Implementing Trauma-Informed Care in Correctional Treatment and Supervision

ABSTRACT

This article provides a rationale for trauma-informed care (TIC) in correctional services, and challenges readers to think about offending behavior through the lens of trauma. Based on interdisciplinary research and cross-theoretical literature, TIC can help in our quest to develop relevant and successful programs, practices, and policies, and the best methods for delivering them. Using Substance Abuse and Mental Health Services Administration (SAMHSA)’s core principles of TIC, this article will make suggestions for the implementation of trauma-informed service delivery and practices across correctional settings. The authors translate trauma-informed concepts into practice behaviors through the acronym SHARE (safety, hope, autonomy, respect, empathy), which honors the principles of TIC recommended by SAMHSA and the principles of effective correctional rehabilitation. TIC in corrections may help improve the desired outcomes of successful re-entry and reduced recidivism.     

Introduction to the Special Section: Toward Implementing Physiological Measures in Clinical Assessments of Adult Mental Health

This article serves as the introduction to the Special Section called “Toward Implementing Physiological Measures in Clinical Assessments of Adult Mental Health.” As such, it provides an overview of the importance of integrating assessments of physiological and subjective processes in mental health assessments and discusses the Research Domain Criteria (RDoC) initiative. In addition, it summarizes the findings from the four empirical studies published in the Special Section. Collectively, these studies sought to illustrate how physiological assessments can be incorporated in mental health assessments conducted in applied research and clinic settings. In all, we hope that this Special Section will inspire the type of interdisciplinary research spanning basic and applied work that will be critical to advancing the RDoC initiative.     

Training the Millennial Learner Through Experiential Evolutionary Scaffolding: Implications for Clinical Supervision in Graduate Education Programs

They are the Millennials – Generation Y. Over the next few decades, they will be entering genetic counseling graduate training programs and the workforce. As a group, they are unlike previous youth generations in many ways, including the way they learn. Therefore, genetic counselors who teach and supervise need to understand the Millennials and explore new ways of teaching to ensure that the next cohort of genetic counselors has both skills and knowledge to represent our profession well. This paper will summarize the distinguishing traits of the Millennial generation as well as authentic learning and evolutionary scaffolding theories of learning that can enhance teaching and supervision. We will then use specific aspects of case preparation during clinical rotations to demonstrate how incorporating authentic learning theory into evolutionary scaffolding results in experiential evolutionary scaffolding, a method that potentially offers a more effective approach when teaching Millennials. We conclude with suggestions for future research.     

Games in Clinical Genetic Counseling Supervision

Games are defined as ongoing series of complementary ulterior transactions that are superficially plausible but have a concealed motivation to maximize pay-offs and minimize penalties for the initiator. While some games are harmless and part of socialization, others are destructive. Destructive game-playing in clinical supervision, in which game-playing (initiated by either supervisors or students) interferes with a student's realization of internship goals, has been documented in some allied healthcare professions but has not yet been studied in genetic counseling. Genetic counselors and clinical supervisors of genetic counseling students were anonymously surveyed regarding their experiences with destructive game-playing. Results show that such games do occur in genetic counseling clinical supervision. Some games are the same or similar to ones previously described in other health-care professions; others may be unique to genetic counseling. The purpose of this paper is to document these games as a first step to facilitating dialogue, understanding and awareness of them.     

Minority Overrepresentation in Special Education:

Minority overrepresentation refers to the recurrent finding that many more minority students are being served in special education programs for the mildly handicapped than would be expected based solely upon their representation in the general school population. Such findings have frequently touched off heated and seemingly endless debates in the professional literature regarding the cause(s) of this phenomenon and have more often than not resulted in recommendations calling for additions, deletions, or modifications to existing psychoeducational assessment practices. For the most part, these recommended changes reflect only cosmetic solutions to a conceptually-deficient assessment model. This model assumes that academic failure is primarily the result of inherent problems within the learner and proceeds to search for pathology through the routine administration of standard test batteries. This article suggests that many academic difficulties may be directly attributable to deficiencies in students' learning environments, and suggests procedures for examining and ruling out such possibilities before beginning a comprehensive evaluation of the learner. A functional assessment perspective is proposed and potential roadblocks to implementation are discussed.     

知情同意在我国临床医疗中的实施

知情同意在我国至少已倡导与实践了20年,由伦理要求上升到法律准则无疑是一个跨越式的进步。当前,医院落实知情同意的实践滞后于患者要求,除了主观方面的原因外,客观上存在知情同意与保护性医疗,病人自主权与医生处置权、医学对疾病的已知与未知等诸多盾与难点。要使知情同意在我国临床医疗中真正落实尚有许多工作要做;提高医务人员尊重病人权利的意识;完善执行知情同意的方式与程序;细化与知情同意的实施原则;营造良好的社会氛围,探索非西方环境下知情同意实现途径。     

The Use of Metaphor in Clinical Supervision

The authors completed a critical review of the literature on the use of metaphor and the efficacy of metaphoric activities in clinical supervision. The authors conclude that these activities might assist students in understanding the process of becoming a counselor and facilitate students' case conceptualization skills. Cautions to consider when implementing metaphoric activities, limitations of research that has investigated the effectiveness of using metaphors in supervision, and suggestions for future research in this area are presented.     

The Doctoral Degree in Counselor Education and Supervision

The doctoral degree in Counselor Education and Supervision (CES) is a terminal or final degree in the field of counseling. This article, provides an abbreviated look at the development of the CES doctoral degree, reviews the development of accreditation standards, reports on current status of the doctoral degree, and comments on the possible future of the CES doctoral degree.     

我国特殊教育发展评估

本文认为我国特殊教育正从单一层次、单一类型、单一渠道和单一主体向多层次、多类型和多元化发展.在这个发展过程中,保障残障青少年的权益,促进残障青少年与社会融合,但在财政投入,配套政策和管理上存在一些问题.     

Training Counselors for Special Education

Through a one-year internship, counselors develop attitudes and competencies needed to promote the career development of handicapped high school students. This new specialty in the counseling field, although it incorporates elements of rehabilitation, school, and vocational counseling, occurs within the framework of special education classes in regular high schools, and therefore is markedly different from any existing specialty. The role model developed in this project, now in its fifth year, stresses outreach, planning, and an active part for the counselor. This approach has been found effective both with handicapped and with learning disabled students in several urban schools.     

Early Childhood Special Education: New Employment Opportunities in Education

The passing of federal Public Law 94–142 has created new job opportunities for teachers trained in both early childhood and special education.     

Modern Settlements in Special Needs Education: Segregated Versus Inclusive Education

In the history of special needs education, the distinction between human nature and its social environment has been a controversial matter. The controversy regards whether special needs are primarily caused by the child's psycho-medical body or by cultural concepts of normality and deviance. Settlements of this controversy govern whether the pupil or the educational institution becomes the main point of intervention. In Denmark, the particularities of settlements can be identified by juxtaposing the introduction of intelligence testing in the 1930s with the contemporary policy agenda of inclusion. With intelligence testing, special needs education was to service children whose needs were seen as part of their human nature. Inclusion, in turn, assumes special needs to be stigmatizing cultural labels that need to be abandoned by changing school cultures. Drawing on actor-network theory we can approach such settlements as a product of a modern division between human nature and social environment. Although both these settlements depend on a distinction between human nature and social environment, this distinction generates practical tensions for each settlement.     

A Survey of Clinical Supervision in Genetic Counseling

Three hundred and thirty-five full members of the National Society of Genetic Counselors completed a survey concerning the nature of clinical supervision for genetic counseling students. Slightly over half (54.3%, n = 182) had provided clinical supervision within the past 5 years. Of those who supervised, 66.7% had 5 years or less supervision experience, and 55% had supervised 10 or fewer students. The majority became supervisors because they enjoy teaching and contributing to the profession. Common reasons for not supervising include no local graduate program, and had never been asked to supervise. Live supervision is the most prevalent student evaluation method: every supervisor reported providing one-on-one oral feedback, and 47.3% indicated that they always provide feedback immediately following a counseling session. The most frequent challenges involve students who lack technical knowledge and who fail to incorporate feedback. Training, policy, and research implications are discussed.     

Enhancing Counselor Supervision Through Compassion Fatigue Education

Compassion fatigue has been documented as an occupational hazard in counseling. Providing education to interns on compassion fatigue and protective factors, such as self‐care, can normalize struggles experienced by interns. Supervision provides a relationship to build skills to help prevent compassion fatigue. Interns should understand counselor developmental phases and the necessity of self‐care plans. To instill this knowledge, supervisors should focus on the purpose of supervision, activities of supervision, counselor developmental phases, and compassion fatigue education.     

Shared-Reading Volume in Early Childhood Special Education Classrooms

This study describes book reading practices occurring in early childhood special education (ECSE) classrooms in comparison to early childhood education (ECE) classrooms. Reading logs submitted by 19 ECSE teachers and 13 ECE teachers over one academic year included all books read in whole class settings; these logs were analyzed to assess the volume of book reading taking place and the types of books read. On average, ECSE teachers report reading less than one book per day and for less than seven minutes per day and ECSE teachers utilize far more narrative books than any other genre. Implications and future research directions are discussed.     

A Rationale for Evidence-Based Clinical Supervision

Although modern mental health systems increasingly require evidence-based practice (EBP), clinicians continue to object to restrictions on their professional independence, which they may perceive as counterproductive, divisive and even demeaning. In the face of such deep-seated objections, do we really need to strive for an evidence-based approach to supervision? We believe so, and begin our argument by noting a colourful illustration of the problems that can exist in the absence of EBP, those of poor training, therapist drift and weak professional regulation. Next, we present EBP as a mechanism to reduce such unacceptable variability in the way that treatments are delivered. We then apply the lessons from this divisive situation to the practice of clinical supervision, outlining a rationale for an inclusive, synergistic way forward. A number of fundamental psychological motives for this integration are noted, including supervisor training that is informed by practice-based research, corrective feedback on supervision, and a supportive professional system. Illustrative examples are provided in each of these areas. It is concluded that the traditional gulf between research and practice can and should be bridged in relation to supervision.     

Clinical Supervision and Logotherapy: Discovering Meaning in the Supervisory Relationship

Upon review of the clinical supervision literature, the case is made for implementation of logotherapeutic principles within the context of the supervisory relationship. Logotherapy is a meaning-centered approach that may enhance existing supervision styles and models, especially their tendency to de-emphasize the supervisor-supervisee relationship and the inner experiencing factor of what occurs during the process of supervision. The utility of incorporating elements of logotherapy in clinical supervision is presented within the context of supervisor roles (i.e., mentor, teacher, and evaluator), as well as the content and process of effective supervision (e.g., enhancing knowledge, skills, attitudes, and interpersonal ability of supervisees). The importance of supervisor and supervisee personally meaningful values to the supervision process is then discussed, followed by specific avenues for research. Recommendations for incorporating logotherapy into supervision are offered.