The Sexual Identity Timeline: A Reflection Tool for Developing Competence in Counseling

Greater attention to sexual identity development from an inclusive and affirmative perspective must be incorporated into counselor education training. Counselors are well positioned to address issues related to human sexuality; however, without reflection across the spectrum of sexuality-related issues, counselors may rely on personal bias, or they may choose to avoid the topic altogether. In order to adequately train counselors, it is important to identify learning activities that counselor educators can utilize. Given the significance of sexuality across the lifespan, we propose that counselor educators actively guide their students through reflection about their own sexual identity development. This article presents the Sexual Identity Timeline (SIT) as a reflective learning activity to incorporate into the counseling curriculum.     

Sexual Abuse Prevention for Individuals with Mental Retardation: Considerations for Genetic Counselors

It is now widely recognized that children, adolescents, and adults with mental retardation are especially vulnerable to sexual abuse. Because at least 10% of genetic conditions are reported to include mental retardation as a feature, the provision of services to individuals with mental retardation represents a substantial portion of the case load for many genetic counselors. Our objective is to educate genetic counselors and other health professionals about this vulnerable population in order to enhance the frequency and efficacy of inquiry into sexual education and sexual abuse prevention training for patients with mental retardation. The following review article is intended to assist genetic counselors by increasing their knowledge of factors that lead to sexual abuse and provides recommendations for integrating this information into the counseling interaction.     

Is Good Sex Good for You? Rethinking Sexuality and Health

Despite the central importance of sexuality to human well‐being, the study of sexuality remains marginalized within health psychology, which hampers the ability of clinicians and policy‐makers to promote comprehensive health and well‐being. In this review we discuss the evidence that sexual functioning makes critical contributions to human health, focusing specifically on findings linking sexual activity to morbidity and mortality, to the health‐promoting effects of intimate relationships, and to processes of emotion regulation. We argue that researchers studying the psychology of health and well‐being should more substantively integrate sexuality into their research agendas. Health psychologists’ specific expertise in investigating and interpreting complex, reciprocal associations between subjective emotional states, health‐relevant cognitions, and health‐relevant behavior can make a notable contribution to elucidating some of the most intruiging correlations between sexuality and health that have emerged from medical and epidemiological studies. If we want to foster optimum physical and mental health among youths and adults, we must rigorously investigate the multiple mechanisms through which positive sexual functioning plays a unique and fundamental role in human well‐being across the life course.     

Infusing Ethics in Psychopharmacology Course Design

Creatively infusing ethics in psychopharmacology course design can better prepare future counselors to work with the complexities of holistic client concerns in a modern context. The authors provide a sample course design from a psychopharmacology course within a counselor education program targeting counselors-in-training to increase counseling ethics and values awareness. Implications for future mental health and school counselors are provided.     

GPS: A Randomized Controlled Trial of Sexual Health Counseling for Gay and Bisexual Men Living With HIV

Gay, bisexual, and other men who have sex with men (GBM) continue to have high rates of HIV and sexually transmitted infections, including syphilis. GBM have therefore been identified by public health agencies as a high-priority population to reach with prevention initiatives. Despite the importance of mental health in preventing HIV and related infections, there is a shortage of credentialed mental health professionals to deliver behavioral Counseling interventions. The current study evaluated the efficacy of GPS, a community-based and peer-delivered sexual health promotion motivational interviewing–based intervention for HIV-positive GBM who engaged in condomless anal sex (CAS) in the past 2 months. GPS prevention counseling demonstrated a 43% relative reduction at 3-month follow-up in CAS with serodiscordant partners and significant reductions in sexual compulsivity. The study demonstrated that community-based counselors can administer an efficacious motivational interviewing program, and suggests a continued benefit of counseling methods to promote the sexual health of higher risk populations.     

Integrated Behavioral Health in Rural Settings: A Course Design

ABSTRACT

Rurality is a vital component of cultural diversity, making it essential to train future counselors on comprehensive mental health counseling practice with rural populations. In this article, we describe the development of a master’s level course that reflects an integrated approach to providing mental health counseling services in rural communities. First, the pedagogical foundation for the course design and positionality are discussed. Second, the course objectives are outlined, and corresponding teaching methods and creative learning assignments are provided. Last, we discuss the strengths and challenges of the course design and implementation.     

Models of Sexual and Relational Orientation: A Critical Review and Synthesis

Many frameworks exist to explain and describe the phenomenon of same‐sex sexuality as it applies to human development. This conceptual article provides a critical overview and synthesis of previous models to serve as a theoretical bridge for the suggested multiple continua model of sexual and relational orientations. Recommendations for how counselors can adapt the multiple continua model to improve their work with same‐sex sexual clients are presented, and future directions for research are discussed.     

The Role of the School Counselor in Facilitating Sexual Development

Because there is a trend in the helping professions toward recognizing sexuality as an integral and important dimension of healthy personality development, school counselors and other school personnel have become committed to assisting students in understanding and dealing with their sociosexual needs and concerns. Yet school counselors need to be better prepared to meet these needs. This article suggests skills and attitudes that are necessary for accomplishing the goals of counseling on issues of human sexuality, and how counselors can acquire these skills and attitudes.     

The Impact of Wellness‐Focused Supervision on Mental Health Counseling Practicum Students

Professional counseling organizations tout the importance of wellness for counselors and counselors‐in‐training. The authors used a wellness‐focused supervision model with mental health practicum students to assess the model's degree of treatment effect at improving students' wellness over the course of the semester. Participants' demographics included three women, one man, three European Americans, and one Latino/a. Single‐case design results revealed that ongoing wellness‐focused interventions are helpful in improving participants' level of wellness; implications for practice are provided.     

The National Academy of Certified Clinical Mental Health Counselors: Creating A New Professional Identity

The National Academy of Certified Clinical Mental Health Counselors was developed by the American Mental Health Counselors Association as an effort to firmly establish the role and identity of mental health counselors in the fields of counseling and mental health. This article provides a brief background of and discusses future goals for the Academy.     

Performance of Mental Health Counselors in Integrated Primary and Behavioral Health Care

Integrated primary and behavioral health care (IPBH) is becoming a preferred mode of service delivery in the United States. Integrated care includes the participation of medical and mental health professionals, such as mental health counselors. The clinical outcomes of these professionals need to be studied to determine their effectiveness in such settings. We examined the performance of 10 mental health counselors on the clinical outcome of 1,747 clients treated in an IPBH center. Analyses using growth curve modeling and pre‐post test design revealed that mental health counselors were effective overall, but they differed in client dropout rates and efficiency in reducing clients' initial symptoms. We used the analyses to rank order counselors based on their effectiveness. Counselors who were the most effective varied in their efficiency but demonstrated the lowest client dropout rates. Implications for future research and counseling practice were discussed.     

A 40‐Year Review of Multicultural Counseling Outcome Research: Outlining a Future Research Agenda for the Multicultural Counseling Movement

This study represents a 40‐year review of multicultural counseling outcome research that has been done in the mental health professions. Particular attention is directed to the outcomes that ensue from counseling situations that are composed of counselors and clients from different racial/cultural backgrounds and identities in individual, group, and family counseling settings. Recommendations are presented for the next decade of multicultural counseling outcome research.     

Sex Education and Intellectual Disability: Practices and Insight from Pediatric Genetic Counselors

Intellectual disability (ID) with or without other anomalies is a common referral for genetic counseling. Sessions may include discussions of reproductive implications and other issues related to sex education. Patients with ID regularly meet barriers when trying to obtain sex education due to the misperceptions of others as being either asexual or that such education would promote inappropriate sexual behavior. In this pilot study, we surveyed genetic counselors to explore their experiences with being asked to provide sex education counseling and their comfort in doing so for patients with ID ages 9–17. Results were analyzed from 38 respondents. Caregivers and patients most frequently requested information on puberty, sex abuse prevention, and reproductive health. Genetic counselors were most comfortable when they could provide sex education counseling within the context of a particular condition or constellation of features. They were least comfortable when they lacked familiarity with the patient, caregiver, or the family’s culture. The most frequently cited barriers that prevented genetic counselors from providing sex education counseling were lack of time, lack of training, the patient’s ID being too profound, and a belief that genetic counselors should not be responsible for providing sex education counseling. While many respondents reported that providing sex education counseling is not considered within the scope of a genetic counselor’s practice, they also noted that patients’ families initiate discussions for which counselors should be prepared. Respondents indicated that resource guides specifically designed for use by genetic counselors would be beneficial to their practice. Genetic counselors have the opportunity to embrace the role of advocate and broach the issue of sexual health with caregivers and patients by directing them toward educational resources, if not providing sex education directly to effectively serve the needs of patients and caregivers.     

Community‐Based Participatory Research With Black Churches

Black Americans are more likely than other racial/ethnic groups to rely on spiritual and religious resources for mental health support. As such, counselors must seek unique ways to reach and understand Black communities. This article provides an overview of Black Americans' help‐seeking behaviors, the significance and culture of the Black Church, and a framework for counselors and counseling researchers to form effective partnerships to conduct community‐based participatory research initiatives that will produce empirical outcomes and promote culturally responsive mental health and wellness programming in Black communities.     

Independently Licensed Counselors' Work Values

Prospective clinical mental health counseling students need to know if their work values align with those of independently licensed counselors before investing their time and accumulating debt. Analyzing the work values of 463 independently licensed counselors in the United States, we found 89% expressing social (altruistic) work values and 22% expressing intrinsic work values. Independently licensed counselors want to help clients become fully functioning and self-actualized by maintaining unconditional positive regard, being congruent, and providing empathy. Clarifying these work values and their interaction can help prospective and current clinical mental health counseling students determine their future job role.     

Integrating flow theory and the serious leisure perspective into mental health counseling

This article explores how flow theory and the serious leisure perspective (SLP) can be integrated into mental health counseling. Although different counseling models have acknowledged the role of leisure in the counseling process, leisure is largely an unknown and superficial concept in the mental health counseling literature. Four broad-based pragmatic ideas regarding how flow theory and the SLP can be integrated into the counseling process include mental health counselors (1) understanding the concepts of serious leisure, casual leisure, project-based leisure, flow (enjoyment), and hedonistic pleasure; (2) becoming aware of various assessment instruments that measure flow and serious leisure; (3) using the provision characteristics of entering flow into the counseling process; and (4) empowering clients to becoming community change agents through serious leisure pursuit, resulting in flow experiences.     

Health Beliefs,Religious Values,and the Counseling Process: A Comparison of Counselors and Other Mental Health Professionals

A. E. Bergin (1985) studied the religious values and beliefs of mental health professionals and the relationship of those values to the counseling process. This study replicated Bergin's research with a sample of professional counselors. Differences were found in each of 10 beliefs areas and 10 values areas between the total sample in both studies. Within-group differences revealed greater similarities between professional counselors and social workers and marriage and family therapists and greater differences between counselors and either psychologists or psychiatrists. Implications for counseling and counselor training are discussed.     

African American Clergy Share Perspectives on Addressing Sexual Health and HIV Prevention in Premarital Counseling: A Pilot Study

This exploratory qualitative pilot study examined the extent to which seven African American clergy discussed and promoted sexual health dialogue with couples preparing for marriage. We explored the following topics: (a) clergy perspectives on disclosure; (b) clergy awareness about HIV/AIDS and (c) the extent to which clergy awareness about HIV is translated into their premarital counseling programs. Our results suggest that greater awareness and comfort level with discussions about sexuality mediate the inclusion of sexual health and promotion of HIV testing in premarital counseling.     

Mental health,self-esteem,and influences on sexual values and attitudes among black South African adolescent males

This study investigated the relationships between sexual values and attitudes, self-esteem, and mental health among black South African adolescents. Adolescent males (n = 522) aged between 13 and 21 years participated in the study. They completed the Mathteck Sexuality Questionnaire for Adolescents: Attitude and Value Inventory, the Rosenburg Self-esteem Scale, and the Mental Health Continuum. Structural Equation Modelling (Mplus 7.31) was computed to identify an explanatory model for sexual values and attitudes as correlated to self-esteem and mental health of black adolescent males. Results suggest the youth's self-esteem significantly mediate the relationship between mental health and sexual values and attitudes. Specifically, mental health had indirect effects on values about sexuality and on healthy attitudes towards aspects of intimacy, through the teenagers’ self-esteem.     

Immigrant Women and Counseling: The Invisible Others

The number of women immigrating to the United States is growing because of current global changes (A. J. Marsella & E. Ring, 2003). Understanding and serving the mental health needs of this population is a new challenge for American counselors and counseling scholars. In this article, an ecological model (U. Bronfenbrenner, 1979) is used to describe the mental health needs of immigrant women, outline various counseling strategies and interventions, and systematically explore the sociocultural variables influencing immigrant women's experiences in the U.S.