Tip of the Iceberg
Education, Licensure
What we do & Where we Work
Multicultural & Social Justice
Managed Care
100

Represents the interests of professional counselors in general

What is The American Counseling Association.


100

Minimum of 100 clock hours

Of these hours, 40 hours must be direct contact hours with individuals and groups

Supervision- an average of 1 hour of individual/triadic supervision and 1.5 hours of group supervision per week

Practicum

100

Assessing if clients are aware of who they are, what day/time it is, and where they are

Orientation

100

A group of persons who identify with one another by virtue of sharing common ancestry, religion, language, skin color, and/or culture

Ethnicity

100

A range of programs and policies that control access to care, the types of care delivered, and the cost of care

What is Managed care

200

Established standards for the accreditation of graduate educational programs in counseling

What is Council for the Accreditation of Counseling and Related Educational Programs (CACREP)



      1. Seeks to maintain excellence in academic training standards for the counseling professions
      2. Created in 1981 by ACA
      3. It is an independent accrediting body recognized by the Council for Higher Education Accreditation.
200

The ability of professionals to move their licensed status from state to state.

Portability

200

Specific programs and interventions that have been shown through research and program evaluation to be effective in treating or preventing mental health problems

What is Evidence-Based Treatments


200

Multiculturalism and Social Justice

What are the fourth and fifth force in Counseling

200

What did the following two statements do:

“The Doctor knows best”

“We must spend whatever is necessary”

What is the push for managed care?

300
  • Boston Vocational Bureau     
  • Interview and Questionnaire methods
  • Integrated an ecological approach

Frank Parsons: vocational counseling

300

Professional Orientation and Ethical Practice

Social and Cultural Diversity

Human Growth and Development

Career Development

Counseling and Helping Relationships

Group Work

Assessment

Research and Program Evaluation

  • Common Core Courses: 8 Areas
300

Establishing a Relationship

Assessing or Defining the Presenting Problem

Identifying and Setting Goals

Planning and Introducing Termination and Follow-Up

  • Choosing and Initiating interventions

What is Five Primary Stages of Helping

300

Resistance, Cultural Encapsulation, Misapplication Theories,

Barriers to Effective Multicultural Counseling

  • Resistance
  • Cognitive
  • Emotional
  • Behavioral
  • Cultural Encapsulation
  • Misapplication of Traditional Theories and Techniques
  • Individualism
  • View of normalcy
  • Normal and abnormal behavior held from Western, Euro-American perspective
  • Culture-bound syndromes- patterns of disordered or psychotic behaviors clustered in unique ways that are found only in particular cultural settings
  • Functional agnosticism and antireligiousness
  • Personal happiness as a legitimate goal of counseling
  • Insight and process of change
  • Typical counseling format may act as a barrier
  • Numerous factors naturally discriminate against some groups receiving care
  • Fundamental attribution error- the general tendency for people to underestimate contextual influences and overestimate dispositonal influences in explaining the behavior of others
  • Culture and the operation of the fundamental attribution errors can be a foundation for the mistrust of certain minority groups
  • Microaggressions- verbal, behavioral, and environmental indignities whether intentional or unintentional, that communicate hostile, derogatory, or negative racial, gender, sexual-orientation, and religious slights and insults to minority message recipients
  • Mistrust may stem from a lack of information regarding the nature of services provided or inappropriate referral and treatment
300
  • Established nationwide network of mental health centers
  • Mandated five services: short-term care, outpatient treatment, partial hospitalization, crisis intervention, consultation and education
  • Increased need for and use of professional counselors in a variety of community settings  

Community Mental Health Centers Act of 1963 increased acceptance which led to insurance coverage, dec stigma

400

one’s presuppositions about the world and one’s place in the world which are largely unconscious, deeply ingrained, and affected by one’s sociocultural context.

Worldview

400

Foundations

Contextual Dimensions

Practice

  • CACREP Standards for CMHC
400

Five essential services with the least amount of restriction according to the client’s needs

What is Continuum of mental health care

400

The general tendency for people to underestimate contextual influences and overestimate dispositional influences in explaining the behavior of others

What is Fundamental attribution error

400

Ensures that any treatment initiated has been determined to be medically necessary and appropriate



What is a procedure for reducing utilization

500

This Freudian defense mechanism might best be summarized by the Shakespearean quote, “The lady doth protest too much.” 

What is Reaction Formation?

500

 a list of members of a professional group.  Being listed on a registry is the simplest and least restrictive method of credentialing, as professionals simply provide information and pay a small fee in order to be listed.

Registry

500
  • Inpatient counseling
  • emergency services
  • outpatient counseling
  • trauma/ disaster counseling
  • consultation/ education

What are the five essential services of community-based mental health clinics 

500
  •  Conformity
  •  Dissonance
  •  Resistance and Immersion
  •  Introspection
  •  Integrative Awareness

What is Racial/Cultural Identity Development

500

Impacts that managed care had to mental health counseling

Managed care has caused “an upheaval in the practice community.”

  • Managed care world under stress and always changing
  • Coping
  • Mandates of coverage
  • Two service delivery and reimbursement models: Patient Care Medical Homes (PCMH), Accountable Care Organizations (ACOs)
  • Managed care goes against developmental emphasis on mental health and strength
  • Counselors going against managed care
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