linda Young, Mel Wiseman and Beverly Foster-Davis

Abstract

The Young People's Consultation Service (YPCS) is a four‐session, self‐referral, psychodynamically‐oriented psychotherapeutic consultation service for young people aged between 16 and 30, at the Tavistock and Portman NHS Foundation Trust in London. Aim: It was hypothesized that clients would show an improvement on outcome measures at the end of the four sessions. It was also hoped that the data would identify characteristics of the clients who show the most benefit. Method: A review of the case‐notes of all clients attending the service between January 2003 to April 2006 was carried out, and details were entered into a database, including demographic information, presenting issues and attendance. Clients were given the Youth Self‐Report form (YSR) (Achenbach, 1991) or the Young Adult Self Report form (YASR) (Achenbach, 1997), according to age, before the start of the intervention and at the end of the four sessions. Outcome data were analysed, comparing pre‐ and post‐treatment scores on the YSR/YASR. Results: A total of 236 clients attended the service during the study period. Pre‐ to post‐comparison data on the YSR/YASR was available for 24 clients. Of those, YSR/YASR scores reduced significantly on all subscales and severity reduced over time in all cases. In addition, there was a trend towards moving from the clinical to the non‐clinical range, reaching statistical significance on the Internalizing and Total subscales. A number of YPCS clients showed both statistically significant and clinical improvement on the Internalizing and Externalizing scales of the YSR/YASR, with a greater number showing improvement on the Internalizing scale. Conclusions: Improvements were found on all subscales of the YSR/YASR at the end of the four session intervention. A greater number of clients showed improvement on the Internalizing subscale, suggesting that this form of very brief psychotherapy is most effective for clients with emotional problems

Topics: Brief Therapies
Publisher: Wiley Blackwell
Year: 2011
DOI identifier: 10.1111/j.1752-0118.2010.01222.x
OAI identifier: oai:repository.tavistockandportman.ac.uk:477

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Citations

  1. (2004). Adolescent brain development:A period of vulnerabilities and opportunities. doi
  2. (1994). Brief dynamic psychotherapy. doi
  3. (1999). Brief psychodynamic counselling in educational settings. In: Lees, doi
  4. (2004). Child and Adolescent Psychotherapy: A Systematic Review of Psychoanalytic Approaches. London: North Central London Strategic Health Authority.
  5. (2006). Dose–effect relations and responsive regulation of treatment duration:The good enough level.Journal of Consulting and doi
  6. (1999). Emotional and behavioural problems in adolescents/young adults receiving treatment at a community-based psychotherapy centre for young people: A preliminary study of the correspondence among adolescents. doi
  7. (1998). Evaluating the outcome of a community-based psychoanalytic psychotherapy service for young people: One-year repeated follow-up. In:
  8. (1997). Manual for the Young Adult Self-Report and Young Adult BehaviourChecklist.Burlington,VT:UniversityofVermontDepartmentofPsychiatry.
  9. (1991). Manual for the Youth Self-Report and
  10. (2004). On brief psychotherapy. doi
  11. (1985). On Learning from the Patient. doi
  12. (1996). Predictors of outcome in child psychoanalysis: A retrospective study of 793 cases at the Anna Freud Centre. doi
  13. (1986). Process and outcome in psychotherapy.
  14. (1975). Psychodynamic changes in untreated neurotic patients. II. Apparently genuine improvements. doi
  15. (1999). Psychotherapy in two-plus-one sessions: Outcomes of a randomized controlled trial of cognitive–behavioural and psychodynamic–interpersonal therapy for subsyndromal depression. doi
  16. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. doi
  17. (2000). Scarcity of evidence is not necessarily evidence against long-term psychodynamic psychotherapy.
  18. (1982). Techniques of Brief Psychotherapy.NewYork,NY:Aronson.
  19. (1986). The dose–effect relationship in psychotherapy. doi
  20. (1994). The efficacy of psychoanalysis for children with disruptive disorders. doi
  21. (1994). The efficacy of psychoanalysis for children with emotional disorders.Journal of theAmericanAcademy of Child andAdolescent doi
  22. (2002). The evaluation of mental health outcome at a community-based psychodynamic psychotherapy service for young people: A 12-month follow-up based on self-report data. doi
  23. (2000). The London Depression Intervention Trial.
  24. (2002). The psychotherapy dose–response effect and its implications for treatment delivery services.Clinical Psychology:Science and Practice doi
  25. (1996). therapy – base metal or pure gold? doi
  26. (2001). Very brief dynamic psychotherapy.Advances in doi
  27. (2004). Very brief psychoanalytically-based consultation work with young people. doi
  28. (1995). Very brief psychodynamic counselling with young people. doi

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