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.     

CACREP Accreditation: A Solution to License Portability and Counselor Identity Problems

A confluence of forces addressing counselor identity occurred with the 20/20: A Vision for the Future of Counseling initiative, the 2009 Standards of the Council for Accreditation of Counseling and Related Education Programs (CACREP), and the quest by the American Association of State Counseling Boards to establish license portability. This article provides a historical context for the profession's struggles with these issues, 1 state's experience, TRICARE's impact, and the role CACREP standards can play in their resolution.     

Negotiating CACREP Accreditation Practices,Religious Diversity,and Sexual Orientation Diversity: A Rejoinder to Sells and Hagedorn

The authors write a rejoinder to Sells and Hagedorn's ( 2016 ) article, “CACREP Accreditation, Ethics, and the Affirmation of Both Religious and Sexual Identities: A Response to Smith and Okech,” which supports Smith and Okech's ( 2016 ) assertion that a dialogue examining the Council for Accreditation of Counseling and Related Educational Programs' accreditation practices pertaining to counseling programs in institutions that disaffirm/disallow diverse sexual orientation is germane. The authors articulate the common ground they share with Sells and Hagedorn while also highlighting areas of dissension.     

The Impact of CACREP Accreditation: A Multiway Frequency Analysis of Ethics Violations and Sanctions

The impact of CACREP accreditation on counselor competency has received little empirical investigation. Differences in the frequency and type of ethical misconduct between graduates of CACREP‐accredited and non‐CACREP‐accredited counselor education programs were investigated. Results of a multiway frequency analysis indicated that fully licensed graduates of CACREP‐accredited programs were sanctioned for ethical misconduct significantly less frequently than were graduates of non‐CACREP‐accredited programs. Additionally, the accreditation factor was among the highest‐ranking parameter estimates of expected cell frequencies.     

The Evolution of Specialties in the CACREP Standards: CACREP's Role in Unifying the Profession

This article explores the evolution of the Council for Accreditation of Counseling and Related Educational Programs’ (CACREP's) accreditation of program area specialties and how CACREP's decision to accredit specialties as separate programs has affected the counseling profession's ability to view itself as a single profession. The article links the development of CACREP and its accreditation structure to other historical and political events occurring within the profession and includes documentation of CACREP's efforts to self‐correct through policy development that emphasizes counseling first and specialties second.     

Addiction‐Specific CACREP Standards in Clinical Mental Health Counseling Programs: How Are They Met?

In 2009, the Council for Accreditation of Counseling and Related Educational Programs (CACREP) included training standards specific to addiction for clinical mental health counseling programs. This study surveyed CACREP‐accredited program coordinators to determine how addiction‐specific standards were addressed.     

Inclusion of Alternative and Complementary Therapies in CACREP Training Programs

Abstract

Given a heightened focus within the mental health profession on creative, complementary, and alternative practices, the authors surveyed CACREP programs with respect to their inclusion of such approaches in counselor training. For the purpose of this study, these approaches were designated as complementary and alternative methods (CAM) and defined as those therapeutic practices that fall outside of the established traditional realm of medical, psychiatric, and psychological practice (hypnotherapy, breath work, meditation, Qigong, Reiki, Thought Field Therapy, etc.). Sixty-two programs responded. Over half (54%) stated that they currently include these approaches in course offerings. This article includes a discussion of creativity, expressive arts, and energy psychology as they relate to complementary and alternative therapies in mental health and medicine.     

Ethical Issues Raised by CACREP Accreditation of Programs Within Institutions That Disaffirm or Disallow Diverse Sexual Orientations

The field of counseling is expatiating on counselors’ religious values that conflict with the affirmation of diverse sexual orientations. There is also a germane systemic issue: the Council for Accreditation of Counseling and Related Educational Programs’ practice of providing accreditation to counseling programs housed within religious institutions that disaffirm or disallow individuals with sexual minority identities. This article examines the complexities of this practice given the field's ethical mandate to affirm both religious and sexual orientation diversity.     

Addiction Education and Training for Counselors: A Qualitative Study of Five Experts

Five themes emerged based on interviews of faculty with addiction counseling expertise. The findings are relevant to practitioners, educators, and students. Recommendations for the counseling field are addressed, and suggestions for addiction content, course design, and pedagogy are included.     

The Role of Decision-Making Models and Reflection in Navigating Ethical Dilemmas

The ACA Code of Ethics (American Counseling Association [ACA], 2014) mandates counselor competency in using ethical decision-making models (EDMs) and mandates that counselors use an EDM when confronted with making ethical decisions. Additionally, researchers have highlighted the importance of counselors continually evaluating and reflecting when faced with ethical dilemmas and working through a decision-making model. Using a phenomenological research design, the authors examined how counselors address ethical dilemmas, including how reflection and EDMs are incorporated into the decision-making process. Emergent themes from data analysis include (a) incomplete following of EDMs, (b) varied dilemmas, (c) power, and (d) ethics training.