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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


Grandiose hyperactive delusional uses neologisms prone to panic
GrandioseHyperactiveDelusionalUses NeologismsProne to Panic


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