A comparison of walk-in counselling and the wait list model for delivering counselling services.

Background: Walk-in counselling has been used to reduce wait times but there are few controlled studies to compare outcomes between walk-in and the traditional model of service delivery.

Aims: To compare change in psychological distress by clients receiving services from two models of service delivery, a walk-in counselling model and a traditional counselling model involving a wait list.

Method: Mixed-methods sequential explanatory design including quantitative comparison of groups with one pre-test and two follow-ups, and qualitative analysis of interviews with a sub-sample.

Appointment choice and outcome at a supported employment agency.

A 3-month study of 94 clients at a supported employment agency in London, Ontario, examined the significance of appointment choice in successful job placement. Clients who had been in conflict with the law were least likely to be appointment compliant, while social assistance recipients mandated to attend were the most likely to put off their initial agency visit and also most likely to terminate contact with the employment support service within 60 days. Younger clients were given more choice selecting a meeting time in the study than were older clients.