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Contracts
It is important that a contact be drawn up between the client and the counsellor.
It is essential that all those who work within a pastoral setting realise that we do not always have all the answers.
THE COUNSELLING CONTRACT
Confidential
Date of initial interview..........................................Carried out by...................................
Age: Under 18 (specify) ......... 18-29.................30-49......................
50-59.................60 or over .............
Marital status ...................................................................................................................
Relevant family details......................................................................................................
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Is he/she seeing anyone else? Please tick:
Psychiatrist Psychologist Social Worker Solicitor Counsellor Minister
Doctor- If yes, GP’S name and address............................................................................
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Details of medication if any ...............................................................................................
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Details of any recent medical problems, previous major illness or nervous disorder
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Does he/she attend church NO/YES
Where................................................................................................................................
Minister’s / church leader’s name.....................................................................................
Does the minister.church leader know you are being counselled NO/YES
Is there any objection to the minister/church leader knowing? NO/YES
Any dates or times when he/she unavailable for counselling
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Working agreement between Shiloh We Care Centre and ...........................................(Name of Client )
The purpose
The purpose of this agreement is to ensure that there is a clear understanding of the basis upon which Shiloh We Care Centre will be working with a client.
What is the Shiloh We Care Christian Counselling Centre ?
The centre is part of the Shiloh Pentecostal Church and is a registered charity based in Ashwin St, Dalston, London. It is run by committed Christians who are seeking to serve and support those who are in need.
Code of conduct
Our code of conduct clearly emphasises the rights, choices and respect for individuals. As christians we believe that everyone is unique and of equal value; we seek to serve others in a non judgemental, non superior way.
Confidentiality
Confidentiality is a key element in our practice, but due consideration should be given before disclosing anything of a criminal nature to a counsellor as Shiloh may have a legal obligation to report such a matter. Exceptional circumstances may arise which give the Director of the Centre good grounds for believing that the client will cause serious physical harm to others or to himself/herself or may have harm caused to him/her. Whenever possible in such circumstances the client’s permission will be sought before breaking confidentiality.
We have a moral and at times legal obligation to inform social services of any recent or current acts of sexual or physical abuse upon a child and will inform the client accordingly.
If appropriate , the Centre may seek permission to contact other agencies, members of the medical profession or minister/church leader. Subsequently if it is in the client’s best interest a referral to one of these parties may be suggested.
As standard professional procedure summary notes of all meetings with the client will be taken. These will be coded to maintain confidentiality and will be kept in a locked cupboard.
Availability
An initial appraisal meeting will be arranged according to the availability of a counsellor.
Future meetings will be by appointment -- the client is asked to inform the centre if unable to keep an appointment.
Meetings wil normally be for one hour, so punctuality is important. The frequency of appointments will be arranged with the counsellor.
Meetings will be with one or two counsellors. If it is thought to be in the client’s best interest., or in the case of illness, another member of the team may be introduced into meetings.
Existing help
If the client is on medication he/she should remain on it .
If the client is under a professional agency or if he/she is seeing a doctor, psychiatrist, or any other professional he/she should continue.
Complaints procedure
If for any reason the client is unhappy with any aspect of his/her involvement with the Shiloh Centre this should initially be discussed with the counsellor, and if a satisfactory solution cannot be found comments should be put in writing and addressed to the Director of the Centre.
Payments
Shiloh We Care Centre provides its services free of charge as part of its service to the community but donations are always very acceptable especially if you are in employment.
Client’s responsibility
The client is free to leave counselling at any stage, though he/she may be advised to consult his/her doctor or another counsellor.The client will remain responsible at all times for his/her actions. Shiloh Centre does not accept liability for personal injury, death or loss of belongings. Shiloh Centre retains the right to terminate this contract at its discretion.The client’s statutory rights are in no way affected by any of the terms of this agreement.
I have read the above and agree to abide by the conditions set out.
SIGNED.............................................. .........................................................
Client for Shiloh Centre
Date................................................. Date................................................
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