As a counsellor, you will sometimes need to refer clients to other services. Ken speaks about what we might look for in a client that would suggest referral is necessary, and how to make a referral. He also looks at inward referrals – that is, receiving clients from other agencies.

In general, it is better to refer a client as soon as possible, before the therapeutic relationship is established. There are various situations in which referral may be the best option:

• As counselling is not an emergency service, it is important to signpost clients with really urgent problems to ‘blue-light’ services, such as the Samaritans. This could happen without even meeting the client, for example over the telephone (either person-to-person or through a message on your answerphone).
• Another occasion when referral is called for is when a potential client wants appointments at times when you are unavailable – or perhaps you are already booked up.
• Sometimes, we may not be the right person to counsel a particular client. For example, a client may have a preference for a male or female counsellor; it is important that the client is free to express such preferences.
• When you are working with an agency where the number of sessions is strictly limited, a client with complex issues may be better referred to a counsellor who will be able to continue for longer.
• The client may not feel you are a good fit for them, and may wish to change to a different counsellor.
• Your modality of therapy – or you as an individual, given your personal history – may not be a good fit with the client’s presenting issue.

Ken goes on to look at respectful ways to make referrals, stressing the importance of ensuring you know about the other services available, and of building a good network (which also may bring inward referrals).