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  • Title: A survey of general practitioners in north-east Scotland on practice-based counselling services.
    Author: Eagles JM, Fraser C, Wilson GE, Milton AM, Kiehlmann P, Naji SA.
    Journal: Health Bull (Edinb); 1999 May; 57(3):175-9. PubMed ID: 12811892.
    Abstract:
    OBJECTIVE: Practice-based counselors have become very numerous in primary care and we sought to elicit the views of general practitioners in north-east Scotland about the present situation and possible developments in practice-based counselling services. DESIGN AND SUBJECTS: A questionnaire was mailed to the 352 general practitioners working in the area covered by Grampian Health Board. RESULTS: There was a 74% response rate: 46% of respondents had access to a practice-based counsellor and of those who did not, two-thirds wanted to acquire one. Larger practices and fundholding practices were more likely to have practice-based counsellors. There was a lack of knowledge about the medico-legal situation when referrals to counsellors were made. Seventy-nine per cent of respondents thought that the need/demand for counselling would increase during the next decade, and a majority considered provision of counselling through mental health teams, with local co-ordination of accreditation, training and supervision, to be desirable. CONCLUSION: Since the efficacy of counselling for mental health problems in primary care has not been established, and provision of counselling in primary care settings continues to increase, there is a need to mount coherent and appropriate research studies. There also appears to be a need for greater integration between primary care and mental health services to generate rational provision of practice-based counselling.
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