The Session Rating Scale 3.0 (SRS 3.0) is an ultra-brief measure of the therapeutic alliance, frequently used to provide feedback to the clinician during the therapeutic process (Prescott et al. [2017]. "Feedback-informed treatment in clinical practice. Reaching for excellence." American Psychological Association (APA).…

A number of current developments in the field potentially provide opportunities for preventative relationship and family interventions to be integrated into primary care. In this context, it is important to understand what family counselling is and how it might differ from family therapy. Thus, this paper investigates how the service of one…

This paper presents the results of research into GP perceptions of the impact of on-site counselling on general practice. The research is part of a larger evaluation of a local enhanced primary care mental service. The initial survey and in-depth interviews with GPs reported here focused on the pre-existing counselling service. The results suggest…

Reviews and summarizes the contributions concerning counseling in primary care with the new National Health Service in this issue of the British Journal of Guidance and Counselling. In so doing it attempts to set out a development agenda for both evidence and practice as a practical yield from the insights and experiences offered. (Author/MKA)

Presents the rationale for conducting controlled trials of counseling in primary care and suggests that a systematic review of controlled trials of counseling in primary care is timely. Discusses one such review in which patients who received counseling care showed a modest improvement in levels compared with those who received general practice…

Presents a brief history of the growth of counseling in primary care. Discusses the challenges for primary care counselors and counseling, as well as the need for coordination, regulation and management. Also discusses the imperative for research support and the unique nature of counseling in primary care including challenges to its survival. (MKA)

Presents an overview of the changes in the structures of the new National Health Service in England, Scotland, and Wales and discusses the effects these changes will have on counselors working in primary care. Addresses the issue of supervision. Discusses the requirements of clinical governance and the necessity of appropriate audit and evaluation…

Addresses the challenge of meeting the requirements of the United Kingdom's new National Health Service in primary care, while at the same time protecting conditions for counseling as a creative rather than a mechanical process. The profession of counseling and psychotherapy in primary care needs to rapidly find its place within the new…

Decribes the level of mental health problems that are encountered in primary health care and describes the limitation of using randomized control trials. A three-stage model of psychological therapies research is described to show that distinct stages require different methodologies in order to evaluate them. Reviews the literature regarding…

Counseling in primary care can be considered a fast-evolving profession that is distinct from counseling in the private sector. Differences in counselor roles, specifically confidentiality ethics and working hours, are discussed. Referrals and attrition are also discussed. The distinctiveness of primary care counseling versus working in more…