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clients are seen in a private doctors office

the location is standardised and its boundaries are set from the start

the counselling room may vary due to availability

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clients are often attended to in confidential in most pre-arranged counselling room

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How referrals are made to counsellors in this setting

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How referrals are made to counsellors in this setting

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Mental health professionals that a GP might refer a person to include a psychotherapist, clinical psychologist, and psychiatrist. Other services include Child and Adolescent Mental Health Services (CAMHS).
CAMHS is an area of the NHS dedicated to supporting children and young people with emotional, behavioural and mental health issues, in both in-patient (hospital) and out-patient (day-care) services. CAHMS offer assessment and treatment to young people up to the age of 16 or 18, depending on the local service. The most common way to get an appointment is through the GP, but teachers and school nurses might also be able to make a referral.

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Some GP services have an on-site counsellor and people may be referred to them by the doctor, though waiting lists vary

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This process involves screening referral information, which is triaged in comparison to the state referral criteria and local health services acceptance criteria. Getting a referral requires an appointment with the G p to write a referral, in writing form with date and signed by the referring health professional

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a counsellor is allocated to the client based on availability

there may be limited choice into the therapeutic approach of the counsellor

they may be allocated at random from a charity that works alongside the GP practice

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Talking therapies are for people 18 and over.

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Details of fees, if any, and how and when these should be paid. As examples some therapists prefer to invoice clients each month, and if payment should be in advance of sessions. The qualifications, affiliations or accreditations to a professional body and details of public/professional insurance that covers work.

The times available, whether the number of sessions is going to be

fixed, or open-ended, whether clients must come at a certain day or time,

or whether each appointment can be negotiated. It is also good practice

to advise as soon as possible about any foreseeable holiday or breaks to

sessions (for example bank holidays).

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You can get informal types of counselling, one example would be seeing your GP practitioner for 30 minutes every week for five weeks.

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Primary care counselling sessions are typically what’s offered within a GP setting, which have between 6-12 appointments. These sessions aim on targeting a very specific problem or issue the client may have.

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typical approaches offered are psychosocial and help clients with decision making

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any specialist knowledge a counsellor would need to develop 

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any specialist knowledge a counsellor would need to develop 

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May refer a client to a specialist source such as a psychotherapist or community mental health team if they require support because of complex social problems, a history of trauma or severe depression.

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practitioners provide updates on the patient record on GP systems at each appointment. This provides the doctor with useful information on how the patient is getting on and enables them to have a fully informed conversation about their physical and mental health needs

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Clients are entitled to confidentiality within the GP setting, therefore their information can only be shared with their permission. The other exception to this is if the client is considered to be harmful to either their self or others.

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Contextual limits of GP counselling can include time, location and number of sessions. These are usually boundaries that are not flexible at any point within the counselling.

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Gifts that are considered as trivial or reasonable are seen as fine, however ethics codes caution counsellors away from expensive gifts (or gifts of the sorts).