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As contributing to the quality of patient care, as increasing access to counselling for potential clients and as improving the status and job satisfaction of counsellors. Over half of the clients interviewed had found the counselling of substantial and lasting help and only one fifth reported no help at all. However, there were significant discrepancies between the assessments of clients, those of their counsellors and those of their CPs., emphasising the dangers of equating client satisfaction with professional judgements.

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