Crisis-intervention counseling was implemented with hospitalized patients for whom illness or injury and hospitalization constituted the crisis. Its longterm as well as short-term psychological effects were monitored. When compared with a biographically and psychologically similar sample who were not counseled, counseled patients on discharge from the hospital showed the hypothesized short-term reductions in anxiety and in indirectly expressed anger. Their self-perceptions of helplessness were fewer, whereas their statements of competence increased. On follow-up 12 months later, reductions in their levels of anxiety were found to be even more notable, and more expressions of direct anger were observed. Reductions in depression proved statistically significant only on follow-up. Significant effects for self-perceptions were not apparent on follow-up. Although the findings for short-term effects provided some support for the use of crisis-intervention counseling to achieve immediate goals, the long-term effects suggested that it may have potential for achiev-" ing primary prevention goals.People in crisis are passing through a phase of disturbed psychological equilibrium on the way to a new equilibrium (Caplan, 1955(Caplan, ,1961. This disturbance lasts only for a short period of days or weeks. It usually occurs as a reaction to a change in their world and so requires changes in the assumptions they make about themselves in that world (Kelly, 1955;Parkes, 1971). People in crisis suddenly face different circumstances that demand different coping responses from them. The crisis is, therefore, a time of cognitive disorganization and emotional disturbance, and also a time of increased vulnerability to external influences (Pasewark & Albers, 1972;. For this reason, and because the extent to which crises are effectively resolved seems to be largely a function of the interpersonal sup-This work was supported by a grant from the Commonwealth Department of Health, Australia. We wish to thank Ms. Rosemary Caruana and the part-time members of the research team for their help with data collection and analysis. We also wish to thank the crisis-intervention counselors.