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BRIEF CORE SERVICES I MPLEMENTAT I ON C ON S U LTAT I ON S E R V I C E R e - v i s i o n y o u r o r g a n i z a t i o n ’s service pathway…. Re-structure to provide immediate help when people need it… Reduce waiting lists for therapy services…

What The consultation Service Includes: Brief Services Program Design and Implementation:

ROCK’s consultant will provide your organization with thorough and detailed information of the many different ways of designing a walk-in therapy clinic, as well as other methods to structure brief service delivery. This will include content and expertise derived from ROCK’s own clinic, as well as the many clinics and brief services that ROCK consultants have assisted to design and implement. The consultant will work with your team to specifically shape the service to your organization’s and your community’s needs. This can include design of questionnaires and other paper work that will be needed at a walk-in or brief service. We will work with you to develop the details of every step along the way toward implementation, as well as providing ongoing support for solving problems as they arise prior to and after opening your clinic or brief service. This service can be provided at your organization or by internet or teleconference.

Designing Brief Services Program Evaluation or Research:

ROCK is a leader in the province in the design and implementation of program evaluation and research of walk-in clinics and brief services. One of our research consultants can provide your organization with a clear, step by step plan for implementing evaluation and/or research of your existing walk-in clinic or brief service and can plan with you in advance to imbed evaluation easily into your newly opening brief service. This consultation service can be a part of the above program design and implementation consultation or can be offered separately.

R O C K ’ S E x p e r t is e I N B R I E F S E R V I C E S AND W AL K - I N C L I N I C S

ROCK’s Walk-in Clinic established in 2001: Lead Agency in Current (2014) Provincial Evaluation of Brief Services:

With funding from the Ontario Centre of Excellence, Reach Out Centre for Kids and the Hincks Dellcrest Centre, worked together with 5 partner organizations to design the very first in Ontario comprehensive look at the effects of brief therapy/walk-in therapy for clients. The evaluation partnership spans multiple organizations, multiple ways to deliver brief services, and multiple therapeutic approaches for brief therapy, across a client age-range from 0 to 24 years.

Designed Evaluation of Walk-in Service 2012

Consulted to and designed an extensive evaluation of the Walk-in services at Family, Youth, and Children’s Services of Muskoka

Research on ROCK Walk-in Clinic Outcomes in 2008-2009

Designed and implemented evaluation project using pre-session, post-session and 2 month post-session questionnaires to examine outcomes from walk-in sessions.

R O C K ’ s His t o ry o f Pr o vi d i n g C o n su l t a t i o n i n C a n a d a a n d I n t e r n a t i o n a l ly

Organizational Consultations for Brief Services Delivery: • Thunder Bay Health Authority

• Thunder Bay Children’s Centre

• University of Toronto, Counselling and Psychological Services

• Family Services of Thunder Bay

• Jewish Family Services of Ottawa

• Huron Perth Centre for Children and Youth

• Durham Multi-agency consortium for planning Collaborative Walk-in Clinic in Durham

• Canadian Mental Health Association of Niagara

• Tvedestrand, Norway, the department for Child and Youth Mental Health, Sørlandet Sykehus Hospital of Arendal East Metro Youth Services (What’s Up Walk-in Clinic) • Oxford Elgin Child and Youth Centre • St. Clair Child and Youth Services

• Family, Youth, and Children’s Services of Muskoka • Etobicoke Children’s Centre • Dufferin Child and Family Services • IWK Health Centre, Halifax, Nova Scotia


From Ottawa: Jewish Family Services:

“We recently had the great pleasure of welcoming Karen and Shari from ROCK to our agency. The training was outstanding; It gave us relevant and practical information that we were able to apply immediately. Their common-sense approach and teaching style engaged and inspired! While they came to share their knowledge and experience about the practical and operational side of developing a walk-in clinic, their knowledge and background in clinical work ensured they understood the specific issues that were important to us. We would highly recommend Karen and Shari to any agency wanting to open a walk-in clinic!”

From Norway:

“Our team in Arendal in Southern Norway was greatly moved by your articles and thoughts on walk-in single session work (ROCK provided email consultations). In February 2012, we started up a walk-in practice in the small municipality of Tvedestrand, which is one of many municipalities that is served by our service, the department for child and youth mental health, Sørlandet Sykehus Hospital, Arendal. Since we started up the practice, the number of referrals to our central clinic from this municipality has been reduced by 30% (which is quite unheard of in child and youth mental health services in Norway for the last 20 years). At the same time, the clinic has met with 35% more people (referrals + walk-in sessions) than before. Since your writings have been among the most central inspirations for this project, I think it’s important to let you know that you’ve had an impact on people and services in this galaxy far, far away. Thank you again for this…”

From the Durham Region Collaborative Walk-in Clinic:

“Karen Young and Surbhi Bhanot were a wealth of information as we began the planning stages for a collaborative walk-in. Karen continues to be a great resource as we work through the implementation and perfecting of single session practice.”

From Point in Time in Haliburton, Ontario:

“I wanted to take the opportunity to personally thank you for all of your assistance to Family, Youth & Child Services of Muskoka in developing our Counseling Walk In Clinic (CWIC). It certainly is an exciting time at our agency to be able to observe our clinicians develop and expand their skills so that they may be able to better support the families of Muskoka and to respond to the increasing mental health needs of this community. I know that you have played a big part in helping us do all of the necessary work that it has taken to get us where we are today in developing this model, and we are greatly appreciative.”

T h e C o n su l t a n t s

Karen Young,

Shari Lecker,

Karen is the Manager of the Centre of Learning at Reach Out Centre for Kids where she provides supervision to interns, students, and staff, organizes training, oversees research projects, and supervises and provides single session therapy at the walk-in therapy clinic. Through her role at ROCK, Karen has provided consultation to many organizations in Ontario, Canada, and internationally regarding re-structuring service pathways to include Brief Services delivery mechanisms such as walk-in clinics. Karen is also a faculty member with the Hincks-Dellcrest Institute managing and teaching in the Institute’s year-long certificate program in Brief and Narrative Therapy, the Narrative Therapy Training Certificate Program, and providing many workshops. She is a therapist with 30 years of experience working with children and families and has situated her therapeutic conversations within narrative practices for 25 years. Karen has contributed numerous publications regarding applications of brief narrative therapy and research in brief services and walk-in therapy. She recently co-authored the policy paper for the Ontario Centre of Excellence for Child and Youth Mental Health (Duvall, J., Young, K., Kays-Burden, A., 2012), No more, no less: Brief Mental Health Services for Children and Youth. Karen was the lead in the very first in Ontario Brief Services Evaluation Project, 2014, a multi-organization evaluation of brief services across seven different Children’s Mental Health agencies.

Shari has a master of education specializing counselling psychology from McGill University and she is a therapist with 23 years experience working with children and families. For the last 8 years Shari has been a Manager of Clinical Services at Reach Out Centre for Kids where she provides leadership to a multidisciplinary clinical team including supervision to clinical staff, psychology residents, interns and graduate students. Shari has a passion for training and mentoring counsellors and therapists and she was awarded Excellence in Social Work Practicum Teaching from Laurier University. Shari oversees ROCK’s Walk In Counselling Clinic, and provides supervision, consultation, assessment, and single session and brief therapy. Shari adheres to a strength based, client focused approach in her clinical intervention. She has a strong theoretical background and extensive applied practice using evidence based models such as Narrative Therapy, Cognitive Behavior Therapy and Attachment Focused Therapy. In her role at ROCK Shari has also been integral to the configuration, implementation and training of ROCK’s clinical database.



Surbhi Bhanot-Maholtra,

Carolyn Scholz

Dr. Bhanot-Maholtra is the Research Associate at Reach Out Centre for Kids. She oversees all program evaluation and research activities at the agency. She has a PhD in Applied Social Psychology with expertise in program evaluation, mixed methods research and quantitative statistical analyses. She has over 10 years of experience conducting research in both academic and community settings.

Carolyn Scholz is a Research Assistant with Reach Out Centre for Kids. Her current portfolio includes the Brief Services Evaluation project, an Ontario wide multi-site evaluation lead by Reach Out Centre for Kids and the Hincks-Dellcrest Institute. On this project, her responsibilities include assisting in research design, supervising data collection, data analysis, therapist interviews, and report writing. Carolyn has also been a member of the Quality Assurance department at Brant Family and Children’s Services, where she has participated in a variety of research projects, including those relating to outcomes of the Family Group Decision Making process relating to children in care, and medical practices regarding Crown Wards in Ontario. She has also served as a research team member on various projects at McMaster University, relating to post-natal maternal health, and supporting caregivers of people with dementia.


Through her role at ROCK, Surbhi has provided consultation to organizations that require assistance with conducting program evaluation, including consultation in designing evaluation and research for walk-in clinics. She has provided guidance around general research methods and design to community organizations through her role on a variety of Halton region committees. Surbhi has been the lead investigator on a number of grants awarded through the Ontario Centre of Excellence for Child and Youth Mental Health. She is currently the lead investigator in the Ontario Brief Services Evaluation Project.

DEFINITION OF BRIEF SERVICES: • Provides ‘quick access’ therapeutic encounters to address the immediate or presenting needs of a child or youth. • They are episodic and time limited (e.g. a single session, or 3 sessions of therapy/consultation in 6 weeks)

MANDATED CORE SERVICE IN SYSTEM transition: Core services that are now mandated to be available to clients in every community in Ontario are divided into the following categories: 1. Targeted Prevention

• The service delivery mechanism for brief services may for example be a walk-in clinic, re-structured intake, booked single sessions, quick access to 3 therapy sessions.

2. Brief Services

Brief Services Policy Paper:

5. Specialized Consultation and Assessments

Authors of the policy paper, No More, No Less: Brief Mental Health Services for Children and Youth (2012)

7. Intensive Treatment Services

The authors of this policy ready paper, sponsored by the Ontario Centre of Excellence for Children and Youth, were Jim Duvall, Hincks-Dellcrest Centre/Gail Appel Institute, Karen Young, Reach Out Centre for Kids, and Angela Kays-Burden. This policy paper outlining the overarching philosophy, therapeutic approaches and service delivery mechanisms for Brief Services, assisted to inform the system transition process that identified the Core Services in children’s mental health provision in Ontario.

3. Counselling and Therapy 4. Family Caregiver Skill-Building and Support 6. Crisis Support Services

EVIDENCE FOR BRIEF SERVICES: The evidence on clients’ length of involvement in services had shown that “the most common number of sessions attended by clients is one” (Talmon,1990), for clients who continue, constructive change ramps up most in the first 2 to 3 sessions (Hubble, Duncan, & Miller, 1999). Studies on change have found that it occurs earlier rather than later in the treatment process (Duncan & Miller, 2000). Therefore, it is important to influence change when it counts the most—at the start. Brief Service delivery mechanisms are a key response to these findings and shift from a focus on problems to a focus on “making the most of every single session”.

CONSULTATION SERVICES AVAILABLE FROM ROCK Full day at your organization: $1500 a day

(follow up consultation available via email and telephone for ongoing support)

Half day at your organization: $900 Consultation via adobe connect, Skype/telephone conference call: $200 an hour For information about the consultation process and fees please contact:

4 7 1 P ea r l S t r eet • B u r l in g ton , O nta r io P hone : 9 0 5 - 6 3 4 - 2 3 4 7 • F a x : 9 0 5 - 6 8 1 - 7 4 7 7 5 0 4 I r o q uois S ho r e Road , S uite 1 2 A • O ak v i l l e , O N ta r io P hone : 9 0 5 - 3 3 9 - 3 5 2 5 • F a x : 9 0 5 - 3 3 9 - 3 5 1 3 4 0 0 B r onte S t r eet S outh , S uite 1 0 1 • M i l ton , O nta r io P hone : 9 0 5 - 8 7 5 - 2 5 7 5 • F a x : 9 0 5 - 8 7 5 - 3 0 0 7 R o ck o n l i n e . c a

Brief Core Services Brochure  
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