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. …

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 …

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, …

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 …

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.

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 …

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 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.

The Power Of Choice: Comparing Asynchronous And Synchronous Learning, Heidi L. Henry, Kayla Newkirk, Lauren Guggenberger

Journal of Counselor Preparation and Supervision

Using explanatory sequential mixed-methods design, we investigated counseling student outcomes and attitudes in asynchronous versus synchronous learning modalities. We studied whether asynchronous or synchronous learning contributed to differences in student outcomes on a final project in an Advanced Human Growth and Development course. Using a Kruskal-Wallis H test, we found no significant differences on final project scores among groups categorized according to the number of asynchronous and synchronous activities completed. We also explored the attitudes of online counseling students towards synchronous and asynchronous learning. Thematic analysis of open-ended surveys of 53 counseling students revealed four themes: enhanced learning experiences, advantages …

Site Supervisor Roles And Responsibilities: Counseling Programs’ Written Expectations, Justin D. Lauka, Amanda Mccarthy, Steven Moody, Minna Yoo

Teaching and Supervision in Counseling

Site supervisors play a vital role in training clinical mental health counseling (CMHC) students during their field work. While clear roles and responsibilities for site supervision is a professional and ethical requirement, the scope of these expectations remains ambiguous. This article provides baseline empirical data on the expectations of sites and site supervisors communicated through field experience handbooks of CACREP-accredited CMHC programs. The authors completed a qualitative content analysis that resulted in three key categories including Site and Site Supervisor Administrative Expectations, Clinical Supervision, and Site/Program Interaction. Implications for counseling programs and future research are discussed.

Ce 633 Syllabus: Ethical Practice And Social Change, Mitch Moore

Counselor Education Syllabi

This course introduces students to the legal, professional and ethical issues that affect the practice of counseling and psychotherapy and the methods and ethical basis for counselors to be agents of social change. Students will become familiar with law and ethical codes related to the counseling profession. A model for ethical decision-making will be presented. Also, students will be presented with models for social change in their function as leaders, change agents, collaborators, and risk takers. Providing outreach and advocacy services in the school and community settings, students will expand their role as counselors to include the social contexts of …

Ce 660 Syllabus: Counseling Theory And Practice, Karen Cathey

Counselor Education Syllabi

This course exposes students to theories of personality development and change, theories of counseling, and counseling techniques. Students practice application of counseling theories in a laboratory setting with simulated situations. Students are encouraged to identify and develop a tentative theory of personality as it relates to an effective counseling approach. A strong emphasis is placed on the ethical standards of the counseling profession and on multicultural issues.

The Application Of 4e Cognition To Counseling And The Intersectional Experiences Of Black Individuals With Disabilities, A. Albright, Clarence K. Bumpas, Jeff Moe

Counseling & Human Services Faculty Publications

Black Americans with disabilities experience a range of inequities including barriers to access, social stigmatization, and health outcomes that are greater than both their White and their nondisabled peers. This conceptual article explains in detail these inequities. The authors provide an overview of the existing models of disability used in counseling, healthcare, research, and educational settings, as well as a rationale for why they are limited. The authors then suggest a 4E cognitive framework rooted in cognitive sciences, philosophy of mind, and neuroscience. The authors explain why a 4E cognitive framework may be better suited than existing models to conceptualize …

Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy

Antioch University Dissertations & Theses

The counseling profession is struggling to meet the rising demand for mental health care due to a growing workforce shortage driven by burnout, inadequate support, and low compensation—pressures that disproportionately impact pre-licensed clinicians. Despite their critical role in sustaining the field, pre-licensed counselors often face systemic barriers with little structural support. This qualitative study explored the lived experiences of pre-licensed clinical mental health clinicians through social-ecological and reality shock theories. Participants included 14 pre-licensed clinical mental health counselors who had graduated from CACREP-accredited programs within the last five years. Individual interviews were conducted to gain a deeper understanding of participants’ …

Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann

Antioch University Dissertations & Theses

The purpose of this study was to explore the intersectional possibilities between the fields of drama therapy and mental health counseling through the lens of transformative learning theory. Specifically, the research sought to understand the lived experiences of professionals trained in both disciplines to identify how these fields might mutually inform, strengthen, and enhance one another through collaboration and/or dual training. Data were collected through a qualitative online survey and analyzed using thematic analysis. Five themes emerged: (a) Theoretical and Practical Overlaps and Distinctions; (b) Drama Therapy-Informed Counseling: Embodiment, Creativity, and Experiential Practice; (c) Counseling-Informed Drama Therapy: Frameworks for Practice, …

Use Of A Relational Cultural Framework Of Supervision And Its Influence On Practicum Student Self-Efficacy, Sabrina Butler, Jessica Yanson, Vicki Kelchner

Journal of Counselor Preparation and Supervision

Supervision is one of the foundations of counselor development within counselor training programs and post-education licensure and certification processes. While educators have created many theories to address the supervision needs of counselors in training (CITs), relatively few address relational development and its impact on CITs’ self-efficacy. The researchers sought to address this gap by exploring Relational Cultural Supervision with practicum-level CITs. The researchers conducted a qualitative investigation utilizing a case study to examine the impact of Relational Cultural Supervision on practicum-level CIT reports of self-efficacy in a large CACREP-accredited university in the Southeastern United States. Results indicate that Relational Cultural …

Trauma History And Trauma-Informed Practice Relate To Counseling Student’S Satisfaction With Supervision And Rapport With Supervisor, Nikki Hurless

Journal of Counselor Preparation and Supervision

The effects of traumatic stressors and adversity have implications for relationship outcomes in various professional settings, including clinical supervision. The high prevalence of traumatic experiences among counselors and counselors in training (CIT) suggests a need to explore how CITs experience the supervision relationship in the context of having experienced traumatic and/or adverse events. In recent years, researchers and practitioners have increased attention to trauma-informed practice and principles in clinical supervision, and many have suggested that applying these practices to supervision may improve the supervision relationship and related outcomes. This study explored factors related to CIT satisfaction with supervision and rapport …