Training Consultants: A Call to Action

The development of consultation skills lags far behind the development of counseling skills in most counselor education programs. Some of the reasons why consultation training is not emphasized are examined, and some remedies are suggested.     

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.     

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.     

Supervising Consultants in Training: An Application of a Model of Supervision

In this article the author delineates a model of supervision for consultation training. The model is based on Stoltenberg and Delworth's (1987) Integrated Developmental Model of supervision of counselors and has been adapted for supervision of consultation trainees. The model describes trainee characteristics and supervision needs across three levels of development, culminating in an integrated (3i) level with developed skills across eight domains of consultation activity. Development is tracked by monitoring changes in three crucial structures: self- and other-awareness, motivation, and autonomy. Suggestions for supervision approaches for all three levels are presented, and relevant research is discussed.     

Training District Personnel as Peer Consultants and Inservice Leaders: Implementation and Evaluation of a Training Program

For several years, Furman University has offered training for special educators to develop skills as peer inservice providers and as peer consultants to general education personnel. By means of a personnel preparation grant, School Initiated Teacher Education (SITE) Outreach, 61 special education teachers, speech therapists, and curriculum specialists have been involved in a series of three graduate level courses designed to address development of skills in inservice content and presentation and peer consultation. Evaluation data were collected to determine the impact of the training program, perceived benefits to the participants, and the receptiveness of the participating school districts in terms of the incorporation of peer inservice and consultation activities into the ongoing instructional program.     

Public Health Ethics Education in a Competency-Based Curriculum: A Method of Programmatic Assessment

Public health ethics began to emerge in the 1990s as a development within bioethics. Public health ethics education has been implemented in schools of public health in recent years, and specific professionalism and ethics competencies were included in the Master of Public Health (MPH) competency set developed nationally and adapted by individual schools of public health around the country. The University of Texas School of Public Health approved the present set of MPH competencies in 2005. After 4 years of experience, we now report information measuring the extent to which “Professionalism and Ethics” competencies and subcompetencies are being met in the MPH degree program. To this end we have audited the MPH “Professionalism and Ethics” competency forms for FY2009 MPH graduates (n = 61). Eight courses, including required MPH core courses plus the practicum and culminating experience, were found to have substantial professionalism and ethics content. Further, 67.2% of graduates met eight or more of the 13 competencies and subcompetencies, but only 36.1% met all thirteen, indicating a need to identify topic areas to be added to, or enhanced in, the MPH curriculum. In addition, these findings will inform ongoing efforts to enhance ethics education in our health science center. Assessment of these competencies and subcompetencies is an essential step in strengthening ethics education at our institutions and in better preparing our graduates for a challenging future. We report our efforts here to demonstrate one way of carrying out programmatic assessment of ethics education in a school of public health.     

Training Public Sector Clinicians in Competency-Based Clinical Supervision: Methods,Curriculum, and Lessons Learned

This article describes an initiative to train public sector clinicians in competency-based clinical supervision. It was delivered as an 18-session course taught online to clinicians employed in departments of behavioral health in nine Southern California counties. The curriculum was co-constructed by a team of clinical supervision scholars and leaders who then served as instructors. Each two-hour meeting addressed a specific topic for which a training video had been prepared, usually featuring a member of the training team who had expertise in that topic. The second part of each meeting focused on a class member’s supervision case presentation. Those presentations revealed 35 themes; the four most frequently occurring were: developing supervisees’ clinical competencies, addressing countertransference and parallel process, balancing clinical and administrative supervisory roles, and addressing record keeping/paperwork. Participants’ pre-to-post supervisory self-efficacy changes demonstrated a moderate effect size (Cohen’s d?=?.46) for the training, with the greatest pre- to post-training changes being in the use of technology, multicultural competencies (awareness of oppression, bias, and stereotyping in clinical work and in clinical supervision), and contracting. They reported that the strengths of the course included an inclusive learning environment and opportunities to reflect on and apply new knowledge and skills, though they also reported struggling with the assignments and the course platform software. Lessons learned reflected the use of technology in this online program, the importance of obtaining buy-in from agency decision makers and being prepared to address challenges related to the use of direct observation in supervision, gatekeeping, and enacting the simultaneous roles of administrative and clinical supervisor.

     

Working Through Countertransference Blocks in Cultural-Competence Training

The encounter with clients from diverse cultural backgrounds may stir in the practitioners intense counter-transferencial reactions, which if unexplored may obstruct the helping relationships and interventions. This article presents and demonstrates a cultural competence training where such countertransference can be worked through. The training applies a combination of narrative analysis that emphasizes the active participation of the listener in the sense-making process and of the exploration of group processes from a psychoanalytically oriented point of view. Presented are four vignettes that demonstrate different types of countertransference and of the group process.     

Enhancing Training Efficiency and Effectiveness Through the Use of Dyad Training

The authors examined the effect of inserting observation practice and undirected dialog into the rest interval between practice trials on the learning of a complex task (stabilometer). Training protocols in which learners practice in pairs (dyads) result in increases in learning efficiency, but the critical issue is the effect on learning effectiveness. Three groups of participants (n = 12 in each group) practiced maintaining their balance on a stabilometer. One group practiced individually, and the other 2 groups practiced in dyads in which 1 performer practiced the task while the other observed. In the dyad-alternate condition, participants alternated between physical, observational, and dialog practice on each trial, whereas in the dyad-control condition, subjects completed all trials on 1 form of practice (either physical or observational practice) before engaging in the other form. The results indicated that the dyad-alternate group initially performed more poorly but quickly overtook the individual group, and the performance advantage of the dyad-alternate group was maintained on the delayed retention test. When the different forms of practice were performed consecutively, as in the dyad-control group, acquisition and retention performance was generally poorer than when they were alternated. Those results suggest that one can combine the benefits of physical practice, observation, and dialog between learners in an interactive way to produce an effective and efficient learning protocol.     

United Kingdom Mission Training Through Distributed Simulation

This paper presents the findings of a United Kingdom (UK) research program carried out over the last decade. This research has explored the benefits of using networks of simulators for collective training known in the UK as mission training through distributed simulation (MTDS). The paper provides an overview of trials carried out to date, identifies the research issues addressed, and discusses the key findings. The conclusion is that MTDS provides an immersive training environment that has the potential to support not only single service collective training, but also joint and coalition training requirements.     

Alcohol Education Through Computer-Assisted Instruction

The author describes the application of computer-assisted instruction (CM) to alcohol education. The program, titled If You Drink, contains five modules that teach about the effects of alcohol, blood alcohol content, drinking and driving, decision making about drinking, and interactions between alcohol and commonly prescribed medications.     

Reducing Child Whining Through Self-Instructional Parent Training Materials

Parents used self-instructional booklets to decrease their children's (age4-8) whining. In each of 9 families, a multiple-baseline design across three problems, whining and two other was used. Parent data indicate mean improvement of 26% of the maximum possible from baseline means, with 8 of 9 children showing improvement. All parent final consumer ratings were positive. All interobserver reliabilities exceeded 80% agreement weighted for occurrence and nonoccurrence. Correlations for two sets of data between frequencies of whining estimated by parents twice an hour and percent of intervals recorded for whining from observer interval data for the hour produced median correlations of .62 and .51. Percent agreement between observer and parent data, both using interval recording at the same time, produced a median coefficient of agreement weighted for occurrence and non-occurrence of 59%. Results suggest that parents using self-instructional materials alone could reduce children's whining from levels originally considered excessive to levels parents considered acceptable.     

Developing Moral Responsibleness Through Professional Education

Suggesting that a technical or means orientation prevails in the professional preparation and practice of counselors, the authors state that more attention must be given to development of critical reflectiveness about valued ends when making professional judgments. They describe an instructional model designed to further students' capacities and motivations for making rational moral judgments in counseling. Instructional strategies involving independent-learning modules, critique, and dialogue are used to promote reflection on self and examination of moral questions. A pretest-posttest evaluation of a 10-week application of the teaching model found significant student gains in moral sensitivity.