Onboarding SOP
Onboarding SOP
Onboarding SOP
Standard Operating
Procedure
1. Pre-onboarding
2. Welcoming new hires
3. Role-specific training
Note: Each set of practices have been elaborated subsequently along with which responsibility of
implementation has also been defined.
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1. Pre-onboarding
List of open ended questions.
Establishment will initiate the offer approval workflow with the desired salary and start date.
Confirm a verbal offer has been made to the candidate and an electronic offer letter has been
sent to the successful candidate.
Confirm receipt of signed offer letter from the successful candidate and notify all other
candidates the position has been filled.
2. Welcoming new hires
Initial 5 days training on Shubha Counselling Services Terms and Conditions and Roles and
Responsibilities.
3. Role-specific training
Health care - Maternity counselling
Geriatric counselling
Pre & Post Surgery counselling
Plastic surgery
Physiotherapy
Oncology
In- clinic & Clinical - How to take clinical consultation
Individual counselling
Relationship counselling
Sports Counselling
Education Counselling – Child counselling
Counselling services for school
Remedial Services
Corporate Counselling
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1. Health care: -
A. Maternity counselling
“To be pregnant is to be vitally alive, thoroughly women, and distressingly inhabited. Soul and spirit are
stretched-along with body-making pregnancy a time of transition, growth, and profound beginnings.” –
Anne Christian Buchanan
The joys of parenthood are incontestable and so are the undeniable struggles of a woman transitioning
into a mother. While motherhood is the most celebrated occasion for a woman, it must be acknowledged
that having a life growing inside and to sustain the process of giving birth not only takes a heavy toll on a
woman’s body but also on her mind.
At SCS, we understand the importance to address concerns that result from the impact motherhood has on
a woman’s emotional wellbeing.
According to recent studies, as many as 1 in 5 women suffer from mental problems during pregnancy or
after. New mothers have often experienced increased physical strain, anxiety or depression.
What we aim for
Pregnancy and child birth is not only physically exhausting but emotionally draining as well. This phase of
transition can be truly overwhelming for a woman which can trigger often mild to drastic behavioural
imbalances affecting the health of the mother and that of her child.
Through our integrated sessions on maternity counselling by professionals at SCS, we strive to resolve
psychological and emotional complexities in order to help our clients overcome their struggles in dealing
with the otherwise overlooked prenatal and postnatal issues.
Our invested efforts to deal with mental health issues is primarily focused on analysing the possible stress-
inducing factors affecting expecting mothers emotionally and psychologically.
Pregnancy woes: Identifying the challenges
Every mother has her own story to tell. This is because each woman experiences motherhood true and
unique to her own self. We encourage our clients to share their experiences by providing them a conducive
space for interactions with our experts in the field.
Women during pregnancy experience an extra baggage of emotions due to hormonal fluctuations. Some of
these emotions could be positive, strengthening their resolve while some can be distressing enough.
Expecting mothers tend to feel high levels of stress and anxiety otherwise known as PTSD or Post traumatic
stress disorder with regard to their concerns about their child’s health.
Researches have shown that as many as 10 to 15 out of 100 expectant mothers suffer from depression,
mood swings with increased sense of helplessness.
Coping with physical challenges during pregnancy can also be increasingly difficult for a woman and render
to heighten their emotional vulnerability. Morning sickness, insomnia, loss of appetite, aches and pains,
fatigue and indigestion are among the few concerns faced by women during pregnancy.
Major changes kick in after the child is born starting from erratic sleep routines, the constant attention to
the new born, shuffling between naps and feeding times leaving the mothers tired and fatigued during
most of the day.
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Adapting to new roles and responsibilities often leads to compromises in career prospects, unsolved issues
with partner leading to possible relationship strains, financial issues, the need for social gratification and
self-validation by loved ones and people around. Some women who have just given birth might not even
accept these aspects of motherhood.
Moreover, pressures from society in cultures that value family and children above anything, especially in
India, to conceive a child within the first year of marriage amounts to coercion on women disregarding her
choices as an individual.
Societal expectations of pregnant women and new mothers may lead many women to experience anxiety
or stress. Unsolicited advices from family, friends, and at times from even strangers passing remarks on the
habits and diet of pregnant women may often lead to women doubting their own ability to become good
mothers. As a result women tend to end up feeling irritated, angry or frustrated, which can further lead to
the lowering of their self-confidence.
Our Core Objective
We, at SCS understand and encourage women to voice their struggles during pregnancy and after
child birth to mitigate severe mental health problems.
The intervention of a therapist enables the women to be vocal about her concerns unapologetically
without the fear of being judged or treated as a taboo.
Maternity counselling is a two-way interpersonal communication process that helps pregnant
women examine personnel issues, make decisions, familiarise about the possible problems during
the course of pregnancy and after and also help respond to it.
We at SCS make use of carefully designed guidelines to provide holistic approach through sessions,
therapy and interactions for mothers suffering from any emotional or mental issues. Here we aim
to de-stigmatize any issues related to mental health and emphasize the value of open
communication. The struggle is real and very much so. The first step to be open about it is always
hard but once taken, half the battle is already won. The road to recovery is a process that we will
guide a mother through.
Our continuous efforts are to discard the treatment of mental health as a morbid idea and promote
it more as progressive approach in creating a better version of our own self. This is because every
mother deserves to be celebrated, cared for and valued, and not just be treated as someone
expected to make continued sacrifices at the expense of her emotional and physical health.
B. Geriatric counselling
“Aging is an extraordinary process where you become the person you always should have been.” – David
Bowie
Old age or senescence is the final stage, and can be the most rewarding in the lifetime of an individual. It is
a phase when a majority of an individual’s social aspects are influenced by the relationship of the
physiological effects of aging and the collective experiences and shared values of a generation particular to
the structure of the society in which it exists. While being often perceived as the ‘Golden years’ in an
adult’s life, in many ways, there are several challenges that the elderly population face.
The combination of aging and mental health problems produces a double disadvantage, and it has become
crucial to draw attention to this issue.
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At SCS, we offer geriatric counselling services to assist older adults who face difficulty with the transitions
of aging, with regards to their mental, psychological and emotional wellbeing, and also provide support to
enable them to age with dignity.
Health issues and stress among the elderly population are among the most noticeable traits as they
approach and pass middle age. The intervention of a therapist or a mental health professional may help
ease the adverse effects of this transition.
Understanding Geriatric Issues, Challenges faced by the Elderly
The elderly population is large in general and growing as we are living much longer due to the
advancement in health care and improved living conditions.
According to the World health Organization website, “People worldwide are living longer. Today, for the
first time in history, most people can expect to live into their sixties and beyond. By 2050, the world’s
population aged 60 years and older is expected to total 2 billion, up from 900 million in 2015. Today, 125
million people are aged 80 years or older. By 2050, there will be almost this many (120 million) living in
China alone, and 434 million people in this age group worldwide. By 2050, 80% of all older people will live
in low- and middle-income countries.”
There is a growing body of evidence that suggests that psychological and sociological factors have a
significant influence on an individuals’ transition to ageing process. It should be realized that mental health
and older people’s services have, for long, been neglected as there are lots of stigma related to the
discussion relating to mental health issues and out-dated stereotypes about elderly people by the
communities they live in.
These notions lead to isolation and marginalization, due to which, within the broader spectrum of care, the
promotion of mental health and well-being in later life has been the least visible area of concern.
With advancing age, a common notable aspect is the inevitable loss of connection with friends and other
social networks that eventually lead to difficulty to initiate new friendships.
Older adults are often faced with numerous physical, psychological and social role changes that challenge
their sense of self and capacity to live happily. They even face difficulty in distinguishing the normal effects
of advancing age from signs of actual physical or mental illness.
A normal part of the aging process is to experience some changes in cognition. Studies have found that
healthy older adults often experience mild decline in the areas of:
Visual and verbal memories
Visuo-spatial abilities
Immediate memory or the ability to name objects
Hearing and vision
Bodily strength
Appetite and energy level
A study was conducted to investigate the relationships among depression, loneliness and sociability in
elderly people. Often they lose their sense of purpose and become victims of various psychological and
mental conditions, which include depression, loneliness, paranoia and anxiety in old age. These can result
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from living alone due to lack of close family ties, reduced connections with their culture of origin, financial
insecurities, physical health issues and mental health issues such as Alzheimer’s, which is a progressive
condition that also impacts memory and mental function.
All of these result in an inability to actively participate in community activities that further lead to
adversely affecting them emotionally with a loss of confidence.
Sadly, these conditions are often overlooked by their children and younger ones. A therapy counselling can
help the elderly to guide them to feel better and contented with themselves that can enable them to live a
better life.
As a society, we should do more to make things easier for our aging population to help them cope with the
biggest challenges that comes with age. With innovative ways to involve the elderly in the community
through social events, we not only help them maintain a sense of identity and self-esteem but also benefit
from the abundance of knowledge and experience they have gained over the years.
Counselling provides for an Informal social support to older people in difficult situations that can account
for many positive aspects contributing to physical and mental well-being. It gives a sense of personal
control, autonomy and competence in reducing the negative effects of stressful life situations that can in
turn help older adults progressing through the period of aging more easy.
Importance of Geriatric Counselling
Geriatric Counselling is a process involving physical and psychological assessment services for older adults.
The role of a therapist along with counselling is to provide direct care, treatment for mental health issues,
and assistance with problems interfering with a senior’s quality of life.
A health care professional can help older adults become accustomed to the changes that are common
during this transitional phase of aging. Therapy can help elderly people to manage their emotions and help
them find new sources of support systems for enjoyment and add meaning.
Counselling therapy for the elderly population has been found to be effective and clearly superior and safer
to singularly depending on medications because of the increased risk of pharmacological side effects.
A combination of counselling and medications prescribed by trained physicians and mental health experts
can be a successful intervention for older adults with psychological symptoms.
Geriatric/Old age Counselling at SCS
At SCS, we are committed to assist and address the challenges faced by the older population and help
them with therapy to learn how to talk about and share thoughts and feelings. We attempt at reducing the
communication barriers during the initial course of therapy, gradually proceeding towards addressing the
emotional and mental health issues and how to respond to them, while learning new behaviours and
coping skills. We help you to be able to talk about problems, and to be introduced to the means to respond
to them which ultimately results into a positive influence over one’s life.
We understand that there are varied characteristics that each elderly individual encompasses, which is an
array of different life experiences, personality traits, and goals for counselling.
Our team of trained mental health care experts working with the elderly are trained to operate within a
multidisciplinary approach, which involves working in coalition with other care providers, such as the
primary care physician, a case manager, or a concerned family member.
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Creating a trusting relationship between the therapist and the client is more easily facilitated if the person
has confidence in the network of those providing care.
At SCS, we are primarily focused to identify and treat the emotional and psychological triggers that have
possible negative impact on the mental health of the elderly,
Dealing depressive lows, retirement, loosening ties with family and friends, situations like these often
make the elderly feel sad, lonely and depressed all at the same time.
Social interaction, Counsellors can suggest participation in activities that include social interactions during
their free time and keep them occupied.
Trauma, neglect by loved ones or loss of a family member can lead to significant trauma in old age. In
such cases, counselling by a trained therapist can help the elderly keep a stable mind and the
encouragement to move on.
It is an undeniable fact that no one can escape old age, but being in a circle of self-concern, self-
appreciation and self-engagement can help the older live with dignity and peace. They can also find new
meaning in their lives where otherwise, due to decline of physical mobility and dexterity, have restricted
them.
Billy Graham – “Old age may have its limitations and challenges,
but in spite of them, our latter years can be some of the most rewarding and fulfilling of our lives.”
C. Pre & Post Surgery counselling
The very thought of surgery can make a patient as well as his family feel utterly anxious. The idea of getting
operated, getting hospitalized, putting up in high dependency units and queries related to post-surgery
recovery may cause patients to become emotionally labile. In such scenarios patients might feel unsure,
uncertain, self-conscious and embarrassed. The questions regarding the surgery’s success, possibilities of
disfigurement, managing discomfort and pain, issues faced during recovery, surgical expenses involved all
cause lots of stress to the patient and his caregivers too. Stress related to surgery can lead to a negative
response in the patient impacting the patient’s physiology, blood pressure, heart rate and recovery rate. To
keep such negative responses at bay, counselling services from trained personnel must be availed. The
healthcare counsellor can provide guidance on resolving the psychological issues or emotional upheavals
arising out of surgery. Pre and post-surgery counselling therefore can go a long way in calming down the
anxieties of a patient. Here are some ways the counsellor can help:
The counsellor can help a patient manage the psychosomatic symptoms arising out of stress due to
surgery
The counsellor can provide preparatory info to the patient on the coping skills
The counsellor can create a positive attitude in the patient towards post-surgery recovery
The counsellor can help a patient manage his or her anxiety-triggered mood disorders in a better
way
The counsellor can empower the patient through psychological preparation for the surgery and
healing process after
D. Working with Plastic surgeons
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Gender identity or orientation for people who identify themselves as lesbian, gay, bisexual or transgender,
may be a point of constant anxiety and stress especially when they are faced with the general stigma that
society attaches to them and their minority status
After years of being told that you are heterosexual and nurtured as someone who conforms to the
‘normal’, acceptable or preferred social norms, may suddenly find ourself standing at crossroads where the
path ahead is only strewn with challenges.
Various aspects of life which were once taken for granted including, educational institutes, social events,
healthcare facilities and recreational activities, now suddenly seem to be solely designed keeping
heterosexuality as a norm and life itself turns into a long uphill battle
The number of cosmetic procedures increased by 44 percent from 2003 to 2004, according to the
American Society for Aesthetic Plastic Surgery. Plastic surgeons conducted a record 11.9 million procedures
last year, including nonsurgical procedures like Botox and surgical procedures like breast augmentation or
liposuction.
How do such procedures affect patients psychologically? A recent analysis of 37 studies on patients'
psychological and psychosocial functioning before and after cosmetic surgery by social worker Roberta
Honigman and psychiatrists Katharine Phillips, MD, and David Castle, MD, suggests positive outcomes in
patients, including improvements in body image and possibly a quality-of-life boost too. But the same
research--published in the April 2004 issue of Plastic and Reconstructive Surgery -also found several
predictors of poor outcomes, especially for those who hold unrealistic expectations or have a history of
depression and anxiety. The researchers found that patients who are dissatisfied with surgery may request
repeat procedures or experience depression and adjustment problems, social isolation, family problems,
self-destructive behaviors and anger toward the surgeon and his or her staff.
Overall, there are more questions than answers regarding psychological effects of cosmetic surgery: There
are few longitudinal studies and many contradictory findings, researchers note. Many studies also contain
small sample sizes and short follow-ups with patients.
While most people do well in terms of psychosocial adjustment after such procedures, some do not, and
the field needs to be aware of this and to arrange screening for such individuals.
Most people are motivated to undergo cosmetic surgery because of body-image dissatisfaction. They want
to look normal--that is, they don't want to stand out in an obvious way or to have features which cause
comment or make them feel self-conscious. They also want their physical appearance to be more in line
with their personalities and feel that they want all the bits of their bodies to match.
What effect does plastic surgery have on children and teenagers? In 2004, about 240,682 cosmetic
procedures were performed on patients 18 years old or younger, and the top surgical procedures
were nose reshaping, breast lifts, breast augmentation, liposuction and tummy tucks. However,
very few studies have been conducted to examine the safety and long-term risks of these
procedures on adolescents--an age in which teenagers are still developing mentally and physically.
When does changing our appearance qualify as body dysmorphic disorder (BDD)? BDD, first
introduced in the revised third edition of the Diagnostic and Statistical Manual of Mental Disorders
in 1987, is characterized by a preoccupation with an aspect of one's appearance. People with BDD
repeatedly change or examine the offending body part to the point that the obsession interferes
with other aspects of their life. Several studies show that 7 to 12 percent of plastic surgery patients
have some form of BDD. Plus, the majority of BDD patients who have cosmetic surgery do not
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experience improvement in their BDD symptoms, often asking for multiple procedures on the same
or other body features.
we often work with plastic surgeons to help them identify such psychological issues as BDD, so surgeons
then can refer patients to mental health professionals. We encourage them to look for the nature of the
person's appearance concern, such as whether a patient has an excessive concern with a body feature that
appears normal to nearly anyone else. Part of that also includes accounting for patients' internal
motivations for surgery--are they doing it for themselves or out of pressure from a romantic partner or
friend? And, he encourages surgeons to ensure patients hold realistic expectations about the procedures,
rather than expecting the surgery to end long-standing personal issues.
Psychology's role
Apart from research, psychologists can find clinical roles in aiding cosmetic surgery patients too, such as
helping plastic surgeons conduct such assessments. For example, they can help plastic surgeons identify
patients who may not adjust well psychologically or psychosocially after surgery.
E. Physiotherapy and mental health
Physiotherapy doesn’t just benefit you physically, but also mentally and emotionally. People often seek the
services of a physiotherapist for the purpose of reducing pain, preventing surgery or treating a sports
injury. It’s not uncommon for these individuals to notice an increase in their mood as well as their physical
symptoms.
Physiotherapy Within Mental Health as a Specialty
Physiotherapy can be so powerful at increasing mental health that some physiotherapists specialize in
mental health. This subgroup of physiotherapists works directly in the field of psychiatry and mental
health. They are often passionate about helping people deal with the somatic effects of mental illness.
“Physiotherapists in mental health provide health promotion, preventive health care, treatment and
rehabilitation for individuals, groups and in group therapeutic settings.” — World Confederation for
Physical Therapy
3 Ways Physiotherapy Promotes Mental Health
A physiotherapist doesn’t have to specialize in mental health to deliver mood-boosting PT services to
patients. A patient being treated for pain, for example, may indirectly receive mental health benefits from
his or her physiotherapy treatment.
Here are three ways physiotherapy promotes mental health:
1. It reduces pain — Chronic pain negatively impacts mental health and contributes to mental illness. Pain
is not only linked to mental problems, but also to substance abuse. Depression in particular can develop or
worsen when pain is persistent.
One of the aims of physiotherapy is to reduce or eliminate pain. When patients begin to feel their pain
lessen, they may also experience a decrease in depression or other mental health issues.
2. It necessitates exercise — Physiotherapy is an active, exercise-based therapy. This doesn’t mean
patients will be running marathons by the end of their physiotherapy programs, but it does mean that they
will become more active individuals in general.
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Becoming more active has mighty benefits on the psyche. “The literature supporting the effects of physical
fitness on mental and emotional health is extensive. The level of physical fitness is correlated negatively
with depression and anxiety…and correlated positively with self-satisfaction and social adjustments,”
stated Role of Physiotherapy in Mental Health Disorders.
Specific benefits of exercise as mentioned by the source above include:
Improved sleep
Decreased stress
Increased endurance
More stamina and energy
Improved mood
Weight reduction
3. It provides hope — Perhaps the most potent way physiotherapy promotes mental health is by giving
patients the hope of feeling better (being in less pain, having more energy, regaining their mobility,
etc.). As patients notice the positive changes that come when a physiotherapy program is participated in as
prescribed, they may feel increasingly hopeful about their future. This renewed sense of hope alone is a
great promoter of mental health.
By reducing pain, increasing one’s level of physical activity and providing hope, physiotherapy can increase
mental and emotional health. Reaching out to a physiotherapy clinic near you is the first step to increasing
our physical and mental health
F. Oncology
Cancer does not just affect body, it can also affect our mind and many people will experience significant
changes to their emotional health. Finding out you have cancer can have a big impact on a person and their
loved ones; and feelings of depression, anxiety and fear are common. But it is important to remember that
there is hope and help available and many cases of mental illness can be treated. Even though a person
with depression may also have cancer, it does not mean their depression is any less treatable.
Everyone knows it is better to catch cancer earlier, at stage one instead of later at stage four. The same is
true for mental health conditions. Unfortunately, many people with cancer are never told about the
chance they will develop a mental health condition like depression nor will they receive treatment for it.
How Many People with Cancer Have A Mental Health Condition?
It is estimated that up to one-third of people treated for cancer in hospitals have a common mental
health condition.
Rates of major depressive disorder are thought to be up to three times higher than in the general
population.
Anywhere from 8-24% of people with cancer are also living with depression.
Youth and young adults are at greater risk for depression and other conditions compared to adults
with cancer.
Barriers to Care
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There are several reasons why a person with cancer may not get help for their mental health condition:
Cancer, depression and anxiety have shared symptoms like fatigue, lack of sleep, and decreased appetite
which can make recognizing mental health conditions difficult. This is a group that regularly faces threats
to life and figuring out what is a regular reaction to cancer diagnosis and treatment versus signs one has a
mental health condition can be hard.
Cancer care teams often lack specific skills to recognize mental health conditions. Some in the community
do not agree on what depression is and looks like. With so much time and money spent on cancer
treatment, many are forced to see their mental health as less important and do not seek help.
Having A Mental Health Condition While Living with Cancer Can Worsen Outcomes
It has been found that people with depression might have worse cancer-related outcomes. They might be
less likely to follow treatment plans or take prevention screens. For example, they may be less likely to
exercise, more likely to drink too much alcohol or miss therapy appointments.
Studies show that those dealing with severe mental illness, dementia and substance use are more likely to
have lower chances of survival after cancer diagnoses.
Mental Health Treatment Can Improve Survival Rates
Many professionals are wondering whether mental health treatment can change the course of cancer and
there is good reason to believe it could!
One study found that those who got treatment and had fewer symptoms of depression, had longer
average survival times than those who had more symptoms.
People who get treatment, often see improvement in their overall medical condition, are more likely to
follow through with medical care and have a better quality of life.
If you think you might be showing signs of a mental health condition, talk to our doctor about treatment
options such as counselling, medication and therapy.
2. In- clinic & Clinical - How to take clinical consultation
G. Individual counselling
“The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most
important thing we ever give each other is our attention…A loving silence often has far more power to heal
and to connect than the most well-intentioned words.” – Rachel Naomi Remen
Despite the fact that modern day living is strewn with a range of amenities that make our life easier, and
the ever-evolving influx of technology has made the world smaller through better connectivity and endless
source of information, the impact of contemporary ways of living has given rise to a number of
psychological and mental health concerns.
At SCS, we focus on understanding the need to address the social, professional, psychological triggers of
modern life that influence the emotional and mental wellbeing of an individual. We offer curated services
through sessions based on the specific needs of our clients while assisting them to deal with their issues
concerning their emotional and mental wellbeing.
In our fast-paced economic-driven world, individuals feel the pressure to maintain a certain way of life that
has led to various mental health issues, be it in pursuit of professional and financial prospects, to maintain
social standing, personal relationships with family and friends, students under pressure for academic
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achievement, excessive exposure to media and technology or an unhealthy lifestyle. All of these are
detrimental to mental health which lead to issues like stress, hypertension, depression and anxiety.