{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:03:39Z","timestamp":1790715819322,"version":"4.1.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"San Francisco Department of Children, Youth and Their Families"},{"name":"Health Research Service Administration"},{"name":"NIDA","award":["T32DA007250"],"award-info":[{"award-number":["T32DA007250"]}]},{"name":"NIDA","award":["K23DA050798"],"award-info":[{"award-number":["K23DA050798"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Single-session consultation (SSC) interventions are a promising approach for increasing access to timely evidence-based mental health care. This manuscript describes the early implementation, including feasibility and acceptability, of an SSC intervention delivered in a community-based gender-responsive mental health program at an academic medical center in the United States. Six clients completed a 45\u201360-minute SSC intervention that identified individualized goals, action steps, internal and external supports, and coping strategies. Pre- and post-session measures assessed psychological symptoms, hopelessness, agency, and satisfaction with care. Illustrative case studies are presented for two transition-aged youth. In both cases, the young women collaboratively completed the SSC and their post-session feedback indicated that they found the intervention helpful and aligned with their goals. Clinicians found the service easy to be trained in, viable to implement, and effective. Initial\/preliminary results suggest the SSC intervention is feasible and acceptable for use in a free, community-based outpatient clinic serving young women and gender expansive youth. Findings highlighted increases in hopefulness mirroring findings from previous SSC studies. Implementation challenges included lower-than-expected uptake, including difficulty re-engaging youth who did not attend their SSC appointment. Lessons learned included the importance of flexible delivery, structured action planning, and intentional engagement strategies for successful implementation.<\/jats:p>","DOI":"10.1177\/13591045261431344","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:45:46Z","timestamp":1773251146000},"page":"1034-1046","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Single-Session Consultations Delivered in a Gender-Responsive Clinic: A Case Series on Implementation and Lessons Learned"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3568-8883","authenticated-orcid":false,"given":"Megan S.","family":"Irgens","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne","family":"McPhee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Czopp","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"McBride","sequence":"additional","affiliation":[{"name":"University of Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margareth V.","family":"Del Cid","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Szkody","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Sotomayor","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L.","family":"Schleider","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Haack","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna B.","family":"Folk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"e_1_3_7_2_1","volume-title":"2022 National healthcare quality and disparities report","author":"Agency for Healthcare Research and Quality","year":"2022","unstructured":"Agency for Healthcare Research and Quality. (2022). Child and adolescent mental health. In 2022 National healthcare quality and disparities report. U.S. Department of Health and Human Services. [Internet] Available at. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK587174\/"},{"key":"e_1_3_7_3_1","volume-title":"Brief symptom inventory 18: Administration, scoring, and procedure manual","author":"Derogatis L. R.","year":"2001","unstructured":"Derogatis L. R. (2001). Brief symptom inventory 18: Administration, scoring, and procedure manual. NCS Pearson."},{"issue":"2","key":"e_1_3_7_4_1","first-page":"112","article-title":"A preliminary investigation of wait times for child and adolescent mental health services in Canada","volume":"20","author":"Kowalewski K.","year":"2011","unstructured":"Kowalewski K., McLennan J. D., McGrath P. J. (2011). A preliminary investigation of wait times for child and adolescent mental health services in Canada. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(2), 112\u2013119. 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Provider hesitancy toward single-session interventions for mental health problems: Malleability and implications for adoption in routine care settings. Clinical Psychology: Science and Practice. 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