Health and science
Counsellor
Summary
This occupation is found in various sectors including mental health, healthcare, education, and social services. Counsellors work in a wide range of settings including GP surgeries, hospitals, universities, community centres, rehabilitation facilities, prison services, business, and non-profit organisations. In the mental health sector, employers can range from small community clinics to large hospitals or counselling centres. Counsellors who meet professional association membership requirements require practitioner training at Level 4 minimum, which includes practical experience through supervised clinical work.
The broad purpose of the occupation is to provide a supportive therapeutic relationship to individuals experiencing emotional, mental, or psychological challenges. Counsellors aim to improve the overall wellbeing of their clients. They do this by helping them navigate through difficult emotions, develop coping strategies, and make positive changes in their lives. Counsellors employ a wide range of therapeutic approaches and techniques to help clients address issues. Issues can be common mental health problems, relationship difficulties, trauma, addiction, grief, stress management, and personal development. They provide a safe and confidential space for clients to express their concerns, explore their emotions, and find ways to make a positive change. Counselling sessions may be conducted one-on-one, in groups, or with families, depending on the specific needs of the client. Key duties of a counsellor involve conducting assessments, working therapeutically with clients and maintain accurate records. The work environment may involve responding to risk factors, such as dealing with clients in crisis or situations involving trauma. Counsellors may deal with issues relating to the duty of care regarding safeguarding children, young people, and vulnerable adults. Online and phone counselling also require specific considerations, including the need for secure communication platforms and the ability to establish rapport without face-to-face interaction. Counsellors may need to travel to various locations for meetings or sessions.
In their daily work, an employee in this occupation interacts with colleagues within their own organisation. Externally, they may establish professional relationships with referral sources. An agency counsellor will report to a line manager who oversees their work, provides guidance, and evaluates their performance. Counsellors also engage in regular clinical supervision which is a professional service designed to support their ethical and safe practice.
An employee in this occupation will be responsible for the safety and wellbeing of themselves and their clients. They do this by effectively managing caseloads and adhering to relevant regulations, ethical guidelines, and professional standards. They usually work autonomously and receive supervision or consultation from more senior professionals. They may be responsible for providing additional therapeutic materials.
This standard is derived from the Scope of Practice and Education (ScOPEd) framework for column A therapists.
The SCoPEd framework is a ground-breaking shared standards framework, developed by six Professional Standards Authority accredited bodies, including BACP, which represent approximately 75,000 counsellors and psychotherapists.
Typical job titles include
- College counsellor | Counselling and wellbeing advisor | Digital counsellor | Remote counsellor | Therapist | Trauma therapist | University counsellor and wellbeing co-ordinator | Wellbeing counsellor
Knowledge, skills and behaviours (KSBs)
K1:
Professional and legal frameworks, legislation and safeguarding policies relevant to own role to practise safely and ethically within the law.
K2:
Principles of team-working across multi-disciplinary teams.
K3:
Principles of confidentiality and privacy of clients from unauthorised access or disclosure.
K4:
Types of frameworks that can be used for meetings within therapy settings.
K5:
Processes for establishing a contract with the client using initial assessment and evaluation of risk factors whilst recognising the clients' expectations and therapeutic needs within own professional limitations.
K6:
Risks and benefits of all forms of technologically mediated therapy, communication and practical and ethical demands of client suitability.
K7:
Different verbal and non-verbal communication methods and how to provide and receive information which may be complex, sensitive and or contentious.
K8:
Legislation and organisational policies relating to equity and diversity, and how to consider the diversity of own and clients' identities, views and experiences.
K9:
Principles of professional and personal boundaries in online relationships with clients.
K10:
The impact of types of third party presence on a therapy session.
K11:
Types of common mental health problems and symptoms of psychological distress, the role of psychiatric drugs and issues relating to dependence and withdrawal.
K12:
The inter-relatedness of psychological and physical illnesses.
K13:
Processes for containing clients in crisis through trauma, suicidal or self-harming behaviours.
K14:
The purpose, nature and process of therapy and the therapeutic relationship.
K15:
Importance of the role and purpose, issues of power, and relational patterns within the therapeutic relationship.
K16:
The importance of trust, client autonomy and working with emotional content are essential elements of a therapeutic relationship.
K17:
Processes of unspoken agendas within the therapeutic relationship and session.
K18:
How technologically mediated therapy can have an effect a lowering of inhibition in either the client and or the counsellor and the impact this has on the therapeutic relationship.
K19:
Types of difficulties or ruptures in the therapeutic relationship.
K20:
The impact of planned and unplanned breaks and endings and how to make professional arrangements for them.
K21:
Rationale, philosophy and key features underpinning therapeutic practice.
K22:
Skills and interventions that are consistent with underlying theoretical knowledge.
K23:
Processes for change within a core, coherent theoretical framework.
K24:
Audit and evaluation tools for reviewing own counselling work.
K25:
Types of research relevant to own role.
- Reference:
- OCC1192
- Status:
Approved occupation
- SOC 2020 code:
- 0
- SOC 2020 sub unit groups:
S1:
Comply with professional, legal and ethical frameworks relevant to own role to practise safely and ethically within the law.
S2:
Work collaboratively with teams and individuals.
S3:
Communicate with clients, colleagues and other professionals when providing and receiving information which may be complex, sensitive and or contentious.
S4:
Maintain client confidentiality and privacy and conduct therapy meetings using secure frameworks for both therapist and clients.
S5:
Collaborate with the client to agree a shared understanding of the purpose, nature and process of therapy and the therapeutic relationship.
S6:
Maintain and review a contract with the client providing regular opportunities for the client to review and feedback their experience of therapy.
S7:
Establishing agreements on the therapeutic work which attends to the needs of the client, the skills of the counsellor and the time available.
S8:
Consider the client’s suitability for technologically mediated therapy, taking account of risks and benefits, using appropriate responses to manage the practical and ethical demands of all forms of technologically mediated therapy and communication.
S9:
Use communication skills when reflecting on and responding to the client’s verbal and nonverbal communication as part of the therapeutic process.
S10:
Consider the diversity of own and clients' identities, views and experiences when working therapeutically with them.
S11:
Carries out ethical decision-making with regards to aspects of diversity and its impact upon the relationship and therapeutic process.
S12:
Apply professional and personal boundaries in online relationships with clients.
S13:
Practice working safely with a third party present in the therapy sessions.
S14:
Work with common mental health problems and symptoms of psychological distress during assessment and throughout therapy, including the implications of psychiatric drugs, dependence and withdrawal for clients in therapy.
S15:
Work collaboratively with clients with trauma, suicidal behaviours and or self-harming behaviours.
S16:
Use a therapeutic modality to work safely with clients.
S17:
Establish, sustain and develop therapeutic relationships with clients to engender trust and authentic connection.
S18:
Work with power dynamics within the therapeutic relationship and manage the client’s expectations and understanding of therapy and the relationship with the counsellor.
S19:
Work with the client to support and enhance their autonomy.
S20:
Listen to the client’s emotions to respond therapeutically to the emotional content of sessions.
S21:
Use awareness of client’s implicit needs and motivations during therapeutic processes.
S22:
Regulate the impact that associated inhibition has on the online or phone therapeutic relationship.
S23:
Respond to difficulties or ruptures in the therapeutic relationship.
S24:
Communicate about planned or unplanned breaks and endings to ensure client safety and support in case of emergencies.
S25:
Use appropriate therapeutic interventions and or responses.
S26:
Use skills and techniques to help the client to become aware of recurring patterns in their relationships to facilitate therapeutic change and review the process of change from a core, coherent theoretical therapeutic perspective.
S27:
Use skills and interventions that are informed by theoretical knowledge for the benefit of the clients, inviting the clients to use cognitive skills and techniques to work towards therapeutic goals.
S28:
Apply relevant research evidence to own practice.
S29:
Apply an ethical framework to resolve conflicts and ethical dilemmas, examining ethical dilemmas through consultation with supervisor and or other professionals.
S30:
Communicate with clients and other professionals to manage the process of referral during assessment and throughout therapy.
S31:
Conduct risk assessments for client and public safety which adhere to safeguarding laws and communicate with clients and relevant parties when working in ongoing risk situations.
S32:
Manage crisis situations for client by providing information about self-care strategies and making arrangements for future meetings or contact.
S33:
Establish and maintain professional boundaries with clients.
S34:
Respond to the client’s agenda, focus, therapeutic needs and pace.
S35:
Foster and maintain a safe and therapeutic relationship.
- Reference:
- OCC1192
- Status:
- Approved occupation
- SOC 2020 code:
- 0
- SOC 2020 sub unit groups:
B1:
Show adaptability, reliability, competence, resilience and responsibility when responding to client needs, to support a strong therapeutic relationship.
B2:
Show respect, empathy and self-awareness when communicating with clients, using constructive feedback to improve the therapeutic process.
B3:
Have courage to seek advice, address concerns, work within own limits of competence and evidence-based best practices, to maintain boundaries.
B4:
Treat people with dignity, respecting diversity, culture, values, beliefs, privacy and preferences.
B5:
Be self-aware and self-reflective to develop own practice, maintain self-care and wellbeing and engage in continuous professional development.
- Reference:
- OCC1192
- Status:
- Approved occupation
- SOC 2020 code:
- 0
- SOC 2020 sub unit groups: