An interprofessional internship model for training master’s level social work and counseling students in higher education settings

ABSTRACT

The mental health needs of college students are steadily on the rise, which compels mental health service providers and educators to explore innovative ways to provide more collaborative, supportive, and interdisciplinary service models of practice and professional training. Graduate programs in social work and counseling are at the crux of producing internship training programs to help accommodate the influx of students with persistent mental health concerns across a variety of needs and cultures. This article describes an interprofessional internship program structured and designed to meet the clinical training needs of master’s level students matriculating in social work and counseling who aspire to provide mental health services in higher education settings. The interprofessional internship training model proposes an innovative interdisciplinary approach to field education which may result in positive training outcomes and learning experiences for social work and counseling students. This paper discusses the model’s emphasis on individual and interdisciplinary group supervision, objectives of the internship experience, internship site criteria, and professional and personal benefits to pre-service social workers and counselors. Recommendations for training and limitations of the model are provided.     

One Hundred Years of College Mental Health

Abstract

Although the first student health service is credited to Amherst College in 1861, almost 50 years passed before Princeton University established the first mental health service in 1910. At that time, a psychiatrist was hired to help with student personality development. Although other schools subsequently established such services, the first 50 years of college mental health were marked by a series of national conferences. At the American Student Health Association's annual meeting in 1920, “mental hygiene” was identified as critical for college campuses to assist students to reach their highest potential. However, it took another 40 years before mental health and psychological counseling services became common on college and university campuses. The American College Health Association formed a Mental Health Section to serve mental health professionals in 1957, and most colleges and universities have now developed mental health and counseling programs commensurate with the size of their student bodies.     

An evaluation of school district guidance and counseling programs: Procedures and results

This evaluation examines the administrative history, staffing levels, and content of school district guidance and counseling activities. Case studies were made in a 50% random sample of a district's 45 elementary schools. Eight hundred teachers, parents, and students were interviewed. All school plans were reviewed. Five-year staffing patterns and staff changes were studied. All district staff with guidance and counseling responsibilities recorded characteristics of guidance and counseling contacts for 15 days. Schools with and without counselors were studied to estimate differences in who receives services and what is provided. Results show systematic differences in the level and kind of services provided secondary and elementary students. Approximately one-third of the schools studied had stable programs. Schools with stable programs provided a broader range of services and distributed them in a more equitable manner.     

College Counselors’ Perceptions and Practices Regarding Anticipatory Guidance on Firearms

Abstract

Objectives: This study assessed college counselors’ anticipatory guidance on firearms for student clients. Participants: The membership of the Association for University and College Counseling Center Directors was used to identify a national random sample of counseling centers (n = 361). One counselor from each center was selected to survey. Methods: In the winter of 2008, a 3-wave mailing procedure was used to maximize the response rate. Completed surveys served as consent (as approved by the University Human Subjects Committee). Results: A total of 213 counselors (59%) responded. They were unlikely to provide anticipatory guidance (6%), chart/keep records on client ownership/access to firearms (17%), or to counsel the majority of clients from various diagnostic categories on firearms. Conclusions: University personnel are likely to refer students with suspected mental health problems to university counseling centers. The findings indicate that few counseling centers will address firearm issues with students.     

The Status of Nutrition Education in ACHA College and University Health Centers

Abstract

An assessment of the prevalence and scope of nutrition services offered through 208 randomly selected American College Health Association member student health centers revealed that 79% of the 160 respondents provided some type of nutrition education for students. One-to-one counseling, available at 96% of the institutions, was the most common approach. The larger the school's enrollment, the more likely it was to provide programs in nutrition. All of the institutions with student populations of more than 35,000 offered some type of nutrition service, as did 52% of the 19 schools with enrollments between 2,000 and 5,000. Health educators, nurses, doctors, dietitians, and trained peer educators provided the services, with registered dietitians the most common providers and often coordinators of the programs. Costs to students for nutrition interventions were nominal; weightmanagement programs were the most expensive and showed the greatest variation in content.     

Rape on Campus: Community Education and Services for Victims

Abstract

Rape is an issue which must be addressed by college health workers. It is prevalent on college campuses in overt and subtle forms, and requires interventions on several levels. This paper describes community and professional education and training, victim counseling and advocacy, police liaison, and medical services, all of which are provided within a context of ongoing collaboration among agencies involved.     

Counseling Competencies for Sexual Minority Clients

Abstract

Being able to work effectively with clients from diverse backrounds has become a necessity in good counseling practice. Professional associations have acknowledged this in recent years by identifying and articulating multicultural competencies that inform both the practice of counseling, but also the training of counselors. Specific attention to competencies in working with LGBT clients has been identified as a sub-set of these overall cultural competencies. In this paper, leaders within the Association for Gay, Lesbian, and Bisexual Issues in Counseling present specific ways in which counselors can provide culturally sensitive counseling to sexual minority clients and their families that are in line with the counselor training guidelines established by the Council for Accreditation of Counseling and Related Educational Programs (CACREP).     

Multicultural Career Counseling: A National Survey of Competencies and Practices

Career counselors' multicultural competence has not been widely investigated. In this study, a national sample of 230 career counselors completed an online survey that included measures of career counseling self‐efficacy and multicultural counseling competence. Beyond these self‐report instruments, counselors responded to open‐ended items that requested specific examples of their actual multicultural counseling practices. Results indicated that counselors rated themselves as multi‐culturally competent, but those ratings were more closely linked to general career counseling self‐efficacy than to external evaluations of their self‐reported multicultural counseling practices. Findings also reinforced the importance of training and experience in developing multicultural competence.     

Bystander interventions for sexual assault and dating violence on college campuses: Are we putting bystanders in harm's way?

Objective: The present study investigated the well-being of bystanders who witness and intervene in sexual assault and dating violence situations on campus. Participants: Participants were 321 young men and women from a large university in the southeastern United States. Methods: Participants completed a survey at the end of the Spring semester of 2015 about risky situations they had witnessed, with follow-up questions about their responses to the situations (eg, whether they intervened or not) and feelings about their responses. Participants also completed standardized measures of posttraumatic stress disorder and depression. Results: Over 90% of the participants reported witnessing at least 1 of the risky events presented to them, and approximately 50% reported intervening in events. Intervening was associated with positive feelings, but traumatic stress symptoms were related to witnessing events and intervening. Conclusions: Results have direct implications for developing appropriate training programs for bystander intervention programs on college campuses.     

One hundred years of college mental health

Although the first student health service is credited to Amherst College in 1861, almost 50 years passed before Princeton University established the first mental health service in 1910. At that time, a psychiatrist was hired to help with student personality development. Although other schools subsequently established such services, the first 50 years of college mental health were marked by a series of national conferences. At the American Student Health Association's annual meeting in 1920, "mental hygiene" was identified as critical for college campuses to assist students to reach their highest potential. However, it took another 40 years before mental health and psychological counseling services became common on college and university campuses. The American College Health Association formed a Mental Health Section to serve mental health professionals in 1957, and most colleges and universities have now developed mental health and counseling programs commensurate with the size of their student bodies.     

Active Listening in Peer Interviews: The Influence of Message Paraphrasing on Perceptions of Listening Skill

Perhaps no communication skill is identified as regularly as active listening in training programs across a variety of disciplines and activities. Yet little empirical research has examined specific elements of active listening responses in terms of their effectiveness in achieving desired interpersonal outcomes. This study reports an experiment designed to test the influence of a specific element of active listening responses, namely, the message paraphrase. One hundred and eighty undergraduate students participated in peer interviews in which they received either a paraphrased reflection or a simple acknowledgement in response to their expressed opinions regarding comprehensive examinations. The results of data analysis indicated that message paraphrases were associated with the social attractiveness of the listener but were not associated with participants' conversational satisfaction or perceptions of feeling understood by the listener.     

Student and Counselor Perceptions of Career Counselor Work Activities in a Community College

This study examined whether differences exist between student and counselor perceptions of work activities performed by the latter group in a large Southern California community college. Participants responded to a 40-item questionnaire indicating whether tasks were actually performed, and whether they ought be performed by counselors when providing career guidance. Chi-square with Yates's correction for continuity and Fisher's Exact Test were used to analyze the data. Statistically significant results indicated that students did not believe that counselors were actually performing the majority of tasks commonly and ideally associated with career counseling services. Although students and counselors agreed on ideal career counselor work activities, counselor responses revealed no difference between their actual and ideal duties.     

Military Caregivers

Military caregivers provide essential services for their veteran or military service members who have serious injuries or illness. Of the estimated 39.8 million Americans who provide care for an adult, 1.1 million care for a post 9/11 veteran or service member. Caregivers may experience greater physical or mental health concerns including stress, depression and/or chronic illness, and have greater financial burden than their non-caregiving counterparts. Policy shifts such as the Caregivers and Veterans Omnibus Health Services Act of 2010 (2018) have created and expanded programs to support caregivers. Practitioners working with injured or ill military service members or veterans and their families should include a comprehensive biopsychosocial assessment of the whole family, utilizing several interventions, such as support groups, peer support, psychoeducational programs, training, individual and family counseling, and/or respite care services, to improve family function and reduce caregiver burden.     

Perceived Continuing Education Needs and Job Relevance of Health Education Competencies Among Health Education and Promotion Practitioners in College Health Settings

Objective and Participants: The author conducted this study to determine college health education and promotion practitioners' perceived continuing education needs and perceived job relevance in relation to national health education responsibilities and competencies. Methods: In Spring 2006, the author invited college health education and promotion professionals to participate in an online survey, using 3 listservs. Of 276 individuals visiting the Web site, 141 participants completed the survey (51%). Participants rated their perceived training needs and job relevance for the 35 National Commission for Health Education Credentialing (NCHEC) competencies as well as preferred training formats. Results: Participants identified the following competencies as those in which they needed additional training: designing data-collection instruments, securing fiscal resources, interpreting evaluation and research results, carrying out evaluation and research plans, and developing plans for evaluation and research. They identified the following competencies as being the most relevant to their jobs: demonstrating a variety of skills in delivering strategies, interventions, and programs; using a variety of methods to implement strategies, interventions, and programs; initiating a plan of action; and using health-related information resources. The most preferred methods of obtaining additional continuing education were attending the American College Health Association annual meeting (67%) and completing home self-study print materials (67%). Conclusions: Collegiate professional organizations should offer a variety of continuing education opportunities centering on NCHEC competencies, specifically those perceived as needed by study participants.     

Understanding Asian American Clients

Abstract

Asian Americans are the fastest growing ethnic minority in the United States today. Therefore, the Asian American population greatly needs the services of qualified cross-cultural counselors. An ethnic match between an Asian American client and his/her counselor is generally recommended. However, due to the limited number of qualified Asian American counselors and problems sometimes encountered with an ethnic match, an ethnic match between the counselor and client is very often not realistic nor always preferred. However, Western counselors who work with Asian Americans need to understand their clients' acculturation problems. They also need to understand the preventable mistakes often made in counseling Asian American clients.     

The effects of specialized training in alcohol information for counseling students

The alcoholism problem in the United States has reached proportions impossible to ignore. It follows that we need trained professionals in significant numbers to deal with the alcoholic population. Graduate programs, however, provide little or no course offerings in the area of specific training for dealing with alcoholics. In academia some attempts have been made to address this situation. However, budget restrictions, limited marketability of counselors with specialized training, and the superiority of the generalist training model are some of the main arguments that have compromised adequate chemical dependence training. The research literature, however, is replete with studies indicating the need for specialized training to prepare mental health professionals to work as competent alcohol counselors. The focus of this research was to examine the effect of specific training for counseling students in preparing them to work with alcoholic clients. The results of the analyses indicated that a training session specifically designed for working with alcoholic populations significantly increased the objective knowledge base of counseling students, although the single training session was not enough to significantly improve subjective judgment and response scores. This research emphasizes a need for specialized training in counseling programs for alcohol counselors. Further, it is implied that training programs should include at least one semester-long course on alcohol remediation for counseling students.     

Career Counselors Confront a Critical Crossroad: A Vision of the Future

The current challenges confronting career counselors require increased discourse regarding career counseling models. Some authors have initiated this discourse, but more participants are needed. The need also exists to communicate more aggressively the special expertise that career counselors bring to their work. As career counselors construct contemporary intervention models, they will need to engage in action research to demonstrate accountability and to document that their services are effective. Career counselors can embrace these activities by building on past practices to construct a vision for the future.     

Development,Evaluation, and Validation of Environmental Assessment Tools to Evaluate the College Nutrition Environment

Abstract

Objective: To develop, evaluate, and validate 2 nutrition environment assessment tools (surveys), for specific use in combating overweight on college/university campuses. Participants and Methods: Invitations to complete surveys were e-mailed to food service and health center directors at 47 universities, Winter 2008. Overall response rate was 48%. Responses from the 39 individuals who completed tool evaluations at the end of each survey were analyzed. Follow-up interviews and site visits performed through Summer 2008 validated responses. Results: The majority of respondents (64%) indicated tools were effective at assessing their nutrition environments; 78% believed these types of assessment tools to be important to their school. Conclusion: Food service and health center directors support use of nutrition environment assessment tools and found them effective at clarifying existing nutrition programs, policies, and food offerings on their campuses. Conducting assessments using these tools could improve university nutrition environments by identifying areas needing improvement.     

Factors Impacting Counselor Competency with Sexual Minority Intimate Partner Violence Victims

Grounded theory procedures were combined with a queer theory perspective to examine what factors promote counselor competency with sexual minority intimate partner violence victims. Ten counselors participated in two rounds of individual interviews. Results indicated that counselor competency building for work with this population occurred during and after graduate counseling programs. Analysis of the data identified specific desirable counselor traits, and useful training activities were identified to assist with developing counselor competency. The authors also discuss implications for clinical practice, counseling supervision, professional associations, service seminars, and counselor educators.