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Single session therapy (SST) is grounded in the belief that clients and families can effect change after one therapeutic encounter, using their own resources, with brief support and assistance from therapists. SST has been found to be an effective intervention for children, young people, and their families presenting with a wide range of difficulties. Research in child and adolescent mental health has shown that over 50% of families find one SST encounter is enough with no need for further specialist input. This study aims to explore family member experiences of SST (undertaken as single session family therapy and termed hereafter SSFT) as an initial intervention in a regional child and adolescent mental health service (CAMHS), specifically in terms of worry, confidence, and satisfaction outcomes. An exploratory, mixed methods convergent design was utilised using a combination of open questions and Thurstone scales. All eligible family members were invited to complete questionnaires before and after the SSFT, asking about level of worry, confidence, and overall satisfaction with SSFT. Quantitative and qualitative findings indicated most family members had a positive experience of SSFT, although differences were found between young people, parents, and siblings. Overall, family members' level of worry decreased, while only parental confidence in managing the presenting issue(s) increased. Over half of the families did not require further contact with CAMHS following the SSFT. Our findings support previous research that SSFT is an effective, family‐inclusive, and well received intervention for a variety of mental health issues facing children and young people. SSFT could be considered a beneficial and well received first response for the majority of CAMHS clients, which prioritises a family‐inclusive approach. Future research could focus on attaining a more in‐depth understanding of individual family member experiences with a view to improving SST delivery. [ABSTRACT FROM AUTHOR]

A growing body of research suggests that single session therapy (SST) can offer an efficient and effective service. In order to complement this research a recent exploratory study set out to examine client experiences of participating in a service offering single session family therapy. Telephone interviews were conducted with twenty‐five clients to explore their experience of SST and their satisfaction with the service they had received. Although the study was limited in scope and design, the results suggest that (i) most clients found SST had been helpful and responsive to their needs and (ii) most respondents did not report being discomforted or discouraged at the prospect that their contact with the service might involve one or two contacts. Though a small minority of clients expressed some concerns that SST might indicate a lack of availability of service, these worries were alleviated once they had met the therapist. Practitioner points: SST therapy is a framework for family therapy practice that is generally experienced by clients as helpful and responsive to their needs.Therapists can maximize their potential effectiveness with clients by viewing every contact with families as complete in itself.SST therapy offers opportunities for family therapists to make their services more accessible. 名字代表什么？来访者在单次会面治疗中的经历 越来越多的研究表明, 单次会面治疗能够提供有效且高效的干预。作为这一研究的补充, 近期开展的一项探索性的研究调查了一项单次会面家庭治疗服务中来访者的经历。通过与25位来访者的电话访谈, 该研究探索了他们的治疗经历以及服务满意度。虽然该研究在范围和设计上都有局限性, 但是结果似乎显示（1）绝大多数来访者认为单次会面治疗有用, 能够回应他们的需求, 以及（2）大多数调查对象对于自己跟服务提供者将会有一到两次的接触这一事实并不感到不安或者灰心。虽然有一小部分来访者表示了担心, 认为单次会面治疗可能说明服务的供不应求, 但是他们的疑虑都在见到治疗师之后得到缓解。 对实务工作者的启示: 单次会面治疗作为一种家庭治疗实践的框架, 被来访者普遍认为是有效且回应需求的。为了实现治疗效果的最大化, 治疗师可以把每一次与家庭的接触当成是一次完整的会面。单次会面治疗为家庭治疗师提供了机会, 让他们提供的服务能为更多人所用。 关键词：单次会面治疗；来访者治疗结果；家庭治疗；评估；短期治疗 [ABSTRACT FROM AUTHOR]

This study aims to evaluate the effectiveness of the Multisystemic Therapy ( MST) intervention for Australian families invloved with the Specialist Child and Adolescent Mental Health Service (CAMHS). This program was implemented within the Western Australian Department of Health in 2005, and has continually operated two small clinical teams within the Perth metropolitan area since then. This intervention was specifically chosen to improve service access, engagement, and intervention with vulnerable families having young persons with a history of significant and enduring behavioural problems. The study reports on data collected from July 2007 to July 2013 which includes baseline, post-treatment, 6-month, and 12-month follow-up. There were 153 MST families participating in the research at all time points (71% male; 11% Australian Aboriginal; average youth age was 13.6 years). Caregivers completed a set of questionnaires including Child Behaviour Checklist, Parenting Styles and Dimensions Questionnaire, and Depression, Anxiety and Stress Scale. One-way repeated measure ANOVA were used to measure changes over time. Significant caregiver-reported improvements in all measures were reported at post-treatment, and most improvements were maintained at the follow-up periods of 6 and 12 months post-intervention. These preliminary outcomes demonstrate that the 4-5 month MST intervention significantly reduces behavioural problems and emotional difficulties in young Australians and these improvements are generally maintained by caregivers over time. Primary caregivers reported improved skills and mental health functioning that were also maintained over the follow-up period. A proposed randomised controlled trial of the program will address potential placebo and selection bias effects. [ABSTRACT FROM AUTHOR]

Objective Anorexia nervosa (AN) is often first diagnosed in the adolescent years. The treatment with the greatest evidence during this time is family-based treatment (FBT). In FBT, siblings are expected to attend treatment sessions; however, sibling well-being during this time has not been well researched. This study aimed to explore sibling well-being when the ill child was initially diagnosed with AN and after FBT had been completed. Method Eighty-five parents and 55 siblings of adolescents with AN completed the Strengths and Difficulties Questionnaire at diagnosis. In addition, 88 parents and 46 siblings completed the Strengths and Difficulties Questionnaire after finishing treatment. Results Mothers and fathers reported siblings to have lower levels of conduct problems in comparison with population norms. Mothers also reported lower levels of prosocial behaviours. Siblings reported higher levels of emotional difficulties and hyperactivity in comparison with their peers. There were no differences in reported psychosocial well-being of siblings between diagnosis and following FBT. Conclusions Siblings of adolescents with AN have poorer psychosocial adjustment than their peers, both before and after FBT. Clinicians and parents are encouraged to be aware of sibling difficulties and seek additional support if required. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective To Identify whether early weight gain in family-based treatment (FBT) predicted greater weight and remission at end of FBT and 12-month follow-up. Method Eighty-two adolescents, with anorexia nervosa, participated in a randomized control trial comparing brief hospitalization for medical stabilization and hospitalization for weight restoration to 90% expected body weight (EBW) (1:1), followed by 20 sessions of FBT. Sixty-nine completed trial protocol. Receiver operating characteristic analyses were conducted investigating whether early weight-gain in FBT predicted outcomes at end of FBT and 12-month follow-up. Participants were analyzed according to their original randomization and as a combined set. Binary logistic regression was used to control for randomization arm effect in combined set analysis. Results Weight gain greater than 1.8 kg at FBT Session 4 predicted greater %EBW (99.18 SD = 6.93 vs. 92.79 SD = 7.74, p < .05) and remission at end of FBT (46% vs. 11%, p < .05) and at 12-month follow-up (64% vs. 36%, p = .05). Binary logistic regression confirmed weight gain greater than 1.8 kg predicted remission ( p < .05) while treatment arm randomization did not add significantly to the model. Discussion Early weight gain has potential to distinguish likely responders in FBT from those who may need more intensive intervention to achieve remission offering the potential to improve outcomes. © 2015 Wiley Periodicals, Inc (Int J Eat Disord 2015; 48:919-922). [ABSTRACT FROM AUTHOR]

In November 2009, the Bouverie Centre, a centre for training, research, and clinical family therapy in Melbourne, Australia, embarked on a 12-month trial involving the implementation of single session work as our main model of service provision for all new family appointments. We were interested in evaluating clients' and therapists' experiences of this change in our clinical service delivery This article discusses some clinical dilemmas that arose for staff in this process, and how they were addressed. Clients' responses to single session work are outlined, followed by a discussion of outcomes of the implementation for our organisation. [ABSTRACT FROM AUTHOR]