Feedback and accountability

This article describes a communications system for planning and carrying out guidance and counseling activities. In the proposed model not only professional team members but also consumers of professional services are regarded as active participants in all phases of guidance, from goal identification through outcome evaluation. The article stresses the importance of an adequate feedback system used by all participants and describes its relationship to counselor accountability.     

Counseling in Singapore

Singapore, a tiny island nation, rose from 3rd‐ to 1st‐world status in just 3 decades. Unlike in most developed countries, counseling in Singapore has a short history with faith‐based beginnings and currently faces challenges to remain culturally relevant. The authors trace the development of Singapore's counseling services, provide an update regarding counseling practices in the school and community, and describe counseling and its relation to psychology in the educational setting. The authors conclude by examining professional issues and future directions.     

Accountability: A Total Commitment

The counseling profession has the knowledge and methodology to provide accountability in delivering its services. What remains is for leaders to use these resources and to develop more effective services. This article describes the program concepts and procedures implemented in one state employment service agency to establish an accountable counseling program. These procedures include the development of a compentency-based training and supervision system. The competency model is described and its goals are specified. Accountability at all levels of the system is defined, including the responsibility of management to guarantee the public quality counseling services.     

Traditional Healing as Indigenous Knowledge: Its Relevance to HIV/AIDS in Southern Africa and the Implications for Counselors

This article integrates the results of several culture-based studies conducted over the past decade. Specifically, links are made between the continued relevance of the African traditional healer's corpus of knowledge, the efficacy of the healer's cultural authority, and the need for HIV/AIDS-related strategies and interventions that are culturally sensitive, especially counseling. Results of an initial investigation of traditional healing in Lesotho, Swaziland, and Zimbabwe are integrated with more recent research in Botswana and Namibia. Findings from these studies are meshed with preliminary results of an ongoing investigation of the contextual influences and cultural factors associated with the spread of HIV/AIDS in the southern African region. Outcomes of the combined investigations have supported further examination of traditional healing as an indigenous knowledge system, of its relevance to HIV/AIDS, and of its significance to professional counselors in Africa. Related recommendations are offered for consideration by those working within HIV/AIDS systems of intervention.     

The Development of the Counseling Profession in Japan: Past,Present, and Future

The authors provide a sociohistorical overview of the development of the counseling profession in Japan. They describe Japan's major social, cultural, and political changes; growing psychological problems in Japanese society; and an increased need for counseling services. Historical overviews and the current state of counseling are presented with a particular focus on the definition of counseling, professional associations, certifications and credentials, counselor education, and counseling practices. The authors also examine future challenges and opportunities for professional counselors in Japan.     

Use of Ifá as a Means of Addressing Mental Health Concerns Among African American Clients

African Americans underuse counseling services because of factors such as cultural mistrust, stigma, and culturally incongruent treatment interventions. As a result, this population relies on informal healing networks. The foundations of these networks have been outlined within the professional literature. However, limited attention has been given to the indigenous healing methods used by African Americans in lieu of counseling. This article explores the conceptual, diagnostic, and treatment strategies of the indigenous healing system, Yorùbá‐based Ifá.     

The Case for Consultation

The evolution of new practices designed to extend professional mental health services by not limiting the helping professions to a traditional one-to-one relationship has led to the use of consultation with other caretaking persons. This technique is discussed and its relationship to counseling, particularly in the elementary schools, is explored. The practices evolved during the IRRCOPS project at Texas and at NDEA Institute are described.     

A fact-finder's journey to Europe

The author undertook a trip to sixteen cities in eight European countries to study Continental models of integrating spiritual development and mental health and to look at training programs in pastoral counseling. He found a growing secularization of clergy who want to offer human services and cannot do so within established church hierarchies. In Roman Catholic areas he found pastoral counseling services directed to the religious professional rather than to the laity or the public. Training programs have yet to be fully developed. Only the Swedish model, in its history and multidisciplinary character, resembles the situation in the United States.     

Professional preparation of individuals who provide genetic counseling services

An unprecedented increase has occurred in demand for genetic counseling services during the current decade. This study examined the complex issue of who currently provides genetic counseling services and the professional preparation of these personnel. A self-administered questionnaire was mailed to 325 genetic counseling professionals in the southeastern United States who were members of the Southeast Regional Genetics Group (SERGG), National Society of Genetic Counselors, or American Society of Human Genetics States; 204 completed the questionnaire (63%). Seventy percent of respondents were female and 30% were male. Thirty percent of respondents held MD degrees; nine physicians held PhD degrees. Most physicians were male. Thirty-two percent of respondents held master's degrees in genetic counseling; five counselors held PhD degrees. Twenty-three percent of respondents were nurses; eight nurses held master's degrees. Three percent of respondents were social workers. Individuals with other degrees, such as an associate of science in medical technology and a doctoral degree in education, also provided genetic counseling. Genetic counseling typically involved a team effort, consisting mainly of physicians and genetic counselors. Most respondents reported college coursework in human genetics, supervised training, and seminar/workshop training. Thirty percent reported college coursework in counseling techniques, supervised training, and seminar/workshop training. Policy recommendations are offered concerning professional preparation of genetic counselors.     

心理辅导室的建立与小儿外科

手术是小儿外科的主要治疗手段,又是一个创伤过程,同时也是一个心理应激过程,对于患儿来说这种应激会使其产生恐惧心理。同时小儿外科工作具有双重性,不仅要为患儿服务同时还需满足家长不同层次的心理需求。所以有必要在小儿外科科室内建立一个系统的心理辅导机构即心理辅导室来做好家长及患儿的心理疏导。     

Rehabilitation Counseling: Evolution and Current Status

This article provides a brief review of the evolution and current status of rehabilitation counseling. Rehabilitation counseling practice is described along with the required competencies of rehabilitation counselors in providing services to individuals with disabilities. The professional status of the discipline is reviewed in terms of programs for educational preparation, professional associations, accreditation, regulation of practice, ethical mandates, and research. Finally, continuing challenges for the discipline are identified.     

Professional Counseling in Hong Kong

The authors provide an overview of recent developments in professional counseling as related to schools, career counseling, and community services in Hong Kong. The strategic position of counseling professionals, counseling associations, and counselor certification is discussed. The future development of counseling in Hong Kong is also considered.     

Counseling— A Friend to Placement

The policy declaring placement as top priority, accompanied by a responsive focus of staff and budget resources, has decreased the availability of counseling services to applicants contacting the employment service. Many people, if they are to be assisted in finding and keeping jobs, need the help given by professional employment service counselors. Management and program planners need an accountability rate of the importance of counseling services in the accomplishment of the placement priority. A study, covering two years of employment activities, was conducted in the Utah agency to gain insight into the question. The statistical material studied concerned available applicants, number placed, number counseled, and counseled applicants placed. The data indicated that counseled applicants have better than twice the chance of being placed on a job than uncounseled applicants. Thus, in Utah, counseling services have a positive influence in the job placement of an applicant.     

College Counseling: Union and Intersection

College counseling can best be understood as the intersection of a professional activity and an environment. The specialty has developed from the merging of several movements: vocational guidance, mental health, and student personnel work. These elements are reflected in the diversity of backgrounds and perspectives represented by college counselors and in differing models of counseling services. College counseling will be affected by trends including health care reform, scarcity of resources in higher education, changing student demographics, and complex societal issues.     

College counseling: between the rock and the hard place

Professional counseling in institutions of higher education is facing a serious crisis. The crisis is not due simply to the fact that institutional administrators are asking their professional counselors to account for their activities, nor is it due simply to the fact that professional counselors have lost touch with an increasing proportion of students who are turning to self-initiated counseling arrangements for their most immediate needs. The crisis of counselor survival arises mainly from the fact that those services that administrators expect professional counselors to perform as part of their organizational role are actually counterproductive to the establishment of trusting and meaningful relationships between counselors and students.     

Assessing the Quality of Counseling Services: Developing Accountable Helping Systems

Professional counselors in school, campus, and mental health settings are facing increasing demands for accountability with respect to the cost and quality of their services. This article reviews dimensions of quality and ways of assessing these in counseling settings, with particular emphasis on the development of ongoing programs of quality improvement. Such programs are described as mechanisms for science-practice integration within counseling settings, providing decision support tools for triage, treatment planning, and the management of professional services.     

The Tyranny of Technique

The role of technique and technology in psychological counseling is briefly discussed. A preoccupation with both has characterized approaches to knowledge and power for several centuries. It is argued that the distinction between “knowing that” and “knowing how” is an important one in professional training. Techniques are necessary codifications of more basic, abstract development. The counseling apprentice and supervisor should therefore relegate technique and technical skills to an important, but hardly central, role in psychological services.     

Does psychopathology predict counseling duration?

Many university counseling centers have adopted case management policies in an effort to conserve limited resources. Fearing that students with more severe problems will consume too many clinical resources, many counseling centers have decided to refer such students to external agencies or providers for mental health services. However, this fear might be unwarranted because empirical research has not shown a substantial relationship between psychopathology and counseling duration. This investigation examined whether a new treatment-planning inventory, the Butcher Treatment Planning Inventory, might be useful for better understanding the relationships between various problem areas and counseling duration. Participants were new clients (students and staff members) at a university counseling center in the southeastern USA. Professional staff members and graduate students in counselor education, clinical psychology, and clinical social work provided counseling services to the participants. Lower scores on several scales predicted counseling duration. In other words, clients with lower scores on these scales (representing less psychopathology) attended more counseling sessions than clients with greater psychopathology. Therapists' background also predicted counseling duration; clients who worked with either a professional staff member or graduate student in counselor education attended more sessions than clients who worked with a graduate student in clinical psychology. The results of this study, combined with previous research, suggest that measures of psychopathology are not very useful for identifying which clients will complete long-term counseling. Until better information becomes available, actuarial tables remain the most efficient means for predicting counseling duration.     

Why Is Cancer Genetic Counseling Underutilized by Women Identified as at Risk for Hereditary Breast Cancer? Patient Perceptions of Barriers Following a Referral Letter

Family history information comprises an important tool in identifying and referring patients at risk for hereditary breast and ovarian cancer (HBOC) to cancer genetic counseling. Despite recommendations and support provided by numerous professional organizations, cancer genetic counseling services are underutilized by atrisk patients. This study aimed to: (1) determine the rate of genetic counseling utilization following a referral letter, (2) characterize factors (barriers and supports) which influenced uptake of services, and (3) identify potential strategies for increasing utilization. This study evaluated the uptake of cancer genetic counseling among 603 screening mammography patients identified as having an increased risk for HBOC based on National Comprehensive Cancer Network (NCCN) guidelines. At risk individuals and their primary care providers were mailed a referral letter recommending genetic counseling. Three focus groups (N = 24) were conducted to identify responses to receiving a letter recommending genetic counseling, barriers to seeking genetic counseling, and facilitating factors to utilizing these services. Participant responses were qualitatively analyzed using thematic and cross case analysis. Within one year, 50/603 (8 %) of the identified at-risk women completed a genetic counseling appointment. Participant-perceived barriers which influenced their decision not to seek genetic counseling included lack of relevance and utility, limited knowledge about genetic counseling, concerns about the genetic counseling process, and concerns about cost and insurance coverage. Participant-perceived facilitating factors which would support a decision to seek genetic counseling included greater awareness and education about genetic counseling services when receiving a referral, and improved follow up and guidance from their provider. Findings from this study support the need for patient and primary care provider education, and improved provider-patient communication to increase uptake of genetic counseling services.     

Implementing the Boulder Model of Training in a Psychology Training Clinic

The scientist–practitioner (S–P) model of training has guided professional psychology in the United States for nearly six decades. However, since its inception, the model has been hotly debated and implementation of the model has been chronically problematic. One counseling psychologist who is working as both a faculty member and psychology training clinic director describes how scientific principles can be retained in a practice setting. He overviews the Boulder model of training, provides a brief review of the psychology training clinic (PTC), describes his current work setting and unique faculty appointment, and outlines five strategies for integrating science and practice in applied clinical settings. He also highlights how embracing the Boulder model has promoted a strong professional identity and presents the PTC as a model professional home for S–Ps.