“…Early process evaluations of telephone counseling interventions focused on helper‐offered conditions of empathy, warmth, and genuineness (Rogers, 1957), which are representative of helping approaches of many telephone crisis centers to this day. Studies found moderate levels of these conditions as rated on simulated calls and role‐plays, variations between centers, and increased levels associated with training and experience (Bleach & Claiborn, 1974; Caruthers & Inslee, 1974; France, 1975; Kalafat, Boroto, & France, 1979; O'Donnell & George, 1977); however, the relationship between these conditions and call outcomes was not assessed. Other studies have assessed the presence and timing of the components of the helping model and examined their relationships to caller outcomes through follow‐up calls to callers (Echterling & Hartsough, 1989; Echterling, Hartsough, & Zarle, 1980; Young, 1989).…”