No abstract

Counselors working with adults in transition can integrate the principles of character development with talk therapy, creating a framework for dialogue about the relationship between clients' character identity and their personal struggles and successes. Intervention strategies are proposed focusing on developing character identity for more effective decision making and authentic living.

We have conducted a telelink telephone-led cancer genetic counselling model at The Royal Marsden NHS Foundation Trust. The study commenced in March 2004 and evaluation of the clinic was conducted over 17 months from March 2005 to the end of July 2006. A total of 612 patients had telephone consultations during this time, 228 of whom were referred from primary care with a median of 30 patients counselled per month (range of 19-63, depending on staff availability with average of two staff per clinic). Waiting times were measured for General Practitioner referrals and all 228 were counselled within the national target-stipulated 13 weeks (median 6 weeks, range 1-12). An additional 132 patients who were sent appointment letters after receipt of their family history questionnaires did not attend their appointments (18% of all potential referrals) and required recontacting by letter. After telephone counselling, 42% of patients were able to be discharged from the telephone clinic without a subsequent face-to-face appointment, thereby saving resources. The telephone clinic also had a short set-up time with flexibility on timing and day of administration, which would be an advantage in centres where outreach clinic facilities are scarce. The telelink telephone counselling model is highly efficient in triaging high risk individuals for face-to-face counselling as per the Kenilworth model, in effecting concentration of resources and in providing a flexible individual-centred approach to cancer genetic counselling delivery.

Presented is an actual workshop to enhance the personal and professional development of volunteers and their relationship with others. This workshop is a follow up to information in the article, "Enhancing volunteer effectiveness" which appeared in the May/june (1996) issue of The American Journal of Hospice & Palliative Care.

The characteristics of being genuine/congruent, having an unconditional positive regard and an empathic understanding, can be integrated into the training volunteers receive prior to assignment with patients/families. Understanding and practicing these concepts may further promote the interpersonal relationships volunteers have with patients/families and other hospice professionals.