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Recognizing Single-Session Therapy as Psychotherapy

Single sessions of therapy have long been established as a legitimate and scientifically supported form of psychotherapy. However, a controversy arose in Ontario when a new regulatory college for psychotherapists began rejecting single-session therapy hours for grandparenting applicants attempting to become registered psychotherapists. This article details this controversy, the responses to the controversy, and the eventual recommendation of an independent appeal board in 2019 to accept single-session therapy hours as psychotherapy. This article also provides and expands on the arguments that persuaded the appeal board in its decision. The authors hope that making these arguments available will assist in possible future challenges to single-session therapy being recognized as psychotherapy.

REFERENCES

  • Baldwin S., , Berkeljon A., , & Atkins D. C. (2009). Rates of change in naturalistic psychotherapy: Contrasting dose effect and good-enough. Journal of Consulting and Clinical Psychology, 77(2), 203–211. CrossrefGoogle Scholar
  • Barwick M., , Urajnik D., , Sumner L., , Cohen S., , Reid G., , Engel K., , & Moore J. E. (2013). Profiles and service utilization for children accessing a mental health walk-in clinic versus usual care. Journal of Evidence-Based Social Work, 10(4), 338–352. CrossrefGoogle Scholar
  • Bloom B. L. (1992). Bloom's focused single-session therapy. In Planned short-term psychotherapy: A clinical handbook (2nd ed., pp. 97–121). Boston, MA: Allyn and Bacon. Google Scholar
  • Bloom B. L. (1981). Focused single-session therapy: Initial development and evaluation. In Budman S. H. (Ed.), Forms of brief therapy (pp. 167–216). New York, NY: Guilford. Google Scholar
  • Bobele M., , & Slive A. (2014). One session at a time: When you have a whole hour. In Hoyt M. F., & Talmon M. (Eds.), Capturing the moment: Single session therapy and walk-in services (pp. 95–120). Bethel, CT: Crown House. Google Scholar
  • B.S. v. College of Registered Psychotherapists of Ontario, 2018 CanLII 68330 (ON HPARB). Retrieved from https://www.canlii.org/en/on/onhparb/ Google Scholar
  • Budman S. H., , & Gurman A. (1988). Theory and practice of brief therapy. New York, NY: Guilford. Google Scholar
  • College of Registered Psychotherapists of Ontario. (2018). Controlled Act Task Group consultation documents. Retrieved from https://www.crpo.ca/wp-content/uploads/2018/08/Controlled-Act-of-Psychotherapy-Final-Documents.pdf Google Scholar
  • College of Registered Psychotherapists of Ontario. (n.d.). Definitions. Retrieved from https://www.crpo.ca/definitions/ Google Scholar
  • Dryden W. (2018). Single session integrated CBT (SSI-CBT). Oxfordshire, UK: Taylor & Francis. Google Scholar
  • Duncan B. L., , & Miller S. D. (2000). The heroic client: Doing client-directed, outcome-oriented therapy. San Francisco, CA: Jossey-Bass. Google Scholar
  • Duvall J., , Young K., , & Kayes-Burden A. (2012). No more, no less: Brief mental health services for children and youth. www.excellenceforchildren.com Google Scholar
  • Feaster D. J., , Newman F., , & Rice C. (2003). Longitudinal analysis when the experimenter does not determine when the treatment ends: What is dose-response? Clinical Psychology and Psychotherapy, 10(6), 352–360. CrossrefGoogle Scholar
  • Fullen C. (2019). The therapeutic alliance in a single-session: A conversation analysis. Journal of Systemic Therapies, 38(4), 45–62. LinkGoogle Scholar
  • Harnett P., , O'Donovan A., , & Lambert M. (2010). The dose response relationship in psychotherapy: Implications for social policy. Clinical Psychologist, 14(2), 39–44. CrossrefGoogle Scholar
  • Health Professions Procedural Code, Regulated Health Professions Act, 1991, S.O. 1991, c. 18, Schedule 2, Health Professions Procedural Code. Retrieved from https://www.ontario.ca/laws/statute/91r18?search=Regulated+Health+Professionals+Acts#BK53 Google Scholar
  • Hoyt M., , Bobele M., , Slive A., , Young J., , & Talmon M. (2018). Single-session therapy by walk-in or appointment: Administrative, clinical, and supervisory aspects of one-at-a-time services. New York, NY: Routledge. CrossrefGoogle Scholar
  • Hoyt M. F., , Rosenbaum R., , & Talmon M. (1992). Planned single-session psychotherapy. In Budman S. H., , Hoyt M. F., , & Friedman S. (Eds.), The first session in brief therapy (pp. 59–86). New York, NY: Guilford. Google Scholar
  • Hoyt M. F., , & Talmon M. (Eds.). (2014). Capturing the moment: Single session therapy and walk-in services. Bethel, CT: Crown House. Google Scholar
  • Hoyt M. F., , & Talmon M. (2018). Prefazione [Preface]. In Cannistrà F., & Piccirilli F., Terapia a seduta singola. Principi e pratiche [Single-session therapy. Principles and practices] (pp. 9–14). Florence, Italy: Giunti. Google Scholar
  • Hymmen P., , Stalker C., , & Cait C.-A. (2013). The case for single-session therapy: Does the empirical evidence support the increased prevalence of this service delivery model? Journal of Mental Health, 22(1), 60–71. CrossrefGoogle Scholar
  • Lambert M. (1992). Psychotherapy outcome research. In Norcross J. C., & Goldfried M. R. (Eds.), Handbook of psychotherapy integration (pp. 94–129). New York, NY: Basic Books. Google Scholar
  • Lambert M. J., , & Bergin A. E. (1994). The effectiveness of psychotherapy. In Bergin S., & Garfield L. (Eds.), Handbook of psychotherapy and behavior change (pp. 143–189). New York, NY: Wiley Google Scholar
  • Levin S., , Gil-Wilkerson A., , & Rapini De Yatim S. (2018). Single-session walk-ins as a collaborative learning community at the Houston Galveston Institute. In Hoyt M. F., , Bobele M., , Slive A., , Young J., , & Talmon M. (Eds.), Single-session therapy by walk-in or appointment: Administrative, clinical, and supervisory aspects of one-at-a-time services (pp. 251–259). New York, NY: Routledge. Google Scholar
  • Miller S., , Duncan B. S., , & Johnson L. D. (2000). The session rating scale 3.0. Chicago, IL: Authors. Google Scholar
  • N.H. v. Ontario (College of Registered Psychotherapists), 2018 CanLII 52772 (ON HPARB). Retrieved from https://www.canlii.org/en/on/onhparb/ Google Scholar
  • Point in Time Centre for Children Youth and Parents. (2017). Single session evaluation report. Google Scholar
  • Psychotherapy Act, 2007, SO 2007, c. 10, Sched. R. Retrieved from https://www.ontario.ca/laws/statute/07p10 Google Scholar
  • Ramey H. L., , Young K., , & Tarulli D. (2010). Scaffolding and concept formation in narrative therapy: A qualitative research report. Journal of Systemic Therapies, 29(4), 74–91. LinkGoogle Scholar
  • Registration Regulation, O. Reg. 67/15: Registration, made under Psychotherapy Act, 2007, SO 2007, c. 10, Sched. R. Retrieved from https://www.ontario.ca/laws/regulation/150067 Google Scholar
  • Rosenbaum R. (2008). Psychotherapy is not short or long. Monitor on Psychology, 39(7), 4–8. Google Scholar
  • S.C.W. v. College of Registered Psychotherapists of Ontario, 2017 CanLII 59600 (ON HPARB). Retrieved from https://www.canlii.org/en/on/onhparb/ Google Scholar
  • S.H.C. v College of Registered Psychotherapists and Registered Mental Health Therapists of Ontario, 2019 CanLII 41249 (ON HPARB). Retrieved from https://www.canlii.org/en/on/onhparb/ Google Scholar
  • Slive A., , & Bobele M. (Eds.). (2011). When one hour is all you have: Effective therapy for walk-in clients. Phoenix, AZ: Zeig, Tucker, & Theisen. Google Scholar
  • Sproel O. H. (1975). Single-session psychotherapy. Diseases of the Nervous System, 36, 283–285. Google Scholar
  • Talmon M. (1990). Single session therapy: Maximizing the effect of the first (and often only) therapeutic encounter. San Francisco, CA: Jossey-Bass. Google Scholar
  • White M. (2007). Maps of narrative practice. New York, NY: W.W. Norton. Google Scholar
  • Wolgast B. M., , Puschner B., , & Lambert M. (2008). The dose-response relationship at a college counselling centre. Journal of College Student Psychology, 18(2), 15–29. CrossrefGoogle Scholar
  • Young J., , & Rycroft P. (2012). Single session therapy: What's in a name? Australian and New Zealand Journal of Family Therapy, 33(1), 3–5. CrossrefGoogle Scholar
  • Young J., , Rycroft P., , & Weir S. (2014). Implementing single-session therapy: Practical wisdoms from down under. In Hoyt M. F., . & Talmon M. (Eds.), Capturing the moment: Single session-therapy and walk-in services. Bethel, CT: Crown House. Google Scholar
  • Young K. (2018). Narrative practice and the de-pathologizing of children's lives at a walk-in therapy clinic: An opportunity for socially just conversations. In Audet C., & Paré D. (Eds.), Social justice and counseling: Discourse in practice. New York, NY: Routledge Taylor & Francis Group. Google Scholar
  • Young K., , & Bhanot-Malhotra S. (2014). Getting services right: An Ontario multi-agency evaluation study. www.excellenceforchildandyouth.com Google Scholar
  • Young K., , & Cooper S. (2008). Toward co-composing an evidence base: The narrative therapy re-visiting project. Journal of Systemic Therapies, 24(1), 68–83. Google Scholar
  • Young K., , Dick M., , Herring K., , & Lee J. (2008). From waiting lists to walk-in: Stories from a walk-in therapy clinic. Journal of Systemic Therapies, 27(1), 67–83. LinkGoogle Scholar
  • Young K., , Hibel J., , Tartar J., , & Fernandez M. (2017). Single session therapy and neuroscience: Scaffolding and social engagement. In Beaudoin M., & Duvall J. (Eds.), Collaborative therapy and interpersonal neurobiology: Evolving practices in action (pp. 103–115). New York, NY: Routledge Taylor & Francis Group. Google Scholar