Best Practices for Counseling Clients Experiencing Poverty: A Grounded Theory

Poverty is a pressing sociopolitical issue in the United States and worldwide. Poverty experiences have a significant effect on one’s mental health and overall wellness. Therefore, the ability to effectively serve clients experiencing poverty is critically important to professional counselors. However, there are no empirical models for counseling clients experiencing poverty. The authors present the results of a constructivist grounded theory study in which 21 professional counselors who work with clients experiencing poverty were interviewed to identify best practices for working with this population. Five major best practices are identified: (a) awareness, (b) training, (c) knowledge, (d) skills, and (e) advocacy. Implications for professional counseling are included.     

Ethics and Accreditation in Addictions Counselor Training: Possible Field Placement Issues for CACREP‐Accredited Addictions Counseling Programs

The Council for Accreditation of Counseling and Related Educational Programs now recognizes addictions counseling as a specialized field of practice. Two case studies illustrate possible unintended violations of ethical and training standards.     

Photovoice: Fulfilling the Call for Advocacy in the Counseling Field

Counselors are bound by ethical code to advocate at individual, group, institutional, and societal levels to examine potential barriers and obstacles that inhibit the growth and development of clients. Photovoice is a participatory action research method that utilizes a specific photographic technique to capture an issue from the lens of those affected. The authors of this article propose that photovoice can be adapted to individual counseling with clients to fulfill our ethical call to advocate at the individual level to address barriers and promote growth. A case example is given to demonstrate how photovoice can be used in a counseling session to advocate for clients.     

Overcoming Obstacles to Empathy: The Use of Experiential Learning in Addictions Counseling Courses

Empathy is associated with positive outcomes in addictions counseling. The moral model of addiction and unresolved countertransference issues may hinder counseling students’ development of empathic understanding for clients with substance use disorders. Counselor educators must structure courses in such a way as to help students overcome obstacles to empathy. We provide examples of several experiential activities framed within the context of Kolb’s experiential-learning cycle that are designed to deconstruct obstacles to student empathy development.     

Pedagogical Practices for Teaching Addiction Counseling Courses in CACREP‐Accredited Programs

We used a grounded theory approach to investigate educational strategies for teaching master's‐level addiction counseling courses. An emergent model of pedagogical practices, factors that influence development and implementation, and suggestions for counselor education programs are presented.     

Evaluating Genetic Counseling: Client Expectations,Psychological Adjustment and Satisfaction with Service

Periodic evaluations of genetic counseling services are useful for determining the effectiveness of counseling in meetings its psycho-educational aims, as well as identifying where improvements to the service may be made. This study aimed to evaluate the genetic counseling services provided by Genetic Services of Western Australia (GSWA) to determine the impact of counseling on client expectations, satisfaction with the service, and psychological adjustment, defined as wellbeing and perceived personal control (PPC). A total of 122 clients participated in a self-administered survey conducted pre- and post-counseling. Client expectations of the service as a means of providing information were met, and opportunities for counselors to meet client’s expectations of psychological support were identified. Furthermore, counseling was found to maintain and enhance psychological wellbeing of clients. The role of counseling in facilitating the development of PPC was a key contributor to a high sense of satisfaction in clients.     

Child Abuse and Neglect: Counseling and Healing Practices with People of African Ancestry

Communities worldwide condemn child abuse and agree that any form of harm should be mitigated by culturally sensitive methods. In African settings such methods are underrepresented in the literature. This article sought to identify and highlight the healing practices that counselors should consider when dealing with abused children of African descent. It further, proposes prevention that should be prioritized since most African communities are living in precarious circumstances which could expose children to further abuse. The article recommends that counselors in African settings need to adopt holistic approaches such as involving parents, community and other relevant institution when dealing with survivors of abuse, rather than to work in isolation. In addition, the legislation that protects children and the traditional support system needs to be strengthened and aligned to international conventions as inconsistencies could undermine their effectiveness and hamper the implementation of anti-child abuse policies.     

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.     

Promoting Cognitive,Emotional, and Spiritual Client Change: The Infusion of Solution‐Focused Counseling and Ritual Therapy

Solution‐focused brief counseling offers clients an opportunity to find solutions to problems and evoke cognitive change. This treatment modality is criticized for negating the emotional and spiritual aspects of client change. The authors propose that the inclusion of rituals in solution‐focused brief counseling can enhance the counseling experience for clients by encouraging meaningful cognitive, emotional, and spiritual change. A new model, Brief Solution Rituals, was developed to incorporate the use of rituals into solution‐focused counseling. The 6‐phase model, example clinical scenarios, and a case study are presented in this article. The strengths and potential limitations of the new model are discussed.     

Transition from School to Adult Life: Empowering Youth Through Community Ownership and Accountability

The evolution of transition services for youth with disabilities illustrates the transformation that has occurred from a systems-driven to a youth-centered support approach. This article documents how this shift has occurred. We review research that has influenced the direction of national policies and practices. A chronology of the policies that best represent the seminal foundation for current transition best practices for youth with emotional disturbance (ED) is presented. The field of special education led the way toward articulating the new vision for providing transition support by defining services as the coordination of multiple systems to address life domains (e.g., post-secondary education, employment, independent living, and community adjustment). Promising practices, within the context of the conversion to an ecological model of support that contributes to youth self-determination, include utilization of a youth-centered, strengths-based approach to transition planning, beginning in the middle school years. There remain significant barriers to adoption of the practices that may best support the successful transition of youth. These include lack of coordinated efforts across systems, socioeconomic, and community factors. Committed actions by government, the business sector, and private citizens are essential to address these challenges.     

Religious and/or Spiritual Social Justice Advocacy: Guidance From the Multicultural and Social Justice Counseling Competencies

The Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) provide recommendations for social justice advocacy through a socioecological lens. The authors conceptualize and apply the MSJCC to inform counselor engagement in social justice advocacy for an often-neglected area of diversity: religion and/or spirituality. Practice and ethical examples, considerations, and recommendations related to religion and/or spirituality in MSJCC-compatible social justice advocacy are provided.     

Using the Multicultural and Social Justice Counseling Competencies to Decolonize Counseling Practice: The Important Roles of Theory,Power, and Action

The Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) ask counselors to “apply knowledge of multicultural and social justice theories” (p. 8). Counselors who implement the MSJCC in this manner have the opportunity to critically examine traditional counseling theories that were developed within a predominantly White and Western framework, that reproduce North American and European colonist ideology if not contextualized, and that neglect Indigenous approaches to healing (Tuck & Yang, 2012; Watkins & Shulman, 2008). In this article, the authors present 4 key multicultural and social justice theories that can support counselors in adopting a decolonizing paradigm and implementing the MSJCC in their practice with clients: relational-cultural theory (Miller, 1976), critical race theory (Bell, 1995), intersectionality theory (Crenshaw, 1989, 1991), and liberation psychology (Martín-Baró, 1994).     

Genetic Counseling Practices in Germany: A Comparison Between East German and West German Geneticists

As part of an international study of ethics and genetics, we present a comparison between survey responses of 43 East German and 212 West German geneticists to anonymous questionnaires. Both groups indicated that the experience of the Third Reich has impacted the genetics profession in Germany today. East German geneticists reported more directive counseling practices after prenatal diagnosis for 10 of 26 conditions than those from West Germany. When asked to give their personal opinions about pregnancy termination, East Germans were more accepting of abortion than their West German colleagues for 7 of 24 fetal indications. In addition, there were significant differences between the two sample groups for 8 questions on the perception of disability and society. Discussions with German geneticists suggest that, while both groups were affected by Germany's experience of Nazism, different abortion laws, political systems, and ideas about the doctor-patient relationship in former East and West Germany may account for discrepancies in reported genetic counseling practices and in attitudes toward abortion and disability.     

“Heartbreaking” Referrals,Professional “Disgrace”: The Impact of Medicare Ineligibility on the Counseling Profession

To better understand the impact of the Medicare mental health coverage gap, the authors analyzed survey data provided by 1,859 members of the American Counseling Association using a conventional qualitative content analysis. One overarching theme, direct impact of Medicare policy on the counseling profession, is presented, along with 3 thematic categories: emotional impact on providers, economic toll on providers, and negative influence on profession's credibility. Implications for the counseling profession are discussed.     

Same-Sex Intimate Partner Violence: Lesbian,Gay, and Bisexual Affirmative Outreach and Advocacy

Intimate partner violence (IPV) is pervasive and crosses all boundaries of sexual orientation, race, and class. Scholars contend that the intimidation of another person through abusive acts and words is not a gender issue. Organizations seeking to offer equitable services to survivors of IPV must intentionally establish themselves as inclusive agencies. This article presents a review of common societal myths and barriers to help-seeking for survivors of same-sex partner violence and offers program guidelines for lesbian, gay, and bisexual affirmative outreach services and advocate training.     

Emerging Practices of Counseling and Psychotherapy in China: Ethical Dilemmas in Dual Relationships

A qualitative study was conducted with 48 Chinese counselors and psychotherapists who were interviewed in 2006 and an independent sample of 50 participants who responded to a survey in 2014. This study aims to explore how the new emerging expansion of mental health practice is related to issues and challenges of dual role relationship and how the well-engrained values and social characteristics of Chinese culture influences perceptions and resolution of ethical dilemmas. The participants identified similar dual relationships in 2006 and 2014: (a) Incidental boundary crossings, a sexual or romantic relationship, a dual social relationship, and a professional dual relationship were the most frequently reported types of dual relationships encountered by Chinese practitioners, and (b) the socioeconomic and cultural context and the development trajectory of counseling and psychotherapy in China play a significant role in shaping practitioners’ behaviors. The comparison of the data in 2006 and 2014 indicated that practitioners in psychotherapy and counseling have an improved awareness and understanding of ethical issues, evidenced by the decreasing cases of romantic and sexual relationships and increasing cases of social dual relationships influenced by the interrelatedness of traditional Chinese culture.     

Counseling in Switzerland: Past,Present, and Future

The authors review counseling in Switzerland and compare it with counseling in the United States. They evaluate the role of professional associations and programs and argue that the evolution of counseling is situated within the history and economic, social, and political systems of Switzerland. Findings suggest that Swiss counselors are ready to reach out, evolve, and learn from mental health professionals around the world and to adopt best practices so as to work with those in need.     

Counseling the Gifted: Past,Present, and Future Directions

In the 29 years since the last special issue in the Journal of Counseling & Development focusing on gifted individuals, there has been considerable research regarding giftedness. However, meeting the counseling needs of gifted individuals has not been on the national agenda in counselor preparation. This article outlines the status of counseling the gifted from the standpoint of both the counseling and the gifted education professions and includes recommendations for future directions for both fields.     

Counseling in Australia: Past,Present, and Future

The author describes the evolution of the counseling profession in Australia within the broader historic and sociocultural context. The process of professionalization is outlined, particularly over the past 15 years, and data on the demographic, professional, and practice characteristics of counselors are reviewed. Future professional directions and challenges are explored.     

Counseling in Iran: History,Current Status,and Future Trends

As a growing profession, counseling in Iran was first established within the Iranian educational system. Counselors in Iran have provided mental health services during natural disasters and war. The counseling profession in Iran currently faces challenges in addressing the needs of women; ethnic minorities; and lesbian, gay, bisexual, transgender, and queer individuals. In this article, the authors focus on the historical background, current trends, and future challenges of the counseling profession in Iran.