Counselling in primary care : a systematic review of the evidence

Hill, A; Brettle, A; Jenkins, P; Hulme, CT

Abstract

Primary objective: To undertake a systematic review which aimed to locate, appraise and synthesise evidence to obtain a
reliable overview of the clinical effectiveness, cost-effectiveness and user perspectives regarding counselling in primary care.
Main results: Evidence from 26 studies was presented as a narrative synthesis and demonstrated that counselling is effective in
the short term, is as effective as CBT with typical heterogeneous primary care populations and more effective than routine
primary care for the treatment of non-specific generic psychological problems, anxiety and depression. Counselling may reduce
levels of referrals to psychiatric services, but does not appear to reduce medication, the number of GP consultations or overall
costs. Patients are highly satisfied with the counselling they have received in primary care and prefer counselling to medication
for depression. Conclusions and implications for future research: This review demonstrates the value of counselling as a valid
choice for primary care patients and as a broadly effective therapeutic intervention for a wide range of generic psychological
conditions presenting in the primary care setting. More rigorous clinical and cost-effectiveness trials are needed together with
surveys of more typical users of primary care services.

Citation

Hill, A., Brettle, A., Jenkins, P., & Hulme, C. (2008). Counselling in primary care : a systematic review of the evidence

• Report Type: Project Report
• Publication Date: Oct 1, 2008
• Deposit Date: Jan 4, 2011
• ISBN: 9781905114283
• Keywords: Counselling; Psychotherapy; Primary Care
• Publisher URL: http://www.bacp.co.uk/research/Systematic_Reviews_and_Publications/primary_care.php
• Related Public URLs: https://www.bacp.co.uk/
• Additional Information: Access Information : Available to download free from BACP