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‣ Formação e participação políticas de conselheiros de escola: o caso do município de Suzano/SP (2005 - 2009); Political formation participation of the school counselors: the case of the municipality of Suzano-SP (2005-2009).

Perrella, Cileda dos Santos Sant' Anna
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 10/02/2012 Português
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Esta tese trata da formação política e da participação política dos conselheiros de escola que atuaram no município de Suzano São Paulo, no período de 2005 a 2009, particularmente no que diz respeito aos familiares das crianças. Procuramos analisar em que medida esse tipo de formação contribui para a luta pela democratização da gestão da escola e para a elaboração de propostas de formação política por parte do poder público. O estudo foi organizado de modo a abordar no primeiro capítulo a questão da formação e da participação política. A partir de um conceito amplo de educação, ressaltamos a educação não formal e popular desenvolvida no mundo da vida, em diferentes processos participativos como campo privilegiado para a formação política preocupada com a tomada de decisões e com a democratização das relações. No segundo capítulo, privilegiamos o tema da institucionalização dos espaços de participação, tecendo considerações sobre a escola e sobre o Conselho de Escola, entendendo que não basta a criação de espaços democráticos de participação para que se garantam direitos legalmente firmados. Na sequência, apresentamos o contexto desta pesquisa, expondo, além das características do município de Suzano...

‣ Treinamento em saude mental para conselheiros espirituais; Training in mental health to spiritual counselors

Maria Candida Becker
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 31/01/2008 Português
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Nossa intenção foi capacitar clérigos e leigos que trabalham com Aconselhamento Espiritual, em Saúde Mental e Técnicas Psicoterápicas. Nosso objetivo foi: planejar, realizar, analisar o resultado do Treinamento em Saúde Mental para Conselheiros Espirituais, e pesquisar a vivência no Aconselhamento dos participantes antes e depois do Treinamento. O modelo da Pesquisa-Ação foi a base da metodologia utilizada para o Treinamento, as entrevistas semi-estruturadas foram analisadas pelo método fenomenológico e interpretadas através do referencial da Psicologia Analítica e abordagens Bíblico-Teológicas. Tivemos seis alunos, três pastores e três conselheiros leigos; quatro são Batistas e dois Presbiterianos. A experiência em Aconselhamento Espiritual variou entre seis e vinte e um anos. Os resultados indicam que é possível para os Conselheiros Espirituais reunir os recursos da tradição do Aconselhamento, as elucidações aprendidas da Psicologia e as noções de Psicopatologia para um trabalho mais eficaz em Aconselhamento Espiritual; Our intention was to train clergy and laymen who work with Spiritual Counseling, in Mental Health and Psychological Techniques. Our objectives were: to plan, accomplish, analyze the results of Training in Mental Health to Spiritual Counselors...

‣ Breastfeeding advice given to African American and white women by physicians and WIC counselors.

Beal, Anne C.; Kuhlthau, Karen; Perrin, James M.
Fonte: Association of Schools of Public Health Publicador: Association of Schools of Public Health
Tipo: Artigo de Revista Científica
Publicado em //2003 Português
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OBJECTIVE: This study determined rates of breastfeeding advice given to African American and white women by medical providers and WIC nutrition counselors, and sought to determine whether racial differences in advice contributed to racial differences in rates of breastfeeding. METHODS: The study used data from the 1988 National Maternal and Infant Health Survey, a cross-sectional survey of a nationally representative sample of mothers with a live birth, infant death, or fetal death in 1988. The authors compared white women (n=3,966) and African American women (n=4,791) with a live birth in 1988 on self-reported rates of medical provider and WIC advice to breastfeed, WIC advice to bottlefeed, and breastfeeding. RESULTS: Self-reported racial identification did not predict medical provider advice. However, being African American was associated with less likelihood of breastfeeding advice and greater likelihood of bottlefeeding advice from WIC nutrition counselors. In multivariate analyses controlling for differences in advice, being African American was independently associated with lower breastfeeding rates (odds ratio [OR] = 0.41, 95% CI 0.32, 0.52). CONCLUSIONS: African American women were less likely than white women to report having received breastfeeding advice from WIC counselors and more likely to report having received bottlefeeding advice from WIC counselors. However...

‣ Evaluating and Training Substance Abuse Counselors: A Pilot Study Assessing Standardized Patients as Authentic Clients

Fussell, Holly E.; Shannon-Lewy, Colleen; McFarland, Bentson
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2009 Português
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Clinician training and supervision are needed to transfer evidence-based practices to community based treatment organizations. Standardized patients (SPs) are used for clinician training and evaluating. However, to be effective for substance abuse counselors, SPs must realistically portray substance abuse treatment clients. The current study assessed authenticity of SPs as substance abuse treatment clients. Twenty-one substance abuse counselors interviewed SP(s) with differing profiles. Counselors provided quantitative and qualitative ratings of SP authenticity. Counselor responses to the study procedures were analyzed as well. Quantitative results include high authenticity ratings for the SPs but counselors’ subjective responses varied. Counselor’s rated the experience of participating in the study positively and provided constructive comments for future applications of this methodology. Results support future work on SPs as teaching and evaluation tools in substance abuse counseling. Findings also illustrate the need to refine definitions of authenticity for SPs as substance abuse clients.

‣ A Randomized Trial Comparing Two Models of Web-Based Training in Cognitive Behavioral Therapy for Substance Abuse Counselors

Weingardt, Kenneth R.; Cucciare, Michael A.; Bellotti, Christine; Lai, Wen-Pin
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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This study compared training outcomes obtained by 147 substance abuse counselors who completed 8 self-paced online modules on Cognitive Behavioral Therapy (CBT), and attended a series of four weekly group supervision sessions using web conferencing software. Participants were randomly assigned to two conditions that systematically varied the degree to which they explicitly promoted adherence to the CBT protocol, and the degree of control that they afforded participants over the sequence and relative emphasis of the training curriculum. Outcomes were assessed at baseline and immediately following training. Counselors in both conditions demonstrated similar improvements in CBT knowledge and self-efficacy. Counselors in the low-fidelity condition demonstrated greater improvement on one of three measures of job-related burnout when compared to the high-fidelity condition. The study concludes that it is feasible to implement a technology-based training intervention with a geographically diverse sample of practitioners, that two training conditions applied to these samples of real-world counselors do not produce statistically or clinically significant differences in knowledge or self-efficacy, and that further research is needed to evaluate how a flexible training model may influence clinician behavior and patient outcomes.

‣ The implementation of tobacco-related brief interventions in substance abuse treatment: A national study of counselors

Knudsen, Hannah K.; Studts, Jamie L.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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The vast majority of individuals receiving substance abuse treatment also use tobacco, which suggests that smoking cessation is an important clinical target for most clients. Few studies have measured the extent to which addiction treatment counselors address clients’ tobacco use. In this study, we examined counselors’ implementation of brief interventions that are consistent with the US Public Health Service’s clinical practice guideline, Treating Tobacco Use and Dependence, when counselors are engaging new clients in treatment. We hypothesized that counselors’ implementation of tobacco-related brief interventions is associated with organizational and counselor-level factors. Data were collected from 2,067 counselors via mailed surveys. Implementation of recommended brief interventions during intake was significantly lower among counselors reporting greater barriers to smoking cessation services within their organizational context. Perceived managerial support for smoking cessation services was positively associated with implementation. Counselors with greater knowledge of the PHS guideline and who believed in the positive impact of smoking cessation interventions on sobriety reported greater implementation. Relative to counselors who have never been tobacco users...

‣ Recovery at Work: The Relationship Between Social Identity and Commitment Among Substance Abuse Counselors

Curtis, Sara L.; Eby, Lillian T.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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The complex makeup of the substance abuse treatment workforce poses unique challenges to the field. One interesting dynamic is the high rate of counselors who are personally recovering from addictions. Based on social identity theory, it was expected that counselors working in the field of substance abuse treatment who are in recovery themselves will identify more with their profession and report higher professional and organizational commitment. Data from a study of substance abuse counselors from across the United States supports the proposed relationship between personal recovery status and professional commitment but not organizational commitment.

‣ Occupational turnover intentions among substance abuse counselors

Rothrauff, Tanja C.; Abraham, Amanda J.; Bride, Brian E.; Roman, Paul M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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This study examined predictor, moderator, and mediator variables of occupational turnover intention (OcTI) among substance abuse counselors. Data were obtained via questionnaires from 929 counselors working in 225 private substance abuse treatment (SAT) programs across the U.S. Hierarchical multiple regression models were conducted to assess predictor, moderator, and mediator variables of OcTI. OcTI scores were relatively low on a 7-point scale, indicating that very few counselors definitely intended to leave the SAT field. Age, certification, positive perceptions of procedural and distributive justice, and hospital-based status negatively predicted OcTI. Counselors’ substance use disorder impacted history moderated the association between organizational commitment and OcTI. Organizational turnover intention partially mediated the link between organizational commitment and OcTI. Workforce stability might be achieved by promoting perceptions of advantages to working in a particular treatment program, organizational commitment, showing appreciation for counselors’ work, and valuing employees from diverse backgrounds.

‣ A Criterion-Based Stepwise Approach for Training Counselors in Motivational Interviewing

Martino, Steve; Canning-Ball, Monica; Carroll, Kathleen M.; Rounsaville, Bruce J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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This pilot study evaluated a criterion-based stepwise approach for training counselors in motivational interviewing (MI). Three sequential steps of training in MI were provided to 26 counselors who worked within U.S. State of Connecticut Veterans Administration addiction treatment programs: a distance learning Web course (step 1); a skill-building workshop (step 2); and competency-based individual supervision (step 3). Counselors first participated in the course and then only received the next step of training if they failed to meet an independently rated criterion level of adequate MI performance. The results showed that counselors who showed inadequate MI performance immediately after taking the Web course and who subsequently participated in a workshop or supervision improved their adherence to fundamental MI strategies over time, whereas those who performed MI adequately following the Web course continued to demonstrate similar levels of fundamental and advanced MI adherence and competence over a 24-week period without additional training. The pilot study’s findings, though preliminary, suggest that different counselors likely require different types and amounts of training in order to perform a behavioral treatment well.

‣ Training addiction counselors to implement CBT for depression

Hepner, Kimberly A.; Hunter, Sarah B.; Paddock, Susan M.; Zhou, Annie; Watkins, Katherine E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /07/2011 Português
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Many clients in publicly funded substance abuse treatment programs suffer from depression yet lack access to effective mental health treatment. This study sought to examine whether addiction counselors could be effectively trained to deliver group CBT for depression and to ascertain client perceptions of the treatment. Five counselors were trained in the therapy and treated 113 clients with depression symptoms. Counselors demonstrated high fidelity to the therapy and client perceptions of the therapy were positive. Our results suggest that training addiction counselors to deliver group CBT for depression is a promising integrated treatment approach for co-occurring depression and substance disorders.

‣ Incentive-Related Human Resource Practices for Substance Use Disorder Counselors: Salaries, Benefits, and Training

Rothrauff, Tanja C.; Abraham, Amanda J.; Bride, Brian E.; Roman, Paul M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 01/01/2011 Português
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Understanding factors associated with incentive-related human resource practices for substance use disorder counselors can help promote a stable workforce in this occupation. We examined three counselor incentives—salaries, benefits, training—and the link with organizational, counselor, and patient characteristics. Data were collected in 2007/08 via face-to-face interviews with 345 administrators/clinical directors in private treatment centers. Centers paid counselors an average of $38,800 annually and provided a mean of 2.83 benefits and 1.61 training (0-4 scales). Characteristics differed based on the incentive. Centers’ managements need to be aware of different incentives that can help attract and retain counselors.

‣ Survey of Genetic Counselors and Clinical Geneticists’ Use and Attitudes Towards Pharmacogenetic Testing

Haga, Susanne B.; O’Daniel, Julianne M.; Tindall, Genevieve M.; Mills, Rachel; Lipkus, Isaac M.; Agans, Robert
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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Pharmacogenetic (PGx) testing aims to improve therapeutic outcomes through tailoring treatment based on a patient’s genetic risk for non-response and/or an adverse event. Given their expertise, geneticists could facilitate the use of PGx testing; however, , the preparedness and perceived role of the clinical genetics community is unclear. To assess the attitudes, preparedness, and perceived roles of geneticists in the delivery of PGx testing, we conducted a survey of 1500 randomly selected board-certified genetic counselors and clinical geneticists in the U.S (response rate: 37.8% (n=516)). Twelve percent of genetic counselors and 41% of clinical geneticists indicated that they had ordered or coordinated patient care for PGx testing, a seemingly high proportion at this early stage of adoption. Almost all respondents had some education on pharmacogenetics, though only 28% of counselors and 58% of clinical geneticists indicated they felt well-informed about PGx testing. About half of counselors (52%) and clinical geneticists (46%) felt they would play ‘some’ role in the delivery of PGx testing; 17% and 19%, respectively, felt that they would play ‘no’ or ‘a little’ role. At this early stage of PGx testing, the role of geneticists and genetic counselors is unclear. However...

‣ Healthcare Providers’ Perceptions of Breastfeeding Peer Counselors in the Neonatal Intensive Care Unit

Rossman, Beverly; Engstrom, Janet L.; Meier, Paula P.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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In this qualitative descriptive study we examined the perceptions of 17 neonatal intensive care unit (NICU) healthcare providers (nurses, neonatologists, lactation consultants, and dietitians) about the role of breastfeeding peer counselors who were mothers of former NICU infants and who provided primary lactation care in the NICU. Findings revealed that the healthcare providers respected the peer counselors’ lactation expertise and identified three critical elements that contributed to the effectiveness of the peer counseling program: having a champion for the program, counselors being mothers of former NICU infants, and a NICU culture supportive of using human milk. Healthcare providers thought the peer counselors enhanced care of the infant by empowering mothers to provide milk and by facilitating and modeling positive patterns of maternal-infant interactions.

‣ Causes, Consequences, and Prevention of Burnout among Substance Abuse Treatment Counselors: A Rural versus Urban Comparison

Oser, Carrie B.; Biebel, Elizabeth P.; Pullen, Erin; Harp, Kathi LH
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
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Substance abuse counselors are vulnerable to burnout, which has negative repercussions for the counselor, employing organization, and clients. However, little is known about differences in counselor burnout from the counselors’ perspective in rural versus urban treatment centers. In 2008, focus group data from 28 rural and urban counselors in a southern state was analyzed, revealing three burnout themes across all counselors: causes, consequences, and prevention. However, there were various differences between rural and urban counselors in sub-themes with only rural counselors citing office politics and low occupational prestige as causes of burnout. Only urban counselors reported responses endorsing the sub-themes of role reversal, clients trying to choose their counselors, and changing jobs as consequences of burnout. All counselors cited co-worker support, clinical supervision, and self-care as important strategies for managing burnout. In sum, context clearly matters as rural counselors cited more causes of burnout; yet, the implications of burnout are universal in that they often lead to poor quality clinical care. There is a continued need for greater understanding of addiction as a disease, which would reduce stigma, especially in rural areas...

‣ Training Addiction Counselors to Implement an Evidence-Based Intervention: Strategies for Increasing Organizational and Provider Acceptance

Woo, Stephanie M.; Hepner, Kimberly A.; Gilbert, Elizabeth A.; Osilla, Karen Chan; Hunter, Sarah B.; Muñoz, Ricardo F.; Watkins, Katherine E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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One barrier to widespread public access to empirically supported treatments (ESTs) is the limited availability and high cost of professionals trained to deliver them. Our earlier work from two clinical trials demonstrated that front-line addiction counselors could be trained to deliver a manualized, group-based cognitive behavioral therapy (GCBT) for depression, a prototypic example of an EST, with a high level of adherence and competence. This follow-up article provides specific recommendations for the selection and initial training of counselors, and for the structure and process of their ongoing clinical supervision. Unique challenges in working with counselors unaccustomed to traditional clinical supervision are highlighted. The recommendations are based on comprehensive feedback derived from clinician notes taken throughout the clinical trials, a focus group with counselors conducted one year following implementation, and interviews with key organization executives and administrators.

‣ Working Outside of the Box: How HIV Counselors in Sub-Saharan Africa Adapt Western HIV Testing Norms

Angotti, Nicole
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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The delivery of HIV counseling and testing programs throughout Sub-Saharan Africa relies on the work performed by trained HIV counselors. These individuals occupy a critical position: they are intermediaries between the rule-making of international and national policymakers, and the norms of the communities in which they live and work. This paper explains when, how and why HIV counselors adapt Western testing guidelines (the ‘3Cs’- consent, confidentiality and counseling) to local concerns, attempting to maintain the fidelity of testing principles, while reducing the harm they perceive may arise as a consequence of strict adherence to them. Data for this study come from Malawi: a poor, largely rural African country, where HIV prevalence is ranked 9th highest in the world. The analysis is based on 25 interviews with HIV counselors and a unique set of field journals, and captures local experiences and the moral quandaries that counselors in rural Sub-Saharan Africa face. The findings of this inquiry provide new insights into the implementation of HIV testing in rural African settings, insights that may guide HIV prevention policy.

‣ Job Frustration in Substance Abuse Counselors Working with Offenders in Prisons Versus Community Settings

Perkins, Elizabeth B.; Oser, Carrie B.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
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Substance abuse counselors who work with offenders are facing increasing caseloads which puts them at higher risk for job frustration. The purpose of this study was to explore differences between substance abuse counselors employed in prison versus community settings in terms of level of organizational support and job frustration. This study also investigated whether organizational support was associated with job frustration after controlling for counselor characteristics and workplace setting. This was accomplished utilizing data that was collected from 267 counselors as part of the Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) research cooperative. Results indicated that counselors employed in community settings, as compared to those employed in prisons, are more likely to report higher levels of perceived organizational support. In addition, ordinal logistic regression results reveal that counselors who are non-white and have greater levels of organizational support have less job frustration, after controlling for counselor characteristics and workplace setting. The research to practice implications are discussed.

‣ Community college grief counseling services : a national survey of grief counseling services for counselors at community colleges in the United States

Bocchino, Gregory P. (1971 - ); Marquis, Andre
Fonte: University of Rochester. Publicador: University of Rochester.
Tipo: Tese de Doutorado Formato: Number of Pages:x, 198 leaves
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Thesis (Ed. D.)--University of Rochester. Margaret Warner Graduate School of Education and Human Development, 2008.; Empirical research on the grief experience of undergraduates in the United States has not traditionally focused on the experiences of students and counselors providing services at community colleges. Six hundred and ten counselors were surveyed to gain a better understanding of the training and education in grief of the professional counseling staff at national community colleges. The type and frequency of counseling services and resources (individual counseling, group counseling, workshops, seminars, techniques and strategies used, assessments, printed materials, etc.) that are provided to community college students experiencing issues of grief and loss, and representative descriptive data from a sample of counselors about the nature and scope of these services were examined. Counselors at community colleges reported the most frequent grief and loss situations that they have counseled students for in the past 5 years were the following: loss of relationship (84.5%), dropping out/withdrawing from school (83.7%), financial/money problems, loss of income (79%), loss of job/employment (76.9%), divorce (77.5%), and accidental deaths (motor vehicle...

‣ La responsabilité civile des conseillers en génétique au Québec et les conséquences juridiques de la non-reconnaissance : vers un encadrement juridique?

Zawati, Ma'n Hilmi Mohammad
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
Português
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Depuis maintenant quelques décennies, les conseillers en génétique jouent un rôle de plus en plus important dans le domaine de la génétique médicale. Leur apport ainsi que l’importance de leur rôle sont aujourd’hui incontestables. Leur statut juridique, cependant, demeure incertain et requiert une analyse approfondie. En effet, n’étant pas reconnue par le Code des professions du Québec, la pratique du conseil génétique se trouve conséquemment privée de la protection octroyée par ce Code aux autres professionnels, notamment celle ayant trait au titre et à l’exclusivité des actes. Devant ce statu quo et dans l’optique de la protection du public, l’étude de la responsabilité civile du conseiller en génétique s’avère nécessaire. Trois obligations principales ressortent de cette analyse, soit les obligations de compétence, de renseignement et de confidentialité. En ce qui a trait aux conséquences juridiques de la non-reconnaissance, elles ne sont pas négligeables. En vérité, l’inertie du législateur québécois floue la relation qu’a le conseiller en génétique avec les autres membres de son équipe multidisciplinaire, et ce, surtout en ce qui a trait à la délimitation des actes qu’il peut prodiguer. En effet...

‣ Genetics and Personal Insurance: the Perspectives of Canadian Cancer Genetic Counselors

Lane, Michelle; Ngueng Feze, Ida; Joly, Yann
Fonte: Springer US Publicador: Springer US
Tipo: Artigo de Revista Científica
Português
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Genetic discrimination in the context of genetic testing has been identified as a concern for symptomatic and asymptomatic individuals for more than three decades. Genetic counselors are often the health care professionals who discuss risks and benefits of genetic testing with patients, thereby making them most appropriate to address patient concerns about genetics and personal insurance (i.e., life, life as related to mortgage or group insurance, disability, critical illness and travel). A pilot study was conducted to ascertain the current practices of Canadian cancer genetic counselors in regard to their discussions with patients about genetic testing and access to personal insurance. Among the 36 counselors surveyed, 100 % reported discussing the issue of genetic testing and personal insurance with their patients. Several factors influenced the content, depth and length of these discussions including age, cancer status, family members, and patients’ current and future insurance needs. Counselors reported discussing with patients the possible impact of genetic test results on access to personal insurance, possible access and use of patient genetic information by insurance companies, and whom patients should contact if they have additional questions. The most commonly reported inquiries from patients included questions about the possible impact of genetic testing on their ability to obtain insurance...