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Setting up in Independent Practice

Setting up in Independent Practice

Robert Bor | Anne Stokes

(2010)

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Book Details

Abstract

Working in independent practice can be attractive to therapists for a myriad of reasons; however, the practical challenges can also seem considerable. How can you negotiate these challenges to build a thriving counselling practice that fits with your personal aims and professional ambitions?

For example:
• What do you need to consider when choosing your practice location?
• Where does marketing and promoting your practice fit in?
• How can you build a support network when working independently?

These questions, and many more, are discussed in this compact guide. Written by two highly regarded authors and practitioners, the book gives hands-on advice and support in planning, setting up and running independent practice.

Packed with tips, tools and practical strategies for you to find your own way of working, the book:

• Explores issues of engaging with clients, from the first client intake interview to practical arrangements for holiday periods
• Discusses managing your finances, including setting fee structures and the pros and cons of doing your own accounts
• Pinpoints risk factors for working in independent practice and discusses practical ways to manage these
• Encourages you to assess your own practice through reflective exercises

An in-depth and practical guide to working independently, this is an indispensable tool for both counselling and psychotherapy trainees considering their career options post-qualification, and established practitioners looking to refine their practice and revisit their skills in light of changing ambitions and circumstances.


An honest, comprehensive and much-needed text guiding trainees and professionals through the complex process of setting up in independent practice, exploring practical aspects of private work

ROBERT BOR is Consultant Clinical Psychologist in the Medical Specialities Directorate at the Royal Free Hospital, London, UK. He is a Chartered Clinical, Counselling and Health Psychologist, a Chartered Scientist, as well as a Fellow of the British Psychological Society. He is also a UKCP Registered Family Therapist.

ANNE STOKES is Co-Director of Counselling Online Ltd, as well as Course Co-ordinator and Tutor at University of Bristol, UK. She has been an external examiner at Lewes MA26, University of Reading, Southampton University (New MA26) and West Kent MA26. A BACP Accredited Counsellor her clients have included NHS Trust, CAB, Victim Support, Vodafone, Diocesan Training Board and Drugs and Alcohol Rehabilitation Trust.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents v
Acknowledgements ix
About the Authors x
1 Introduction 1
The impetus behind the growth in independent practice 2
Your professional identity or 'tag' 5
Conclusion 8
Reflexive points 9
2 Advantages and Disadvantages of Independent Practice 10
Introduction 10
Types of independent practice 11
Why choose this way of working? 11
Advantages of working independently 12
What are the disadvantages? 16
Stress and stressors 20
Conclusion: will independent practice suit you? 24
Reflexive points 25
3 Choosing the Practice Location 26
Introduction 26
Location 26
Accessibility 27
Sharing with other therapists 28
Sharing with other professionals 29
Proximity to other therapists 29
Suitability of rooms for different client groups 29
Safety and security 29
Cheerfulness 30
Professional appearance 30
Choice of furnishings 30
Special issues when working from home 31
Conclusion 32
Reflexive points 32
4 Managing Your Time 33
Introduction 33
Think what we can learn from big business 34
Don't waste down time whinging 34
Finding a balance 34
How much time should we allow per client? 35
Managing the flow 36
Traditional or flexible contracts around sessions? 37
Making sure you record allocated times 37
Being available when clients want to see you 38
Clients with particular time needs 38
Weekend appointments 38
Holidays 39
Practical arrangements for holiday periods 40
Other interruptions to client work 41
Managing time within clients' finances 41
Endings 42
Time for administration 42
Dealing with out of session contacts from clients 42
Time spent on first appointments 43
Spend time on your resource book 44
Conclusion 44
Reflexive points 45
5 Financial Matters 46
Introduction 46
Trading or practice style 46
Developing a business plan 48
What do you need to earn? 52
Expenses 52
Plan your budget 52
How much income will I retain? 53
Using other professionals 53
Billing and charging 54
Determining your fee 55
Reduced fees 56
Collecting the fee 58
Managing cash flow 59
Business bank accounts 60
Debts 62
Pursuing debts 62
Expenses 63
Reducing your expenses 65
Conclusion 65
Reflexive points 66
6 Practical Aspects of Client Work 67
Introduction 67
Pre first session information 67
Contracts and client information 69
Focusing and goals 76
Reviewing and evaluating with clients 73
Client records 75
Conclusion 80
Reflexive points 81
7 Engaging with the Process 82
Introduction 82
The intake process in independent practice 83
How is this different from any other setting for therapy? 86
Forming a contract 89
Assessment for therapy in independent practice 93
Aims of assessment 93
When it is unwise to enter a contract as an independent practitioner 95
Conclusion 97
Reflexive points 97
8 Marketing Your Independent Practice 98
Introduction 98
What is marketing? 98
Ethical considerations 100
Determining what you are marketing 101
Trading style and image 103
Use of other professionals 105
Promoting yourself 105
Making use of the Internet 108
Applying marketing theories 110
Conclusion 116
Reflexive points 116
9 Managing Risk: Day to Day Issues 117
Introduction 117
Risks from ourselves 117
Assessing where we are 118
Risk assessment 119
Financial risks 120
Safety risks 126
Legal issues 131
Conclusion 133
Reflexive points 133
10 Managing Risk: Crunch Factors for Your Business 134
Introduction 134
Business mentor 137
The main reasons why independent practices fail 138
Minimizing risks 146
Conclusion 147
Reflexive points 148
11 Running the Practice and Support Networks 149
Introduction 149
External contacts 150
Continuing professional development (CPD) 159
Peer support 161
Supervision 161
Managing your diary 163
Conclusion 164
Reflexive points 165
12 Reflections on Private Practice 166
Introduction 166
Our reflections 167
Conclusion 174
References 175
Index 177