Evaluating Addictions Counseling Programs: Promoting Best Practices,Accountability, and Advocacy

Program evaluation offers several benefits to addictions counselors, including identifying best practices, providing accountability to stakeholders, and advocating for minority client populations. This article reviews the benefits of addictions counseling program evaluation and outlines main steps in the evaluation process.     

Book Review: Managing Mental Health in the Community: Chaos and Containment

Abstract

The British Association of Counselling first introduced a Code of Ethics and Practice for Counsellors in 1984. It has subse-quendy been revised three times. The codes have to be sufficiently broad to be accepted by the membership of BAC, who come from a wide range of theoretical backgrounds. Inevitably this means that the codes do not satisfy everyone nor do they resolve all ethical dilemmas. This paper focuses on sections of the codes which are unsatisfactory, or inadequate for psychodynamic counsellors. It also looks at the influence of psychodynamic counsellors in changes to the clauses on sexual exploitation. Finally the absence of any mention of dual and multiple relationships is discussed.     

Narcissistic Vulnerability in Marriage

Many couples who seek therapy with issues around money, work, sex or children are actually dealing at a deeper level with problems of narcissistic entitlement, vulnerability to emotional injury, or defenses that protect against perceived attacks upon a fragile self. This paper considers the concept of narcissism as it relates to marriage and family issues and suggests some important ingredients in treating a narcissistically vulnerable relationship.     

Premarital Counseling

Abstract

A number of different approaches to premarital counseling have been developed to better prepare couples for marriage. A variety of these of approaches will be described here, including those used in churchsettings, where the majority of premarital counseling is performed. A brief summary of the premarital counseling research will also be presented, including what research suggests are important ingredients to designing effective premarital counseling approaches.     

Therapeutic Use of Space

ABSTRACT

The project described in this article addresses the therapeutic use of physical space in an outpatient counseling facility. It was theorized that an improved facility environment could be used as a practice tool when working with a vulnerable population. The authors undertook the project with limited time and finances. The process of the change project is discussed in detail in an attempt to encourage other counseling facilities and social service agencies to consider such an effort. Related literature from varied fields is reviewed. The article also relays client and staff feedback regarding the redecorated space and addresses design considerations such as the relative strengths and drawbacks to involving clients and staff in the process.     

The Confluence of Technology and Narrative Approaches in Group Work

Abstract

This article illustrates procedures for using e-journals as a creative and adjunctive approach in group work. Incorporating e-mail based journaling as an ancillary form of group interaction allows members to communicate via written channels, and creates new ways for clients to relate in the group. This article outlines how leaders can use narrative theory to construct e-mail based writing exercises in group settings. Borrowing from established narrative techniques, specific interventions are provided for using interactive e-mails in each group stage. Finally, detailed instructions for establishing encrypted and confidential e-mail communications are provided, and implications and limitations for establishing e-mail based communication systems are overviewed.     

Seeing is Remembering

Abstract

Working with children and adolescents in any therapeutic setting can be a challenge. Counselors who take on the task of working with this population must have a multitude of skills and tools at their disposal. This article outlines the importance of making counseling experiential for young clients by discussing several creative counseling interventions. This article focuses on the use of props with children and adolescents. Sample dialogue is offered to demonstrate creative interventions that enhance counseling with children and make the work memorable.     

When Clients Die

Abstract

The contexts of loss are as numerous as they are varied. This article reflects upon loss within the context of the helping relationship and illustrates how storytelling, journaling, and correspondence can be used to process the experience of a counselor's loss. The richness of personal accounts, interwoven and connected, provides voice and place to the experience of the deceased and their loved ones. Through such a process, the counselor is assisted toward an integrative healing intervention that can be used to work through their shattered dreams following the death of their clients.