Digital Commons Network^™

A Mixed Methods Analysis Of Cacrep Accreditation Standards: Implications For The 2024 Cacrep Academic Quality Standards, David Moran

Journal of Counselor Preparation and Supervision

This embedded mixed methods study examined the frequency of CACREP standards cited as ‘not met’ by the CACREP Board of Directors and explored counselor educators’ experiences with program evaluation. Frequency analysis revealed that Section 4 standards were disproportionately cited, yet applied consistently across diverse institutional types and delivery formats. Qualitative interviews with 16 counselor educators identified four themes: The Paradox of Agency, Faculty Workload Challenges, Performative Compliance vs. Authentic Improvement, and Faculty Experience with Program Evaluation. Findings suggest that while accreditation decisions are unbiased, the evaluation process imposes substantial strain on faculty resources. These results have …

Modernizing Career Counseling In Counselor Education: A Conceptual Exploration, Yuhyun Park, Se Hoon Kim, Rasheed Adeyemo, Sarah Ebner, Mallory Redmond, Breeana Donayre, Carly Steves

Journal of Counselor Preparation and Supervision

Career development is often confined to a single course despite its relevance across counseling practice. This conceptual article reframes it as an integrative foundation for counselor preparation, supervision, and professional identity. It examines connections among work, mental health, education, disability, relationships, and social context across counseling specializations. The article also considers doctoral training and the ethical use of artificial intelligence in career-related practice. Recommendations address curriculum design, supervision, and future research on integrated career preparation.

Protecting Graduate Students From Burnout With Self-Compassion And Authenticity, Michael S. Leeman, Joshua J. Castleberry, Anna A. Ellenson, Morgan Wallbrown

Journal of Social, Behavioral, and Health Sciences

This study investigated whether practicing self-compassion and embracing one's authentic self could protect graduate students from burnout. Researchers also empirically examined the mediating effect of authenticity in the relationship between self-compassion and burnout. A total of 318 master's degree students in a helping profession completed surveys assessing their levels of self-compassion, authenticity, and burnout. Results found that graduate students with higher levels of self-compassion and authenticity tended to have lower levels of burnout. Additionally, authenticity mediated the relationship between self-compassion and burnout. The findings suggest that practicing self-compassion and embracing one's authentic self may lead to lower levels of burnout …

An Ai Perspective On Counseling Supervision, Emily A. Brinck, James L. Soldner, Hung Jen Kuo, Scott A. Sabella, Trenton J. Landon, Charles P. Bernacchio, Elizabeth A. Boland

Special Education and Rehabilitation Counseling Faculty Publications

The increased use of technology-assisted distance counseling practices is one result of COVID’s impact on behavioral health, including in counselor education and the delivery of supervision. First, technology-assisted distance supervision needed for “real time” communication grew. Furthermore, there is an emergence of artificial intelligence (AI) technologies that have the potential to contribute to aspects of supervision; however, current evidence remains emerging, context-dependent, and at times mixed, warranting cautious interpretation of their effectiveness. The article offers an overview of using AI in clinical supervision, examines the benefits and potential concerns of AI from different perspectives, and considers the significance of using …

Analyzing Outcome Research In Aca Counseling Journals: A Content Analysis, Lisa Rickman, Marangelie Velez, Serene Hasan, Elizabeth Lugo, Sejal Barden

Journal of Counselor Preparation and Supervision

To assess the current state of evidence-based practices within counseling and counselor education, researchers conducted a comprehensive content analysis of outcome research published in counseling journals. Using quantitative methods to examine publication trends and frequency, the study reviewed 5,266 articles across 21 journals over a ten-year span (2013–2023), identifying 405 outcome studies for inclusion. Findings revealed a substantial gap in outcome research within professional counseling, particularly with respect to methodological diversity and representation of diverse populations. The authors emphasize the need for counselor educators and practitioners to prioritize outcome research to enhance clinical effectiveness and strengthen the profession. Furthermore, the …

Counseling Supervision In Vocational Rehabilitation: An Integration And Extension Of The Discrimination Model And Critical Disability Theory, Nichole Tichy, Harvey C. Peters

Journal of Counselor Preparation and Supervision

As a specialized counseling discipline, vocational rehabilitation aims to support individuals with disabilities in obtaining integrated and competitive employment within their communities. Within the rehabilitation counseling profession, the practice of clinical supervision is considered an essential function of the job; however, most professionals report inadequate or nonexistent supervision within their professional settings. Research on this topic is scarce, and few clinical supervision models exist specific to the needs of rehabilitation counselors. In this manuscript, we present an adaptation of the discrimination model for counselors that incorporates vocational rehabilitation and critical disability theory to encourage the challenging and dismantling of ableism. …

The Counseling Experiences Of Gifted Adults, Kelli Busbee, Theodore Remley

Adultspan Journal

In this transcendental phenomenological study, we followed the traditions of Moustakas and explored the counseling experiences of adults who had been identified as gifted during their school years and had experienced counseling for issues related to anxiety, depression, perfectionism, or hypersensitivity. We identified the following themes after interviewing participants: (1) growing up gifted; (2) challenges for gifted individuals at the college level; (3) living with anxiety and depression as a gifted adult; (4) medication and tools used by gifted adults; (5) being a perfectionist and dealing with hypersensitivity as a gifted adult; (6) experiences in counseling as a gifted adult; …

Assessment Perception: Delivery Matters, Nicole Marie Arcuri Sanders, Chelsey Simmons

Journal of Counselor Preparation and Supervision

Perception shapes how individuals experience the world and guides their actions toward personal goals. In counseling, clients’ accurate understanding of assessment results is essential for informed decision-making and effective treatment engagement. Mental health clinicians have an ethical responsibility to communicate findings in ways that safeguard client welfare and empower both clients and stakeholders to collaborate in care. This conceptual manuscript introduces the BRIEF (Brief, Relevant, Interpretive, Empathetic, and Factual) Feedback Integration Framework, a structured model for delivering assessment feedback ethically and accessibly. Integrating cognitive, developmental, and cultural considerations. BRIEF provides counselors, supervisors, and educators with a practical strategy for improving …

Integrating Clinical Reasoning Into Mental Health Diagnosis: A Conceptual Framework For Counseling Practice, Ashley F. Waddington, Alexander M. Fields, Haley Ault

Journal of Human Services Scholarship and Interprofessional Collaboration

Clinical reasoning has long guided diagnostic accuracy in nursing and medical fields, but its application in mental health counseling remains limited. This paper presents a conceptual diagnostic decision-making (DDM) process to embed clinical reasoning into the diagnostic process for counselors, incorporating two vital constructs: counselor self-efficacy and counselor bias (implicit and explicit). Grounded in Bandura’s theory of self-efficacy (1977) and Carvalho et al.’s (2017) clinical reasoning model, the framework highlights the cognitive, behavioral, and contextual factors that shape diagnostic decision-making in early-career counselors, including counselor biases. The paper calls for reform in counselor training, emphasizing curriculum enhancements as pathways to …

Counseling And The Neurodiversity Paradigm: A Call To Action, Emily Goodman-Scott, Rawn Boulden, Aaron Albright, Jenna Alvarez, Betsy M. Perez

Counseling & Human Services Faculty Publications

The counseling profession is rooted in prevention, wellness, mental health, and a critical social justice approach to serving historically marginalized communities, including people with disabilities. The overarching construct of disability comprises subtypes, such as neurodivergence. Given the prevalence of neurodivergent individuals worldwide (approximately 15%-20%), the counseling profession must be prepared to support this community. At the same time, there is a dearth of peer-reviewed literature on neurodiversity specifically for the counseling profession. In this article, we address a timely topic in the profession. We discuss utilizing a critical counseling lens and centering marginalized identities, such as people with disabilities; prominent …

Protecting Those Who Protect Us: A Blueprint For Mandatory Mental Wellness Standards For First Responders, Joy Hutchinson

Faculty & Staff Scholarship

First responders, including firefighters, law enforcement officers, emergency medical technicians (EMTs), dispatchers/telecommunicators, and corrections officers, serve as the backbone of public safety in the United States. Their work requires rapid decision-making, repeated exposure to traumatic events, and sustained emotional regulation in high-stakes environments (Hoell et al., 2023; Vig et al., 2020). Despite their critical roles, mental health support across these professions remains inconsistent, optional, and largely reactive rather than preventative, with many systems relying on self-referral only after crisis onset (Burke, 2021; Johnston et al., 2025).

Between 2021 and 2025, U.S.-based research has documented alarming levels of burnout, depression, anxiety, …

Intersectionality Of Race And Disability: The School Counselors' Role In Policy Reformation, Jenna M. Alvarez, Rachel Saunders, Vanessa Sinclair, Stephanie Smith-Durkin, Emily Goodman-Scott

Counseling & Human Services Faculty Publications

The United States K-12 education system is riddled with inequities within the intersection of race and disabilities; relatedly, the school counseling literature also demonstrates a similar gap in the literature. As a result, through three case illustrations highlighting the unique experiences of historically marginalized students of color with disabilities, we illustrate the multiplex intersection of race and disability and how a school counselor can utilize leadership, advocacy, and social justice for systemic change. Further, the three cases are structured through the ADDRESSING framework, to systematically consider the complexities of identity, overlapping cultural influences, and the connections to practice (Hays, 2022). …

More Than Just Multiculturally Competent: Doctoral Student Competency And Preparedness To Work With Individuals With Disabilities, Kristen N. Dickens, Chantrelle Varnado-Johnson, Synthia Best

Georgia Educational Researcher

Phenomenological inquiry was used to interview counselor education doctoral students about their experiences and perceived competency and preparedness to counsel individuals with disabilities. Three overarching themes emerged: (1) continuous self-directed learning, (2) disability is multifaceted, misunderstood, and evolving, and (3) influential learning factors. Implications and recommendations for counselor educators and training programs are provided.

An Innovative, Interdisciplinary Intervention For Justice-Involved Emerging Adults, Courtney M. Holmes, Jeff Ciak, Marianne Lund, Zehra Sahin Ilkorkor, Grace Kye, Miguel King, Karen Akom, Sarah Jane Brubaker, Molly Hyer, Gary Cuddeback

Teaching and Supervision in Counseling

Interdisciplinary collaboration is an effective training model for counselors in training. As it is becoming increasingly likely that counselors will work in multidisciplinary teams post-graduation, engagement in clinical and research intervention teams is essential to promote learning. Benefits for counseling students include the development of self-efficacy, cultural humility, research skills, counseling skills, and interdisciplinary communication and collaboration skills. This article will discuss a federally funded, interdisciplinary intervention for justice-involved emerging adults that provides supported employment, trauma-informed mental health counseling, and peer support interventions. We will outline the interventions, structure of the project, as well as research and assessment outcomes. Future …

Counselor Education And Inclusive Postsecondary Education: A Partnership Model, Rebecca B. Smith Hill, Alexander M. Fields, Olivia J. Lewis, Madeline Saunders, Chelsea Stinnett, Anthony Plotner, Rachel Gilreath

Teaching and Supervision in Counseling

Researchers in the counseling field have alerted practitioners and counselor education professionals to the need for enhanced training related to supporting individuals with disabilities, namely intellectual and developmental disabilities (IDD; Feather & Carlson, 2019). As more individuals with IDD attend college, these emerging adults are specifically in need of counselors with skills and competencies to support their mental health. This paper describes a collaborative, mutually beneficial initiative between a counselor education program and an inclusive postsecondary education program to address the scarcity of personnel prepared to work with individuals with IDD.

Development And Evaluation Of The Sex Positivity Inventory For Counselors, M. Ashley Burks, Jennifer Gerlach, Joshua C. Watson

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

The purpose of the study was to clarify the definition of sex positivity and identify sex-positive attitudes, knowledge, and skills through the development and evaluation of the Sex Positivity Inventory for Counselors (SPI-C). The exploratory factor analysis supported a six-factor, 34-item scale, accounting for 32.9% of the variance within the study. The SPI-C had an excellent internal consistency of 0.96 and consisted of the following factors: 1) Procedural Sex Positivity, 2) Comfortability with Sexuality, 3) Perceived Sex Positivity, 4) Fundamental Sex Education, 5) Sexological Worldview, and 6) Unconditional Positive Sexual Regard. Implications for practice, counselor education, and supervision are discussed.

The Counselor Educator’S Guide To Sex Positivity: Ten Strategies For Enhancing Teaching And Supervision, Lorraine J. Guth, Ashley R. Niccolai, Moirin Reynolds, Dana Kirkpatrick

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

Despite positive shifts in cultural conversations surrounding sex, there is a lack of institutional focus on sexuality training in counselor education. This is surprising, given that sexuality is an inherently multicultural issue, and a sex positive framework aligns with counseling’s core values which include social justice, resilience, and wellness. We discuss the relevance of incorporating sex positivity in counselor education and provide ten strategies for counselor educators to integrate sex positivity into their teaching and supervision. These recommendations include engage in self-reflection to examine comfort with sexuality; examine curriculum to ensure sexuality objectives are infused in courses; use inclusive language; …

Counselor Education: Digital Delivery With Confidence, Nicole Marie Arcuri-Sanders, Alisha Davis

Journal of Counselor Preparation and Supervision

Counselor education programs are required to demonstrate a clear framework, effective implementation, and overall program effectiveness. The pandemic’s surge in online instruction influenced CACREP’s (2024) digital delivery (DD) standards, addressing ethical and legal implications alongside student outcomes. Guidance from digital health initiatives, telemental health ethics and legal practices can be invaluable in clarifying DD protocols for counselor education programs. Understanding the parallels between DD and digital health regulations (e.g., HIPAA, ACA [2014], and NBCC [2023] ethical codes) provides a solid foundation for protecting both students and programs. Integrating technology and modeling digital health practices can enhance counselor education, benefiting both …

Secondary Posttraumatic Stress Education Within Graudate Counseling Programs, Brandi S. Colesanti Phd

Counseling and Psychology Dissertations

Secondary posttraumatic stress is a known occupational hazard for mental health counselors. Affecting approximately 49.5% of practicing counselors, it is a normal reaction to indirectly experiencing graphic stories (Lanier & Carney, 2024). Due to underdeveloped coping skills and limited experience working with traumatized individuals, counselors in training are especially vulnerable to its impact. Extant literature contains studies exploring the effects of secondary posttraumatic stress on graduate students, made and recommendations for self-care, resilience strategies, and therapeutic interventions to be integrated into graduate counseling curriculum to mitigate symptoms. Although studies demonstrated the effectiveness of these recommendations on symptom mitigation, no formal …

Tolerating Ambiguity: Counselor Educators' Perceptions Of Gatekeeping Administration, Matthew W. Bonner, Hsin-Ya Tang, Nathaniel Brown, Keenan Eldridge

Journal of Counselor Preparation and Supervision

In the counseling profession, gatekeeping is a legal, ethical, and accreditation mandate. Academic and clinical standards are straightforward about the significance of gatekeeping. However, there is a lack of clarity regarding counselor dispositions, policies, procedures, and processes for gatekeeping. This study explores the dispositional, interpersonal, and intrapersonal experiences of faculty in their engagement with the phenomenon of gatekeeping through the qualitative approach of Interpretative Phenomenological Analysis (IPA) with 12 (N = 12) diverse counselor educators. Findings indicate counselor educators’ significant experiences with vague dispositions, relationships, engagement of counselors-in-raining (CITs), supportive feedback, and faculty anxiety.

The Addition Of Chinese Herbal Medicines Is Effective As A Prophylactic Treatment Against Dental Diseases For Sjögren’S Syndrome Patients: Insight From Real-World Database, Ching-Ya Juan, Wei-Jen Chen, Hanoch Livneh, Ming-Chi Lu, Tzung-Yi Tsai

Leadership, Learning and Counseling Faculty Publications and Presentations

Background and Objectives:

Sjögren’s syndrome (SS) is a chronic autoimmune disease that affects the salivary glands and increases the risk of developing dental diseases (DDs). Chinese herbal medicines (CHMs) represent a promising alternative strategy for SS treatment; however, the association between CHMs and DD risk has not been confirmed. In this retrospective, cohort-based, nested case-control study, we explored whether or not combining CHMs with routine treatments for SS can reduce the chance of DDs.

Materials and Methods:

In the beginning, we recruited subjects aged 20–80 years with newly diagnosed SS who were free of DDs between 2001 and …

Fieldwork Experiences Of Students In Cacrep Programs: A Descriptive Quantitative Study, Emily Norris

Doctoral Dissertations and Projects

The following quantitative descriptive study explored the practicum and internship experiences of counselors in training (CIT) in consideration of the new 2024 Council for Accreditation of Counseling and Related Educational Programs (CACREP) standard requirements. The updated standards mandate fieldwork sites to provide “quantity, quality and variety of expected experiences,” yet they lack specific guidance on what these experiences might entail. Despite the importance of fieldwork in counselor training, current literature offers limited data on the specific experiences of CITs encounter during their placements. To address this gap, this study utilized an anonymous survey to capture a multitude of fieldwork characteristics …

Cutting Through Stigma: Suggested Best Practices For Aharm Reduction Approach To Nonsuicidal Self-Injury, Lindsay Lundeen, Erin Kern Popejoy

Counseling, Leadership, and Research Methods Faculty Publications and Presentations

For many counselors, both topics of nonsuicidal self-injury (NSSI) and harm reduction practices can feel intimidating and unclear. Yet, depending on the client, discussion of complete and immediate cessation from NSSI can feel impossible and isolating. This article combines harm reduction principles, a concept initially developed for addiction treatment, with select existing recommendations for NSSI treatment to offer a clinician's guide to best practices for harm reduction implementation with clients engaging in NSSI. By meeting clients where they are and offering a supportive space to brainstorm nontraditional treatment options, counselors can maintain the core principles of the American Counseling Association's …

Counselor Education: Digital Delivery With Confidence, Nicole Marie Arcuri-Sanders, Alisha Davis

Educational Sciences and Organizations

Counselor education programs are required to demonstrate a clear framework, effective implementation, and overall program effectiveness. The pandemic’s surge in online instruction influenced CACREP’s (2024) digital delivery (DD) standards, addressing ethical and legal implications alongside student outcomes. Guidance from digital health initiatives, telemental health ethics and legal practices can be invaluable in clarifying DD protocols for counselor education programs. Understanding the parallels between DD and digital health regulations (e.g., HIPAA, ACA [2014], and NBCC [2023] ethical codes) provides a solid foundation for protecting both students and programs. Integrating technology and modeling digital health practices can enhance counselor education, benefiting both …

Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen

Journal of Counselor Preparation and Supervision

The expansion of the use of technology in counseling has implicated counseling professionals in considering how to legally and ethically incorporate it into all facets of practice, including university and clinical supervision settings. In this article, we provide scholarship-backed recommendations for doing so as well as provide suggestions for incorporating psychodynamic and cognitive-behavioral (CBT) supervision models into telesupervision.

Integrating Addiction Counseling Competencies Into Cacrep’S Foundational Curriculum: Addressing Gaps In Pedagogy, Stephanie Robinson, Whitney P. Akers, Jeffrey M. Warren

Journal of Counselor Preparation and Supervision

Professional counselors frequently provide direct and indirect addiction counseling services with relatively little addiction-specific education and training. This lack of training results in counselors delivering services for which they are not adequately prepared. This article explores the current state of training and credentialing of addiction counselors, the addiction-specific gaps that currently exist in CACREP’s foundational curriculum, and the duty accredited programs have to ensure counseling students are trained to provide care to all who seek treatment. A conceptual model for integrating culturally responsive addiction-specific education into CACREP’s foundational curriculum and a hypothetical timeline for implementation are provided. We discuss the …

Educating The Educators: Increased Sexuality Training For Counselor Educators, Joshua C. Taylor

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

A robust body of literature has identified the need for counselors-in-training (CITs) to receive additional training in sexuality counseling. Growing efforts to identify efficacious training strategies have also been well-documented in the literature. These suggested updates have implicitly increased the counselor educator's role in delivering strategies to promote sexual counseling competence for CITs. Unfortunately, there is a dearth of literature regarding the adequate preparation of counselor educators in providing sexuality education. This article will underscore the counselor educator’s role in facilitating competence in sexuality counseling for CITs and provide a model for infusing sexuality counseling into doctoral curriculum.

The State Of Sexuality Counseling Training In Counselor Education, Amber L. Pope, Matt B. Siroty, Stefan Vasic, Julia Lancaster

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

Sexuality counseling training remains underdeveloped and lacks standardization across counselor education programs in the United States. We examined the integration of sexuality counseling in Clinical Mental Health Counseling (CMHC) programs. Out of 191 CMHC programs, 45% offered a standalone course and only 15.2% required one. We also performed summative and latent content analyses on the course descriptions to review the primary content of sexuality counseling courses. Content analysIs revealed course content largely focusing on sex positivity and inclusivity, though invalidating and potentially stigmatizing language persists. We conclude with implications for counselor education and future directions for research.

Disability Competencies In A Cacrep Graduate Program: A Grounded Theory And Case Study, Debbye Lopez-Ramos

Doctoral Dissertations and Projects

There is growing evidence supporting multicultural competencies as a key component of the CACREP standards and ethical responsibilities for faculty counselor educators and supervisors (FCESs). However, literature supporting multicultural competencies has significant gaps as it relates to the conceptualization and practice of disability competencies in CACREP counselor education. Furthermore, the lack of disability competencies and the stigma surrounding disabilities has led to frustration, academic remediation, and the withdrawal of students with disabilities. Despite the CACREP standards, FCESs have failed to infuse disability competencies when working with students with disabilities. This qualitative research used grounded theory and case study to examine …

The Combined Treatment Of Chinese Herbal Medicines Is Correlated With A Lower Risk Of Rheumatoid Arthritis In Patients With Depression: Evidence From A Population-Based Patient–Control Study, Chieh-Tsung Yen, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Major depression places psychological strain on the individual that may increase the risk of developing rheumatoid arthritis (RA). Though the use of Chinese herbal medicines (CHMs) is widespread in clinical practice, its effect on the prevention of RA incidents is still unknown. This study aimed to evaluate the association between CHMs use by patients with depression and their subsequent risk of being diagnosed with RA.