The problem of stress-related sickness absence and approaches to stres
s management are discussed. A stress counselling service for hospital
staff is described and evaluated. A total of 163 staff were seen by a
psychologist for short-term counselling at the hospital's Occupational
Health Unit. Most completed a brief questionnaire before and immediat
ely after counselling. Subjects were also sent a questionnaire at 6-mo
nth follow-up. Self-reported mood and functioning showed significant i
mprovements, most of which were sustained at follow-up. Numbers of day
s and episodes of sickness absence were significantly lower in the 6 m
onths following counselling compared to the equivalent period prior to
counselling. The results suggest the beneficial effects of stress man
agement; more definite conclusions await controlled studies.