Open-Access Single-Session Therapy in the Context of Stepped Care 2.0

Abstract

Single-session, or one-at-a-time, open-access care is central to the mental health care system transformation process now underway in several parts of Canada. Single-session principles align well with a mental health recovery strategy and the new Stepped Care 2.0 (SC2.0) model under consideration across Canada. SC2.0 provides a framework for integrating single-session open-access care within the broader mental health ecosystem. Through continuous co-design the model connects values and addresses inevitable tensions that arise when attempting system integration. Model development and scaling is still in the early stages. More work needs to be done, including both program evaluation and independent research. Continued critical attention is the only way to maximize impact at a population level. With open access to an array of resources, organized to meet people where they are in terms of readiness, functioning and capacity for engagement, population mental health is possible. This paper highlights the importance and effectiveness of open-access counseling in a stepped care framework.