title: A survey of general practitioners in north-east Scotland on practice-based counselling services.
abstract: OBJECTIVE
  Practice-based counselors have become very numerous in primary care and we sought to elicit the views of general practitioners in north-east Scotland about the present situation and possible developments in practice-based counselling services.
  
  
  METHODS
  A questionnaire was mailed to the 352 general practitioners working in the area covered by Grampian Health Board.
  
  
  RESULTS
  There was a 74% response rate: 46% of respondents had access to a practice-based counsellor and of those who did not, two-thirds wanted to acquire one. Larger practices and fundholding practices were more likely to have practice-based counsellors. There was a lack of knowledge about the medico-legal situation when referrals to counsellors were made. Seventy-nine per cent of respondents thought that the need/demand for counselling would increase during the next decade, and a majority considered provision of counselling through mental health teams, with local co-ordination of accreditation, training and supervision, to be desirable.
  
  
  CONCLUSIONS
  Since the efficacy of counselling for mental health problems in primary care has not been established, and provision of counselling in primary care settings continues to increase, there is a need to mount coherent and appropriate research studies. There also appears to be a need for greater integration between primary care and mental health services to generate rational provision of practice-based counselling.
authors.affiliation: Royal Cornhill Hospital, Cornhill Road, Aberdeen AB25 2ZH.
authors.forename: J M
authors.initials: JM
authors.lastname: Eagles
authors.forename: C
authors.initials: C
authors.lastname: Fraser
authors.forename: G E
authors.initials: GE
authors.lastname: Wilson
authors.forename: A M
authors.initials: AM
authors.lastname: Milton
authors.forename: P
authors.initials: P
authors.lastname: Kiehlmann
authors.forename: S A
authors.initials: SA
authors.lastname: Naji
mesh_terms: D001291:Attitude of Health Personnel; D003376:Counseling / Q000458:organization & administration*; D003625:Data Collection; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D010821:Physicians, Family / Q000523:psychology* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012606:Scotland; D011795:Surveys and Questionnaires