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. 1994 Apr;44(381):175–178.

Counselling in an inner city general practice: analysis of its use and uptake.

V Webber 1, P Davies 1, P Pietroni 1
PMCID: PMC1238842  PMID: 8185992

Abstract

BACKGROUND. In recognition of the emotional problems which frequently underlie somatic complaints, practices increasingly offer counselling as part of their services to patients. In an inner city practice, a combination of short term counselling, volunteer befriending, community outreach and social work services is offered as a means of responding to the full range of patients' counselling needs. AIM. This study set out to establish the use and uptake of these services. METHOD. A retrospective analysis of patients referred for counselling over one year was carried out. RESULTS. The analysis identified a broad range of emotional problems among referred patients as well as problems of a practical nature. A quarter of the patients referred failed to keep their initial appointments or to complete their contracts. One fifth of the patients were referred on for longer term counselling and/or psychotherapy. Subsequent feedback revealed that preparation of a patient before referral was an important factor affecting uptake of counselling. CONCLUSION. Early assessment of the use and uptake of such services is essential if they are to be integrated successfully and a counsellor's individual skills employed effectively.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berman J. S., Norton N. C. Does professional training make a therapist more effective? Psychol Bull. 1985 Sep;98(2):401–407. [PubMed] [Google Scholar]
  2. Brodaty H., Andrews G. Brief psychotherapy in family practice. A controlled prospective intervention trial. Br J Psychiatry. 1983 Jul;143:11–19. doi: 10.1192/bjp.143.1.11. [DOI] [PubMed] [Google Scholar]
  3. Brook A., Temperley J. The contribution of a psychotherapist to general practice. J R Coll Gen Pract. 1976 Feb;26(163):86–94. [PMC free article] [PubMed] [Google Scholar]
  4. Chase H. D., Davies P. R. Calculation of the underprivileged area score for a practice in inner London. Br J Gen Pract. 1991 Feb;41(343):63–66. [PMC free article] [PubMed] [Google Scholar]
  5. Corney R. H. Counselling in general practice--does it work? Discussion paper. J R Soc Med. 1990 Apr;83(4):253–257. doi: 10.1177/014107689008300416. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Durlak J. A. Comparative effectiveness of paraprofessional and professional helpers. Psychol Bull. 1979 Jan;86(1):80–92. [PubMed] [Google Scholar]
  7. Graham H., Sher M. Social work and general practice. A report of a three-year attachment. J R Coll Gen Pract. 1976 Feb;26(163):95–105. [PMC free article] [PubMed] [Google Scholar]
  8. Gray D. P. Counsellors in general practice. J R Coll Gen Pract. 1988 Feb;38(307):50–51. [PMC free article] [PubMed] [Google Scholar]
  9. Hattie J. A., Sharpley C. F., Rogers H. J. Comparative effectiveness of professional and paraprofessional helpers. Psychol Bull. 1984 May;95(3):534–541. [PubMed] [Google Scholar]
  10. Martin E., Martin P. M. Changes in psychological diagnosis and prescription in a practice employing a counsellor. Fam Pract. 1985 Dec;2(4):241–243. doi: 10.1093/fampra/2.4.241. [DOI] [PubMed] [Google Scholar]
  11. Reason P., Chase H. D., Desser A., Melhuish C., Morrison S., Peters D., Wallstein D., Webber V., Pietroni P. C. Towards a clinical framework for collaboration between general and complementary practitioners: discussion paper. J R Soc Med. 1992 Mar;85(3):161–164. [PMC free article] [PubMed] [Google Scholar]
  12. Rowland N., Irving J., Maynard A. Can general practitioners counsel? J R Coll Gen Pract. 1989 Mar;39(320):118–120. [PMC free article] [PubMed] [Google Scholar]
  13. Rowland N., Irving J. Towards a rationalization of counselling in general practice. J R Coll Gen Pract. 1984 Dec;34(269):685–687. [PMC free article] [PubMed] [Google Scholar]
  14. Sibbald B., Addington-Hall J., Brenneman D., Freeling P. Counsellors in English and Welsh general practices: their nature and distribution. BMJ. 1993 Jan 2;306(6869):29–33. doi: 10.1136/bmj.306.6869.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Waydenfeld D., Waydenfeld S. W. Counselling in general practice. J R Coll Gen Pract. 1980 Nov;30(220):671–677. [PMC free article] [PubMed] [Google Scholar]

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