This unique book presents the real-life experiences of the counseling service created by a pioneering primary care team at the Marylebone Health Centre, a busy inner-city general practice in the UK. The book details the counselling team in action as they set up service, manage and supervise counsellors, and evaluate and audit their work as a multi-professional health team taking an integrated approach to health and social care, in a broader network of community services.
`Useful for the insights about introducing a new service into the general practice environment′ - Family Practice Counselling practitioners in primary care settings have unique circumstances to contend with. This book offers practical guidance for managing the issues these counsellors face, exploring the complex dynamics of health care teams and providing a guide to the safe and effective practice of counselling in primary health care contexts. The book highlights potential sources of difficulty for this group, from needing to maximize therapeutic contact while using time-limited techniques, to working with a wide range of patients and problems and relying increasingly on evidence-based practice.
An in-depth look at a much misunderstood practice, offering a fresh viewpoint on how this science can be a universally effective route to our better selves.
From small beginnings in the 1970s, counselling in primary care has now become an established area of practice. It is well recognised that a significant proportion of patients in primary health care have psychological difficulties which are treatable at the 'coal face' before they develop into major problems. Mental health services can now reach a wider population more quickly with cost-effective therapeutic benefits. This text examines the intra - and inter-personal dynamics of primary care essential for counsellors and psythotherapists working in health centres and considers the advantage of multi-disciplinary and multi-agency collaboration. The progressive approach will be of interest to all who work in primary care. They will recognise in it many of their day-to-day working dilemmas, especially in trying to balance the tension between commitment to individual patients and the demands of the wider organisation. Case illustrations are used to demonstrate the challenges and teamwork opportunities for both counsellors and doctors who work collaboratively. This book is essential reading for counsellors and psychotherapists who work in primary care and for the doctors and health authorities who employ them.
The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.
Clinical Counselling in Primary Care examines the complexities and variety of uses of clinical counselling employed in a medical setting. With an estimated 2 in 3 GP sugeries now employing a counsellor or refering patients on a regular basis, this book tackles key debates head-on. It discusses a range of important clinical issues such as: * therapeutic framework * clinical work as part of the greater whole * the need to develop suitable therapeutic models. Clinical Counselling in Primary Care looks at possible developments in the future and argues for the improvement of the standing of counselling in relation to other primary care professsions.
This acclaimed work, now in a new edition, has introduced tens of thousands of clinicians to mindfulness-based cognitive therapy (MBCT) for depression, an 8-week program with proven effectiveness. Step by step, the authors explain the "whys" and "how-tos" of conducting mindfulness practices and cognitive interventions that have been shown to bolster recovery from depression and prevent relapse. Clinicians are also guided to practice mindfulness themselves, an essential prerequisite to teaching others. Forty-five reproducible handouts are included. Purchasers get access to a companion website featuring downloadable audio recordings of the guided mindfulness practices (meditations and mindful movement), plus all of the reproducibles, ready to download and print in a convenient 8 1/2" x 11" size. A separate website for use by clients features the audio recordings only. New to This Edition *Incorporates a decade's worth of developments in MBCT clinical practice and training. *Chapters on additional treatment components: the pre-course interview and optional full-day retreat. *Chapters on self-compassion, the inquiry process, and the three-minute breathing space. *Findings from multiple studies of MBCT's effectiveness and underlying mechanisms. Includes studies of adaptations for treating psychological and physical health problems other than depression. *Audio files of the guided mindfulness practices, narrated by the authors, on two separate Web pages--one for professionals, together with the reproducibles, and one just for clients. See also the authors' related titles for clients: The Mindful Way through Depression demonstrates these proven strategies in a self-help format, with in-depth stories and examples. The Mindful Way Workbook gives clients additional, explicit support for building their mindfulness practice, following the sequence of the MBCT program. Plus, for professionals: Mindfulness-Based Cognitive Therapy with People at Risk of Suicide extends and refines MBCT for clients with suicidal depression.
This book covers two distinct yet related topics: the primary care setting and the counselling carried out within it, and it can be dipped into or read straight through. Part One, using psychodynamic and systems theory, explores the holding environment of primary care, the interpersonal relationships within the primary care team, and other variables affecting counselling in a medical organisational setting. Part Two takes the counsellor through the 'how' of using psychodynamic and Cognitive-Behavioural Therapy (CBT) approaches within short-term contracts in this setting. Case studies and scenarios are given to illustrate these. The counsellor is guided through assessing the patient's counselling needs either within a psychodynamic or CBT model or to formulate a 'tailor-made' short-term contract, using elements drawn from psychodynamic, CBT, and supportive counselling.
Nurses and professionals allied to medicine in primary care have increasingly important roles in implementing the National Service Framework (NSF) standards for mental health. Guide describes what nurses can do on a daily basis to improve the care of people with mental health problems. It highlights the necessary tools and skills to identify those patients who need referral to a GP or community mental health nurse. The basis of the diagnostic criteria and clinical guidelines are from the World Health Organisation's Guide to Mental Health (UK version).
