Journal articles on the topic 'Counselling, wellbeing and community services'

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1

Norton, Jonathon, and Jacinta Horan Smith. "Promoting men's wellbeing: Integrated services for responding to men's depression in community health." Australian Journal of Primary Health 11, no. 1 (2005): 9. http://dx.doi.org/10.1071/py05002.

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Men's health issues and depression have both been identified as key priorities in health policy in Australia. A community health service in Melbourne has developed and delivered an integrated and holistic series of interventions specifically targeting depression in men, in addition to individual counselling services. These include a psycho-educational group program, an ongoing therapeutic and support group, and walking and gym exercise activities. Levels of participation, and outcomes, indicate that this type of package of services can be a highly successful way for community health services to respond to issues relating to men's health and wellbeing.
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Quigley, D., and K. D. Murphy. "A qualitative evaluation of the attitudes, barriers, and facilitators relating to the provision of vaccine information by Irish community pharmacists." International Journal of Pharmacy Practice 30, Supplement_1 (April 1, 2022): i17. http://dx.doi.org/10.1093/ijpp/riac021.023.

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Abstract Introduction Community Pharmacists (CPs) can positively impact vaccination uptake. Vaccine hesitancy is not a binary belief but consists of a range of context-specific opinions. CPs are easily-accessible, trusted healthcare professionals responsible for improving patients’ wellbeing. CPs have a positive impact on reducing vaccine hesitancy and improving vaccine uptake. The importance of pharmacists’ role as vaccination educators is clear.(1) Despite the benefits of involvement in vaccine advocacy, CPs may be reluctant to communicate with vaccine-hesitant patients or may find counselling challenging. (2) Aim To examine factors influencing Irish CPs’ attitudes towards vaccine information provision and propose actions to remove barriers and promote facilitators to improve vaccination counselling. Methods Semi-structured interviews with a purposive sample of Irish CPs took place from October-November 2020. Topics covered included personal attitudes to vaccination, attitudes to pharmacists as vaccination educators, and barriers to counselling provision. Participants also completed a survey about their work environment and history of administering vaccines and beliefs about vaccination. Interview audio recordings were transcribed verbatim and thematic analysis used to identify themes. NVivo 12 was used to analyse interview data. Results Twelve pharmacists were interviewed. The majority of interviewees were female (n=10), supervising pharmacists (n=7), and received flu vaccines in at least three of the previous five years (n=7/10). Survey questions were not answered by two participants. All others agreed that vaccines are safe and effective. A single participant did not agree that vaccine counselling is a valuable use of a CPs time and that CPs should try to improve public vaccine uptake. Six themes were identified, with four relating to attitudes towards vaccine counselling; 1) vaccine value and confidence, 2) influence and duty, 3) knowledge, and 4) time and money, and two themes on actions to enhance counselling: 5) supporting resources, and 6) public awareness. Supporting materials would allow participants to be ‘very confident in going through…with them, going through risks, benefits, side-effects’ and would be ‘something tangible to show them’. In addition patients could take them home to help their deliberations. Having insufficient time was a barrier to vaccine counselling as they often were the only CP so they could not ‘start a conversation with someone about vaccine uptake if I can see that I have ten scripts waiting inside in the dispensary to be done.’ Conclusion Participants recognised the value of vaccination for improving patient wellbeing but willingness to promote immunisation was restricted by insufficient knowledge, time, and financial supports. Limited by its low number of participants, the diversity of CPs and overlapping themes strengthen the results of this study. Provision of accessible information repositories, training resources, counselling materials, and awareness campaigns may address deficits in knowledge and confidence. Removal of time and financial barriers may require reform of the role of community pharmacy in delivery of vaccine services in Ireland. References (1) Isenor JE, Edwards NT, Alia TA, Slayter KL, MacDougall DM, McNeil SA, et al. Impact of pharmacists as immunizers on vaccination rates: A systematic review and meta-analysis. Vaccine. 2016 Nov 11;34(47):5708–23. (2) Islam JY, Gruber JF, Lockhart A, Kunwar M, Wilson S, Smith SB, et al. Opportunities and Challenges of Adolescent and Adult Vaccination Administration Within Pharmacies in the United States. Biomed Inform Insights. 2017;9:1178222617692538.
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Minimol, K. "Risk Assessment and Strengths Based Case Management in Elderly Care– Scope of Social Work Practice." Artha - Journal of Social Sciences 15, no. 2 (April 1, 2016): 121. http://dx.doi.org/10.12724/ajss.37.7.

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Social workers have a significant role in ensuring the wellbeing of older people. Social work brings a range of specialized skills and methods of interventions in improving the quality of life of older adults. Conducting proper assessment is an important task of social workers while engaging in the provision of support services. In contrast to the ubiquitous deficit-based assessments, strengths-based assessments provide social work practitioners with methods to assess strengths and abilities and thereby develop strengths-based interventions. Though risk-assessment is necessary to prevent problems occurring, understanding clients’ strengths is an integral resource in the helping process. Assessments giving equal importance to risks and strengths are inevitable in formulating and implementing specific activities to facilitate their independent living in the community. This paper highlights the significance of biopsychosocial assessment, risks/strengths assessment and strengths-based case management of older adults. This paper also presents an inventory of risks and strengths reported by older adults who attended case work and counselling sessions with the author during her role as a social worker in a multidisciplinary community health care setting in Australia.
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de Bruyn, Maria, and Susan Paxton. "HIV testing of pregnant women—what is needed to protect positive women's needs and rights?" Sexual Health 2, no. 3 (2005): 143. http://dx.doi.org/10.1071/sh04056.

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With increased availability of antiretroviral therapy, there is an escalating global trend to test all pregnant women for HIV in order to stop perinatal transmission. However, insufficient consideration is given to the impact this may have on the lives of these women and their families. Many women feel pressured into HIV testing during pregnancy, do not receive adequate pre-test counselling or do not give truly informed consent. Some women who test positive experience significantly more discrimination from their partners, families and community members than HIV-positive men do. As a consequence, large numbers of women diagnosed during pregnancy do not tell their husband their status because they fear blame, abandonment or abuse, including physical assault. Women who do disclose their HIV status may face dramatic negative repercussions on their own and their children’s wellbeing. Consequently, it is unfair to test women during pregnancy solely or mainly to help prevent perinatal transmission if there are no available support services to protect the women’s rights, enable them to live healthily after an HIV-positive diagnosis and engage them in the policies and programmes that affect women’s lives. We need to create a climate that encourages HIV testing before pregnancy so that women can make informed reproductive choices. Men must be brought into the testing process through couple counselling before pregnancy and scaling up of voluntary counselling and testing programmes outside the antenatal care setting. In addition, people living with HIV have unique expertise and are very effective as peer counsellors. They have been under-utilised in the health care sector to provide support to newly-diagnosed people and to help eliminate AIDS-related shame and stigma.
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5

Gog, Sorin. "Alternative Forms of Spirituality and the Socialization of a Self-Enhancing Subjectivity: Features of the Post-Secular Religious Space in Contemporary Romania." Studia Universitatis Babes-Bolyai Sociologia 61, no. 2 (December 1, 2016): 97–124. http://dx.doi.org/10.1515/subbs-2016-0012.

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AbstractMy paper focuses on the shift in religious values in post-socialist Romania and explores the emergence of alternative spiritual beliefs and practices among the younger generations socialized during the post-communist period. It analyses some of the changes that occurred in the wider traditional religious field and looks at the various spiritualized technologies of the self that produce a distinctive type of religious subjectivity and an immanent ethics of authenticity. By departing from the idea of an integrated religious community and from the relational understanding of religious transformation, the field of alternative spiritualities operates a radical break with traditional religion and emphasizes the possibility of spiritual self-realization and self-discovery. It is this process of the individualizing sacralization of the self that constitutes the object of various workshops, blogs, personal and spiritual development literature, courses, spiritual retreats and counselling services. My research looks at how innovative technologies of the self are developed within these spaces that emphasize creativity, wellbeing and a new understanding of subjective interiority that learns how to find in itself the resources it needs to live in a spiritualized ontology of the present.2
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Fixsen, Alison, Simon Barrett, and Michal Shimonovich. "Weathering the storm: A qualitative study of social prescribing in urban and rural Scotland during the COVID-19 pandemic." SAGE Open Medicine 9 (January 2021): 205031212110291. http://dx.doi.org/10.1177/20503121211029187.

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Objectives: The non-clinical approach known as social prescribing aims to tackle multi-morbidity, reduce general practitioner (GP) workload and promote wellbeing by directing patients to community services. Usual in-person modes of delivery of social prescribing have been virtually impossible under social distancing rules. This study qualitatively examined and compared the responses of three social prescribing schemes in Scotland to the COVID-19 pandemic. Methods: We interviewed a theoretical sample of 23 stakeholders in urban and rural social prescribing schemes at the start of COVID-19 pandemic. Follow-up interviews with a representative sample were conducted around 10 months later. Interviewees included social prescribing coordinators (SPCs) GPs, managers, researchers and representatives of third sector organizations. Interview transcripts were analysed in stages and an inductive approach to coding was supported by NVivo. Results: Findings revealed a complex social prescribing landscape in Scotland with schemes funded, structured and delivering services in diverse ways. Across all schemes, working effectively during the pandemic and shifting to online delivery had been challenging and demanding; however, their priorities in response to the pandemic had differed. With GP time and services stretched to limits, GP practice-attached ‘Link Workers’ had taken on counselling and advocacy roles, sometimes for serious mental health cases. Community-based SPCs had mostly assumed a health education role, and those on the Western Isles of Scotland a digital support role. In both rural or urban areas, combatting loneliness and isolation – especially given social distancing – remained a pivotal aspect of the SPC role. Conclusion: This study highlights significant challenges and shifts in focus in social prescribing in response to the pandemic. The use of multiple digital technologies has assumed a central role in social prescribing, and this situation seems likely to remain. With statutory and non-statutory services stretched to their limits, there is a danger of SPCs assuming new tasks without adequate training or support.
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Almunef, M., J. Mason, C. Curtis, and Z. Jalal. "The role of primary care pharmacist in the management of chronic illnesses in young people: a qualitative study." International Journal of Pharmacy Practice 30, Supplement_1 (April 1, 2022): i34. http://dx.doi.org/10.1093/ijpp/riac019.047.

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Abstract Introduction Recent evidence has shown that the incidence of long-term illnesses in young people is increasing (1). Pharmacists, as medicine experts, are in a unique position to promote young people’s health by improving their knowledge regarding effective use of medication through the provision of pharmaceutical services. To date, there are few studies that have explored the potential roles of primary care pharmacists in providing health care for young people with long term illnesses (2). This study attempts to show the potential role of primary care pharmacists in caring of young people with chronic illnesses. Aim To explore the role of primary care pharmacists in the management of chronic illnesses in young people aged 18-24 years. Methods A qualitative study was undertaken. From June to November 2019, semi-structured interviews were conducted with 23 primary care pharmacists in the UK. A purposive sampling strategy was followed to form a population for this study. The targeted participants were UK primary care pharmacists i.e. General Practice (GP) and community based pharmacists. Through professional networks, the participants were identified, approached and recruited by email or in person. Interviews on average lasted 35 minutes, and were audio recorded, transcribed verbatim and analysed inductively using thematic analysis. Emergent themes were reviewed by all authors and any discrepancies were resolved through discussion. Results Four themes emerged from the data: pharmacists’ roles, prescribing issues, pharmaceutical services and young people medication-related experiences. Participants identified several roles for primary care pharmacists in caring of young people with chronic illness. These roles included encouraging young people to visit the pharmacy to collect their medicines and ensuring that they have enough medicines supply, counselling and educating young people about their medicines and answering their queries, building trusted relationships directly with them, provision of specialist services, following up with young people and checking on medication compliance, and signposting them for further support. The most discussed chronic illnesses in young people by participants were respiratory diseases such as asthma and mental health illnesses. However, many pharmacists perceive a fundamental communication barrier that hinders the provision of this support, i.e., lack of access to the patient. Participants identified a lack of support from other health care providers as one of the associated challenges for pharmacists in supporting young people with chronic illness. Conclusion Primary care pharmacists felt that they have an important role in supporting young people with chronic illness. This study identified many ways in which pharmacists provide services and support to young people. This study makes a major contribution to the limited literature on primary care pharmacists’ experience of dealing with young people with chronic illness by exploring the pharmaceutical care currently available and identifying other issues which may influence pharmaceutical care. Although the research was limited by a relatively small number of participants, the findings of this research could inform future research to provide more evidence of the benefit of primary care pharmacists in supporting young people with chronic illness in the optimal use of their medication. References (1) Shah R, Hagell A, Cheung R. International comparisons of health and wellbeing in adolescence and early adulthood. London (UK): Nuffield Trust; 2019. (2) Gray N, Shaw K, Smith F, et al. The Role of Pharmacists in Caring for Young People With Chronic Illness. Journal of Adolescent Health, 2017; 60 (2): 219–225.
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8

Cooper, Mick. "School counselling: The evidence for what works." British Journal of Child Health 2, no. 2 (April 2, 2021): 101–2. http://dx.doi.org/10.12968/chhe.2021.2.2.101.

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School counselling services are a common response to mental health and wellbeing challenges, not least those caused by COVID-19 and lockdown. New research findings have shown us exactly when and how counselling can be most effective, Professor Mick Cooper explains.
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Forman, Sarah, and Katrina Andrews. "Perceptions of students’ counselling experience with intern counsellors within a tertiary education setting: A thematic analysis." Journal of the Australian and New Zealand Student Services Association 29, no. 1 (May 24, 2021): 59–73. http://dx.doi.org/10.30688/janzssa.2021.1.03.

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Mental health decline and psychological distress is rising among tertiary students’ worldwide andis now recognised internationally as an important public health issue.There is a growing demand for campus-based counselling services as evidence suggests that providing on-campus counselling support can significantly support student mental health and wellbeing. In addition, there is a symbiotic demand for counselling students to have the opportunity to integrate their skills through practice with clients. With the increasing demand for universities and tertiary institutes to provide counselling support, the use of graduate level trainees to deliver counselling services could provide an innovative and effective model to cope with high demand in a cost-efficient way. This qualitative research explores the perceptions of students who have sought counselling, delivered by trainee counsellors within a tertiary education setting. A thematic analysis was used to interpret the data from anonymous, semi-structured survey questions. Three predominate themes were identified; 1) positive experiences of counselling were connected directly to the relationship and positive regard that the counsellor fostered; 2) the counselling process supported the clients’ autonomy, self-determination and resilience and 3) despite nervousness, clients were surprised by the perceived positive benefits of counselling. A fourth theme identified that a minority of clients need a more experienced therapist to support their needs. This study demonstrated that counselling services delivered by trainee counsellors was perceived as helpful by the majority of students and has implications for improving practice and service availability through the use of trainees within university counselling services.
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Flynn, Gillian Barclay, Jennifer Bogle, Caroline Gos, Pamela Kennedy, and Eilidh McIver. "The integration and evaluation of school counselling in Scottish schools." Educational Psychology in Scotland 22, no. 1 (2022): 75–83. http://dx.doi.org/10.53841/bpsepis.2022.22.1.75.

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AimIn 2019 the Scottish Government introduced local authority funding to provide school counselling for 10 to 18 year olds. Since September 2019 this local education authority (LEA) has been developing and implementing its strategy to provide school counselling led by Psychological Services. This report summarises the first year’s evaluation.MethodSurveys were conducted with counsellors and school staff. Data on delivery including numbers accessing counselling, demographics, presenting issues and pre and post intervention measures were collected and analysed.FindingsThe integration of counselling within schools was felt to be a very effective model and positive impact was demonstrated. Counselling was skewed 2:1 towards girls and the peak age accessing counselling was 13 to 16 years. Individuals were accessing counselling for a wide range of wellbeing issues. Several themes are identified as supporting the effective delivery and development of counselling in schools.LimitationsThere was a heavy reliance on counsellors for accurate recording and reporting of data which may have impacted reliability. The current evaluation has not yet included feedback from children and young people themselves, their parents or wider stakeholders.ConclusionsThe first year implementation has demonstrated the value of integrating school counselling within school systems and as part of a whole school approach to mental health and wellbeing. The locality wide data indicated a gender bias towards girls, however this was not consistent across all settings and further exploration of this theme could be useful in understanding the factors that influence access to counselling across genders.
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Heimonen, Sirkkaliisa, and Anna Mäki-Petäjä-Leinonen. "Muistisairaan ihmisen mielen hyvinvoinnin edellytykset - miten turvata oikeus niiden toteutumiseen?" Gerontologia 32, no. 1 (March 25, 2018): 21–36. http://dx.doi.org/10.23989/gerontologia.65390.

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Muistisairaus vaikuttaa sitä sairastavan ihmisen ja hänen läheistensä hyvinvointiin ja elämänlaatuun. Kognitiivisten kykyjen heikentyminen ja sosiaalisissa suhteissa tapahtuvat muutokset aiheuttavat haavoittuvuutta. Yksilöllisen tuen, laadukkaiden palvelujen ja hyvän hoivan perustana on haavoittuvuuden ymmärtäminen ja kohtaaminen. Muistisairautta sairastavan ihmisen mielen hyvinvoinnin vahvistamisen tulee olla tavoitteena tuen, palvelujen ja hoivan käytännöissä. Ammattihenkilöstöllä on keskeinen rooli mielen hyvinvoinnin edellytysten tunnistamisessa sekä niiden toteutumisessa. Tarkastelemme tässä artikkelissa muistisairaan ihmisen mielen hyvinvointia ja sen edellytysten turvaamista psykologisesta, eettisestä ja oikeudellisesta näkökulmasta. Nostamme esiin neuvonnan ja ohjauksen keskeisenä tukimuotona ja kuntoutukseen kuuluvana keinona ja pohdimme sen keskeistä merkitystä muistisairaan ihmisen mielen hyvinvoinnin vahvistamisessa. The preconditions of psychological wellbeing in persons with dementia - How to secure the right of their implementation? Memory illnesses affect the wellbeing and quality of life of the afflicted persons and their significant others. The deterioration of cognitive capacities and changes in social relationships are a cause for vulnerability. Understanding and encountering vulnerability form the basis of individual support and high quality services and care. The promotion of the psychological wellbeing of persons with dementia should be the focus in the practice of care, support and services. The professionals have a key role in the recognition and implementation of the preconditions of psychological wellbeing. In this article we investigate the psychological wellbeing of persons with dementia from psychological, ethical and judicial perspectives. We present guidance and counselling as key means of support and rehabilitation. We also observe the significance of counselling for the promotion of psychological wellbeing of persons with dementia.
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Vaznonienė, Gintarė, and Ilona Kiaušienė. "Social Infrastructure Services for Promoting Local Community Wellbeing in Lithuania." European Countryside 10, no. 2 (June 1, 2018): 340–54. http://dx.doi.org/10.2478/euco-2018-0020.

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Abstract Social infrastructure is largely related to various services for community, facilities and public spaces, relationships and networks among local community members. It is therefore obvious that social infrastructure could be viewed as an important factor for creating better opportunities for integration and participation in society, fostering functional capabilities of a community, acknowledging human rights, improving judgements related to overall life satisfaction. The links between social infrastructure services and focus on local community wellbeing in Lithuanian’s social science discourse has not been substantiated sufficiently yet. Consequently, this article aims at disclosing the importance of social infrastructure services in promotion of local community wellbeing. The research question of this article is formulated as follows: how social infrastructure services contribute and could promote wellbeing of local community. The methodological background is based on both theoretical and empirical findings pertaining to the topic. The research results have suggested that the need of local community for social infrastructure services should be evaluated more carefully in the context of wellbeing. These services have been found to play significant role in reaching a certain level of wellbeing in view of the place where people live, how they feel and how to evaluate the future of their living.
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Van de Perre, Philippe. "HIV voluntary counselling and testing in community health services." Lancet 356, no. 9224 (July 2000): 86–87. http://dx.doi.org/10.1016/s0140-6736(00)02462-4.

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Sweet, Richard. "Career Information, Guidance and Counselling Services." Australian Journal of Career Development 10, no. 2 (July 2001): 11–14. http://dx.doi.org/10.1177/103841620101000204.

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Throughout member countries of the Organisation for Economic Cooperation and Development (OECD), a number of important policy directions are placing increasing demands upon career information and guidance services. A growing emphasis upon lifelong learning for all and active employment and welfare policies are among the more important. Yet alongside these pressures for wider community access to career assistance services, recent OECD work reveals weaknesses in the organisation and delivery of career information, guidance and counselling. A key challenge facing governments is to widen access to these services in an affordable way and yet to maintain their quality. This paper describes a new OECD activity on policies for career information, guidance and counselling services that will examine this challenge.
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Fatima, Tabassum, and Kashifa Khan. "Impact of Counselling on Mental Health and Academic Anxiety: A Review of Existing Literature." ISPEC International Journal of Social Sciences & Humanities 4, no. 4 (September 5, 2020): 343–49. http://dx.doi.org/10.46291/ispecijsshvol4iss4pp343-349.

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Adolescence is crucial period in the life span where there are notable opportunities for the changing life experiences, there is lack of counselling services for mental health, anxiety and well-being. Mental health is now recognised is being crucial to over-all health and it is defined as 'subjective wellbeing, perceived self-efficacy, autonomy, competence, intergenerational dependence and self-actualization of adolescence. Despite widespread and increasing awareness of the mental health, anxiety and other psycho-social challenges which are being faced by adolescents, their needs in this area are largely unmet particularly in India. Counselling services can be contributed in adolescent’s mental health, academic anxiety, other psycho-social aspects for their successful completion of educational process and further entries in the various work-fields and employment. Counselling can play crucial role in achieving the dual goals of school safety and educational improvement, supportive and positive learning environment for them. Thus, the present study is an attempt to review the impact of counselling services on mental health and academic anxiety among adolescents, based on review of previous researches that have been conducted. The discussion along with some suggested measures have been included in research paper for emphasising the impacts of counselling for adequate mental health and academic anxiety.
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Newton, Danielle C., drian J. Tomyn, and Anthony D. LaMontagne. "Exploring the challenges and opportunities for improving the health and wellbeing of international students: Perspectives of professional staff at an Australian University." Journal of the Australian and New Zealand Student Services Association 29, no. 1 (May 24, 2021): 74–92. http://dx.doi.org/10.30688/janzssa.2021.1.01.

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There are growing concerns about the mental health of university students, with particular concerns for international students studying in countries with different language and culture from the country of origin. We sought to explore the challenges and opportunities for supporting and improving the health and wellbeing of international students through interviews with health and other support services staff at an Australian University. Semi-structured interviews with a range of health and support services staff were conducted in person or by telephone in late 2018. Staff were asked about their perceptions of 1) health and wellbeing issues for international students, 2) barriers to international students accessing campus-based services for health and wellbeing concerns, and 3) strategies to improve international students’ health and wellbeing. Transcribed interviews were analysed thematically. Mental health/illness was identified as the most important health and wellbeing concern for international students. Barriers to help-seeking included fear of repercussions for coming forward, lack of problem and symptom recognition, poor understanding of health information, cultural stigma associated with counselling and language barriers. A tendency among international students to delay help-seeking until problems reached crisis-point was also identified as a concern. Suggested strategies to improve wellbeing included pre-departure education/orientation to life in Australia, the integration of health and wellbeing education with other university programs, education about confidentiality, better supporting students in how to access services, and skill building to promote social connection. Addressing the identified issues and opportunities would support international student health and wellbeing and may assist in attracting international students back to Australia post-COVID.
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Ledsom, Chulainn, Anne Greig, and Linden Hampton. "Towards an Educational Psychology Service Framework for the Embedding of a School Counselling Service: A new approach in Argyll and Bute Psychological Service." Educational Psychology in Scotland 21, no. 1 (2021): 6–9. http://dx.doi.org/10.53841/bpsepis.2021.21.1.6.

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Although the Scottish Government is currently providing direct funding to deliver school-based counselling services for young people (The Scottish Government, 2018), guidance on implementation by Local Authorities is not provided. Consequently, implementation varies across Scotland. The role of Educational Psychology Services (EPSs) in relation to wellbeing is now established and they are well placed to support the development of school counselling approaches. EPSs also possess expertise in implementing evaluative frameworks and in therapeutic work with children and young people. Acknowledging that therapy can be harmful, EPSs can support the development of safe and effective models of school counselling. Argyll and Bute Council is the second largest local authority in Scotland by area, with the largest number of populated islands. This unique context creates logistical challenges to providing equitable counselling services for young people, necessitating creativity and flexibility in service design and delivery. Out with remote communities, non-attendance and, in recent times, the global pandemic mean that equity of provision is not just an issue for vast rural settings. In this paper, it is proposed that the EPS can play an expert and strategic role in the implementation of an accountable and equitable school counselling service. Although the project is at an early stage, in this paper the Argyll and Bute Educational Psychology Service strategy is described. The focus is on the context of what is already known about school-based counselling, how it is being locally applied and the role of the EPS.
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Duckett, Stephen, Tracie Hogan, and Jan Southgate. "The COAG Reforms and Community Health Services." Australian Journal of Primary Health 1, no. 1 (1995): 3. http://dx.doi.org/10.1071/py95002.

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Ultimately, the reform directions announced by the Council of Australian Governments (COAG) in April 1995 have the potential to touch all aspects of health care and community wellbeing, and the impact will be felt as much by community health services, and for groups with special needs, such as people from non-English speaking backgrounds, as it will for acute care services.
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Mudwari, Nabaraj, Monica Cuskelly, Carol Murphy, Kim Beasy, and Nirmal Aryal. "Impact of COVID-19 on refugee-background students during school shut down in Australia: A call for action." Teachers and Curriculum 21, no. 1 (July 28, 2021): 71–76. http://dx.doi.org/10.15663/tandc.v21i1.356.

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The majority of schools across Australia rapidly implemented online education during the first wave of COVID-19 restrictions. The school closure disproportionately affected the routines and socialisation of vulnerable students, including those with a refugee background. Refugee-background students have been impacted by COVID-19 as school closures interrupted face-to-face education, including English language and tutorial support and counselling services. School shutdown also impeded refugee-background students’ activities outside the home, which could render adverse effects on their physical, mental and social wellbeing. Holistic efforts are urgently needed in Australia to support refugee-background students in order to prevent further learning loss and promote health and wellbeing. Keywords: COVID-19, refugee-background students, education loss, physical, mental and social wellbeing, Australia
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Pentland, Jan, and Pauline Drosten. "Financial Counselling and Problem Gambling Counselling: Exploration Of A Service Model." Australian Journal of Primary Health 2, no. 2 (1996): 54. http://dx.doi.org/10.1071/py96029.

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How can financial counsellors and problem gambling counsellors work effectively together to provide the best service outcomes for their gambling clients? A brief overview of the work of the financial counselling and problem gambling counselling services based at West Heidelberg Community Health Centre is presented here. In particular, it focusses on the practice of one financial counsellor and one problem gambling counsellor and the cases that they worked on together. It seeks to identify strategies which might facilitate effective joint casework with gamblers.
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Alshahrani, Ali Mofleh, and Mona Y. Alsheikh. "Community Pharmacists’ Perceptions, Barriers, and Willingness for Offering Sexual and Reproductive Health Services." International Journal of Environmental Research and Public Health 18, no. 20 (October 13, 2021): 10735. http://dx.doi.org/10.3390/ijerph182010735.

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The role of community pharmacists is crucial for promoting health and providing consultation related to sexual and reproductive health. This study measured the perception of community pharmacists in the Kingdom of Saudi Arabia (KSA) towards the provision of counselling services on sex education and reproductive health, including barriers to and proficiency in the delivery of services. A cross-sectional survey was developed and distributed electronically to pharmacists, and responses were analyzed using SPSS version 26. Graphical representations for various opinions on perception, proficiency and barriers were created. More than 80% of pharmacists placed a high value on counselling patients on sex and reproductive health, about 90% counselled their patients very often (74.6%) or often (22.2%), and 3.2% of pharmacists did not counsel patients. Most respondents believed counselling was very important (65.3%) or important (15.1%), with only 19.6% of respondents indicating it was not important. Barriers to offering services included fear from responsibility and liability (M = 4.8), lack of information about patient health (M = 4.7), gender differences (M = 4.7), and lack of social acceptability (M = 4.6). Community pharmacists in KSA possessed positive attitudes, professional education, and willingness to provide counselling to patients on sex education and reproductive health. Apart from the existing barriers that require augmented community pharmacists’ soft skills, clear policies and authorization for offering this type of service are also needed.
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MacDonald, Shelley, and Gary Winship. "The primary school as a therapeutic community." Therapeutic Communities: The International Journal of Therapeutic Communities 37, no. 1 (April 11, 2016): 18–26. http://dx.doi.org/10.1108/tc-01-2016-0001.

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Purpose – The purpose of this paper is to consider the changes underway in the delivery of services to children and young people in schools, not least that OFTSED will soon be routinely carrying out an assessment of mental health provision in schools. This paper considers the policy context to these changes and the recent initiatives that are informing the evolution of initial teacher training. Alongside the changes in Child and Adolescent Mental Health Services there are an increasing number of schools developing counselling and psychotherapy services. How can the School counsellor look to develop a who school as therapeutic community. Design/methodology/approach – A case narrative is presented of a seven-year-old child who was referred to the school counselling service. The narrative draws attention to the array of dynamic interactions, from peers to teachers to parents which the school counselling manager encountered. Findings – It is argued that it is necessary for the school counsellor to have a framework for understanding how all parts of the school work together and it is proposed that we might usefully consider the primary school as a therapeutic community. Originality/value – There are a raft of policy changes and practices in recent years that have altered the landscape of early intervention and the mental health agenda in primary schools. This paper captures this debates and consider how therapeutic community ideology is positioned as an opportunity to think more expansively about mental health in primary schools.
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Antwi, Paul, Victoria De-Graft Adjei, Regina Nuako, and Bernice Ofosuhene S. Peasah. "Relevance of Counselling Services among Graduate Students at Kwame Nkrumah University of Science and Technology, (KNUST), Kumasi, Ghana." International Journal of Technology and Management Research 6, no. 2 (September 10, 2021): 81–86. http://dx.doi.org/10.47127/ijtmr.v6i2.128.

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This is a study showcasing the utilization and knowledge of Counselling Services by Graduate Students at KNUST. The counselling Center of KNUST has been in existence over a decade and most of the clients that patronize its services are undergraduate students with few being Graduate Students. This paper was basically aimed at examining the level of awareness the KNUST Counselling Center, the services provided for members of the university community including graduate students and patronage of the services among Graduate students. There is minimal literature about studies done on Graduate students and counselling and there has not been such study to examine the impact of counselling among Graduate students in a university in Ghana. Therefore, it is hopedthat this study will lead to further studies among graduate students towards better ways of resolving their issues to improve their mental health. From the study, most Graduate students attest to the fact that Counselling is very important and some confirmed that they would recommend the KNUST-Counselling Center to other students. The services and benefits of the KNUST Counselling Center are described in this paper. Alternative ways for effective utilization of the services of the counselling center are explained to support graduate students to improve their mental heal while in school. Citation:De-Graft Adjei, V., Nuako, R. and Peasah, B. O. S. (2021). Relevance of Counselling Services among Graduate Students at Kwame Nkrumah University of Science and Technology, (KNUST), Kumasi, Ghana. International Journal of Technology and Management Research (IJTMR), Vol. 6 (2): Pp.81-86. Received: April 19, 2020Accepted: September 1, 2021
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Ghilardi, Alberto, Chiara Buizza, Egle Miriam Carobbio, and Rossella Lusenti. "Detecting and Managing Mental Health Issues within Young Adults. A Systematic Review on College Counselling in Italy." Clinical Practice & Epidemiology in Mental Health 13, no. 1 (July 19, 2017): 61–70. http://dx.doi.org/10.2174/1745017901713010061.

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Background: College counselling can be considered as a front-line service in detecting and managing mental health issues within young adults. In this sense, it is important to investigate the effectiveness of counselling interventions. Objective: To provide a systematic review about college counselling in Italy; to assess which psychological interventions really meet student needs, and their effectiveness; to focus on the level of cohesion between Italian counselling services and the international guidelines about college counselling. Method: A systematic review about college counselling through PsycInfo and PubMed was carried out. Because of the scarceness of pertinent available articles, the survey was extended to Google Scholar and Riviste Web. Keywords: counselling, mental health, wellbeing, psychological support, university, students, Italy. Results: Out of thirty-four articles retrieved, 16 are relevant to academic counselling, the other 18 have been considered not pertinent to the aim of the present review. Data show a lack of homogeneity in methodology and organization between each University: different approaches towards students’ needs. Furthermore, no follow-up studies or measurement of effectiveness were found. Conclusion: This review is a contribution to disseminate the results of counselling experiences in Italy and represents an effort to encourage colleagues working in a web environment to share results and methods for a more organized protocol application.
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Heinrichs, Katherina, Victoria Hermülheim, Laura Pilz González, and Adrian Loerbroks. "When in Doubt … Career Indecision, Mental Wellbeing, and Consultation-Seeking Behaviour—A Qualitative Interview Study among Students and Counsellors." International Journal of Environmental Research and Public Health 18, no. 23 (November 30, 2021): 12604. http://dx.doi.org/10.3390/ijerph182312604.

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University dropout is often preceded by a phase of doubt whether to continue studying, either in general or just the given subject. Mental health problems might be interrelated with this phase of doubt. Counselling services at German universities could provide help, but do not seem to reach students in need. To explore the phase of doubt and possible (inter-)relationships with mental wellbeing among university students in Germany as well as their consultation-seeking behaviour, a qualitative interview study was conducted (2017–2018). Participants were students casting doubts on their studies (n = 14) and counsellors (n = 16) working with this target group. Examples of reasons for doubts were insufficient information, unfulfilled expectations concerning the subject, subjectively poor study conditions, performance problems, and lacking future perspectives. Mental health problems were subjectively intertwined with doubts, considered as both cause and effect. Counselling services were evaluated as hardly helpful by students and as being in need of improvement by counsellors. Suggestions as how to improve such services comprise a more specific and proactive way to approach students. By considering the phase of doubt before dropout, German universities can improve their support services to be more responsive to students and, thus, prevent dropout and mental health problems.
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Maes, Karen A., Jasmine A. Ruppanner, Tamara L. Imfeld-Isenegger, Kurt E. Hersberger, Markus L. Lampert, and Fabienne Boeni. "Dispensing of Prescribed Medicines in Swiss Community Pharmacies-Observed Counselling Activities." Pharmacy 7, no. 1 (December 21, 2018): 1. http://dx.doi.org/10.3390/pharmacy7010001.

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Background: Patient counselling and addressing drug-related problems are the pharmacist’s key activities to ensure the safe and effective use of medicines. This study aimed to describe the dispensing practice of prescribed medicines in daily community pharmacy practice and to identify factors influencing counselling provision; Methods: An observational study was conducted in community pharmacies in Basel, Switzerland. One master student in pharmacy performed non-participatory observations for one day at each of the participating community pharmacies. Patient characteristics, counselling content, additional activities, and pharmaceutical interventions were documented on a structured checklist; Results: 556 prescription encounters (PE) in 18 participating community pharmacies were observed (269 first prescriptions; 287 refill prescriptions). Patients were regular customers (n = 523, 94.1%) and 53.8 ± 23.4 years old. Counselling was provided to 367 (66.0%) customers on 2.9 ± 3.1 themes per PE. Factors influencing counselling were dispensing by the pharmacist, new customer, customer who did not refuse counselling, customer with a first prescription, with a prescription resulting in a pharmaceutical intervention, and a prescription filled by carers. During 144 PEs, 203 interventions were documented. Pharmacists proposed few additional activities and performed no cognitive pharmaceutical service; Conclusions: Our study quantified counselling and additional services at the dispensing of prescribed medicines and identified influencing factors on counselling provision at the patient, prescription, and pharmacy level.
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El-Souri, Mira, Rikke Nørgaard Hansen, Ann Moon Raagaard, Birthe Søndergaard, and Charlotte Rossing. "Pharmacy Technicians’ Contribution to Counselling at Community Pharmacies in Denmark." Pharmacy 8, no. 1 (March 23, 2020): 48. http://dx.doi.org/10.3390/pharmacy8010048.

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(1) Background: pharmacy technicians are the largest group of staff at Danish community pharmacies and play a vital role in counselling customers on prescription medication, over-the-counter (OTC) medication and non-medical products. This is the first study carried out to specifically analyse how they contribute to counselling and identification of drug-related problems (DRPs) at Danish community pharmacies. (2) Methods: seventy-six pharmacy technicians from 38 community pharmacies registered data on all of their customer visits for five days, over a four-week period, between January and March 2019. Data were analysed in SPSS version 24. (3) Results: 58.9% of all registered customers (n = 10,417) received counselling. They identified DRPs for 15.8% of all registered customers (n = 2800). Counselling by pharmacy technicians solved, or partially solved, problems for 70.4% of customers with DRPs. Pharmacy technicians estimated that 25.2% of customers receiving counselling (n = 2621) were saved a visit to the general practitioner (GP). (4) Conclusions: as community pharmacists get more involved in complex services, it would be necessary to expand the roles of pharmacy technicians. Pharmacy technicians contribute to medication safety via counselling, and identifying and handling DRPs for all customers. This study documents the role of pharmacy technicians in customer counselling at Danish community pharmacies. It provides evidence to researchers and policy makers to support discussions on the future role of pharmacy technicians at community pharmacies.
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Robertson, Lloyd Hawkeye, Kathryn Holleran, and Marilyn Samuels. "Tailoring University Counselling Services to Aboriginal and International Students: Lessons from Native and International Student Centres at a Canadian University." Canadian Journal of Higher Education 45, no. 1 (April 30, 2015): 122–35. http://dx.doi.org/10.47678/cjhe.v45i1.184262.

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Critics have suggested that the practice of psychology is based on ethnocentric assumptions that do not necessarily apply to non-European cultures, resulting in the underutilization of counselling centres by minority populations. Few practical, culturally appropriate alternatives have flowed from these concerns. This paper reviews experiences from a doctoral-level practicum in counselling psychology that targeted aboriginal and international university students outside of the mainstream counselling services at a western Canadian university over a two-year period. It recommends an integrated approach, combining assessment, learning strategy skills, and counselling skills while incorporating community development methodology. The paper concludes with recommendations for counsellor training that will enhance services to both international and aboriginal students.
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Comfort, Alison B., Randall C. Juras, Sarah E. K. Bradley, Justin Ranjalahy Rasolofomanana, Anja Noeliarivelo Ranjalahy, and Cynthia C. Harper. "Do home pregnancy tests bring women to community health workers for antenatal care counselling? A randomized controlled trial in Madagascar." Health Policy and Planning 34, no. 8 (August 13, 2019): 566–73. http://dx.doi.org/10.1093/heapol/czz080.

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Abstract Task-shifting the provision of pregnancy tests to community health workers (CHWs) in low-resource settings has the potential to reach significantly more underserved women at risk of pregnancy with essential reproductive health services. This study assessed whether an intervention to supply CHWs with home pregnancy tests brought more clients for antenatal care (ANC) counselling. We implemented a randomized controlled trial among CHWs providing reproductive health services to women in Eastern Madagascar. We used ordinary least squares regressions to estimate the effect of the intervention, with district- and month-fixed effects and CHW baseline characteristics as control variables. Our outcomes of interest included whether the intervention increased: (1) the number of women at risk of pregnancy who sought services from CHWs; (2) the number of these women who knew they were pregnant by the end of visit; and (3) the number of these women who received ANC counselling during visit. We found that providing pregnancy tests to CHWs to distribute to their clients for free significantly increased the number of women at risk of pregnancy who sought services from CHWs. At follow-up, treatment-group CHWs provided services to 6.3 clients compared with 4.2 clients among control-group CHWs, which represents a 50% relative increase from the control-group mean. A significantly higher number of these clients knew they were pregnant by the end of the visit, with a mean of 0.95 in treatment compared with 0.10 in control (Coeff. 0.86; 95% CI 0.59–1.13). A significantly higher number of these clients received antenatal counselling at the visit (Coeff. 0.4; 95% CI 0.14–0.64). Introducing free home pregnancy tests as part of community-based health services can improve pregnancy care by attracting more clients at risk of pregnancy to services at the community level, enabling more women to confirm they are pregnant and receive antenatal counselling.
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Prabani, KIP, and Damayanthi HDWT. "Quality of Life, Anxiety, Depression and Psychological Distress in Patients with Cancer During the COVID 19 Pandemic: A Systematic Review." International Health Trends and Perspectives 2, no. 1 (April 1, 2022): 51–66. http://dx.doi.org/10.32920/ihtp.v2i1.1540.

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Introduction and Objectives: Quality of life (QOL) and psychological wellbeing deteriorate during the COVID 19 pandemic in patients with cancer. Purpose: This study aims to review the current evidence of QOL, anxiety, depression, psychological distress, and their inter-relationship in patients with cancer and survivors during the COVID 19 pandemic. Moreover, this study identifies factors associated with QOL and mental health in patients with cancer and survivors during the COVID 19 pandemic. Methods: An extensive electronic database search was conducted. Articles published in English assessing cancer patients and cancer survivors’ QOL and psychological wellbeing. Results: Twenty-seven articles with 22,134 participants were included. Concerns related to contracting COVID 19, along with potential treatment plans were predictors of impaired QOL. Advanced age, family support, being identified as a male and having less comorbid conditions were associated with the high level of QOL. Delay or change in treatment plan, contact with COVID 19 positive individuals, and emotional vulnerability were found to be independently associated with high levels of anxiety, depression, and distress. Conclusion: Health professionals, caregivers and support services should pay more attention on QOL and psychological wellbeing of the patients with cancer. Counselling sessions, support services should be established to improve their life satisfaction and wellbeing.
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Atherton, Kelly, and Jon Cornwall. "Psychological Distress and Help-seeking Behaviour: Chinese International Students in New Zealand." Journal of the Australian and New Zealand Student Services Association 30, no. 1 (December 18, 2022): 48–62. http://dx.doi.org/10.30688/janzssa.2022-1-04.

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With high numbers of Chinese international tertiary students worldwide, it is important that institutions understand how best to establish environments that support positive mental health in this student group. This study used a mixed methods approach via an online survey to explore levels of psychological distress, help-seeking preferences, and engagement with counselling among Chinese international students at a New Zealand university. Findings support existing literature showing that Chinese international tertiary students experience high levels of distress and under-utilise counselling and other campus services, while the relationship between students and family is an important consideration to assist in mitigating psychological distress. Culturally appropriate interventions are needed to improve the wellbeing, and aid the integration, of Chinese students to their host country and educational environment.
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Eagle, Daniel, Fong Chan, Kanako Iwanaga, Antonio Reyes, Chung-Yi Chiu, Jill Bezyak, Jessica M. Brooks, John Keegan, and Veronica Muller. "Health Promotion for People with Disabilities: A Primer for Rehabilitation Counsellors." Australian Journal of Rehabilitation Counselling 23, no. 2 (November 27, 2017): 98–111. http://dx.doi.org/10.1017/jrc.2017.9.

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To engage in the community and the workplace requires physical, mental, and social health and wellbeing. Health promotion is a crucial rehabilitation counselling function for the health and wellbeing of people living with chronic illness and disability (CID). This exploratory review seeks to examine theories and models of motivation applicable to health promotion interventions in rehabilitation counselling practice. Although no single theory can address all the potential variables affecting people with CID's health behaviours, Bandura's (1977) concept of self-efficacy and outcome expectancy appear to be the most common factors in the health promotion models we surveyed. Among theories of motivation, only self-determination theory specifically includes a motivation variable, autonomy (internal and external motivation). We developed a diagram to depict a model, including all the theories and models covered in this exploratory review and identify commonalities among their constructs. This diagram can be used by rehabilitation counsellors to apply theories and models of motivation in case conceptualisation, formulating clinical hypotheses, developing treatment plans, and selecting and implementing evidence-based health promotion interventions for their clients.
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Glasheen, Kevin, and Marilyn Campbell. "The use of online counselling within an Australian secondary school setting: A practitioner’s viewpoint." Counselling Psychology Review 24, no. 2 (March 2009): 42–51. http://dx.doi.org/10.53841/bpscpr.2009.24.2.42.

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This paper proposes that the provision of online counselling services for young people accessed through their local school website has the potential to assist students with mental health issues as well as increasing their help seeking behaviours. It stems from the work of the authors who trialled an online counselling service within one Australian secondary school. In Australia, online counselling with the adult population is now an accepted part of the provision of mental health services. Online provision of mental health information for young people is also well accepted. However, online counselling for young people is provided by only a few community organisations such as Kids Help Line within Australia. School-based counselling services which are integral to most secondary schools in Australia, seem slow to provide this service in spite of initial interest and enthusiasm by individual school counsellors. This discussion is the product of reflection on the potential benefits of this trial with a consideration of relevant research of the issues raised. It highlights the need for further research into the use of computer-mediated communication in the provision of counselling within a school setting.
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Choate, Julia, Danica Vojisavljevic, Fiona Y. Carroll, David Carroll, Caitlin E. Filby, and Bernhard Dichtl. "Recommendations for a ‘Wellbeing Curriculum’ to Mitigate Undergraduate Psychological Distress Associated with Lack of Careers Confidence and Poor University Engagement." Higher Education Studies 12, no. 4 (October 29, 2022): 92. http://dx.doi.org/10.5539/hes.v12n4p92.

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To foster a ‘wellbeing curriculum’ in a climate with an increasingly competitive graduate jobs market, we believe it is critical to support undergraduate career development and to develop positive peer and educator relationships, particularly for non-vocational degree programs. However, these relationships between undergraduate wellbeing and their career development or peer/educator relationships have not been specifically examined. This study used a mixed methods approach to examine if poor career development or university engagement (quality of relationships with peers or educators, use of the university careers and counselling services, time studying) were associated with psychological distress for students in non-vocational degree programs. Undergraduates (biomedical science; n=1100) from five Australian universities participated in a survey to investigate relationships between psychological distress, as determined by their responses to the Depression, Anxiety and Stress Scales, and their career development or university engagement. Almost half of the students lacked confidence in their ‘future employment and job prospects’. Students’ psychological distress was significantly correlated with lack of confidence with their career development, poor relationships with their peers and educators and little use of the counselling service. Further exploration of these factors in student focus groups highlighted stress associated with academic competition between students and a critical need for undergraduate career development, especially industry placements. We provide pivotal recommendations to promote undergraduate and educator wellbeing, by developing a ‘wellbeing curriculum’ that supports career development and positive relationships between students and their peers and educators, particularly vital for non-vocational degrees.
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Rogers, Amy. "Promoting health and wellbeing across community nursing teams: role of the specialist practitioner district nurse." British Journal of Community Nursing 26, no. 5 (May 2, 2021): 224–27. http://dx.doi.org/10.12968/bjcn.2021.26.5.224.

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There is a growing concern around the health and wellbeing of community nurses due to the high complexities of and demand on district nursing services. It is well recognised that district nursing services have no limits to their capacity, and they have been dealing with an increasing caseload, with no increases in resources or staff. Consequently, this has left community nurses feeling exhausted and experiencing burnout, which, in the long term, can lead to compassion fatigue, which can in turn compromise patient safety. Specialist practitioner qualified district nurses (SPQDN) require the skills and knowledge to promote health and wellbeing, in order to provide a positive work environment and limit work-related stress and burnout despite the challenges encountered. This article explores possible strategies to promote health and wellbeing among community nurses and the barriers that SPQDNs encounter in doing so.
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Mwenda Marambi, Jeremy. "Strategies for Emotional Healing among Adventist Pastors in Central Kenya." EAST AFRICAN JOURNAL OF EDUCATION AND SOCIAL SCIENCES 3, no. 1 (January 21, 2022): 1–7. http://dx.doi.org/10.46606/eajess2022v03i01.0140.

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This paper explored how pastors in Central Kenya Conference can experience emotional healing using 40 pastors as participants in the questionnaire and eight pastors’ representatives in the interview as informants. The study employed a questionnaire and an interview protocol as data collection instruments. The questionnaire was administered to the purposively selected participants, five (5) from each of the eight stations. In addition, interviews were conducted with the eight pastors’ representatives to deduce their particular views and perspectives on emotional hurt and healing. Five items emerged: prayer, sermons, good relationships, forgiveness and counselling support as healing strategies. The study thus recommends that for emotional healing and/or wellbeing to take place, pastors should be intentional about prayer, believing in what they preach, reconciling their broken relationships, forgiving in order to be forgiven and embracing counselling services.
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Wong, Paul T. P., and Timothy T. F. Yu. "Existential Suffering in Palliative Care: An Existential Positive Psychology Perspective." Medicina 57, no. 9 (September 1, 2021): 924. http://dx.doi.org/10.3390/medicina57090924.

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The COVID-19 pandemic has exposed the inadequacies of the current healthcare system and needs a paradigm change to one that is holistic and community based, illustrated by the healing wheel. The present paper proposes that existential positive psychology (PP 2.0) represents a promising approach to meet the rising needs in palliative care. This framework has a twofold emphasis on (a) how to transcend and transform suffering as the foundation for wellbeing and (b) how to cultivate our spiritual and existential capabilities to achieve personal growth and flourishing. We propose that these objectives can be achieved simultaneously through dialectical palliative counselling, as illustrated by Wong’s integrative meaning therapy and the Conceptual Model of CALM Therapy in palliative care. We then outline the treatment objectives and the intervention strategies of IMT in providing palliative counselling for palliative care and hospice patients. Based on our review of recent literature, as well as our own research and practice, we discover that existential suffering in general and at the last stage of life in particular is indeed the foundation for healing and wellbeing as hypothesized by PP 2.0. We can also conclude that best palliative care is holistic—in addition to cultivating the inner spiritual resources of patients, it needs to be supported by the family, staff, and community, as symbolized by the healing wheel.
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Kingi, Roman, Wani Erick, Vili Hapaki Nosa, Janine Paynter, and Debra de Silva. "Pasifika preferences for mental health support in Australia: focus group study." Pacific Health Dialog 21, no. 7 (June 22, 2021): 373–79. http://dx.doi.org/10.26635/phd.2021.110.

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Introduction: Mental wellbeing is a growing health issue for Pacific Islands communities (Pasifika), particularly amongst people who have resettled in a different country. We explored whether Pasifika people living in Australia think mental health services meet their needs. Methods: We ran eight two-hour focus groups with 183 adults living in Queensland, Australia. There were representatives from the following ethnic groups: Cook Islands, Fiji, Maori, Niue, Papua New Guinea, Samoa, Tokelau and Tonga. We also included mental health providers. We analysed the feedback using thematic analysis. Findings: Pasifika people welcomed having an opportunity to discuss mental wellbeing openly. They said that economic issues, social isolation, cultural differences, shame and substance use contributed to increasingly poor mental health amongst Pasifika communities in Australia. They wanted to work with mainstream services to develop culturally appropriate and engaging models to support mental wellbeing. They suggested opportunities to harness churches, community groups, schools, social media and radio to raise awareness about mental health. Conclusions: Working in partnership with Pasifika communities could strengthen mainstream mental health services and reduce the burden on acute services in Australia. This could include collecting better ethnicity data to help plan services, empowering community structures to promote mental wellbeing and training staff to support Pasifika communities. The key message was that services can work ‘with’ Pasifika communities, not ‘to’ them.
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Crawford, Nicole L., and Susan Johns. "An Academic's Role? Supporting Student Wellbeing in Pre-university Enabling Programs." Journal of University Teaching and Learning Practice 15, no. 3 (July 1, 2018): 5–26. http://dx.doi.org/10.53761/1.15.3.2.

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Student wellbeing and mental health are increasingly a concern of universities. Most universities provide central counselling services and, in recent years, some have introduced wellbeing programs. However, an unrecognised source of support and pastoral care for students is academic staff. This pilot research project explored the experiences of academic staff in one university’s enabling programs in terms of the type of support academic staff provide (academic and/or non-academic), how equipped they perceive they are to support their students, and how this role impacts on them. The study is qualitative; interviews were conducted and a thematic analysis undertaken. It was found that academic staff viewed supporting their students as part of their role, particularly due to the diverse and complex nature of the cohort, and noted that students sought support from them for academic and non-academic issues because they had a rapport with them, trust and regular contact. A positive finding was that the academic staff had clear boundaries and lines of referral, which means they were not taking on pseudo-counselling roles. How equipped staff perceived they were and how the support role impacted on them varied depending on their teaching role. The findings in this exploratory study prompt a re-conceptualisation of the academic role. The article proposes a model of support that is holistic, student and course centred, and that integrates the centrally-located university counsellors. Furthermore, it posits that at the core of the enabling programs is a philosophy of care.
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Ashipala, Daniel Opotamutale, Esther Kamenye, Frans Muronga, and Len Tooley. "HIV Voluntary Counselling and Testing in Namibia: Status, Successes, and Barriers." Global Journal of Health Science 11, no. 1 (December 24, 2018): 162. http://dx.doi.org/10.5539/gjhs.v11n1p162.

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Voluntary Counselling and Testing is one of the strategies to respond to the increasing number of Human Immunodeficiency Virus/Acquired immunodeficiency syndrome (HIV/AIDS) new infections. The purpose of this study was to assess the current status of HIV Voluntary Counselling and Testing (VCT) in Rundu urban and identify the barriers to fully effective service.The objectives of the study was to identify the barriers that prevents effective HIV Voluntary Counselling and testing services; asses its success and determine its status in urban, Namibia. A qualitative explorative and descriptive design was employed in this study where all health care and HIV/AIDS professionals including hospital nurses, employees and New Start VCT Centres, and representatives from relevant NGOs, Community-Based Organizations (CBOs), and the Ministry of Health and Social Services (MoHSS)providing Voluntary Counselling services in Rundu urban in Namibia were interviewed. In this study, in depth individual interview structured in accordance with interview guide was used. Content analysis method was employed to analyze the data. Themes that emerged from this study includes: Fear of a positive results (stigma that accompanies seropositivity) and lacks of perceived benefit to getting tested. In addition, financial barriers affecting the poorest populations in Rundu. To increase access and relevance of VCT services, it is recommended that the Ministry of Health and Social Services should develop more detailed counselling guidelines and increase the scope of counselling by addressing the inadequacies of current risk reduction. Despite these hopeful possibilities a number of barriers remains before VCT can be fully effective.
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Robb, Kirsty, Gemma Barber, and Fay Mohedeen. "Making waves: nurse-led urgent community response." British Journal of Community Nursing 27, no. 1 (January 2, 2022): 6–10. http://dx.doi.org/10.12968/bjcn.2022.27.1.6.

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Anyone in England over 18 whose health or wellbeing suddenly deteriorates at home will have access to an urgent community response (UCR) team within 2 hours by April 2022. Community nursing services are providing the core service model to provide these crisis response services. Nurse leads from three UCR accelerator sites (Kirklees, Warrington and Bromley) elaborate on how they are making waves of change for the better, using their clinical skills and building key relationships with other health services. Acutely unwell patients are being seen by practitioners with advanced assessment skills, which keeps eight out of 10 patients at home safe, avoiding hospital admission.
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Coutinho, Sonia B., Pedro IC Lira, Marilia C. Lima, Paulo G. Frias, Sophie H. Eickmann, and Ann Ashworth. "Promotion of exclusive breast-feeding at scale within routine health services: impact of breast-feeding counselling training for community health workers in Recife, Brazil." Public Health Nutrition 17, no. 4 (July 11, 2013): 948–55. http://dx.doi.org/10.1017/s1368980013001833.

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AbstractObjectiveBreast-feeding counselling has been identified as the intervention with the greatest potential for reducing child deaths, but there is little experience in delivering breast-feeding counselling at scale within routine health systems. The study aim was to compare rates of exclusive breast-feeding associated with a breast-feeding counselling intervention in which community health agents (CHA) received 20 h of training directed at counselling and practical skills with rates pre-intervention when CHA received 4 h of didactic teaching.DesignCross-sectional surveys of breast-feeding practices were conducted pre- and post-intervention in random samples of 1266 and 1245 infants aged 0–5·9 months, respectively.SettingRecife, Brazil, with a population of 2 million.SubjectsCHA (n 1449) of Brazil's Family Health Programme were trained to provide breast-feeding counselling at home visits.ResultsRates of exclusive breast-feeding improved when CHA were trained to provide breast-feeding counselling and were significantly higher by 10–13 percentage points at age 3–5·9 months when compared with pre-intervention rates (P < 0·05). Post-intervention point prevalence of exclusive breast-feeding for infants aged <4 months was 63 % and for those aged <6 months was 50 %.ConclusionsMultifunctional CHA were able to deliver breast-feeding counselling at scale within a routine health service and this was associated with a significant increase in rates of exclusive breast-feeding. The study reinforces the need to focus training on counselling and practical skills; a key component was an interactive style that utilized the knowledge and experience of CHA. The findings are relevant to the call by international organizations to scale up breast-feeding counselling.
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Duncan, Monica. "Population health management and its relevance to community nurses." British Journal of Community Nursing 24, no. 12 (December 2, 2019): 596–99. http://dx.doi.org/10.12968/bjcn.2019.24.12.596.

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Local services can provide better and more joined-up care for patients when different organisations work collaboratively in an integrated system. Population health management (PHM) provides the shared data about local people's current and future health and wellbeing needs. Joint care planning and support addresses both the psychological and physical needs of an individual recognising the huge overlap between mental and physical wellbeing. Joint posts and joint organisational development are likely to become more commonplace and community nurses will have a vital contribution to planning and delivery of integrated care to improve health and care outcomes for their local populations.
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44

Kromberg, JGR, J. Parkes, and S. Taylor. "Genetic Counselling as a Developing Healthcare Profession: A Case Study in the Queensland Context." Australian Journal of Primary Health 12, no. 1 (2006): 33. http://dx.doi.org/10.1071/py06006.

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Given a dearth of empirical and baseline data regarding genetic counselling in Australia, this study examined genetic counselling services in Queensland from January 1998 to December 1999. Secondary analysis was conducted with data from the Queensland Clinical Genetics Service (QCGS). During the study period, 8007 clients were seen in 4817 counselling sessions in urban and regional settings, with general practitioners (GPs) constituting the second largest referral source of clients. Genetic counsellors contributed to 80% of clinical genetic sessions as sole and co-counsellors, and counselled across 79 different disorders. Prenatal diagnosis counselling constituted the greatest workload with demands for cancer counselling increasing. Counsellors also provided educational and information services to individuals, families, general practitioners, health professionals and the community. The ratio of counsellors per head of population was less than national recommendations. Thus, although the existing model of genetic service delivery in Queensland demonstrates accessibility, the service in general is underutilised. As developments in genetic technology continue, this profession is expected to grow further and has the potential to contribute to service delivery at the primary health care level.
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45

Watling, David, Samantha Batchelor, Brian Collyer, Sharna Mathieu, Victoria Ross, Susan H. Spence, and Kairi Kõlves. "Help-Seeking from a National Youth Helpline in Australia: An Analysis of Kids Helpline Contacts." International Journal of Environmental Research and Public Health 18, no. 11 (June 3, 2021): 6024. http://dx.doi.org/10.3390/ijerph18116024.

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Counselling helplines or hotlines are key support services for young people with mental health concerns or in suicide and self-harm crises. We aimed to describe young peoples’ use of a national youth helpline (Kids Helpline, Australia, KHL) to understand how usage changed over time. A descriptive analysis was conducted on 1,415,228 answered contacts between 2012–2018. We described the trend of service usage over the observed period, the types of youth who used the service, and the problems young people contacted the service about. Phone (APC = −9.1, KHL: −10.4 to −7.8, p < 0.001) and email (APC = −13.7, 95%CI: −17.1 to −10.2, p < 0.001) contacts decreased over time whereas webchat contacts increased (APC = 16.7, 95%CI: 11.7 to 22.0, p < 0.001). With this increase in webchat contacts, there was an associated increase in total webchat contact duration. Concerns raised in contacts to the service were primarily related to emotional wellbeing and mental health concerns (53.2% phone, 57.3% webchat, 58.2% email) followed by social relationship issues (20.4% phone, 20.3% webchat, 16.8% email) and family relationships (19.4% phone, 17.2% webchat, 21.8% email). The increased preference for online text-based information and counselling services can help inform development of services for young people and allocation of staff/service training and resources.
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46

Franklin, John, Diane Gibson, and Jan Merkel-Stoll. "Market demand for counsellors and other professionals: 1984-1990." Journal of Psychologists and Counsellors in Schools 4 (November 1994): 39–49. http://dx.doi.org/10.1017/s1037291100001898.

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Despite rapid growth in the number of counsellors, almost no data are available concerning labour market demand, and the expectations of employers. This study surveyed 6298 positions available to counsellors, psychologists, social workers and occupational therapists in the state of New South Wales during the years 1984-1990. Over this period the demand for counsellors grew by 148%, a figure which far exceeded that of psychologists, social workers or occupational therapists. Only the demand for community mental health workers increased at a faster rate. The employment base for counsellors was concentrated in community health, hospital, welfare, corrective services and education. The main duties of counsellors were in counselling, community education and liaison, program development, drug and alcohol services, family case work, group work, assessment and testing, individual case work, and staff development and education. Counsellors were distinguished from psychologists and other health professionals by the emphasis placed on counselling, program development and the provision of drug and alcohol services. The number of advertised duties expected of counsellors increased by 29% over the six years, and there was an increased demand for the skills with which counsellors were identified. The demand for prior work experience and a postgraduate qualification also increased over time, whilst there was a decline in the proportion of senior positions. The results are discussed in terms of the need for the counselling profession to be more market oriented, and for certain critical employment-related skills to be incorporated into the education of counsellors.
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47

Baba, Zawiyah, and A. Abrizah. "Transformation strategies in community engagement." IFLA Journal 44, no. 2 (May 25, 2018): 90–105. http://dx.doi.org/10.1177/0340035218778435.

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This paper examines initiatives developed in Malaysian libraries to enhance library roles in promoting knowledge and technology exchange as well as community wellbeing. It explores how libraries in Malaysia are transforming society through community engagement and highlights initiatives undertaken by libraries that promote community access to collections, services, and events. The success of the initiatives is demonstrated in seven transformation strategy themes, namely; (i) embedded services; (ii) bridges and web technology; (iii) strategic and institutional partnering; (iv) rural libraries; (v) community libraries; (vi) asset-based community development; and (vii) international librarianship. While it is often cited that public libraries are those that serve the community at large, this paper provides the perspective from other types of library viewpoints, emphasizing that such community outreach services should not be limited to public libraries. The library science community at large, and especially academic libraries, must play a role in community engagement.
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48

O'Brien, Wendy. "Youth Justice: Challenges in Responding to Young People Convicted of Sexual Offences." Deakin Law Review 16, no. 1 (August 1, 2011): 133. http://dx.doi.org/10.21153/dlr2011vol16no1art97.

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The clinical and criminological literature on adolescents who have committed sexual offences indicates that the pathologisation of young people and a labelling or overly punitive response is likely to be more harmful than rehabilitative. Accordingly, therapeutic counselling and diversionary schemes are seen as preferable to custodial terms in most instances. For adolescents convicted of sex offences, clinicians identify the benefits of comprehensive therapeutic care which involves family and is sensitive to the young person’s context and culture. The benefits of this approach are documented and, although data are limited, indications are that recidivism is reduced where adolescents are provided with specialised counselling to encourage positive and non-abusive behaviours. In Australia, each state and territory has provisions for youth justice clients serving custodial or community orders for sexually abusive behaviours. Yet each jurisdiction experiences challenges in ensuring the delivery of equitable and comprehensive therapeutic services, particularly to regionally and remotely located youth. This paper draws on data from a national study of the therapeutic services to children and adolescents with sexualised or sexual offending behaviours. With attention to the difficulties in providing services to regionally and remotely located adolescents, this paper highlights challenges around lengthy remand terms, the provision of pre-offence diversionary programs, and the provision of specialised supervision for young people serving community orders. For example, jurisdictions with the largest geographic service areas face enormous difficulties in providing specialised supervision for community-based orders. At present, there are several jurisdictions where regionally and remotely located adolescents may serve the duration of a youth justice order without receiving specialised counselling to assist them in modifying their behaviours. The paper identifies the risks where specialised counselling cannot be provided, but also identifies specific initiatives designed to fill these gaps in service provision to youth justice clients.
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Yeung, Polly, and Awhina English. "A survey of knowledge, attitudes and behaviours regarding sexual wellbeing among Chinese women living in New Zealand – a pilot study." Aotearoa New Zealand Social Work 24, no. 1 (July 8, 2016): 14–30. http://dx.doi.org/10.11157/anzswj-vol24iss1id138.

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The aims of the study were to assess sexual wellbeing knowledge and attitudes among Chinese women living in New Zealand and to investigate the factors that prevented them from seeking support from sexual wellbeing services. Seventy-nine Chinese women from Hong Kong, China and Taiwan were recruited through community and personal networks to complete a self-report survey, which included questions on socio-demographics, self-rated adjustment, knowledge of sexual wellbeing, importance of understanding sexual wellbeing, cultural influences, structural influences, and willingness to seek information and assistance. The findings in this study suggested that younger Chinese women lacked sexual wellbeing knowledge and were less likely to seek support when compared to their older age group counterparts. Three out of the eight variables assessed were found to make a significant contribution in the willingness of Chinese women seeking support from sexual wellbeing services. These were knowledge of sexual wellbeing, self-perceived importance of gaining an understanding of sexual wellbeing issues and cultural influences. Our results suggest that despite the length of residency and self-rated adjustment in New Zealand, traditional Chinese values and beliefs continue to influence the perceptions of Chinese women regarding their sexual wellbeing. Interventions to improve sexual and reproductive wellbeing in this population, particularly younger Chinese women, should be tailored to the specific enabling and reinforcing factors that include cultural views, communications between Chinese women and health and social services providers, and access to healthcare information.
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Howard, April, Stephanie Riger, Rebecca Campbell, and Sharon Wasco. "Counseling Services for Battered Women." Journal of Interpersonal Violence 18, no. 7 (July 2003): 717–34. http://dx.doi.org/10.1177/0886260503253230.

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Approximately 15% of married or cohabiting women and as many as 60% of battered women are raped at least once by their partners. This study compared community-based counseling outcomes of battered women with outcomes of women who were both raped and battered by their partners. Over time, both groups improved in wellbeing and coping. Although those both battered and raped progressed more in counseling, they had lower scores before and after counseling compared to women who were battered only. Implications for research and intervention are discussed.
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