Exploration of counsellors' perceptions of the redesigned service pathways: a qualitative study of a UK university student counselling service

To address the mental health needs of students, UK universities offer bespoke student counselling services. Economic pressures have led services to find innovative ways of redesigning their service pathway. Few studies have investigated staff perceptions of these changes. The aim of this study was to investigate perceptions of staff employed as counsellors at a student counselling service at a UK university that underwent service delivery changes. Face-to-face interviews were conducted with counsellors (n = 5). Framework analysis was used to identify themes and meta-themes. Five meta-themes were identified: the overarching service ethos and service working style; change in the university context; impact of change on working practice; recording and perceived impact on confidentiality; acceptability and effectiveness. Changes to the service resulted in a more efficient service that is perceived to be more acceptable to students. Staff perceptions differed regarding how changes have affected their counselling practice. Despite these differences, the increase in workload was consistently expressed. Tensions remain as staff strive to maintain high standards of service in this changing context. Future research should investigate the process of developing and implementing change as student counselling services strive to evolve sustainable ways of working.     

Do close supportive relationships moderate the effect of depressive symptoms on suicidal ideation?

Depressive symptoms, a lack of close supportive relationships and suicidal ideation are important risk factors for suicidal acts. Previous studies have primarily focused on the additive effects of close relationships and depressive symptoms on suicide risk. Here we explored whether, in addition, close relationships moderated the impact of depressive symptoms on suicidal ideation. An analysis of pre-existing data from 319 attendees at a student counselling service using moderated regression models indicated that when the student has close supportive relationships, the association between depressive symptoms and suicidal ideation is weaker than when he/she feels an absence of close relationships. This confirms the need to include enquiries about the presence of close relationships and depression as part of any suicide risk assessment.     

Counselling psychology in the United States

Counseling psychology (CP) emerged in the US as the result of the convergence of a number of trends in early applied psychology, a number of social factors, as well as changes in the organizational structure of the American Psychological Association. We offer an overview of the history of counseling psychology in the US, focusing on key events that have helped establish and shape the profession. Struggles over the definition of CP as a specialty and its relations with clinical psychology and professional counseling are discussed, as are matters related to the licensing of CP practitioners, and the profession’s relationships with counseling-related professional organizations. The educational and professional preparation of CPs, the profession’s core values that affect both training in and the practice of counseling psychology, and the settings in which CPs work are briefly described. We close with a discussion of several of the challenges facing CP as it is organized and institutionalized in the US.     

Counselling psychology’s genotypic and phenotypic features across national boundaries

This article integrates the survey results presented in the introductory article of this journal issue as well as the articles describing counselling psychology in each of the countries covered in the issue to examine the international character of counselling psychology. Specifically, it addresses the similarities and differences in the histories, education and training, demographics, and practice characteristics of the specialty within and across these national boundaries. The article concludes with an analysis of the value dimensions describing the international character of counselling psychology and addresses where the different countries place themselves along the two dimensions that were identified: Dimension 1 capturing basic research as different from most of the other values, and Dimension 2 being defined by an applied client focus versus a more indirect clinical perspective (i.e. social justice and research adding to the knowledge base).     

One of the troubles with outcome measures: Lost in translation

This paper presents the concerns of a client diagnosed with autism spectrum disorder about completing outcome measures. He was asked to complete CORE‐10 each time he attended a therapy session with the first author. This paper takes an epistemological position of co‐production, and written in response to the client's concerns, but this is limited by the client's wish and capacity to be involved in the writing up of this article. Implications of his experiences are drawn out for both clients with this diagnosis and more generally for all clients. Recommendations are made to recognise the limitations of measures and how to use outcome measures with more validity.