`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 practi

Managing Referrals

Managing Referrals

Managing referrals

Referral is the nodal point of primary health care counselling. As the initial focus for contact between doctor, patient and counsellor, the referral is the pivot for both professional collaboration and the counselling process itself. But, prism-like, it can also highlight those differences – the interdisciplinary rivalries and fantasies – that can so bedevil working relationships and a productive sharing of the care-giving role.

The Context

In primary care, where doctors and counsellors usually work in the same setting, there is rarely a complete handover of care, but rather concurrent treatment by different professionals using different models and skills. Referral in this context is a reciprocal act – it is offered and received and informs the ongoing process – and as such is a ...

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