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.     

A radical change in counselor education and certification

The new Washington state certification plan for school counselors includes promising innovations. The plan calls for behaviorally stated performance standards related to client outcomes. Resulting programs for in-service as well as pre-service counselors are developed in a partnership among professional associations, school districts, and university counselor education personnel. Professional identity and involvement are encouraged through counselor self-assessment against specific performance criteria, individualized training and self-renewal programs, and lifelong professional development plans. A new role is developed of a counselor staff development specialist who functions as a school training consultant and counselor educator.     

Clinical Expertise in Cognitive Behavioural Therapy: Definition and Pathways to Acquisition

Evidence-Based Practice is premised on current research evidence, patient factors, and clinical expertise. The definition of clinical expertise has been the most contentious, primarily owing to the ambiguity of the construct. However, attempts have been made by the American Psychological Association to outline standards of clinical competence required for psychologists, irrespective of theoretical orientation, and the Improving Access to Psychological Therapies program in the UK has recently outlined a framework for therapist competences in cognitive behavioural therapy (CBT) in particular. This paper aims to review these recent conceptual developments in defining competence and addresses current training programs and certification standards that aim to ensure that CBT therapists acquire these standards of competence.     

Pulling it all together: Meeting varying training requirements on national,state, and university levels for marriage and family therapy education

Marriage and family therapy programs face many challenge in trying to meet different sets of criteria including national, state, and university requirements. State regulation of the marriage and family therapy profession is a much sought after commodity. Currently 22 states have some type of MFT licensure or certification. MFT regulation criteria established by states to restrict title and function can differ in varying degrees from criteria established by the AAMFT's Commission on Accreditation. At the university level, MFT programs continue to be housed in a variety of schools including social work, education, psychology and home economics, as universities attempt to define a proper place for family therapy training. Confusion exists about whether MFT is a separate discipline or a specialization of another profession. The task of pulling it all together is addressed using one program's experience as an example.     

Focus on clinical psychology postgraduate training: Taking the curriculum into the next decade

Abstract: Clinical psychology, like many applied disciplines, often suffers from a lack of congruence between best‐practice in terms of pedagogy and evidence‐based practice and the actual structure and content of training programs. A small but growing international literature addresses such issues. A small group of researchers from five Australian Universities, led by a team at the University of Queensland, has received grant money over two years to examine and offer constructive strategies for revising and revitalising the clinical psychology training curriculum in Australia, with reference to international pedagogy and training standards.     

The growth of school psychology in the last decade

With reference to the first question, it seems that school psychology as a profession is growing much more rapidly than membership in Division 16 of APA would indicate. While the Division is growing, it is not growing in proportion to the number of practitioners in the field.

Factors that seem to be positively related to the rapid expansion of school psychological services are: financial support from the state level; training programs in the colleges and universities; special certification requirements and the designation of school psychology as a specific profession; and increasing demand for services in rural as well as the urban areas. The school psychologist, by virtue of his training and professional competence, is apparently meeting an important need in the educational system. The general tenor of the response to this survey is that the growth of school psychological services will continue.     

Family Therapy in Romania

The article outlines the development of family therapy in Romania. Family therapy has a relatively brief history in this country, only beginning with the first training programs in the early to mid 1990s. However, as far as the number of professional associations is concerned, it is well represented on the map of psychotherapy approaches. There are several opportunities for training in family therapy. The accreditation of the training programs and the certification of the graduates of these programs is clearly regulated by law. From the legal point of view psychotherapy is considered a specialization of psychologists rather than an independent profession. The authors offer a brief overview of the history of family therapy in Romania, its present position in the health and social care system, the context of training, accreditation standards, the network of professional organizations and some of the possible future directions for family therapy. Finally, recently produced Romanian films are suggested as a medium for getting acquainted with the complex dilemmas faced by contemporary Romanian families.     

Determining essential content for applied behavior analyst practitioners

This article reports the procedures and findings of a job-analysis study recently conducted by the Behavior Analyst Certification Board, Inc. (BACB) and considers some implications of the survey data collected during this process. The job analysis focused on the applied sector of the field of behavior analysis and limited its inquiry into matters of professional competencies and training. The results represent a unique sample of demographic information and valuable collection of opinions regarding the competencies and training required of applied behavior analyst practitioners. Because these opinions have a direct effect on certification task standards and content of the BACB credentialing examinations, which in turn drive the curricula of undergraduate and graduate programs in applied behavior analysis, it is important to consider what these views might mean for the continuing evolution of the field of behavior analysis.     

Das DGPPN-Zertifikat Forensische Psychiatrie

The introduction of the German Society for Psychiatry Psychotherapy and Mental Health (DGPPN) certificate for forensic psychiatry significantly contributed to improving the quality of forensic psychiatric expertises. The corresponding designations of state medical boards were created in 2004 and have now become established. Currently two methods of certification of forensic psychiatric training are possible which opens up the opportunity to further develop the certificate and to set standards for quality assurance. This article discusses in particular quality control measures, ways to respond to serious quality issues and the development process in terms of a continuing medical education. By establishing and enforcing such standards the DGPPN will achieve a key position.     

Status of Guidance and Counseling in the Elementary School

This study investigated some aspects of elementary school guidance and counseling in the 50 states and the 4 American territories. Specifically, such matters as the number of counselors employed, their professional background, certification, and state standards were examined. Results of this study were as follows: 3,837 counselors are now working in elementary schools in 48 states; the majority of these counselors are former elementary school teachers. Over 70 per cent are supported in part by federal funds. To date, 14 states have developed certification requirements for elementary counselors that are discernibly different from secondary certification. For the most part, state standards for elementary school guidance lack specificity; in some cases such standards are non-existent     

The Role of Government and Lobbying in the Creation of a Health Profession: The Legal Foundations of Counseling

The state and federal governments, along with private industry, play an important role in the development of a health profession. State governments establish training standards through licensure laws, and state programs dictate employment and payment opportunities. The federal government unifies a profession through recognition in national health care programs. Private industry provides public access through private health insurance. The counseling profession has spent decades opening these federal, state, and private programs to become an established health profession.     

Certification patterns and requirements for school psychologists

A questionnaire was sent to 50 state superintendents of public instruction and to directors of education in five U.S. territories. Information was requested relevant to state certification for school psychologists, including minimal academic, teaching, and internship requirements. Fifty-five questionnaires were returned. Forty-four states and territories indicated certification standards which were subsequently discussed in detail. Trends noted were: more states requiring certification for school psychologists, higher academic requirements, increasing levels of certification, and a shift away from a mandatory teaching certificate for state certification as a school psychologist.     

The future of genetics in public health

During the 1980s, we have witnessed an erosion in federal and state funding for the coordination of genetic services in state health departments. As this decade begins, the federal budget for the support of the national genetics program is less than half of the total available in 1980. In addition, priorities in state maternal and child health programs have changed, and genetic services have often received lower rankings aside of programs to improve prenatal care and to address problems such as teenage pregnancy. Clearly we are at a critical point for the future of genetics programs in the public health arena. Fortunately, despite the problems with funding and priority setting, important coalitions have been built during the past decade and continued advances in medical genetics have made it difficult for public health officials to ignore the potential impact of genetic services. Council of Regional Networks for Genetic Services (CORN) and the regional genetic services networks have provided opportunities for interaction and coordination between genetic services providers and public health officials that had not been available to any significant extent. The full potential of these coalitions has yet to be realized, but efforts in data collection, development of national guidelines and standards, and information sharing and networking have already had an influence on state genetic services programs. Continuing research on the genetics of chronic diseases and the influence of discoveries in molecular genetics will undoubtedly broaden the current scope of state public health programs in genetics, which all too often have been limited to newborn screening and administration of grants for genetic services. The regional and national genetic services programs should be strengthened and appropriate training programs should be developed in Schools of Public Health to provide the expertise and leadership that will be needed to guide the future of genetics in public health.     

Professionalisierung der Supervision

Supervision is a central domain of professional education and clinical practice. Supervisors features for qualification as well as formal training standards have been largely neglected. In this article the proposals of different psychotherapeutic societies concerning the features for qualification are discussed. Additionally, some training concepts are presented. Suggestions for future development in this area are addressed including the need to refine further operationalized competence, develop conditions for accreditation and certification regarding supervision competencies.     

A comparative study of proprietary and nonproprietary vocational training graduates

Questionnaires were sent to 13,549 graduates of four types of proprietary and nonproprietary vocational training programs in four selected metropolitan areas of the United States. Initial responses were received from 5,215 graduates, a response rate of 38.5%. The survey featured an intensive follow-up to reach and estimate the characteristics of the nonrespondent population. Substantial differences favoring nonproprietary programs were found between proprietary and nonproprietary graduates in terms of economic gains following graduation and expressed satisfaction. Nevertheless, both types of programs were found to be generally effective in producing graduates with marketable skills; post-training salaries were high enough to indicate that the training was cost effective in all except proprietary computer training programs. The results supported several recommendations regarding the necessity for uniform standards of accountability in the regulation of vocational training programs, whether they are public or private.     

Raising standards of practice in school psychology through the use of field-based training

A model is presented for upgrading school psychology practice in an entire state by raising the level of entry for school psychology certification. A central feature of the plan is that it permits those who currently do not meet the revised standards to participate in a field-based program. This allows them to increase their knowledge and skills so that they may continue to hold positions, but at a higher level of competence. The development of the program, its implementation, and an evaluation of its efforts over a five-year period are presented.     

An analysis of training programs in school psychology

The 85 institutions below indicated that they have a graduate training program in school psychology or that one may acquire certification although there is no formal program as such. The information was supplied in response to a questionnaire by a representative of each institution and is current as of March, 1967. The list is far from complete. Several institutions with known programs failed to respond to the questionnaire and their names are not included.

As suggested by Smith (1964), the institution should be contacted directly for further information.     

Suicide prevention in the genetic counseling context

Utilizing a case report, this paper explores psychosocial aspects of suicidal intent in a woman seeking prenatal diagnosis. Using knowledge and practice of appropriate assessment, referral, and intervention procedures, the therapy team of genetic counselor and psychotherapist facilitated successful identification and management of this potentially suicidal client. The main counseling goals for the genetic counselor are to assess the situation adequately, decrease the immediate danger, and, with supervision and/or consultation, stabilize the seriously suicidal person until that individual can be triaged to mental health or medical professionals for treatment. The prevalence of suicide issues in genetic counseling contexts is unknown and reports mentioning suicidal ideation unusual in the genetic counseling literature. Is this reported case a rarity among genetic counseling referrals? Systematically collected information on the prevalence and resolution of suicidal issues in genetic counseling contexts would be helpful for those setting curricula for genetic counseling training programs, standards for professional certification exams, and policy and procedures manuals for clinical units.     

Educating Genetic Counselors in Australia: Developing an International Perspective

The demand for genetic counseling services is increasing worldwide. This paper highlights the Australian experience of genetic counselor education and the history of the profession. The relevance of local factors, including the healthcare system, the education system and the small population in the evolution of the 1-year training programs are considered as an alternative model for emerging programs. The development of the education and training processes compared to that of other countries namely the United States of America (USA), the United Kingdom (UK) and Canada is discussed. The importance of international collaborations between the programs, to facilitate academic discussion and possible curriculum innovations, and to maintain professional understanding between genetic counselors is emphasized. Core genetic counseling competencies have been published for the UK and USA and an Australian set is proposed. In conclusion future directions are considered, including international issues around genetic counseling certification, reciprocity, and the potential for an Australian role in training genetic counselors in South East Asia.