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Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …

Intersecting Inequities For Older Lgbtq+ Adults Of Color In The Advent Of Medicare Access: A Structural Vulnerability Framework, Christian D. Chan

Adultspan Journal

Although advances in Medicare legislation provide access for beneficiaries to professional counselors, older LGBTQ+ adults of Color face a litany of concerns that heighten stigma and inhibit their access to mental health services. The structural vulnerability framework identifies multiple domains that support the interface between Medicare coverage and access to care for older LGBTQ+ adults of Color. In this conceptual article, I outline (a) interdisciplinary scholarship that contextualizes the key issues facing older LGBTQ+ adults of Color; (b) the core tenets of the structural vulnerability framework; (c) implications for practice addressing structural vulnerability for older LGBTQ+ adults of Color with …

Mental Health Distress And Suicide Risk Among Older Adults Who Receive Nutrition Services Programming: Implications For Licensed Professional Counselors., Brittany R. Jones-Cobb, Jihee Hong, Mary Chase Breedlove Mize, Laura Shannonhouse

Adultspan Journal

Licensed professional counselors (LPCs) are now eligible to provide mental health counseling to older adults as Medicare providers. Many older adults receive home delivered (HDM) and congregate (CM) meal services through the Aging Services Network, though their mental health impact remains under examined. This study compared the mental health and suicide risk of older adults receiving HDM or CM services. Our cross-sectional study of 221 HDM and 150 CM recipients from 2018-2020 found significant group differences in psychological distress, t(366) = 3.28, p = .001, perceived burdensomeness; t(357.31) = 2.77, p = .006, and thwarted belongingness, t(357.96) …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

Introduction To The Special Issue On Medicare Inclusion Of Counselors: Preparing The Counseling Workforce To Serve Older Adults, Matthew C. Fullen, Jordan Westcott

Adultspan Journal

Introduction to the special issue on Medicare Inclusion of Counselors: Preparing the Counseling Workforce to Serve Older Adults.

Special Issue Editors:

Matthew Fullen, Virginia Tech

Jordan Westcott, The University of Tennessee-Knoxville

Assessing Impacts Of A Hybrid Orientation On Counseling Students’ Self-Efficacy, Candice R. Clark, Arien K. Muzacz, April Lague

Journal of Technology in Counselor Education and Supervision

This manuscript presents results from a quantitative exploratory study of how a faculty-led hybrid orientation impacted the self-efficacy and readiness to engage in hybrid learning of incoming master’s students in a nationally-accredited counseling program in the U.S. Median difference analyses did not indicate that participants’ post-orientation scores differed significantly on the measures used to assess self-efficacy (i.e., CSES, PEU, LMSE). While participants’ self-efficacy ratings did not change significantly as a result of orientation activities, scores for 89% of participants increased or stayed the same. Implications for future research and for the preparation of graduate students in pre-professional programs with a …

Counseling In Virtual Spaces And Into The Metaverse: A Framework For Reflection, Conversation, And Future Scholarship, Staci Hayes, Yahyahan Aras, Kathy Caputo, James Hoag, Lindsay Ibos, Sania Khan, Kelly Smith

Journal of Technology in Counselor Education and Supervision

Given the success of Virtual Reality (VR) in the gaming community and strides in mental health, both VR and the Metaverse provide limitless opportunities and possibilities in the field of counseling. This article aims to provide important definitions, an overview of the use of VR in clinical counseling, clinical supervision, counselor education and its potential emergence into the Metaverse. Implications are presented in hopes of prompting conversation on how we may accept technological and cultural shifts and remain true to our counseling roots. Specifically, how to maximize the potential benefits with counseling specific rationale and address the limitations and potential …

Building A Virtual Residency: One Program’S Journey, Susan F. Branco, Nathaniel Mason, Rebecca G. Scherer, Heidi L. Henry, Regina Moro

Journal of Technology in Counselor Education and Supervision

The majority of CACREP accredited online counselor education programs are limited residency distance learning programs. Including a residency experience in online programs can help foster community, increase student engagement, and teach important skills needed to be an effective counselor, including counseling and advocacy skills. In this article, the authors describe one program’s approach to developing a two-day virtual residency program in combination with a concurrent course utilizing the Multicultural and Social Justice Counseling Competency framework. Roleplays, guest presenters, and counseling skills instruction and practice were utilized in the residency program. Student feedback, implications, limitations, and future directions are also discussed.

Client Welfare As An Anchor: Lived Experiences Of Gatekeepers In Counselor Education, Jessica L. Motroni Banik, Katherine F. Coule, Nicole Bradley, Joseph M. Rizzo

Journal of Counselor Preparation and Supervision

Gatekeeping is an essential function within counselor education that is aimed at helping counselors in training (CIT) achieve competency to practice. There is a lack of research focused on understanding gatekeepers’ experiences, including how they resolve challenges. The purpose of this hermeneutic study was to understand the lived experiences of gatekeepers in counselor education, including gatekeeping challenges and how they are addressed in the training system. There were five emerging themes with eight subthemes. The findings highlight how gatekeeping is vital, cannot be done in isolation, and how individuals learn from their experiences. These findings inform the counselor training community …

The Application Of Relational Cultural Theory In Digitally Delivered Ce Programs, Jinnelle V. Powell, Nicole Bradley, Jayce Patton, Carrie Lynn Bailey, Gary M. Szirony, Kathleen Levingston

Journal of Counselor Preparation and Supervision

Relational Cultural theory (RCT) as a pedagogy in counselor education and supervision (CES) uniquely positions educators and learners for growth through vulnerability and authenticity. The authors in this article share their individual journeys with RCT along with practical strategies for implementing RCT as a pedagogy in an asynchronous digitally delivered counselor education program. Ethical implications are addressed.

New Counselor Educators’ First 10 Years Of Journal Article Publications, Gregory Hatchett

Journal of Counselor Preparation and Supervision

The purpose of this study was to assess the journal article publications accrued by a recent cohort of counselor educators (N = 376) over the first ten years since attaining their doctoral degrees. After ten years, these counselor educators had accrued a median of three journal article publications. There were not any clear trends in publications over the first ten years since degree completion except for an upper trend in publication counts for counselor educators at R1 universities. Journal article publication counts could be predicted from academic rank, the funding source of their current universities, and Carnegie Classifications. Implications …

Child Sex Trafficking And Professional School Counselor Preparedness In Texas, Devon E. Romero, Claudia G. Interiano-Shiverdecker, Katherine E. Mcvay, Brenda Jones

Journal of Counselor Preparation and Supervision

Professional school counselors in Texas responded to a questionnaire about training received and their needs concerning preparedness to identify and work with youth exposed to child sex trafficking (CST). The study utilized a convergent parallel mixed methods design. Quantitative results indicated many participants did not find that their graduate degree program prepared them to work with CST and less than half felt their school and/or district provided adequate training opportunities. In addition, thematic analysis revealed two themes characterizing Texas school counselors’ needs to identify and work with CST: (a) concerning preparedness: “so much going on” and (b) “specific training”: a …

De-Colonizing And Enlivening Lifespan Development In Counselor Education With Experiential Exercises Across The Curriculum, Emily Horton, Diane Smedley, Karen M. Roller, Kelly Coker

Journal of Counselor Preparation and Supervision

ACA and IAMFC codes of ethics center culturally-affirming lifespan development skills as professional identity responsibilities specific to counselors. Despite the critical importance of lifespan, the training of CITs in this area is inadequate and grounded in research based on homogeneous samples and discriminatory practices. Counselor education is deeply in need of a lifespan curriculum that reflects diverse populations. The updated lifespan curriculum must be inclusive and consider the impact of context and culture on lifespan development. In this conceptual article, we call on counseling faculty to infuse updated developmental science with clinical skills development across their plans of study.

S.M.A.R.T.E.R. Self-Care For Counselors, Nicole Marie Arcuri Sanders, Jenny Kim

Journal of Counselor Preparation and Supervision

Practicing self-care activities is essential to helping professions stave off and combat burnout and vicarious trauma. Mental health counselors and counselor educators and supervisors (CESs) need specific, measurable, achievable, realistic, and timely (S. M. A. R. T.) self-care activities to best meet the demands of this highly relational field. This article will assist CESs in supporting the personal development of S. M. A. R. T. self-care goals for their students and supervisees’ evolving professional identity with the addition to evaluate (E) and review (R) identified self-care efforts. CESs are supported with gatekeeping relevance and examining student and supervisee self-care plans …

Twice-Exceptional Black Girls: A Case Study In Early Childhood, Krystal L. Clemons, Renae D. Mayes

Perspectives on Early Childhood Psychology and Education

Twice-exceptional (2e) refers to children who are gifted or talented in one or more areas and also have a disability or learning difference. Despite the increasing awareness of 2e learners in recent years, many still lack recognition and support, particularly those from marginalized communities. Black girls are among the groups that are least likely to receive accurate identification and appropriate services for their 2e needs. This case study aims to shed light on the experiences of a 2E Black girl in early childhood and offer recommendations for school counselors to better support them.

A Phenomenological Study Of Federally Funded School Counselor Educators’ Non-Dual Educator-Counselor And Antiracist School Counselor Identity, Yung-Yu Lee, Matthew Lemberger-Truelove

Teaching and Supervision in Counseling

School counselor educators train future professionals who will adopt a non-dual educator-counselor identity and deliver direct services to culturally diverse students and other education stakeholders. To capture select school counselor educators’ values and practices, the authors of the current study performed a descriptive phenomenological study using semi-structured interview questions to elicit the experiences of six school counselor educators who received federal funding to increase the diversity and quality of mental health services in public schools. Findings included the following five themes: 1) perspectives of professional identity; 2) equity, social justice, and inclusion; 3) pedagogical strategies in training program; 4) collaboration …

Preparing School Counselors For Culturally Informed Suicide Response, Emily C. Brown, Mary Edwin, Lucy Purgason

Teaching and Supervision in Counseling

The purpose of this article is to provide school counselor educators with strategies to effectively prepare school counselors to implement culturally responsive suicide intervention in their roles as educator-counselors. Informed by two theoretical models, The Attitudinal Components of Professional Development (Evans, 2002) and the Cultural Model of Suicide (Chu et al., 2010), the authors share strategies for building self-awareness, teaching about culturally responsive practices, using case studies, and delivering course-specific instruction in multiple classes: ethics, assessment, lifespan development, foundations of school counseling, and clinical courses. The provided strategies help school counselor educators promote reflection, increase knowledge, and enhance skill development …

A Qualitative Investigation Of Clinical Mental Health Counselors' Group Practicum Training Experiences, Brittany L. Pollard-Kosidowski, Monica E. Kaule, Heather Uphold, Chad Losinger, Adam F. Stephens

Journal of Counselor Preparation and Supervision

The authors of this study used inductive content analysis to qualitatively explore the group practicum training experiences of clinical mental health counselors who graduated from one CACREP-accredited program. Fifteen participants shared about their firsthand experiences in a required group practicum course and described the ways in which the experience impacted their competence and self-efficacy as counseling professionals and group workers. Five resulting themes highlight the significance and value of practical training experiences dedicated solely to group facilitation. Implications for counselor educators and program accreditors are provided, along with recommendations for future research.

A Guide To Infuse Trauma Informed Principles In Counselor Education, Amirah R. Nelson

Journal of Counselor Preparation and Supervision

Trauma informed principles (TIPs) are minimal within counselor education and supervision literature. After reviewing TIPs that have been incorporated into other graduate programs, counselor educators (CEs) should consider integrating more trauma informed concepts. Through this conceptual article the author: a) defines TIPs, b) explores ways to combine TIPs into most curricula and the learning environment, c) infuses TIPs across the eight core areas of CACREP, and d) discuss future implications for having a robust and well-rounded curricular for future counselor educators.

Keywords: trauma informed principles, counselor educators, counselors in training, CACREP, counseling programs

A Counseling Student’S Experiences With Vision Impairment: A Narrative Inquiry, Jason J. Li, Susan Bray, Jody Fiorini, Philip Mullins

Journal of Counselor Preparation and Supervision

This article explores a female counseling student’s experience with vision impairment in a counselor education program. By using narrative inquiry, three main themes (perceptions, received supports, and challenges for a visually impaired student) and seven subthemes (perceptions of herself, perceptions of others, daily commute, attitudinal barriers, barriers to access, practicum experiences, and disability services) emerged from the analysis. Recommendations for counselor preparation and research are provided.

Group Counseling Preparation Amidst Crisis And Disaster: An Interpretive Phenomenological Analysis, Heather C. Sands, Kristopher M. Goodrich, Monique N. Rodríguez, Kelley R. Holladay, Renee C. Howells

Journal of Counselor Preparation and Supervision

There is consensus that group counseling and the use of telehealth platforms (i.e., phone or video conferencing usage) are highly effective interventions during and in response to crises and disaster situations. Wishing our Counselor Education and Supervision (CES), program had access to this information prior to the COVID-19 pandemic; we use this study to reflect on what we learned from that time. Building from the experiences of eight masters-level students enrolled in a group counseling internship at the height of the pandemic, this manuscript connects our programmatic oversights to the sparsity of information related to group counseling and the use …

Faculty Search Experiences Of Assistant Professors Of Counselor Education, Gregory Hatchett

Journal of Counselor Preparation and Supervision

Using an online quantitative survey, the primary objective of this study was to investigate the faculty application experiences of assistant professors of counselor education (N = 159). The counselor educators in this sample completed a median of two off-campus interviews and a median of one on-campus interview. They received a median of one offer for any faculty position and a median of one offer for an assistant professor position on the tenure-track. Assistant professors on the tenure-track differed from those not on the tenure track on the following variables: demographic and professional characteristics, application strategies, credentials/qualifications at the time …

A Duoethnographic Investigation Of A Cross-Cultural Dissertation Chairing Relationship, Phillip L. Waalkes, Yuima Mizutani

Journal of Counselor Preparation and Supervision

Despite the importance of cross-cultural mentorship in supporting doctoral counselor education students with international backgrounds in overcoming barriers, few have researched the specific complexities of these relationships with critical depth. Therefore, in this duoethnographic study rooted in relational cultural theory, we offer a critical and transformative polyvocal dialogue of the cross-cultural dissertation mentoring relationship of [author 1], a White counselor educator, and [author 2], an Asian-Japanese former doctoral student with an international background. We discussed how our cultural backgrounds impacted the relationship, our experiences of imposter phenomenon, and how broaching may have impacted our relationship. We present a series of …

Gatekeeping In Online Learning: Best Practices To Facilitate Non-Traditional Learning, Amanda Faucher, Ajitha Chandrika Prasanna Kumaran, Wannigar Ratanavivan

Journal of Counselor Preparation and Supervision

Online learning has evolved, bringing several opportunities and challenges to counselor educators. Gatekeeping is an ethical responsibility of counselor educators, especially in a distance education platform, to evaluate personal and professional growth of counselors-in-training. To minimize gateslipping, there is working literature evidence that looks quite different in an online platform. In a synchronous setting, technology allows us to offer an experience that is not drastically different from traditional learning, but literature on asynchronous learning is far more limited. The authors will highlight the strengths and challenges of gatekeeping in a distance learning environment and discuss potential strategies for gatekeeping to …

Building Competence: Trainee Counselors’ Supervision Journey With Self-Injury And Suicidality, Rachel Jacoby, Karen M. Roller, Latoya Smith, Shreya Vaishnav, Tasmeer Ali

Journal of Counselor Preparation and Supervision

This grounded theory study examines the supervision needs of counselors-in-training (CITs) addressing clients with non-suicidal self-injury and suicidal ideations. The qualitative research question focused on counselor-in-training perception of their counseling program and practicum supervision preparation. Four key themes emerge: Supervision Facilitation, Secure Base Provision, Clinical Identity Development, and Sufficient Preparation. CITs express readiness concerns and a need for enhanced support in supervision for NSSI and SI. CITs also clarify logistical and emotional support that addresses their needs to serve NSSI and SI clients effectively.

Ethical Considerations Regarding Counselor-Client Discussions Of Political Views And Religion: From A Christian, Conservative, Counselor, Educator Perspective, Michelle Dobson

Journal of Interprofessional Practice and Collaboration

The 2014 ACA Code of Ethics informs counselors of the need to avoid imposing their personal values and beliefs on their clients. There is a general messaging through academics and mental health professional associations of the inherent oppressiveness in Christianity and the conservative political ideology. As a Christian, conservative, counselor, and educator, I have found a need to keep my personal life separate from these professional settings. During the 2020 presidential election cycle I began to question whether I could ethically be in this profession while maintaining my personal values and beliefs. I found clients struggling to have conversations with …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

Sexuality, Sex Education, And Intellectual Disability: Guidance For Counselors, Julie C. Hill, Jill M. Meyer, Lindsay E. Stokes, J.C. Ausmus, Brandon Worthey, Jamie Carney

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Sexual health and sexuality can be an important component of an individual’s identity. Sexual health and sexuality are a vital part of an individual’s quality of life and overall health and well-being. Individuals with intellectual disabilities have been viewed as asexual, lacking sexual interest, or have an inability to engage in sexual activity. These views have led to individuals with intellectual disabilities to be excluded from sexual education programs or lack appropriate knowledge of sexuality, sexual health, and healthy relationships. It is important for parents, medical providers, mental health professionals, and caregivers to have the knowledge needs to have conversations …

We Are Family: Queer And Transgender Family Building, Jennifer M. Gess, Nattalie Wolff-Tseng, Kaitlin J. Phelps, Madison Morley

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

LGBTQ+ people experience resiliency and discrimination when attempting to build families. There are massive systemic barriers and oppressive walls LGBTQ+ people face when forming either a blended family, trying at-home insemination, using assisted reproductive technology, working with a gestational carrier, or attempting to become a foster parent or adopt a child. Queer reproductive justice provides a foundation for counselors to support clients by using affirmative counseling, providing positive mandatory interactions clients are ordered to during family building, and advocating with and on behalf of their LGBTQ+ clients building families.

Can A Course On Sexuality Counseling Increase Empathy When Working With Sex- And Gender-Minoritized Individuals?, Betty Cardona, Robinder P. Bedi

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

This study examined whether a sexuality counseling course could increase self-perceived empathy for working with Sex and Gender minoritized (SGM)individuals. Forty-two students enrolled in a sexuality counseling course completed empathy assessments prior to starting the course and after completing it. Statistically significant increases in empathy towards gay/lesbian, bisexual, and transgender individuals were found (moderate to a large effect sizes). Results indicate that, at least under some circumstances, empathy levels for SGM individuals in counselors-in-training (CITs) could be increased through coursework. Increases in practitioner empathy for SGM individuals can translate into lower uniliteral termination rates and better counseling and psychotherapy outcomes.