mental health counselors
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2022 ◽  
Vol 44 (1) ◽  
pp. 68-81
Author(s):  
Jennifer L. Klein ◽  
Eric T. Beeson

Opportunities for clinical mental health counselors to practice in interprofessional settings are likely to increase as the larger health care system in the United States evolves. While aspects of interprofessionalism are embedded in the codes of ethics of the counseling profession, discussion of identity has primarily been focused on intraprofessional identity. To concurrently assess intraprofessional identity, interprofessionalism, and interprofessional identity, a study was conducted with clinical mental health counselors (CMHCs) using the Professional Identity Scale in Counseling–Short Form (PISC-S) and the University of West of England Interprofessional Questionnaire (UWE IPQ). Results indicated that CMHCs place importance on both intra- and interprofessional identity, although they have more confidence in their intraprofessional identity. A high degree of correlation was found between the PISC-S and UWE IPQ, indicating the interrelatedness of these aspects of identity. Results can be used to inform interprofessional education and identity development models for the CMHC profession.


2022 ◽  
Vol 44 (1) ◽  
pp. 82-96
Author(s):  
Anabel Mifsud ◽  
Barbara Herlihy

The cataclysmic events of 2020 created an urgent need for mental health counseling to help individuals, families, and communities deal with grief, loss, and trauma. The sheer magnitude of the challenges has highlighted the necessity for collective interventions, as the need for help far surpasses what can be met through traditional individual or family counseling. Clinical mental health counselors must be prepared to respond to the new challenges in creative, culturally responsive, and ethical ways. The authors discuss the limitations of the prevailing codes of ethics, which are grounded in principle ethics, and propose that virtue ethics and relational ethics perspectives can be incorporated into ethical reasoning to make the process more responsive to collective interventions. A case scenario is presented and analyzed to illustrate this broader and more inclusive approach to ethical decision-making in a situation that calls for a collective intervention.


2022 ◽  
Vol 44 (1) ◽  
pp. 32-48
Author(s):  
Amy A. Morgan ◽  
Matthew C. Fullen ◽  
Jonathan D. Wiley

Nearly one in four Medicare beneficiaries have been diagnosed with mental health or substance use disorders, and research indicates this population responds well to mental health treatment. However, Medicare policy omits licensed mental health counselors (LMHCs) and licensed marriage and family therapists (LMFTs) as approved providers, exacerbating an existing national provider shortage. Emerging research demonstrates that the provider omission, referred to as the Medicare mental health coverage gap (MMHCG), profoundly impacts excluded providers and the communities they serve. This paper represents a synthesis of the most current scholarship on Medicare research, policy, and advocacy. In particular, we explore three ways the MMHCG impacts providers and beneficiaries alike: limiting provider choices, thwarting continuity of care, and creating challenging decisions for beneficiaries and providers. Our aim is to help mental health counselors better understand and navigate the MMHCG and aid in advocacy efforts for legislation to include LMHCs and LMFTs as approved Medicare providers.


2022 ◽  
Vol 44 (1) ◽  
pp. 49-67
Author(s):  
Varinder Kaur ◽  
Sylvia Lindinger-Sternart ◽  
Brittn Grey

The growing need for the treatment of the whole person creates an opportunity for establishing a holistic integrated health care (IHC) system in various clinical settings. Considering the issues with existing IHC models and related public policies, and the current barriers facing clinical mental health counselors (CMHCs) who hope to become an integral part of IHC teams, we propose a new holistic IHC model. We highlight several practical implications of our proposed model that could be beneficial for the development of professional identity of CMHCs and their inclusion in IHC teams. We also offer numerous propositions for improving IHC-related policies in favor of CMHCs and the counseling profession.


2022 ◽  
Vol 44 (1) ◽  
pp. 6-17
Author(s):  
Charles J. Jacob ◽  
Rebekah Byrd ◽  
Emily Jeanne Donald ◽  
Rebecca J. Milner ◽  
Taylor Flowers

The standards regarding sexual relationships with clients are among the most clearly stated in the codes of ethics for the American Counseling Association and the American Mental Health Counselors Association. However, the majority of liability claims filed against counselors are for boundary violations of a sexual/romantic nature. Aggregate insurance liability data are presented, followed by management strategies related to attraction.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 586-586
Author(s):  
Katelyn Moore ◽  
Zachary Hathaway ◽  
Gloria Gonzalez-Kruger ◽  
Kymberlee Montgomery ◽  
Rose Ann DiMaria-Ghalili ◽  
...  

Abstract The expansion of telehealth services during COVID-19 is critical for healthcare delivery. This study describes the facilitators and barriers experienced by providers integrating telehealth during COVID-19. The sample consisted of 441 interdisciplinary providers (RNs, APNs, PAs, DPTs, RDs, mental health counselors) who were faculty or alumni of a college of nursing and health professions and completed the online telehealth provider survey. 53% of respondents were nurses/APNs, 59% implemented telehealth within the first week of federal legislation, and 48% received telehealth training once the pandemic started. Respondents reported telehealth changed several services provided during the pandemic (e.g., increased prescription of longer-term medication refills, increased counseling sessions). The greatest reported barrier to utilizing telehealth during the pandemic was the older adults’ ability to utilize technology. Understanding the facilitators and barriers experienced by providers during COVID-19 will lead to more robust healthcare delivery models to enhance health outcomes in older adults.


2021 ◽  
Vol 43 (4) ◽  
pp. 281-300
Author(s):  
Susan F. Branco ◽  
Connie T. Jones

Black, Indigenous, and people of color (BIPOC) counselors require training, practice, and consultation strategies to address client-initiated microaggressions and racism in counseling. Utilizing critical race theory in counselor education, the authors offer a counseling skills model, based on Sue et al.’s microintervention concept, to support BIPOC counselor training and supervision. The authors describe strategies all counselors may use to address microaggressions and racism in counseling sessions with relevant ethical considerations. Implications for mental health counselors, counselor educators, and clinical supervisors are provided.


Author(s):  
Chaleece W. Sandberg ◽  
Kristen Nadermann ◽  
Lauren Parker ◽  
Anne Marie Kubat ◽  
Liza M. Conyers

Purpose The purpose of this tutorial is to provide an overview of mental health concerns of persons with aphasia (PWAs), strategies that speech-language pathologists (SLPs) can use to address the mental health concerns of PWAs within their scope of practice, guidance related to how SLPs can help facilitate access to appropriate mental health services, and suggestions for the future of pre- and postcertification education regarding counseling in aphasia for SLPs. Method This tutorial begins with a case study that is used as a reference point throughout the tutorial. It then introduces the gap in mental health services for PWAs that prompted this work, walks SLPs through common mental health concerns PWAs experience, and provides guidance for SLPs related to counseling techniques they can utilize within their sessions and referral to counseling professionals. We end by reiterating the need for more mental health awareness and training for SLPs and suggestions for incorporating more training related to addressing client mental health concerns and developing effective collaborations with rehabilitation and mental health counselors, as needed. Conclusions The mental health needs of PWAs are not being met. This is partly due to a lack of training in counseling for SLPs and a lack of training in communication techniques for rehabilitation and mental health counselors. With this tutorial, we hope to bring more awareness to the current need for mental health services for PWAs and to provide SLPs with some tools for addressing these needs among their clientele.


2021 ◽  
pp. 1357633X2110259
Author(s):  
Demi Zhu ◽  
Samantha R Paige ◽  
Henry Slone ◽  
Arianna Gutierrez ◽  
Caroline Lutzky ◽  
...  

Introduction This study investigated how mental health providers' use of telemedicine has changed since the coronavirus disease (COVID) 2019 pandemic and their expectations for continuing to use it once the pandemic ends. Methods A 15-min online survey was completed by 175 practicing and licensed telemental health providers who use telemedicine. In addition to personal and professional demographic items, the survey included items about the frequency of telemedicine use, proportion of caseload served by telemedicine, comfort using telemedicine before and during the COVID-19 pandemic, and expectations to use telemedicine after the pandemic ends. A series of χ2 analyses, an independent samples t-test, and analyses of variance were conducted. Results The pandemic resulted in a greater proportion of telemental health providers using telemedicine on a daily basis (17% before and 40% during the pandemic; p < 0.01) and serving more than half of their caseload remotely (9.1% before and 57.7% during the pandemic; p < 0.05). Also, there was a statistically significant increase in their comfort using telemedicine before and during the pandemic ( p < 0.001). Providers reported expecting to use telemedicine more often after the pandemic ends ( M = 3.35; SD = 0.99). Expectations to provide telemental health services after the pandemic were greater for mental health counselors, providers who practiced in rural regions, and providers who served patients through out-of-pocket payments. Discussion Telemental health providers use telemedicine daily as a result of the COVID-19 pandemic, with expectations of continuing to use telemedicine in practice after the pandemic. This expectation is more prominent in certain segments of providers and warrants further investigation.


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