Grief Counseling: A Funeral Home—Based Model

Loss and grief are issues that require special understanding and skills from the counselor. This article describes how one funeral home implemented an innovative response to loss involving death by inaugurating a thorough professional grief counseling program for its clientele and the community it serves.     

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.     

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.     

American Counseling in the Mind of a Chinese Counselor

Illustrating three instances he encountered here in the States, the Chinese counselor argues that American counseling is deeply rooted in rugged individualism, and often at expense of family and community. The suitability of American counseling for other cultures is thus questioned.     

Counseling in a Government Agency: Interventions for Employees and Supervisors

This article describes an organizational counseling and career development program that serves both employees and their supervisors. Program components include counseling, workshops, and a career resource center.     

Community Counseling in an Adult Education Setting

An innovative Community Counseling Project was initiated as part of the federally funded Adult Consumer Homemaking Project in Great Neck, N.Y. Project participants are recruited from the disadvantaged community, (i.e. those whose needs are not being met by community services or agencies). These include the low income, foreign bom, senior citizens, mentally and physically handicapped, unemployed, school drop outs, teenage or single parents, socially isolated. While they were already learning skills to help improve the quality of their lives, an unmet need was expressed by many participants—the need for private, one-to-one communication. Thus, a supportive counseling program of four to six sessions was established on a no-fee basis. Careful records were kept, evaluation made, and follow-up pursued.     

Counseling today's veterans: a program and its implications

The need for improved counseling and guidance services has emerged as one of the most crucial aspects in the myriad of problems faced by the Vietnam war era veteran. This article focuses on the interagency overseas counseling thrust launched by the federal government in 1971 and designed to mitigate the debilitating effects of the civilian reentry crisis experienced by veterans. The overseas counseling program of the U.S. Department of Health, Education and Welfare, operating in Europe, the Far East, and Vietnam, was organized and formerly administered by the author and is highlighted here because of its implications for counseling and guidance.     

Genetic Counseling as a Tool for Type 2 Diabetes Prevention: A Genetic Counseling Framework for Common Polygenetic Disorders

Advances in genetic epidemiology have increased understanding of common, polygenic preventable diseases such as type 2 diabetes. As genetic risk testing based on this knowledge moves into clinical practice, we propose that genetic counselors will need to expand their roles and adapt traditional counseling techniques for this new patient set. In this paper, we present a genetic counseling intervention developed for a clinical trial [Genetic Counseling/Lifestyle Change for Diabetes Prevention, ClinicalTrials.gov identifier: NCT01034319] designed to motivate behavioral changes for diabetes prevention. Seventy-two phenotypically high-risk participants received counseling that included their diabetes genetic risk score, general education about diabetes risk factors, and encouragement to participate in a diabetes prevention program. Using two validated genetic counseling scales, participants reported favorable perceived control and satisfaction with the counseling session. Our intervention represents one model for applying traditional genetic counseling principles to risk testing for polygenetic, preventable diseases, such as type 2 diabetes.     

Predictors of Client Attrition in a University-Based Community Counseling Clinic

The purpose of this study was to investigate how symptom distress, social role, interpersonal relationships, gender, age, number of supports, and education level predict client attrition in a community sample. Using binary logistic regression and cross-sectional data, the authors examined the predictive impact of 8 variables on adult client attrition in a university-based community counseling clinic. Results indicated that education level, interpersonal relationships, and number of supports significantly predicted attrition. In this sample, gender, age, symptom distress, social role, and race did not significantly predict attrition. Implications for clinical assessment and counseling practice are discussed.     

Qualitative Evaluation Methods Applied to a High School Counseling Center

The authors present a case study demonstrating how qualitative techniques can be used to evaluate a high school counseling and guidance program.     

Surviving a Lawsuit Against a Counseling Program: Lessons Learned From Ward v. Wilbanks

This article features information about a lawsuit brought by a former student against Eastern Michigan University and its counseling program. In addition to describing the major elements of the lawsuit, the authors reflect on lessons learned and offer recommendations for other counseling programs.     

Program Evaluation and Counseling: Yesterday,Today, and Tomorrow

Spawned by intensified demands for accountability, expanding counselor roles and functions, and increased counselor attention both in the counseling literature and in counseling practice, program evaluation has emerged as a vital aspect of counselor functioning in recent years. This article highlights the differences between program evaluation and research, a long-standing source of confusion; presents major issues in the practice of counseling program evaluation; and identifies current trends in program evaluation.     

The Distinctiveness of Pastoral Counseling

The author maintains that if the field of pastoral counseling is to achieve an identity that will satisfy both theologians and psychologists, then two issues must be faced. First, pastoral counselors must resolve the dilemma between the humanistic values of the psychotherapeutic community and the theological values of the religious community. Second, pastoral counselors must articulate the empirical distinctiveness of their practice. The author argues that the value dilemma should be approached through a Christian humanism that integrates the sacred and the secular without collapsing them. The author concludes with a discussion of the cognitive developmental approach as an example of a promising model for pastoral counseling practice and research.     

Delivering Genetic Education and Genetic Counseling for Rare Diseases in Rural Brazil

Brazil is the largest country in Latin America, with an ethnically diverse, Portuguese-speaking and predominantly Roman Catholic population of some 194 million. Universal health care is provided under the Federal Unified Health System (Sistema Único de Saúde) but, as in many other middle and low income countries, access to medical genetics services is limited in rural and remote regions of the country. Since there is no formally recognized Genetic Counseling profession, genetic counseling is provided by physicians, trained either in medical genetics or a related clinical discipline. A comprehensive medical genetics program has been established in Monte Santo, an inland rural community located in the state of Bahia in Northeast Brazil, with high prevalences of a number of autosomal recessive genetic disorders, including non-syndromic deafness, phenyketonuria, congenital hypothyroidism and mucopolysaccharidosis VI (Maroteaux-Lamy syndrome). Genetic education, counseling and treatment are locally provided, with a neonatal screening program for MPSVI currently under trial.     

The Effect of Honduran Counseling Practices on the North American Counseling Profession: The Power of Poverty

A team of researchers consisting of counselor education professors and doctoral‐level counseling students conducted interviews with Honduran mental health professionals, including counselors, psychologists, pastors, community developmental specialists, and psychiatrists. The purpose was to understand the counseling process and profession that exists in a developing economy. The results are focused on the pervasive effects of poverty on the profession, the training of counselors, and the nature of counseling interventions.     

Mentoring Nurses in Familial Cancer Risk Assessment and Counseling: Lessons Learned From a Formative Evaluation

Background. As familial cancer genetic services moves into community practice increased numbers of trained health professionals are needed to counsel individuals seeking cancer risk information. Nurses have been targeted to provide cancer risk assessment and counseling. To help prepare nurses for this role, a 5-day training in familial cancer risk assessment and counseling followed by a long-distance mentorship to support continued skill development in the work environment was conducted by Fox Chase Cancer Center, Philadelphia, PA. Methods. Four cohorts (N = 41) have completed the training and were randomized to either an immediate or delayed mentorship. A formative evaluation assessed the nurse’s ability to consult with other genetic health professionals and build self-efficacy in counseling skills via responses to questionnaire. A post-mentorship interview evaluated the usefulness, timing and length of the mentorship. Results. For both groups, there was a statistically significant improvement in self-efficacy for all skills from baseline to 6 months and an increased number of nurses consulting with genetic health professionals. All the nurses reported the value of the mentorship and those with less cancer risk counseling experience prior to the training needed support and resources for further skill and program development. Lessons learned from this formative evaluation are provided.     

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.     

Nonsectarian Counseling in Churches: A Delicate Balance

This account of the author's 2 contrasting experiences as a church counselor raises awareness regarding counseling in new venues and in response to congregational and community needs. Church members responded to the invitation to come to counseling before problems became crises; the majority of the members explored midlife and other developmental issues. Specific concerns related to confidentiality and privacy, counselor values and attitudes, the extent of pro bono services, the counselor's relationship with clerics, counseling of clerics, church membership, outreach, and boundaries are addressed, as well as the effective use of discussion groups for youth, men, women, and parents in building a sense of community.     

Parents' Experiences with Genetic Counseling After the Birth of a Baby with a Genetic Disorder: An Exploratory Study

Little is known about factors determining which families utilize genetic counseling services. We conducted semistructured interviews with parents of four children born with cystic fibrosis (CF) and ten with Down's syndrome (DS) to ascertain reasons for using, or not using, genetic counseling services in the state of Victoria, Australia. We also explored the usefulness of genetic counseling for the families who had experienced it, and the perceived role of genetic counseling. All mothers of children with CF see a genetic counselor as part of a structured education program following diagnosis through newborn screening. Information overload was identified by them as an important problem. There is no specific program for families of children with DS. Six of them had received genetic counseling and four had not, either because it was not specifically offered to them or because they did not pursue it in the context of misconceptions about its purpose. The timing of the offer of genetic counseling is important and needs to take into account parents' coping strategies after diagnosis. Several parents commented on the favorable aspects of counseling, including getting information they needed to deal with the diagnosis and relief of guilt. Better awareness of genetic counseling by referring physicians, and providing counseling at more than one visit, may contribute to a more effective service.