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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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community counseling
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 identity1
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
counselor identity2
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
ways paradigm
“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.
way of understanding
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
way of being
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.
way of intervening
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
walsh s ways of understanding
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
walsh s ways of being
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
walsh s ways of intervening
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
credentialing issues
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
delaware lpcmh law requirements
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
delaware lpcmh law requirements1
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
delaware lpcmh law requirements2
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?
delaware lpcmh law requirements3
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
delaware lpcmh law requirements4
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
delaware lpcmh law requirements5
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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