This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).
A history of one or more chronic physical diseases based on the Ministry of Health (Singapore) Chronic Disease Management Programme guidelines; 2. A score of 5 or more on the Patient Health Questionnaire (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7); 3. Not currently engaged in formal mental health service; 4. Conversant in the English language; 5. Receiving treatment in a community healthcare setting
A history of psychosis, intellectual disability, or pervasive developmental disorders
Parallel
Single-session solution focused consultation
BehavioralIn the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through.
Single-session supportive intervention
BehavioralIn the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.
Treatment Engagement - Uptake
Endorsement of interest in referral for mental health services or follow-up session with interventionist
Treatment engagement - Attendance
Attendance at intake session for mental health services or follow-up session with interventionist
Feasibility - Intervention Completion Rate
Completion of intervention action plans
Acceptability - Usefulness of intervention
Single item measure on helpfulness of consultation in addressing concern/s
Perceived agency
State Hope Scale (SHS) - Pathways Subscale
Hope
Beck's Hopelessness Scale (BHS-4)
Depression
Patient's Health Questionnaire (PHQ-9)
Anxiety
Generalized Anxiety Disorder (GAD-7)
Change readiness
Readiness Ruler
Life satisfaction
Single-item measuring satisfaction with life
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Nanyang Technological University
Lead sponsor
National Medical Research Council (NMRC), Singapore
Collaborator
