ABSTRACT
The effectiveness of the counselling skills of other members of the primary care team has also been studied. The results of one clinical trial suggested that health visitors given skills training in non-directive counselling could bring about an improved outcome in women diagnosed with postnatal depression. Studies have also been conducted to evaluate the effectiveness of other mental health workers in primary care. As with counselling, the results are equivocal, with many studies showing only short-term effects. Qualitative work or detailed analyses of consultations could also be used to examine whether counselling attachments have altered the behaviour and attitudes of GPs or other members of the primary care team. Counsellors should constantly monitor their own practice and give feedback to general practices on the suitability of clients referred and how their role fits into the team. Studies have also been conducted to evaluate the effectiveness of other mental health workers in primary care.
