With reports continually demonstrating increased demand and severity of student mental health needs, it is important to gain a fuller understanding of the impact on embedded student counselling services. The aims of this research were to identify (a) service similarities, (b) factors which impact on services, (c) characteristics of service users,…

Working with suicidal clients is perceived to be demanding and anxiety provoking for psychotherapists. This investigation explores what it is like for psychotherapists who work with suicidal clients, particularly as within the prevailing culture there is an increasing focus on strategies aimed at suicide prevention. Five themes were identified…

Background: People with profound intellectual and multiple disabilities (PMLD) have communication impairments as one defining characteristic. Aims: To explore speech and language therapists' (SLTs) decision making in communication interventions for people with PMLD, in terms of the intervention approaches used, the factors informing the decisions…

Young people are increasingly turning to online support, especially when traditional mental health services are not immediately available. Using a cross-sectional design, sociodemographic information and self-reported perceptions of the strength of the working alliance and client satisfaction were collected from a sample of participants (n = 78)…

Purpose: This paper seeks to discuss the impact of UK government austerity policies on learning in public service work, specifically youth support work. It also aims to argue that austerity policies intensify "ethics work", create emotional suffering, and obstruct workplace learning in a variety of ways. Design/methodology/approach: The…

Eight homeless people were interviewed about their experiences of health and social services. Three themes emerged: responsibility, identity, and feeling trapped. Although some felt they were responsible for their own situation and avoided help, most turned to formal channels for help, but professionals were often seen as offering unwanted labels…

The UK government has made integration of services for children a priority with the target being a better and more integrated provision of preventative services under the various schemes such as the Children's Fund and Sure Start. This article gathers evidence from the National Evaluation of the Children Fund with the aim of analysing the…

Uses metaphor of the wedding in an arranged marriage to describe the process of using a network meeting to overcome resistance and engage a hostile adolescent and her family in a residential treatment program. Review of the literature is followed by description of a clinical case. Practical and theoretical issues are discussed. (Author/NB)

Explores the role of narrative-based research with ex-clients as a celebration and extension of the counseling process. Renegotiates issues of power and control, ethics, and safety in establishing research relationships in light of concerns about dual relationships in counseling. Reflects on these issues within the context of conducting a…

Compared participants' verbal response modes (VRM) in exploratory and prescriptive psychotherapies. Each client received eight sessions of each treatment with same therapist throughout. Therapist and client utterances were coded for each of 39 clients. Found large therapist VRM differences between treatments, consistent with theoretically…

Compared social and psychological features of Asian (n=13) and Caucasian (n=37) adolescents who had taken drug overdoses. Found that Asians were more socially isolated than Caucasians and that, despite Asians having low suicidal intent, they had higher rates of depression, hopelessness, long premeditation time, and previous overdose. (Author/NB)

Examined clients' evaluations of sessions using Session Evaluation Questionnaire (SEQ) and Session Impacts Scale (SIS) with large sample (n=2,414 sessions with 218 clients). One or both of SEQ's independent session evaluation indexes, Depth and Smoothness, were highly correlated with SEQ's postsession Positivity and Good Therapist indexes and with…

Explores the experience of psychotherapists (N=100) working with suicidal patients. Findings indicate that suicidal patients can evoke intense feelings within the therapist. Commonly mentioned responses include feelings of hopelessness and helplessness and a sense of failure. Outlines measures vital to the support of therapists and discusses the…

Proposes a framework on guidance for career self-management that takes into account aspects of the client's immediate social context, and the political nature of decisions about careers. Argues that by helping clients focus on the various elements within the career self-management process, counselors can help people negotiate the political and…

A central component of the Children Act 1989 in Great Britain is sponsored care, the purchase by local authorities of places for individual children in voluntary and private day care facilities. The book details a study examining how private and voluntary day care services such as childminders, preschools, and day nurseries are used by local…