Evaluating a training intervention to prepare geriatric case managers to assess for suicide and firearm safety

ABSTRACT

The purpose of this article is to report on the implementation and initial evaluation of a 1-day training intervention targeting direct care providers in the Ohio aging services network. A primary objective is to describe the training intervention that consisted of two parts: (a) a gatekeeper training for assessing suicide risk among older adults, and (b) CALM (Counseling on Access to Lethal Means)—a brief training that teaches effective strategies to talk with clients about reducing access to lethal means. A second objective of this study is to report on changes in providers’ knowledge, attitudes, and practices immediately posttraining related to suicide and firearm assessment and safety counseling with community dwelling older adults. Sixty-six employees in one regional office participated in the study. Results indicated that training increased participants’ perceived knowledge, preparedness, and efficacy regarding suicide assessment. Training also positively impacted knowledge and attitudes of firearm assessment and safety counseling among participants. At posttest, however, gatekeeper reluctance did not demonstrate a significant decrease. This study is unique in its contribution to literature on suicide prevention training with its focus on geriatric care providers and attention to measuring firearm assessment and safety counseling.     

Counseling after Dark: Evening Students' Perceptions of Counseling Resources

Abstract

Community colleges have traditionally emphasized the role of educational-vocational counseling for students, although in recent times community college counselors seem to desire more involvement in personal-emotional counseling and to be more therapeutically oriented. This study assessed how evening community college students perceive various professional resource personnel and students' likelihood of consulting these professionals for assistance with diverse kinds of problems. Evening students' perceptions were discussed in comparison to perceptions held by day students and by students attending 4-year colleges and universities. Implications for training and the professional identity of community college counselors were also noted.     

Developing an Eating Disorder Peer Advocate Program on Campus: A Report on the Eating Disorder Awareness and Advocacy Program (EDAAP)

ABSTRACT

This article describes the development and implementation of a peer advocate program for eating disorders and body image outreach on a college campus. Empirical and conceptual literature on the use of peer educators and peer advocates in college student mental health is reviewed. Peer advocate program mission, history, implementation, and training components are described. Learning outcome assessment findings of peer advocate learning are discussed. A counseling center perspective on benefits, challenges, and limitations of facilitating this peer advocate program is shared.     

Training Student Leaders in Reporting Sexual Misconduct Incidents at a 2-year College

ABSTRACT

Sexual misconduct is a major psychological, emotional, and public health crisis that manifests itself in social and academic arenas including community college campuses. Problems of sexual misconduct that emerge for women and men are not based solely on a difference in gender, but in silence once an incident occurs. The strife that emerges for students can be devastating and pervasive. College counselors, who provide counseling services and training programs, can offset the potentially negative consequences. This article highlights a training program for student leaders that underscores the significance of reporting sexual misconduct incidents at a 2-year college. This article provides percentage data to reflect the perceptions participants had following such training. The training discussed will further the understanding of how to take a proactive approach in reporting incidents of sexual misconduct. Prompting research along this line of training will provide important information to college-student personnel who are vested in creating a transformation to decrease incidents of sexual misconduct on 2-year college campuses.     

Process Groups

ABSTRACT

This study examined the use of long-term process oriented counseling groups at 74 colleges and universities. Colleges with fewer total staff and fewer trained group counselors were less likely to offer group counseling than were institutions with large staffs and more counselors trained to do group work. Qualitative feedback from small college respondents cites resource limitations and staff attitudes as reasons for lesser frequencies of group counseling at their respective institutions. Several staff attitudes are identified and challenged.     

Conceptualizing the Counseling Training Environment Using Bronfenbrenner’s Ecological Theory

While learning environment research has been growing in popularity over the past few decades, little attention has been given towards the learning environment of graduate students, and virtually no attention has been given specifically towards graduate counseling and related programs such as professional counseling, clinical and counseling psychology, and marriage and family therapy. In this paper we propose using Bronfenbrenner’s (1979, 1992) ecological theory as a model to conceptualize the training environment of such counselor preparation programs. Through the application of Bronfenbrenner’s theory, counselor educators and counseling trainees can better understand the systemic nature of the training environment that they create and where they train. Implications and recommendations for future research are provided to further advance the knowledge and awareness of the counseling training environment.     

Modifying Field Instructors' Supervisory Approach Using Stage Models of Student Development

Abstract

There is a growing awareness of field instructors' need for training in their important role as educators (Abramson & Fortune, 1990; Raschick, Maypole, & Day, 1998; Raskin, 1994). Research suggests that due to workload demands field instructors tend to be expedient and practical in supervision (Rogers & McDonald, 1995), suggesting the importance of field instructor training that is relevant, accessible, and easy to implement. This article provides information about how and when MSW students typically learn certain skills coupled with a supervisory framework to help field instructors vary the structure, support, and supervisory focus of their supervision depending on the developmental level of their students. The framework is based on a synthesis of developmental stage models of students in social work (Holman & Freed, 1987; Saari, 1989) counseling, and psychology (Friedman & Kaslow, 1986; Ralph, 1980; Stoltenberg, McNeill, & Delworth, 1998). Implications for field instructor training are discussed.     

An Analysis of Reported Counseling Services in Selected Public Community Colleges in the Southeastern United States

Abstract

87% of the small, public coeducational community/junior colleges in the United States, having total student enrollments of 5,000 or fewer students, reported that they provided student counseling services. The median ratio was 1 counselor per 338 students; education counseling was reported to be the primary service rendered, while job-placement counseling was seen as the least important function of the counseling center. Of the institutions responding, 77% provide counseling services to nonstudents, and 37% indicated that vocational counseling was the area in which they most needed to improve services for students.     

Social Reinforcement Counseling as an Adjunct to a Course in Education

Abstract

The purpose of this study is to determine what effects social reinforcement counseling has on attitudes toward teaching and accuracy of teacher attitude self-estimation held by beginning education students. Teacher attitudes were assessed by the MTAI. Seventy-eight education students at the Ohio State University were randomly divided into three groups that received individual counseling, group counseling, and no counseling for four sessions with social reinforcement as the major technique. The results of the study lend support to conclusions which follow. First, social reinforcement counseling in individual or group setting is more effective for changing attitudes toward teaching, but not effective for increasing students' accuracy of self-estimated teacher attitudes. Second, social reinforcement counseling in groups is as effective as individual counseling for changing MTAI scores of beginning education students.     

School Counseling Site Supervisor Training: An Exploratory Study

This study explored the supervision training needs of site supervisors of master's program school counseling interns via the construct of self‐efficacy. Using the Site Supervisor Self‐Efficacy Survey developed for this study, the authors surveyed school counseling site supervisors in the states of Oregon and Washington (N = 147) regarding their hours of supervision training and their supervisor self‐efficacy. Results indicated that 54% of school counseling site supervisors had little or no counseling supervision training. Supervisor self‐efficacy appeared to be relatively strong, consistently so for school counseling site supervisors with over 40 hours of supervision training. A partial correlation indicated a slightly positive relationship between the hours of supervision training received and perceived self‐efficacy regarding supervision. Implications regarding school counseling site supervisor training and future research are offered.     

A Framework for College Counseling Responses to Large Scale Traumatic Incidents

Abstract

Although most psychotherapists have limited experience dealing with large scale catastrophic incidents, college and university counseling centers today need to be prepared for crisis events such as terrorist attacks, war, and local catastrophes. This article presents a conceptual model for designing counseling center responses to large scale traumatic incidents. Familiar college mental health constructs are applied to the relatively unfamiliar territory of responding to traumatic incidents. First, DSM-IV-TR diagnostic criteria are used to define three levels of student need based on different types of stressful or traumatic events and expected reactions. Next, a corresponding three-part response plan is discussed, including preventive, intermediate, and advanced counseling and psychotherapy interventions. Finally, the college counseling roles of crisis intervention and student development consultation are discussed in relation to the aftermath of large scale traumas. The influence of staff attitudes and values, and other limitations of the model, also are described.     

Children with disabilities in the child protective services system: An analog study of investigation and case management

ObjectiveThe study used a series of vignettes to investigate how the presence of three disabilities (cerebral palsy, intellectual disabilities, emotional/behavioral disabilities) affects the processes and outcomes of child abuse investigations at two levels of child injury severity (moderate, severe).MethodSeventy-five CPS case workers completed study surveys and answered questions in response to a series of eight vignettes.ResultsThis study revealed differences in the responses of CPS case workers when the alleged victim of physical abuse had a disability. Children with disabilities were more likely than children without disabilities to be seen as having characteristics that contributed to their abuse. Most CPS workers felt at least some empathy with abusive parents; empathy was highest when the children had emotional/behavioral disabilities. Services recommended for families of children with disabilities were more likely to be child-focused. Parent-focused services, such as individual counseling and adult anger management, were more likely to be recommended for families of children without disabilities. In general, differences among disability groups and between cases involving children with and without disabilities were more pronounced when the children's injuries were less severe. Even with more severe injuries, such as a concussion or broken bones, the CPS workers still responded differently depending on the disability status of the child victims.ConclusionsRecommendations are made concerning the utilization of investigation teams that include disability specialists and the need for further disability-related training for CPS case workers.Practice implicationsThere is a strong need for training related to disability, with an emphasis on attitudes as well as knowledge and skills. The training should include examples of healthy family functioning and positive aspects of parenting a child with a disability to counteract the prevailing perception of disability as a cause of chronic stress and dysfunction; identification of broader ecological contexts in which these families live, including social response to disability and the disability-related service system and; strategies for disentangling the signs of abuse from characteristics of the disability. Interdisciplinary teams should include members from disability-related fields to share expertise and increase communication between systems.     

Anxiety,Depression and the 4.0

ABSTRACT

Nontraditional women are a growing presence on college campuses. This study identifies a cohort group of nontraditional women who were high achievers academically, yet sought counseling for depression, anxiety, and interpersonal problems. While these clients initially sought only symptom relief, the counselors saw underlying problems they felt needed to be addressed. A short-term counseling model was utilized that offered symptom relief and laid the foundation for longer-term counseling upon referral. Results of the ex post facto study indicate significant gains for the women in self-esteem and satisfaction with family life, as well as symptom relief for depression and anxiety. Data show this model offers symptom relief while beginning to address associated underlying issues.     

Doctoral Interns’ Perceptions of Preparedness to Work with Victims and Survivors of Sexual Assault at University Counseling Centers

ABSTRACT

Counselors at university counseling centers (UCCs) should be prepared to provide services to sexual assault victims and survivors, as an estimated 23% of females and 5% of males are assaulted during college, with rates being higher for sexual and gender minority students. We surveyed doctoral interns (N = 49) at UCCs regarding interns’ training and educational experiences during their graduate programs, practicum, and internship placements, as well as the services that the interns and UCCs provide to recent victims. Among our findings, 96% of the sample had expected to work with a recent victim, 82% had already done so, and only 22% perceived themselves as fully prepared to provide such services. In addition, the majority of UCC interns had focused on sexual assault cases during case conferences, didactic trainings, and supervision. These results have implications for graduate programs and internship sites.     

Generalization of Microcounseling Skills from Training Period to Actual Counseling Setting

This study attempted to measure the generalization of the counseling skills learned via the microcounseling paradigm to the actual counseling setting. Twenty practicum counselors were assigned to two groups: (a) experimental group, training focused on the microcounseling skills of attending behavior, reflection of feeling, and summarization of feeling and (b) control group, no training. Measurements of the microcounseling skills were obtained at four intervals: (1) pretraining, (2) posttraining, (3) counseling session I, and (4) counseling session II. Results indicated that experimental subjects evidenced greater learning and retention of skills in reflection of feeling and summarization of feeling. There were no significant differences between subjects on attending behavior skills. Results are discussed with implications for training counselors via the microcounseling paradigm.     

Clients' Expectations About Counseling and Perceptions of the Working Alliance

Abstract

We examined the relations between clients' expectations about counseling and their ratings of working alliance dimensions. Thirty-seven clients seeking individual counseling at university-based counseling facilities completed the Expectations About Counseling-Brief form (EAC-B) prior to their first counseling session and the Working Alliance Inventory (WAI) after their third session. Results of multiple regression analyses revealed that clients' expectations for personal commitment were positively related to their WAI ratings for agreement on tasks and agreement on goals. Expectations for counselor expertise were inversely related to client WAI ratings for agreement on tasks. No significant relations were found for expectations for facilitative conditions or for WAI bond ratings. Implications for counseling and recommendations for future research are discussed.     

Physical or psychological child abuse and neglect: Experiences,reporting behavior and positions toward mandatory reporting of pediatricians in Berlin,Germany

BackgroundChild abuse and neglect (CAN) are common, with a high number of undetected victims. Since 2012, the German Federal Child Protection Act grants doctors an opportunity to circumvent their duty of confidentiality if they suspect CAN may be occurring, despite the reporting of CAN not being mandatory.ObjectiveThis study examines pediatricians’ reporting behavior in cases of CAN and what their attitudes are toward mandatory reporting.Participants and settingAll 378 primary care pediatricians and pediatric psychiatrists in the German capital of Berlin were asked to complete a questionnaire anonymously. The questionnaire was sent by mail to all primary care pediatricians (N = 302) and pediatric psychiatrists (N = 76) in private practice.MethodsPatterns of reporting, response tendencies, and correlations with socio-economic factors were described and statistically examined.ResultsThe response rate was 42% (N = 157). Of the pediatricians, 28% report every suspected case to the authorities. The majority, namely 73%, has difficulties in detecting CAN, and 64% would like additional training. Furthermore, 52% are aware of legally guaranteed counseling options being available if CAN is suspected. Whereas 71% consider mandatory reporting necessary to protect children more effectively, 57% are sure it would simplify their work.ConclusionsMore training on diagnosing CAN should be offered to pediatricians. It is necessary to have a full and frank discussion about making reporting mandatory in cases where there is a reasonable suspicion of CAN. Doctors believe that mandatory reporting standardizes and simplifies working procedures. It may possibly reduce the number of undetected cases of CAN and would allow more children and families access to early protection and supporting measures.     

The Dose-Response Relationship at a College Counseling Center

Abstract

Most college counseling centers have adopted session limits for their psychotherapy clients though little evidence exists to support such cutoff points. In the past eight years, a few studies have been published using survival analysis statistics for investigating the speed of recovery in psychotherapy. The outcome of clients at a university counseling center was studied to assess change across time, on a session-by-session basis. The analysis of these data showed that 14 sessions of psychotherapy were required for 51% of clients to meet criteria for clinically significant change. Results were interpreted as suggesting that limiting psychotherapy at college counseling centers may result in improvements that are not clinically meaningful for the majority of clients receiving services.