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COUNSELLING IN LATER LIFE
David Richards, Psychotherapist & previously Counselling Services Manager, Age UK Camden
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Emotional needs in later life
Loneliness: importance of relationships and social interaction Housing: need for safe and secure accommodation Equally need for personal contentment & peace of mind
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Why counselling? Counselling is not for all
Important emotional needs may be met by other experiences/services: E.g. reliable group of family/friends Befriending, social/support groups Our social/support needs vary
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Internal world Our psychological needs reflect our character and our personal history Our situation in later life may have changed, esp. in terms of experience of loss Our needs may therefore be similar or different than in the past
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Camden’s approach Age Concern Camden (as it was in 1998) identified research about depression in parts of the borough within communities of older adults ACC bid for funding from two trust funds, one local and one national
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Funding & Resources Initial funding was just for 18 months
One p/t Counselling Manager Use of volunteer counsellors (trainees wishing to develop their clinical experience): expenses paid Thus limited financial resources to support a fully functioning service
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How it worked 1 Manager assessed each client referred
Clients referred by GPs and other professionals But clients could also self-refer Provision of home visits where needed
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How it worked 2 Volunteer counsellors provided weekly sessions for up to one year Counsellors attended clinical supervision with manager on fortnightly basis Volunteers attended regular training workshops run by ACC
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Ongoing funding Further funding was successfully achieved, initially from the local Primary Care Group This has developed over time into a new partnership (from 2011) with the local NHS Trust
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Why so few? 1 It is important to ask the question: Why have there been so few other counselling services within local Age UK agencies? Resources may always be limited, but Camden’s experience shows what can be achieved
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Why so few? 2 Is there some resistance to setting up a psychological service within the Age UK environment? Such a service is of course different to many of the other kinds of services commonly provided, which are primarily practical and social
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Why so few? 3 Maybe there’s lack of understanding about what is required to establish a counselling service? Maybe emotional/psychological support is seen as less important than practical/social support? We are living longer: emotional needs are also very important…
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