Table 1

Topics of Concern to Consumers and Providers in Focus Groups (listed in order of importance)

Column A Concerns of ConsumersColumn B Concerns of Providers
1.Respect for Persons1.Multiple Constraints that Impede Ideal Services
2.Accuracy of Information2.Team Approach is Best
3.Knowing When to Refer and Being Willing to do so3.Access, Availability of Genetic Services
4.Knowing and Communicating own Limitations and  Abilities4.Safe, Legal Abortion Must be Available and Accessible
5.Describing Expectations at Beginning of Initial Session5.Spending Adequate Time: Preparation for Session, Initial  Session, Follow-up Sessions
6.Avoiding Facile Judgements of Prognosis6.Ongoing Evaluation
7.Making no Assumptions about Consumers' Choices or  Values7.Professional Continuing Education Opportunities
8.Spending Adequate Time: Preparation for Session, Initial  Session, Follow-up Sessions8.Referring Out Cases When Uncomfortable
9.Education of Ancillary Personnel9.Continuity of Care
10.Team Approach is Best, with the Consumer as an Equal  Member of the Team10.Consumer Grievance Procedures
11.Ongoing Evaluation11.Importance of Setting
12.Communication Skills12.Pre-Test Counselling a Must
13.Holistic Awareness and Approach That Preserves  Integrity of the Family.13.Directiveness vs Nondirectiveness
14.Addressing All Aspects of Consumer Situation(s)14.Familial/communal Aspect of Genetic Counselling
15.Importance of Support Groups, Allied and Community  Services
16.Mentoring: A Step Toward Effective Services