Evaluation of long-term counselling at a community health service for women who are on a low income

Payne, Nicola ORCID: https://orcid.org/0000-0001-5885-9801, Ciclitira, Karen ORCID: https://orcid.org/0000-0001-7222-0334, Starr, Fiona, Marzano, Lisa ORCID: https://orcid.org/0000-0001-9735-3512 and Brunswick, Nicola ORCID: https://orcid.org/0000-0002-6652-5016 (2015) Evaluation of long-term counselling at a community health service for women who are on a low income. Counselling and Psychotherapy Research, 15 (2) . pp. 79-87. ISSN 1473-3145 (doi:10.1080/14733145.2013.877513)

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Abstract

Aims. Given the lack of research evaluating long-term counselling, coupled with the lack of women-only counselling services, the present study evaluated the long-term counselling service offered by a women-only community health centre. Method. The research ascertained: 1) the characteristics of 155 service users pre-counselling, 2) the views and experiences of 75 service users post-counselling and 3) pre-post-counselling clinical change in 98 service users via the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Results. Unemployment, low income and reports of abuse were related to poorer mental health as measured by the CORE-OM. Content analysis of open-ended questions revealed that women felt supported, comfortable and gained insight through the counselling relationship. They also reported positive changes in their lives, relationships, health behaviours, and psychological wellbeing. Post-counselling improvements were found in CORE-OM scores. Conclusions. Long-term counselling in a women-only environment for socially disempowered women may be beneficial. A research-informed approach to counselling and therapy evaluation, which acknowledges the social context of psychological distress, should be taken across institutions.

Item Type: Article
Additional Information: Special Issue: Special Section: Working with Client Diversity
Keywords (uncontrolled): abuse, CORE-OM, long-term counselling, low income, women
Research Areas: A. > School of Science and Technology > Psychology > Applied Health Psychology group
Item ID: 19526
Notes on copyright: This is the peer reviewed version of the following article: Payne, N., Ciclitira, K., Starr, F., Marzano, L. and Brunswick, N. (2015), Evaluation of long-term counselling at a community health service for women who are on a low income. Counselling and Psychotherapy Research, 15: 79–87. doi: 10.1080/14733145.2013.877513, which has been published in final form at https://doi.org/10.1080/14733145.2013.877513. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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Depositing User: Nicola Payne
Date Deposited: 26 Apr 2016 10:36
Last Modified: 09 Jul 2020 17:14
URI: https://eprints.mdx.ac.uk/id/eprint/19526

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