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Counselor Identity

Counselor Identity. Community Counseling. Favors a multifaceted approach that is developmental and educative Emphasizes prevention Takes into account the effects of the community on the client Seeks to empower clients through advocacy. Counselor Identity.

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Counselor Identity

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  1. Counselor Identity

  2. Community Counseling • Favors a multifaceted approach that is developmental and educative • Emphasizes prevention • Takes into account the effects of the community on the client • Seeks to empower clients through advocacy

  3. Counselor Identity • Wellness model: mental health problems occur on a continuum; seeking a higher level of wellness • Everyone experiences the symptoms (sx) described in the DSM-IV • Most problems are developmental; must understand the dynamics of human growth • Cannot address Sx in a vacuum • For Example: http://www.youtube.com/watch?v=Bc_b-qE9gl8

  4. GrandioseHyperactiveDelusionalUses NeologismsProne to Panic

  5. Counselor Identity • Prevention and early intervention are preferable to remediation, when possible • Stress management; support groups; psychoeducation (e.g. CHADD) • Goal of counseling is to empower clients to solve problems independently • Address their own life problems • Learn how to manage a mental illness, with ongoing help from the counselor

  6. “Ways” Paradigm • Title: • A new paradigm for teaching counseling theory and practice. • Author(s): • Cheston, Sharon E., Loyola Coll of Maryland, Dept of Pastoral Counseling, Baltimore, MD, US • Source: • Counselor Education and Supervision, Vol 39(4), Jun 2000. pp. 254-269.

  7. Way of Understanding • Involves the body of counseling knowledge that explains • Personality theory and structure • Normal and abnormal human development, and • Different ways people change. • Includes • Understanding levels of the unconscious and conscious (Psychodynamic) • Human behavior (Behaviorist) • Formation of belief systems (Cognitive) • Early childhood family environment • The ways individuals assimilate culture (Multicultural) • A way of understanding also involves knowledge of clients' strengths, resources, and existing skills. • CASE CONCEPTUALIZATION

  8. Way of Being • Addresses the counselor's presence in the room with the client. • Who the counselor is • degree of empathy expressed • values the counselor demonstrates • boundaries that are set • importance ascribed to the relationship • Each theory proposes how the counselor should "be" with a client to establish an atmosphere in which change can occur.

  9. Way of Intervening • The "work" of therapy • The means by which a counselor interrupts the client's cycle of dysfunction and allows for the processing of healthier alternatives of living • Assist the client by structuring the change process and using counseling knowledge to implement steps toward the goal • Interventions can include reframing feelings, changing attitudes, altering belief systems, gaining insight, grieving, or staying with painful feelings in the presence of another supportive person. • TREATMENT PLAN

  10. Walsh’s Ways of Understanding • Mindfulness Based Cognitive Theory • People’s ways of thinking about things • And their relationship to their mental objects • Behaviorism Theory • Classical/Operant Conditioning and Social Learning matter • Existential Theory • Finding meaning and purpose in life • Person-Centered Theory • People need emotional validation • Biological/Medical Theories • Many mental illnesses are grounded in physiology, often genetic in origin • Diathesis Stress Model

  11. Walsh’s Ways of Being • Person-Centered • Accurate empathy, genuineness, acceptance • “Presence” • Non-Directive • Motivational Interviewing • PC, with a “twist” (semi-directive) • Not an Intervention! • Cognitive • PC, with Socratic dialog and reframing • Mindfulness Based • Acceptance in the moment

  12. Walsh’s Ways of Intervening • Person-Centered • “Getting it;” covers Existential interventions • Cognitive/Behavioral • Change the way you think… • Develop new conditioning schedules • Psychoeducation, when appropriate • Mindfulness • “Turn on, tune in, drop in” • Radical Acceptance • Heart of the Change Process

  13. Credentialing Issues • Overview of credentialing of counselors and programs using the websites of: • DSAMH: http://www.dhss.delaware.gov/si06/about.html • State of Delaware Professional License Board • http://dpr.delaware.gov/boards/profcounselors/index.shtml • NBCC: http://www.nbcc.org/ • ACA: http://www.counseling.org/ • CACREP: http://www.cacrep.org/template/index.cfm

  14. Delaware LPCMH LawRequirements • National Certified Counselor Status • Pass the Nat’l Board of Certified Counselors (NBCC) Examination • National Certified Counselor (NCC) Status • NBCC allows grads of CACREP accredited programs to take exam • If not a grad of a CACREP accredited program, the NBCC will audit transcript and advise on additional educational requirements, including clinically oriented internship

  15. Delaware LPCMH LawRequirements • Two years of Professional Clinical Counseling Experience • Duties MUST be clinically oriented (i.e. individual, group, couples, family counseling) • “Clinically oriented” means provision of treatment for mental illnesses

  16. Delaware LPCMH LawRequirements • Two years of Professional Clinical Counseling Experience • Duties MUST be provided in a Professional Clinical Mental Health Counseling Setting • Is the setting obligated to follow HIPAA laws? • Is the setting obligated to obtain Informed Consent for treatment?

  17. Delaware LPCMH LawRequirements • Clinical Counseling Experience • Two Years Experience • At least 3200 Hours of Work Experience as a LACMH • 1500 Hours Direct Service • At least 750 face-to-face • Supervised by a LPCMH • If LPCMH is not available for supervision then it may be provided by LCSW, Licensed Psychologist or Licensed Psychiatrist – WITH PERMISSION FROM THE BOARD • Minimum of 100 hours of clinical supervision required

  18. Delaware LPCMH LawRequirements • Alternate Path to Licensure: Reciprocity • Present proof of current licensure in good standing in another State, DC, American territory and; • whose standards for licensure are substantially similar to those of this State. • If the Jurisdiction’s standards are not substantially similar, then: • held a license in good standing for a minimum of 5 years in the other jurisdiction • certified by the NBCC

  19. Delaware LPCMH LawRequirements • Licensed Associate Professional Counselor of Mental Health (LACMH) • Pre-License process • Must be a National Certified Counselor (NCC) • Application lays out the plan to become licensed, including: • Clinical Work Setting and Duties • Clinical Supervisor • If approved by the Board AND followed, will lead to LPCMH

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