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Unit 22: Developing Counselling Skills for health and social care

Unit code: K/601/1653
QCF level: 4
Credit value: 15
• Aim The aim of this unit is to enable learners to investigate the role of counselling in health and social care, and to use and
evaluate their own counselling skills.
• Unit abstract

The focus of this unit is on the identification, practice and development of counselling skills. On completion of the unit, learners will have had the opportunity to develop inter-related skills required to initiate, maintain and conclude a counselling interaction. Learners will also explore appropriate theoretical perspectives that underpin counselling and how the core models of counselling may be applied in health and social care situations. Learners will acquire an understanding of
ethical considerations in counselling and the ethical codes that govern counselling practice. Learning should take place through the use of role play, with peer and tutor observation and feedback supporting learners to develop the self-awarenessand skills needed for counselling interactions. This unit will enable learners to develop appropriate counselling
skills to support their work role in health and social care.

• Learning outcomes
On successful completion of this unit a learner will:
1 Understand how theoretical perspectives apply to counselling work in health and social care
2 Understand how boundaries and ethical codes are applied in counselling work in health and social care
3 Understand the role of counselling interactions in health and social care services
4 Be able to demonstrate appropriate skills in a simulated counselling interaction.

Unit content

Understanding specific need in health and social care

Unit 6 Research project
1 Understand how theoretical perspectives apply to counselling work in health and social care
Theoretical perspectives: psychodynamic, humanistic, cognitive-behavioural Contribution of major theorists: theories of Freud, Klein; theories of Rogers, Perls, personality theory; theories of Ellis, Beck, 4-stage problem-solving
2 Understand how boundaries and ethical codes are applied in counselling work in health and social care
Counselling relationship: boundaries eg political, social, organisational; context of work; policies and procedures; professional counselling contract Ethical guidelines: British Association for Counselling and Psychotherapy (BACP) Code of Ethics; other emerging guidelines as appropriate; other professional codes eg Nursing and Midwifery Council Legal factors: legislation relating to data protection, anti-discriminatory practice, protection of vulnerable people; professional liability, indemnity Role of supervision: nature of counselling supervision, different models of supervision, importance for ethical practice
3 Understand the role of counselling interactions in health and social care services Individuals

users of health and social care services; health and social care workers Scope: access eg availability, internal or external to service organisation, referral, funding Potential benefits: to individuals, groups, communities; those who work in the organisation; benefits eg behaviour change, enhanced health and wellbeing, alleviation of symptoms Factors influencing the use of counselling interactions: influencing factors eg access, confidential environment, resource availability, organisational culture, professional boundaries

4 Be able to demonstrate appropriate skills in a simulated counselling interaction Initiate and establish

satisfactory demonstration of skills relating to: setting boundaries, confidentiality, opportunity to disclose, clarification of counsellor role, recognising feelings, reviewing techniques, managing self in interaction, use of Stage 1 skills Maintain and develop: satisfactory demonstration of skills relating to: managing silence, timing of responses, managing personal feelings and agendas, use of challenging skills, use of ‘here and now’, facilitating of client self-understanding, setting goals with client, use of an integrated and structured approach, use of Stage 1 and 2 skills Conclude: demonstrate Stage 1, 2 and 3 skills;
satisfactory demonstration of skills relating to: exploration of strategies for client to achieve goals, enabling client choice, information offered acceptable and free from bias, managing ending Evaluate development of own skills: outcomes for client of the interaction; skills used and their effectiveness; management of self eg own feelings, strengths and weaknesses, learning from personal journal, responses to feedback from others, application to workplace role, personal insights, self-awareness gained

Learning outcomes and assessment criteria
Learning outcomes
Assessment criteria for pass On successful completion of The learner can:
this unit a learner will:
LO1 Understand how theoretical
1.1 compare the contribution of major theorists to the perspectives apply to different perspectives used in counselling
counselling work in health
1.2 evaluate the use of different theoretical perspectives in and social care counselling interactions in health
and social care
LO2 Understand how boundaries
2.1 explain how current ethical guidelines for counsellors and ethical codes are applied and supervisor practitioners
influence counselling to counselling work in health interactions in health and social care

Unit 4 – Personal  and professional development in health and social care

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and social care
analyse the legal factors that
should be considered in
counselling interactions in health
and social care
evaluate the role of supervision
in counselling
LO3 Understand the role of
explain the scope of counselling
support available for
counselling interactions in
individuals using health and
social care services
health and social care
analyse the factors that influence
the use of counselling
interactions in health and social
care services
explain potential benefits of
counselling interactions for
individuals within health and
social care services
LO4 Be able to demonstrate
initiate and establish a
counselling relationship using
appropriate skills in a
counselling skills
simulated counselling
maintain and develop the
relationship using counselling

Understanding specific need in health and social care
conclude the interaction using
counselling skills
evaluate development of own
counselling skills.
This unit has links with, for example:
•Unit 1: Communicating in Health and Social Care Organisations
•Unit 8: The Sociological Context of Health and Social Care
•Unit 10: Safeguarding in Health and Social Care
•Unit 11: The Role of Public Health in Health and Social Care
•Unit 16: Understanding Specific Needs in Health and Social Care
•Unit 18: Complementary Therapies.
This unit also has links with the National Occupational
Standards in Health and Social Care. See Annexe B for mapping.
This unit also has links with the National
Occupational Standards in Leadership and Management for Care Services. See Annexe C for mapping.
Essential requirements
Learners need opportunities to develop their
counselling skills through role plays throughout the delivery of the unit.
An introduction to the work of different
theorists and how it relates to counselling interactions will be required with
opportunities for learners to discuss the use of counselling skills within
health and social care work.
Learners must be prepared to develop self-awareness through the feedback on the practical role play
in class from tutors and peers. Learners are not expected to engage in
counselling interactions with clients to achieve this unit.
It is essential that role play is conducted with
appropriate respect for confidentiality. Access to counselling services will be
necessary to support individual learners if required.
Employer engagement and vocational contexts
An experienced counselling practitioner with
teaching experience is recommended for the delivery and assessment of this
unit. A guest speaker from a counselling service would also be a useful

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