Work-based counselling services have increasingly been introduced in o
rganizational settings in the 1980s and 1990s. In this paper, a study
is reported of the attitudes of 213 employees of a UK Health Authority
towards an existing counselling service. Questionnaires sought inform
ation about attitudes to counselling, confidentiality, attitudes to th
ose seeking counselling and general health. The results suggested that
attitudes to work-based counselling services are predicted by employe
es perceptions of those seeking counselling as trustworthy and their b
eliefs about the confidentiality oi the service. The practical implica
tions of these results are examined.