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The Physiology Of The Work: Chronic Stress, Allostatic Load, And Faculty Wellness In Counselor Education, Ajayla S. Evins

Counseling & Human Services Theses & Dissertations

Counselor educators embody multifaceted professional roles across teaching, supervision, research, leadership, and service, exerting a profound influence on the formation of counselors and the ongoing development of the profession (CACREP, 2024; Calley & Hawley, 2008). While wellness is recognized as a core professional value in counseling (ACA, 2014), research has focused almost exclusively on emotional and psychological dimensions, leaving the physiological consequences of chronic stress largely underexplored (Bovee, 2024; Faheem et al., 2025; Lewis et al., 2022). In neighboring fields, such as public health and medicine, chronic stress has been linked to dysregulation in cardiovascular, neuroendocrine, immune inflammatory, and metabolic …

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 …

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). …

The Experiences Of Disabled People In Physical Education, Wesley J. Wilson (Editor), Justin A. Haegele (Editor)

Human Movement Studies & Special Education Faculty Books

Bringing together a set of first- person accounts of physical education from the perspectives of disabled children and adults, this book puts disabled people’s voices in the foreground.

The book provides a rich set of case study material that deepens our understanding of the experiences of disabled people and challenges students, researchers, and practitioners to reflect critically upon their own positionality. The first part of the book discusses the ways in which disability has been conceptualized, how the voices of disabled people have sometimes been marginalized, and how nondisability power has historically framed the narratives of disabled people in physical …

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 …

Open-Access Publishing In Special Education And Related Fields, Esther R. Lindström, Jesse I. Fleming, Danika Pfeiffer, Tamara Kalandadze, Bryan G. Cook

Speech-Language Pathology Faculty Publications

Open access to research findings, syntheses of research, and papers providing guidance on implementing research-based practices is critical for informing policy and practice in special education and related fields. Yet most published articles are behind paywalls and cannot be accessed freely by many practitioners, policymakers, individuals with disabilities and their families, and other interested parties. In this article, we describe the benefits of open-access publishing for researchers and research consumers, as well as different types of open-access publishing–with a particular focus on self-archiving or green open-access publishing. Self-archiving makes papers freely available, with little time burden and no monetary cost …

Career Counselors Addressing Social Determinants Of Mental Health In Rural Communities, Kaprea F. Johnson, Alexandra Gant-Howrey, Bisola E. Duyile, Lauren B. Robins, Natese Dockery

Counseling & Human Services Faculty Publications

Career counselors practicing in rural communities must understand and address social determinants of mental health (SDOMH). This conceptual article details the relationships between SDOMH domains and employment and provides evidence-based recommendations for integrating SDOMH into practice through a rural community health and well-being framework. Description of the adaptation of the framework for career counselors in rural communities, SDOMH assessment strategies and tools, and workflow adjustments are included. Conclusions suggest next steps for practice and research.

Athletic Training Student Core Competency Professional Behavior Implementation Between Immersive And Non-Immersive Clinical Experiences: A Report From The Association For Athletic Training Education (Aate) Research Network, Bailey Christine Jones, Julie Cavallario, Bonnie L. Van Lunen, Stacy E. Walker, Curt Bay, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education requires athletic training programs to emphasize the use of professional behaviors that are associated with 6 core competencies, 5 of which were measured in this study: patient-centered care, interprofessional education and collaborative practice (IPECP), evidence-based practice (EBP), health information technology (HIT), and quality improvement (QI). The purpose of this study was to examine the association between clinical experience type and student implementation of behaviors associated with the core competencies.

Design

Multisite, panel design.

Setting

Twelve professional athletic training programs (7 graduate, 5 undergraduate).

Patients or Other Participants

A total of 338 …

Counselor Perceived Competence Diagnosing Disorders From Dsm-5 Diagnostic Categories Survey Results And The Development And Validation Of Scores On The Diagnostic Self-Efficacy Scale, Erin Elizabeth Woods

Counseling & Human Services Theses & Dissertations

This dissertation focused on the diagnostic self-efficacy of mental health counselors. The diagnosis of mental health disorders serves a wide array of functions in the counseling field including communication, treatment planning, and third-party reimbursement. Self-efficacy, or one’s belief in their own ability to accomplish a task, is considered a factor in successful task completion. The literature lacked information about which mental health disorders counselors are most confident diagnosing and an instrument which measured the self-efficacy of counselors specific to the diagnostic process. The MEASURE approach was employed to create the Diagnostic Self-Efficacy Scale and validate scores on this instrument with …

Mental Health Counselors’ Perceptions Of Professional Identity As Correctional Counselors In An Integrated Behavioral Health Care Setting, Jeanel L. Franklin

Counseling & Human Services Theses & Dissertations

This study explores the professional identity of clinical mental health counselors employed as correctional counselors in an integrated behavioral health (IBH) setting. Previous research has documented the attitudes, perceptions, and experiences of mental health counselors working in IBH as well as their experiences engaging in interprofessional collaboration. However, researchers have yet to explore how clinical mental health counselors in correctional settings perceive their professional identity and what aspects of their professional roles impact their identity development. This study utilized an interpretive phenomenological approach (IPA) to describe, understand, and interpret the meaning of four correctional counselors’ perceptions of their professional identities …

Educators' Perceptions Of Characteristics That Define Athletic Training Student Competence: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Alicia M. Pike Lacy, Stacy E. Walker, Lindsey E. Eberman

Rehabilitation Sciences Faculty Publications

Context

As health professions education continues to transition toward competency-based education, it is essential that educators have an in-depth understanding of student competence and how it is achieved. However, little is known concerning the perceptions of educators regarding student competence in athletic training.

Objective

To explore athletic training educators' perceptions of student competence.

Design

Cross-sectional.

Setting

Online survey with open-ended questions.

Patients or Other Participants

In total, 368 of 1577 athletic training educators accessed the survey (23.3% access rate); 327 were included in data analysis because they indicated they served as an athletic training educator at the time of data …

Counselor Education Doctoral Students’ Research Self-Efficacy: A Concept Mapping Approach, Zahide Sunal

Counseling & Human Services Theses & Dissertations

Research self-efficacy (RSE) is a key concept not only for counselor educators as successful researchers but also for the advancement of counselor education field. In the literature, researchers have studied multiple factors (e.g., research interest, productivity) to understand the complex nature of RSE phenomenon. Despite being informative, these studies only focused on partial aspects of the multilayered RSE, showing methodological and conceptual limitations. Particularly, we do not have a holistic understanding of RSE and the interrelated relationship among the factors informing RSE. In the current study, the researcher used a mixedmethods design, Concept Mapping (Kane & Trochim, 2007) to explore …

A Three Article Study Examining Sexual And Gender Minority Competency Of Health Service Providers, Corrine N. Wilsey

Health Services Research Dissertations

Sexual and gender minority (SGM) individuals endure a number of health disparities, such as higher rates of violence, mental health conditions, and more medical conditions. These disparities are exacerbated by the fact that SGM individuals face issues such as accessing health insurance, social support programs, and health service providers who are knowledgeable about SGM health issues. Certain health service provider governing organizations (i.e., the American Psychological Association, the Association of American Medical Colleges, and the Gay and Lesbian Medical Association) have recognized the need for guidelines regarding SGM care in recent years and published guidelines for health service providers regarding …

The Role Mentoring Plays In The Transition Of Practice Of Newly Credentialed Athletic Trainers, Stacy E. Walker, Stephanie Mazerolle Singe, Julie M. Cavallario

Ellmer School of Nursing Faculty Publications

Context: Mentoring has been identified as an important method to support newly credentialed athletic trainers during their transition to practice. Gaining a better understanding of this relationship could provide valuable insights that may assist employers and professional programs to develop a plan, which could better facilitate the transition.

Objective: To examine what aspects of the mentoring relationship provided the most benefit during transition to practice.

Design: Grounded theory.

Setting: Individual phone interviews.

Patients or Other Participants: 13 athletic trainers who graduated from a professional master's program, were certified between February and July of 2016, and obtained employment between July to …

The Psychometric Properties Of The School Counseling Internship Competency Scale, Melanie Ann Burgess

Counseling & Human Services Theses & Dissertations

Counselor education programs aim to adequately train competent pre-service counselors to fulfill a myriad of roles and responsibilities associated with their specialty area. In accordance with professional organizations, gatekeeping is an ethical responsibility of counselor educators and supervisors to protect the welfare of clients and the health of the counseling profession through ongoing evaluation of pre-service counselors. Presently, no standardized evaluation tool exists to assess school counseling interns comprehensively, attending to school counseling competencies, dispositions, roles, and responsibilities. The purpose of the study is to attend to the gap in literature through the creation and validation of The School Counseling …

Further Validation Of The Consultation Skills Scale (Css): Relationships Between Consultation Skills, Supervisory Working Alliance, And Interprofessional Collaboration, Gulsah Kemer, Jeffry Moe, Kaprea F. Johnson, Emily Goodman-Scott, Zahide Sunal, Chi Li

Counseling & Human Services Faculty Publications

We conducted a confirmatory factor analysis (CFA) to obtain validity support for the Consultation Skills Scale (CSS) in a sample of 369 counseling professionals and interns. Upon obtaining a poor model fit from an initial CFA, we utilized modification indices and removed nine items from the CSS. As a result, we achieved a better model fit for the shorter 8-item instrument (CSS-S). To further examine validity of the CSS-S, we also explored the relationships between counselors' consultation skills and two related professional activities, ability to foster supervisory working alliance and ability to engage in interprofessional collaboration. We discuss the results …

Addiction Counselors' Perceptions Of Clinical Supervision Practices, Marla Harrison Newby

Counseling & Human Services Theses & Dissertations

The addiction counseling clinical supervision literature has been limited in empirical studies focusing on best practices. Researchers have reported as much as 30 percent of addiction counselors are not receiving clinical supervision at all (Culbreth, 1999; Schmidt, 2012). Addiction counselors enter the field with a variety of credentials that can range from paraprofessional to graduate degrees. The inconsistent practices of clinical supervision in the addiction counseling field and limited research warrants concern for counselors’ professional development. Survey data was examined from 84 addiction counselors’ satisfaction with the frequency and quality of clinical supervision received based on professional credentials, years of …

Cross-Racial Trust Factors: Exploring The Experiences Of Blacks Who Have Had White Mentors In The Counseling Profession, Eric Montrece Brown

Counseling & Human Services Theses & Dissertations

The primary researcher conducted a phenomenological study on cross-racial trust factors between Black doctoral students (n = 10) and their White mentors within the counseling profession. Three participants identified having a White professor as a mentor; two participants identified having White supervisors as mentors; five of the participants reported having both faculty members and supervisors as White mentors. Through semi-structured interviews, the primary researcher sought to ascertain what factors engendered cross-racial trust between Black doctoral students and White mentors within the counseling profession. The research team identified four superordinate themes related to cross-racial trust: contributors to trust, reasons for mistrust, …

Human Services Students Preferences For Master's Level Training, Tammi F. Dice, Mark C. Rehfuss

Counseling & Human Services Faculty Publications

Human Services students close to graduation are seeking employment in the field, but many are also considering their future career paths and the training needed to reach their long-term career goals. Knowing if bachelor's level students desire graduate degrees, which focus they prefer, and how they would like to pursue the degrees may contribute to the decision-making of educators, employers, and students. This exploratory study, therefore, examined human services students' preferences for master's level training. Students' responses reflected preferences for several types of master's programs, direct acceptance, and online delivery. These themes and their implications for educators, employers, and students …

Professional Counseling's Alignment With The Core Competencies For Interprofessional Collaborative Practice, Kaprea F. Johnson, Miranda Mj Parries

Counseling & Human Services Faculty Publications

Previous findings show that there is a misconception of the counseling profession and a lack of awareness of their role in interprofessional collaboration; which may lead to underutilization of counselors for team based care. As an example, in 2009 six professional health related associations developed core competencies for interprofessional collaborative practice and counseling associations were not involved in the development. This manuscript introduces the profession of counseling to others in medical health professions in hopes that similarities will bridge the gap between knowledge and future collaborative practice. The manuscript shows how the profession aligns with the core competencies for interprofessional …

Technology And Engineering Education Doctoral Students' Perceptions Of Their Profession, Gene Martin, John Ritz, Michael Kosloski

STEMPS Faculty Publications

The growth and vitality of both technology and engineering education professions rely on the quality of contributions of its new and emerging leaders. Many of these leaders are currently enrolled students in doctoral programs. These students will be challenged to assume leadership roles in which they are not currently engaged (Ehrenberg, Jakubson, Groen, So, & Price, 2007). Some students may choose to focus their careers in developing new curricula; some will become active in grant writing and grant procurement some will choose to serve as officers in their professional organizations; and others will contribute to the body of literature in …

Perceptions Of New Doctoral Graduates On The Future Of The Profession, John Ritz, Gene Martin

STEMPS Faculty Publications

Advancement of a profession relies heavily on the participation of its members. Leadership roles must be filled at many levels. To effectively prepare future leaders, efforts must be undertaken to educate and mentor them both about their professions and how to lead within them. The authors sought to identify the perceptions of those who recently earned a doctoral degree with focus on technology and engineering education. In the past, this group developed and assumed major roles in leading their education professions. This study reports on new doctoral graduates’ perceptions related to the focus of content taught in formalized K-12 technology …

Counselor Beliefs And Perceived Knowledge Regarding Clients With Learning Disabilities, Tamekia R. Bell

Counseling & Human Services Theses & Dissertations

Clients with learning disabilities constitute a cultural group that has not been extensively studied. The professional literature has found that counselors have reported the need for additional training in working with clients with disabilities. This study explored counselors' beliefs and perceived knowledge regarding counseling clients with learning disabilities. Participants in this study were college counselors, mental health counselors, and school counselors who were members of the following professional counseling associations: the American College Counseling Association (ACCA), the American Mental Health Counselors Association (AMCHA), and the American School Counselor Association (ASCA). These counselors were assessed to determine their perceived competency regarding …

Institutional Variables, Collegial Relationships, And Occupational Satisfaction: Testing The Conceptual Framework Of Faculty Job Satisfaction Among Counselor Educators, Rebecca E. Michel

Counseling & Human Services Theses & Dissertations

Occupational satisfaction is the extent to which individuals are fulfilled by their employment. The Conceptual Framework of Faculty Job Satisfaction (Hagedorn, 2000) describes how aspects of work impact occupational satisfaction, yet researchers have not previously used this model with counselor educators. This study investigated the applicability of the model, as well as the impact of institutional and interpersonal variables, on a sample of 296 counselor educators (26.86% response rate). Findings suggested the model predicted over half of the variance in occupational satisfaction. Significant predictors of satisfaction included work itself, responsibility, recognition, salary, collegial relationships, administration, and climate. Counselor educator occupational …

Supervision Competencies For Counselor Education Doctoral Graduates: A Delphi Study, Anita Ann Neuer

Counseling & Human Services Theses & Dissertations

Counselor educators and supervisors are familiar with the use of competencies for training future clinicians but the extant literature lacks a set of competencies for use in training future counselor supervisors. The purpose of this study was to develop and validate a list of supervision competencies experts agree should be demonstrated by new doctoral counseling graduates for their work with master's students, pre-licensed or licensed counselors, and doctoral students. The research design included two expert panels, an amended Delphi poll, and a content validity assessment. These procedures resulted in a consensus list of 33 supervision competencies that appear to be …

Perceptions Of Ethical Behaviors: A Survey Of Human Service Professionals, Tammi F. Milliken, Edward S. Neukrug

Counseling & Human Services Faculty Publications

In addition to helpers' moral obligation and professional commitment to treat clients in an ethical manner, enhanced consumer knowledge of ethically correct helping relationships has increased the need to recognize potential ethical dilemmas and have the skills to respond appropriately. This article describes the development and results of an updated survey of human service professionals' perceptions of ethical behavior. The results may be used to assist in the revision of the NOHS Ethical Standards and inform ethics education.

Female Perspectives Of Professional Identity And Success In The Counseling Field, Amanda C. Healey

Counseling & Human Services Theses & Dissertations

The purpose of this study was to investigate the contextual and definitional qualities of professional identity as well as the perceptions of success as defined by female counseling professionals. The ideals and beliefs related to professional identity were examined in order to determine if they are upheld by females who practice as professional counselors, counseling doctoral students, and tenure-track counselor educators. Findings indicated 16 themes that addressed issues related to personal and professional congruence and the counseling philosophy; particularly with regard to a conflict with the professional success model as it intersected with personal and professional roles. The information gathered …

The Professional Identity Of Counseling Students In Master's Level Cacrep Accredited Programs, Bianca Puglia

Counseling & Human Services Theses & Dissertations

This study examined the professional identity of master's level students enrolled in a CACREP accredited training program. Professional identity was assessed through two instruments: the Beliefs about Counseling Scale and the Professional Identity and Engagement Scale which was developed for this study. The constructs of professional identity represented in the scales included belief in the acquisition of licensure and credentialing, the distinctiveness of professional counseling among other mental health professionals, pride in the counseling profession, agreement with the counseling philosophy, and behaviors exhibiting professional engagement.

Participants were 1,011 students enrolled in 79 CACREP accredited master's level training programs. The student …

Troubadour, 1976, Old Dominion University

Yearbooks

1976 yearbook of Old Dominion University