Standards in Counselling and Counselling Services by iOWyqU

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									Standards in Counselling and
    Counselling Services


             Colin McCormack
  Primary Care Mental Health Development Manager


           SDF - 20th October 2005
Counselling…

 • What does it mean to you?

 • What does it mean to your client/patient?

 • What does it mean to the general public?

 • What does it mean to ‘counsellors?
• you – we want to help people

• clients – I want to feel better

• public – safety, quality, vfm

• counsellors – recognition, status, support



         …how will we know?
Counselling - what is it?
  • A recognised psychosocial therapy
  • Different ‘orientations’ – person centred,
    psychodynamic
  • Evidence based (some caveats)
  • Structured and delivered by a qualified
    practitioner (who is also supervised)
  • Effective for a range of problems – generic
  • Popular
And what it’s not…

 •   Just talking and/or listening
 •   Tea and sympathy
 •   Directive
 •   Easy
 •   About ‘diagnosis’ and ‘cure’
 •   For everyone and everything
 •   Regulated
“If counselling is to be one of the recognised
    interventions for promoting mental health
        and well-being to the public, then
          regulation, standardisation and
      consistency in practice are required.”
                  (FHCP, January 2004)
  Background

• Counselling services have a significant role to play across a
  range of services – mental health, youth health, sexual health,
  occupational health, oncology…

• Counselling not regulated by statute; no statutory governance
  over the term ‘counsellor’

• Multi-professional Working Group set up

• Support of professional bodies (BACP, COSCA)

• Support of the counsellors in the NHS

• Intended to benefit the NHS, counsellors and clients by providing
  a structured, consistent and quality assured framework
The Framework

16 Standards
• Based on standards of professional bodies
  (BACP, COSCA)
• Reflect Division standards for good practice

11 Guidelines
• Underpin the Standards
• Reflect operational issues
• Reflect Division policies and procedures
    The 16 Standards
•     A counsellor in the Primary Care Division is a prescribed role with a
      protected title which should only be used by people with appropriate
      training and qualifications.

•     People employed by the Division who hold only a counselling skills
      qualification may not call themselves counsellors.

•     All counsellors employed in the Division must have a postgraduate
      diploma in counselling accredited by the BACP or COSCA.

•     All newly appointed counsellors in the Division to work towards
      accreditation within five years of qualifying.
     –     all current counsellors not accredited are to agree a timescale
     –     should be no longer than three years from the date of the
           discussion record progress in annual Personal Development
           Plan.
The Standards
•    All counsellors in the Division to have access to appropriate
     Continuing Professional Development opportunities which are
     recorded in an annual Personal Development Plan.

•    Identified time for supervision to be part of the terms and conditions of
     all counsellors in the Division.
    –     minimum one and a half hours of individual supervision per
          month, within working hours
    –     supervisor should have a qualification in counselling supervision,
          or be accredited as a supervisor, and have experience of working
          in the NHS.

•    Counsellors within the Division to have an identified operational line
     manager. Ideally counsellors will also have access to professional
     support.
    The Standards
•    There should be defined competencies for all levels of counsellors
     working within the Division: develop competencies based on Agenda for
     Change.

•    The Division to adopt an agreed structure (one is proposed) for
     professional development and career progression for counsellors
     employed in the Division.

•    Counsellors to adhere to standards of record keeping as prescribed by
     the Division. These will be appropriate to the needs of the service
     setting and consistent with records kept by similar professions in that
     setting, including matters of access to these records.

•    Counsellors to be bound by the NHS standards and guidelines on
     confidentiality, in addition to the codes of good practice produced by the
     counselling professional bodies.
    The Standards
•     Suitably qualified counsellors should be given opportunities to develop
      their skills as supervisors, advisers and trainers.

•     The Division to have a structured and standardised approach to
      placements.

•     The Division to apply the standards in this framework when
      commissioning counselling services both from within the NHS and from
      external organisations.

•     There should be consistency in the information provided about
      counselling services within the Division.

•     The Division to recognise the BACP and COSCA ethical frameworks
      and codes of practice.
     –    counsellors to adhere to those codes and frameworks and to
          Divisional procedures for ethical practice.
The 11 Guidelines

•   It is the responsibility of the counsellor and the operational line
    manager to address CPD requests within the context of the
    counsellor’s accreditation requirements, their contracted hours
    and service delivery needs.

•   It is the responsibility of the counsellor and the operational line
    manager to address supervision requirements within the
    context of the counsellor’s workload, their contracted hours and
    service delivery needs.

•   Counsellors within the Division to have both an operational line
    manager and a professional manager. A working group to be
    set up to investigate how the professional links can be
    structured in the Division.
    The Guidelines
•      All referral processes should note a reason for referral and an
       anticipated benefit of referral.

•      The caseload for a counsellor to be split 60:40, with direct, face to
       face counselling hours as 60 per cent of the counsellor’s time and
       other activities as 40 per cent.
     –     caseload should not exceed 20 clients per week.
     –     caseloads to be monitored through the guideline on
           supervision.
     –     responsibility of local managers to work with counsellors to
           ensure this is achievable for both counsellors and their
           clients.

•      The Division to carry out further work with both the professional
       bodies and the training providers to agree a standardised
       approach to student placements.
    The Guidelines

•     All counsellors to work within the principles and guidelines for
      working in multi-disciplinary teams as set out by both the
      professional bodies and the Division.

•     A guidance note, based on the standards, to be produced to
      share with the organisations from which the Division is
      considering commissioning counselling services.

•     To set up a working group to develop and produce a common
      set of materials to ensure consistency in the information
      provided about counselling services within the Division.

•     The Division to explore the implications of becoming part of the
      COSCA Recognition Scheme for Organisations.
Summary – what does it mean?

  • You – focused and effective help,
    accountability

  • Client – choice and accountability

  • Public – safety, accountability

  • Counsellors – recognition, accountability
         Comments or further information:



            Colin McCormack

Primary Care Mental Health Services Development Manager
                 NHS Greater Glasgow
                Clutha House (2nd Floor)
               120 Cornwall Street South
                  GLASGOW G41 1AD


Colin.McCormack@glacomen.scot.nhs.uk

								
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