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

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.