The calling of elders is to be ""shepherds of Gods flock."" Yet across the world elders are struggling to do that well. This very practical investigation identifies the obstacles to pastoral care from the side of the clergy, the elders, and the people themselves. A practical way forward is developed using an approach that enables the local elders themselves to find a solution.

""Leo Douma . . . has provided a very practical and helpful resource for working pastors . . . The problem he raises is a common one in many denominations. . . . The church at large needs to learn from Doumas...