Psychological Therapies in Primary Care: Setting Up a Managed Service

251 Pages·2005·0.912 MB·English

by  Joan Foster, Antonia Murphy

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PSYCHOLOGICAL
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6 THERAPIES IN
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1 Setting Up A Managed Service
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Joan Foster and Antonia Murphy
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KARNAC
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111 Contents
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ABOUT THE AUTHORS vii
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FOREWORD ix
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INTRODUCTION xi
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2 CHAPTER ONE
3 Why a managed counselling service? 1
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CHAPTER TWO
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Back to basics 25
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CHAPTER THREE
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Making it happen! 47
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1 Designing a managed service: structural aspects 63
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Clinical aspects of managed service design 85
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CHAPTER SIX
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Training and development 113
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8 CHAPTER SEVEN
9 Implications of the managed service model 145
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REFERENCES 167
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APPENDICES 171
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INDEX 229
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1011 Joan Foster is Chair of the National Association of
1 Counsellors and Psychotherapists in Primary Care (CPC).
2 She has worked as a Primary Care Counsellor since 1992.
3 She has also worked as a trainer in time-limited coun-
4 selling and supervision, runs a number of training courses
5 for CPC, and has been a provider of a primary care coun-
6 selling service.
7 Joan acts as consultant to a number of PCTs in the
8 establishment and running of primary care counselling
9 services and is involved in interview panels and in evalua-
2011 tion of services.
1 As Chair of CPC, Joan was a member of the Depart-
2 ment of Health Workforce Action Team, Primary Care
3 Sub-Group, addressing workforce planning, education
4 and training issues for adult Mental Health Services.
5 Her paper on ‘Counselling in primary care and the new
6 NHS’ was published in 2000 in the British Journal of
7 Guidance and Counselling, 28(2), and she is joint author
8 of Quality in Counselling in Primary Care. A Guide for
9 Effective Commissioning and Clinical Governance.
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1 Antonia Murphy is a graduate in Psychodynamic Coun-
2 selling from the WPF. Following a move to Nottingham
311 in 1993, she worked as a counsellor in primary care and
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About the Authors
111 subsequently as Co-ordinator of the Southern Derbyshire
2 Health Authority managed counselling service from
3 1995–2002. This latter role was invaluable in extending
4 her experience and awareness of the complexities of the
5 role of the therapist in the setting of general practice.
6 Over the past few years Antonia has become involved
7 in the national delivery of counselling and psychotherapy
8 in primary care through both the Network of Service
9 Providers and the National Forum for Training Standards.
1011 She is Vice Chair of the Association of Counsellors and
1 Psychotherapists in Primary Care (CPC).
2 Antonia is the author of several papers on aspects of
3 psychotherapeutic practice in primary care and the NHS.
4 She is the former editor of the Journal for the Foundation
5 of Psychotherapy and Counsellingand currently an editorial
6 board member of the Journal of Psychodynamic Practice
7 and Editor of CPC Review.
8 She currently works in private practice as a counsellor,
9 supervisor and trainer, and continues her work with CPC.
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111 Foreword
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1011 I am delighted to write the foreword to this book. I have
1 watched the rapid development of primary care coun-
2 selling since the introduction of primary care commis-
3 sioning in 1999 and the NHS Alliance has recognized its
4 importance, not only clinically but also structurally.
5 We know the case for the effectiveness of primary care
6 counselling is now well made, and its inclusion as a treat-
7 ment of choice in the NICE Guidelines for Treatment of
8 Depression is a recognition of that fact. However, good
9 quality counselling needs more than good practitioners.
2011 In today’s NHS it needs co-ordination and management,
1 linking in with other services and to be accountable. This
2 book tells the reader how to achieve just that.
3 Written in an easy, accessible style, it addresses the nuts
4 and bolts as well as the strategic issues that need to be
5 dealt with by every primary care counselling service
6 manager in the country. It also acts as a bridge between
7 two worlds – the medical model and the holistic coun-
8 selling model. Indeed, counselling also builds a bridge to
9 the psychiatric approach to working with patients with
30 mental health problems.
1 The process of change in the NHS, and particularly in
2 primary care, has been extremely rapid over the past few
311 years, and the NHS Alliance has worked to assist primary
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