The Council for Accreditation of Counseling and Related Educational Programs: Promoting Quality in Counselor Education

Much has changed for the counseling profession in the 30 years since the founding of the Council for Accreditation of Counseling and Related Educational Programs (CACREP). CACREP, the primary specialized accreditor for the counseling profession, has been an influential participant in the growing recognition and professionalization of counseling. This article offers an overview of CACREP and accreditation and addresses some primary issues confronting CACREP, counselor preparation programs, and, in some instances, overall U.S. higher education.     

The Impact of CACREP Accreditation: A Multiway Frequency Analysis of Ethics Violations and Sanctions

The impact of CACREP accreditation on counselor competency has received little empirical investigation. Differences in the frequency and type of ethical misconduct between graduates of CACREP‐accredited and non‐CACREP‐accredited counselor education programs were investigated. Results of a multiway frequency analysis indicated that fully licensed graduates of CACREP‐accredited programs were sanctioned for ethical misconduct significantly less frequently than were graduates of non‐CACREP‐accredited programs. Additionally, the accreditation factor was among the highest‐ranking parameter estimates of expected cell frequencies.     

Who Are the Next Generation of Genetic Counselors? A Survey of Students

Genetic counseling students were surveyed about their backgrounds, application process to genetic counseling programs, and career motivations and plans. Program directors from 27 accredited programs were asked to distribute 362 surveys to students. Fifty-two survey items assess demographics; sources of support for pursuing a genetic counseling career (information about genetic counseling, encouragement/discouragement from others); career motivations (reasons for applying and for becoming a genetic counselor); and career certainty. Two hundred and thirty-five usable surveys were returned (64.9% usable return rate). Most respondents were Caucasian females (mean age = 25.4 years). About 13% identified as ethnic minorities, and about one-third reported family histories of a genetic condition(s). Most respondents learned about the field in classes, and most were strongly encouraged by family and friends to pursue genetic counseling. Reasons rated as most important for becoming a genetic counselor included helping others and intellectual stimulation. Recruitment, training, and research recommendations are given.     

An Assessment of the Perceived Relevance of the CACREP Standards

This study examined the extent to which the 1988 Council for Accreditation of Counseling and Related Educational Programs (CACREP) Standards were judged by counselor educators as relevant to the preparation of counselors. A majority of the 102 institutional representatives, regardless of whether they represented CACREP-accredited or nonaccredited programs that offered a master's degree only or a master's degree and doctorate and had few or many faculty members, judged the CACREP Standards to be crucial or important to accreditation. Respondents' judgments of the relevance of the CACREP Standards, however, differed significantly (p<.05) by numerical size of program faculty and by whether the program was CACREP-accredited or non-CACREP-accredited.     

Incorporating Spirituality Into Core Counseling Courses: Ideas for Classroom Application

Recently, spirituality has received increased attention in the counseling field, and both spirituality and religion have been acknowledged as important aspects of multiculturalism. The role of spiritual and religious beliefs is mentioned throughout the Standards of the Council for Accreditation of Counseling and Related Educational Programs (CACREP), and guidelines for working with spiritual issues within various cultural paradigms are emerging. Nevertheless, many counselor educators seem unsure about how to infuse spiritual issues into courses. This article presents a rationale for inclusion of spiritual issues in counselor education curricula and provides activities to incorporate knowledge and skills for dealing with spiritual and religious diversity in CACREP core courses.     

CACREP Accreditation: A Solution to License Portability and Counselor Identity Problems

A confluence of forces addressing counselor identity occurred with the 20/20: A Vision for the Future of Counseling initiative, the 2009 Standards of the Council for Accreditation of Counseling and Related Education Programs (CACREP), and the quest by the American Association of State Counseling Boards to establish license portability. This article provides a historical context for the profession's struggles with these issues, 1 state's experience, TRICARE's impact, and the role CACREP standards can play in their resolution.     

Spirituality,Religion, and CACREP Curriculum Standards

Survey data of the general population, counselors, and counselor educators indicate that spiritual and religious issues are therapeutically relevant, ethically appropriate, and potentially significant topics for counseling and counselor education in secular settings. In this article, the authors propose that a balanced, thoughtful inclusion of these topics in Council for Accreditation of Counseling and Related Educational Programs (CACREP) core curriculum areas is a reasonable and sound approach to preparing counselors to work ethically and effectively with these issues in secular counseling settings. Methods and examples for achieving this inclusion are presented for each of the CACREP core curriculum areas.     

An Emergent Theory of Gatekeeping Practices in Counselor Education

This article summarizes findings from a qualitative study involving 8 counselor educators who taught in master's programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). Data analysis revealed an emergent theory of gatekeeping practices that includes 4 phases: preadmission, postadmission, remediation plan, and remediation outcome. The authors detail each phase and relate this process to counselor education. They outline implications of the findings for standards proposed by CACREP (2009) and American Counseling Association (2005) guidelines and offer suggestions for future research.     

Inclusion of Alternative and Complementary Therapies in CACREP Training Programs

Abstract

Given a heightened focus within the mental health profession on creative, complementary, and alternative practices, the authors surveyed CACREP programs with respect to their inclusion of such approaches in counselor training. For the purpose of this study, these approaches were designated as complementary and alternative methods (CAM) and defined as those therapeutic practices that fall outside of the established traditional realm of medical, psychiatric, and psychological practice (hypnotherapy, breath work, meditation, Qigong, Reiki, Thought Field Therapy, etc.). Sixty-two programs responded. Over half (54%) stated that they currently include these approaches in course offerings. This article includes a discussion of creativity, expressive arts, and energy psychology as they relate to complementary and alternative therapies in mental health and medicine.     

Graduate Training of Counselors in the Addictions: A Study of CACREP-Approved Programs

Results are reported from a survey of counselor education programs approved by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). The survey focused on counselor training in the addictions.     

CACREP: The Need for a Mid-Course Correction

Since its inception in 1981, CACREP (Council for Accreditation of Counseling and Related Educational Programs) has been AACD's (American Association for Counseling and Development) program accrediting agency. As of April 1991, 72 counselor preparation programs have earned CACREP accreditation. Recommendations to modify CACREP's standards and system of governance are made with the intention of increasing CACREP's influenceand making it accountable to the constituents it serves.     

An exploration of factors contributing to multicultural counseling self-efficacy in addiction counselors

A non-experimental, correlational survey design was used to explore relationships between counselor recovery status, training, and counselor demographic variables on multicultural counseling self-efficacy in addiction counselors (N = 283) using the Multicultural Counseling Self-Efficacy – Racial Diversity Form. A multiple-indicators and multiple-causes model analysis indicated significant differences based on race, multicultural education, and CACREP program attendance on multicultural counseling self-efficacy. Implications from this study and recommendations for future research are discussed.     

The State of Community Counseling: A Survey of Directors of CACREP‐Accredited Programs

Directors of CACREP‐accredited community counseling programs were surveyed on plans for their programs, needed curricular changes, professional organization and publications desired, and what makes community counseling distinct as a counseling specialization. Respondents were evenly divided between those who seem to see community counseling as generic counselor preparation for nonschool settings and those who seem to see it as a community‐oriented specialization in its own right. This division of opinion suggests a need to resolve this issue.     

Expanding Roles: A Survey of Public Health Genetic Counselors

According to the 2008 National Society of Genetic Counselors (NSGC) Professional Status Survey (PSS), 31 genetic counselor respondents reported spending at least 50% of their time in the area of public health. The NSGC Public Health Special Interest Group (PHSIG) had 49 dues-paying members in 2009. The purpose of this study was to identify the work settings and public health activities in which genetic counselors participate. A novel online survey was disseminated over the NSGC PHSIG Listserv. Forty-one percent (n = 13) of public health genetic counselor respondents worked in a university medical system, while 53% (n = 17) were grant-funded and held a non-clinical appointment. The most common public health activities included educating healthcare professionals (82%) and community members (61%), research (55%), grant writing (55%) and grant administration (36%). Most respondents (82%) reported learning certain public health skills outside of their genetic counseling training programs. Differences in work settings were found, with a significantly greater percentage of public health genetic counselors working in government agencies. Genetic counselors have opportunities to become involved in public health activities as the scope of public health genetics grows. Furthermore, genetic counseling competencies are compatible with the Institute of Medicine’s “10 Essential Public Health Services.” The NSGC and genetic counseling training programs are encouraged to offer more public health learning opportunities for genetic counselors and genetic counseling students interested in this specialty area.     

A National Survey of AIDS Training in Counselor Education Programs

A review of the literature suggests that counseling professionals may not be receiving substantive training related to AIDS. In this article, all U.S. counselor education programs were surveyed to determine the extent of such training. The responding programs (N = 243) identified AIDS as a high priority for inclusion in curricular programming, yet nearly 40% of the responding programs did not include any AIDS training in their curricula. Implications for counselor education and the counseling profession are discussed, and suggestions are made for including AIDS-related training in programs.     

Ethical Training in Sport Psychology Programs: Current Training Standards

Ethical training in graduate programs is an important part of the professional development process. Such training has taken a position of prominence in both counseling and clinical psychology but seems to be lagging behind in the field of sport psychology. A debate exists about whether such training is necessary and, if so, how it should be provided. An important step in better understanding these issues is to identify how such training is currently taking place. This study surveyed the program directors of sport psychology programs listed in the Directory of Graduate Programs in Applied Sport Psychology (Burke, Sachs, & Schrader, 2002) about the ethical training that takes place in their programs and their perceptions of the preparedness of the students in their programs. Of those contacted, 54% (n = 47) responded to the e-mail based survey. The results from these respondents indicated that 64.4% of programs require training in ethics and that the training was most commonly integrated into other nonethics courses. Overall, respondents did not feel as if students were completely prepared for either the ethical or legal issues that they will face in their professional careers. The importance of ethical training and suggestions for improving ethical training are discussed.     

Spirituality and Religion: The Ninth CACREP Core Curriculum Area

On the basis of the ACA Code of Ethics (American Counseling Association [ACA], 2014) and ACA‐endorsed competencies, the ability to address spirituality and religion is a recommended skill set of counselors. The Council for Accreditation of Counseling and Related Educational Programs (CACREP) addresses the “spirit” in the standards; however, in the training of students, additional focus could be placed on this competency. The authors introduce expert‐reviewed standards to be considered as a 9th core curriculum area of the CACREP Standards (CACREP, 2015 ) titled Spirituality and Religion .     

The CACREP Site Visit Process

An important step in the CACREP review process is the campus site visit. The visit involves a team, usually from comparable institutions, coming to a campus for a review of the counselor training program(s). The role of the team is to be the CACREP Board's representative on campus to verify the self‐study. In this article, the author reviews the CACREP site visit process and provides a retrospective of its evolution over the past 30 years.     

Inclusion of Substance Abuse Training in CACREP‐Accredited Programs

Professional counselors and counselors‐in‐training continue to serve clients who have substance abuse issues, yet systematic training in substance abuse counseling is not available to many counselors. The authors investigated the extent to which students in programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP; 2001) are exposed to clients presenting with substance abuse issues and the relationship between state licensure or certification in substance abuse and the resulting perception of the need for the inclusion of substance abuse training in these programs. Three methods are presented for possibly including substance abuse training in CACREP standards.