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This study explored counselling as a 'new product' within the conceptual framework of 'product innovation' in primary health care settings. A review of previous work on psychological distress in primary care and counselling in Primary Care was undertaken. A methodical strategy that included interviews and questionnaires was devised to explore the organisational, practice and evaluative domains of counselling in Primary Care. Within the organisational domain, the perceptions of counselling in Primary Health Care held by different members of the primary health care team were explored by questions distributed to one hundred and twenty primary care practices in the north west of the UK. Widespread variations to perceptions of the role of the counsellor were identified. Counsellors perceived difficulties in integrated multi-disciplinary working due to cultural restraint to the relatively new profession. The 'practice domain' was explored via a questionnaire study of counsellors in Primary Health Care and a thematic analysis of archival data of first interviews between counsellor and clients in Primary Health Care was used to explore the complex or problematic processes in routine care settings that were regularly encountered by the counsellor. Two different methodologies evaluating counselling in Primary Health Care were used to explore the evaluative domain. The study looked at development and adaption. It was found that individuals with interest in counselling in primary health care need to look into the future and consider the above influences lest we get carried away by enthusiasm, extravagant research or by dismay into dogged reaction.
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.
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
"Many counsellors who work in primary care find it difficult to explain to colleagues in the primary care team what they actually do with clients behind the closed door of their room. In this book the author brings to life in a gripping way what really does go on when a counsellor sees a patient in the primary healthcare setting. It’s good to read for once a book that describes so realistically and movingly the minute-by-minute account of what actually happens, not a book describing clever therapists getting it right all the time. The book should be required reading for newly appointed non-clinical managers of counselling services and for primary healthcare staff about to start working with a counsellor as a member of their team." — Graham Curtis Jenkins in his Foreword
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.
There is increasing development and use of care pathways and a growing demand for guidance and advice on how to develop them. This practical guide meets this demand. It reflects the latest experience and incorporates best practice with contributions from highly experienced members of the National Pathways Association. It links well with the coming National Service Frameworks and National Institute of Clinical Excellence guidance. Case studies legal questions and common difficulties are all included and examined. Developing Care Pathways is in two parts: the handbook which defines and describes pathways and the roles of healthcare professionals involved with them and the tool kit which provides a detailed step-by-step guide to developing a care pathway. This work is essential reading for managers and clinicians in organisations developing care pathways throughout secondary and primary care.
A substantial proportion of the problems that bring patients to general practice are associated with stress, relationships, and psychological or psychosomatic responses to difficulty in their lives. This book will help all those in the primary health care team to exmaine their roles ascounsellors to those patients themselves or as the gateway to other counselling services. The authors - who include those working in medicine, nursing, social work, psychology, sociology, social policy, and economics - discuss the different points of view regarding the position of counselling inprimary care and which team members are the most appropriate counsellors. As the burdens on the primary health care team increase, many more health-care workers will find themselves becoming involved in the many diverse aspects of providing counselling. This is a uniquely practical guide for everybody who wishes to improve their knowledge of this demanding but deeplyrewarding aspect of health care.
An integrated, collaborative model for more comprehensivepatient care Creating Effective Mental and Primary Health Care Teamsprovides the practical information, skills, and clinical approachesneeded to implement an integrated collaborative care program andsupport the members of the care team as they learn this new,evidence-based, legislatively mandated care delivery system. Uniquein presenting information specifically designed to be used in anintegrated, collaborative care workflow, this book providesspecific guidance for each member of the team. Care managers,consulting psychiatrists, primary care providers, andadministrators alike can finally get on the same page in regard topatient care by referring to the same resource and employing acommon framework. Written by recognized experts with broadresearch, clinical, implementation, and training experience, thisbook provides a complete solution to the problem of fragmentedcare. Escalating costs and federal legislation expanding access tohealthcare are forcing the industry to transition to a new model ofhealth care delivery. This book provides guidance on navigating thechanges as a team to provide the best possible patient care. Integrate physical and behavioral care Use evidence-based treatments for both Exploit leading-edge technology for patient management Support each member of the collaborative care team Strong evidence has demonstrated the efficacy of a collaborativecare approach for delivering mental health care to patients in aprimary care setting. The field is rapidly growing, but fewresources are available and working models are limited. This bookprovides a roadmap for transitioning from traditional methods ofhealth care to the new integrated model. Providers ready to move tothe next level of care will find Creating Effective Mental andPrimary Health Care Teams an invaluable resource.
This book deals with effective organization and management of counselling services—a clinical service. It is intended for primary care trust chief executives and directors and commissioners and providers of national health service counselling, pyschological therapy services.
Healthcare is shifting towards a holistic, whole person approach to improve population health, decrease cost of care, and improve patient, and provider experiences. To achieve this, the primary care sector is adopting an integrated, interprofessional care team model which addresses both biomedical and behavioral health, and includes preventative care, population health management, technology, and innovative strategies to increase access to care. Occupational therapy (OT) is uniquely positioned to add their distinct whole person mental/behavioral health and medical care scope and skill to these teams to address patient needs. As this is an emerging practice area for OT, and no guidelines specific to primary care exist, this book will be a first of its kind text for occupational therapy practitioners (OTP) in primary care settings. As OTPs work with habits, roles, and routines that affect health, OT in primary care promotes health and improves patient self-management of medical conditions and lifestyles, reducing patient dependence on costly health care services. This timely clinical manual guides best practices for primary care OT. It helps OTPs fit into the quick paced primary care practice model. In traditional OT settings, intervention sessions are longer, and focus on acute rehabilitation or mental/behavioral health conditions. In primary care, visits are brief, and address patient needs in the context of their presenting issue. No other published guide meets the unique needs of this emerging practice area. Authors provide administrative information specific to OT in primary care, and interventions for specific health conditions, including chronic conditions, common to this setting. Written by experts in the field, Primary Care Occupational Therapy is the definitive resource for all primary care OTPs or those interested in lifestyle-based interventions for conditions frequently seen in primary care. It is also a useful guide for behavioral health care providers and administrators of general medical practices.