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Articles 1171 - 1200 of 2766
Full-Text Articles in Counselor Education
Clinical Case Conceptualization Skill Development And Counseling Pedagogy: A Constructivist Grounded Theory Study, Andrea Cox
Dissertations
Clinical case conceptualization has been identified as an invaluable and indispensable skill within the literature of the mental health professions and by the Council for Counseling and Related Educational Programs (CACREP, the counseling profession’s professional accreditation body). Despite its known importance, there is a dearth of literature focused on understanding the experiences students have related to counselor education pedagogy and the development of clinical case conceptualization skills. This project utilized a constructivist grounded theory (CGT) qualitative research design and analysis to explore the clinical case conceptualization learning experiences had by Counselors-In-Training (CITs) enrolled in CACREP aligned or CACREP accredited master-level …
Eye Movement Desensitization Reprocessing As A Complimentary Treatment For Clients With Addiction And Comorbid Trauma, Joann Kutsukos
Eye Movement Desensitization Reprocessing As A Complimentary Treatment For Clients With Addiction And Comorbid Trauma, Joann Kutsukos
Dissertations
Objective: The purpose of this study is to investigate eye movement desensitization reprocessing for those with substance use disorders and comorbid trauma. The research question is, how does the addition of eye movement desensitization reprocessing intervention assist treatment of those diagnosed afflicted with addiction and comorbid trauma as opposed to the treatment without eye movement desensitization reprocessing? Method: A quantitative study consisted of 24 participants consisting of 12 men and 12 women ages 18 years and older diagnosed with substance use disorder and comorbid trauma. Participants were recruited from an outpatient treatment substance use disorder facility where they were randomly …
How To Help Kids With ‘Long Covid’ Thrive In School, Susan C. Davies, Julie Walsh-Messinger
How To Help Kids With ‘Long Covid’ Thrive In School, Susan C. Davies, Julie Walsh-Messinger
Counselor Education and Human Services Faculty Publications
No abstract provided.
Predicting Students' Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew P. Secor, Corinne W. Bridges
Predicting Students' Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew P. Secor, Corinne W. Bridges
Journal of Social, Behavioral, and Health Sciences
Counseling students report a lack of competence in spiritual and religious integration (SRI). As such, counselor educators and supervisors (CES) and students want to understand how to develop SRI competence. Although past research highlights SRI dialogue in training, there exists no clear understanding about the role of faculty supervisor SRI on perceived student competence. The supervision models used to inform the study included (a) the integrated developmental model, (b) the discrimination model, and (c) the spirituality in supervision model (SACRED). The purpose of this study is to determine if master’s-level graduate counseling student perceptions of faculty supervisor SRI practices predicts …
Orthorexia: When Healthy Eating Becomes Problematic, Courtney R. Retzlaff
Orthorexia: When Healthy Eating Becomes Problematic, Courtney R. Retzlaff
Counselor Education Capstones
Counselors must help clients differentiate between healthy eating and disordered eating. Thus, this review of the literature examines when healthy eating becomes dangerous, and in some cases, life threatening by comparing a condition known as orthorexia to identified mental health disorders. Orthorexia nervosa (ON) is defined as, “a pathological obsession with proper nutrition that is characterized by a restrictive diet, ritualized patterns of eating, and rigid avoidance of foods believed to be unhealthy or impure” (Koven & Abry, 2015, p.385). Orthorexia is not included in the current Diagnostic and Statistical Manual of Mental Disorders (DSM) as a disorder. Even so, …
Trauma-Informed Practices, Nathaniel Woods
Trauma-Informed Practices, Nathaniel Woods
Doctor of Strategic Leadership (DSL) Capstone Abstracts
Two people can go through the same situation and perceive the situation entirely different. Crisis works the same way; a single event can be seen differently based on the person's vantage point, previous traumas, experiences, and worldviews. The crisis or trauma that one experiences can have a lasting impact on the individual’s brain. It is the responsibility of the trauma-informed practitioner to walk the person experiencing trauma through exercises that will retrain their brain, reframe their situation, and get to a place where they function at a higher capacity if the person wants to function at a higher capacity. If …
Adding Pay-For-Performance Program To Routine Care Was Related To A Lower Risk Of Depression Among Type 2 Diabetes Patients In Taiwan, Wei-Cheng Lian, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai
Adding Pay-For-Performance Program To Routine Care Was Related To A Lower Risk Of Depression Among Type 2 Diabetes Patients In Taiwan, Wei-Cheng Lian, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai
Counselor Education Faculty Publications and Presentations
Background: Patients with type 2 diabetes (T2DM) often experience depression during treatment, negatively influencing their treatment compliance and clinical outcomes. Recently, the pay-for-performance (P4P) program for chronic diseases, with high-cost and high-risk feature, such as T2DM, has been implemented and has been operational for several years. Nevertheless, its effect on the risk of developing depression among T2DM cases is unknown. This study aims to explore the association of P4P use with the subsequent risk of developing depression among these patients.
Methods: This cohort study used a nationwide health insurance database to identify patients 20–70 years of age newly diagnosed with …
Crisis Counseling Self- Efficacy: Personal Abilities And Situational Influences, Suzanne Maniss Ph.D., Yuleinys A. Castillo Ph.D., Jason Cartwright, Selma D. Yznaga Ph.D.
Crisis Counseling Self- Efficacy: Personal Abilities And Situational Influences, Suzanne Maniss Ph.D., Yuleinys A. Castillo Ph.D., Jason Cartwright, Selma D. Yznaga Ph.D.
Journal of Human Services: Training, Research, and Practice
Crises are unpredictable in nature and affect the general well-being of individuals. A proper crisis management foundation can prepare future counselors to effectively work with clients who are experiencing a crisis. The purpose of this paper is to investigate the perceptions of counselors-in-training (CIT) in relation to their anticipated crisis intervention abilities. This paper reports the results of qualitative focus groups of counselors in training. Participants reported perceived strengthens and limitations shaping their ability to handle a crisis. Counselor preparation offers opportunities to properly train culturally responsive providers for crisis management.
Key words: Crisis counseling; self-efficacy; counselor education
Staffs’ Perceptions Of Sensory-Based Interventions At An Inpatient Hospital: A Case Study, Anthony Zazzarino, Francine Bates, Janet Vlavianos, Aaron Levitt
Staffs’ Perceptions Of Sensory-Based Interventions At An Inpatient Hospital: A Case Study, Anthony Zazzarino, Francine Bates, Janet Vlavianos, Aaron Levitt
Journal of Human Services: Training, Research, and Practice
The purpose of this phenomenological, case study is to understand the role of sensory-based interventions and their impact on a single facility on the west coast of the United States. Data was collected from 15 participants using a semi-structured interview and followed a thematic data analysis process, ensuring thematic saturation. The results of this study highlighted major themes regarding the impact of sensory based interventions. This study continues to add to the literature base, supporting sensory-based interventions as an alternative modality to treat individuals with a mental illness. Continuing to understand sensory interventions and its impact on mental health recovery …
A Need Of Further Training For Marriage And Family Therapy Students’ On Food Addiction And Related Eating Disorders, Darren D. Moore, Chichun Lin, Clinton Cooper
A Need Of Further Training For Marriage And Family Therapy Students’ On Food Addiction And Related Eating Disorders, Darren D. Moore, Chichun Lin, Clinton Cooper
The Qualitative Report
The purpose of this study was to explore Marriage and Family Therapy students’ perspectives regarding food addiction and associated eating disorders, as a clinical treatment issue. In a standard addictions course housed in a Marriage and Family Therapy program approved by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE), 20 students completed a qualitative survey where they reflected on the topic of food addiction, Binge Eating Disorder, and Bulimia Nervosa, within the context of individual, couple, and family relationships. In the study four major themes emerged, which included (1) Defining Food Addiction, (2) Perceptions of Eating …
The Use Of Dialectical Behavioral Therapy (Dbt) Techniques Creatively In The Treatment Of Perinatal Mood And Anxiety Disorders, Rosanne Nunnery, Missy Fauser, Elizabeth Hatchuel, Mary Jones
The Use Of Dialectical Behavioral Therapy (Dbt) Techniques Creatively In The Treatment Of Perinatal Mood And Anxiety Disorders, Rosanne Nunnery, Missy Fauser, Elizabeth Hatchuel, Mary Jones
Journal of Counseling Research and Practice
Perinatal Mood and Anxiety Disorders (PMADs) is a serious condition impacting up to 21 percent of woman after the birth of a child (Byrnes, 2018). Jane, a 32-year-old female presented for treatment for anxiety, depression and mood disturbance (5th ed.; DSM-5; American Psychiatric Association, 2013) and in need of feeling more connected to her baby and her life. The use of creative techniques including mindfulness, distress tolerance activity, emotion regulation, and interpersonal skills (Linehan, 2015, 2016) were implemented. The use of these skills can be added to the repertoire of practice of a mental health counselor working with clients with …
Counseling Adolescents Aging Out Of Foster Care: A Neglected And Underserved Population, Taylor Tertocha-Ubelhor, Bryan R. Russ
Counseling Adolescents Aging Out Of Foster Care: A Neglected And Underserved Population, Taylor Tertocha-Ubelhor, Bryan R. Russ
Journal of Counseling Research and Practice
The high prevalence of youth aging out of the foster care system and the numerous poor outcomes they experience during the transition to emerging adulthood has been well documented. Although addressing the complex needs and concerns of this distinct population can be difficult, mental health counselors maintain the philosophical tenants and training strengths necessary to successfully serve youth aging out of foster care. This article aims to provide counselors with the historical context, developmental framework, and specific challenges needed to better understand this population, as well as suggested counseling implications to address their unique needs by reviewing relevant literature.
On Seeking Help: Social Reactions Experienced By Sexual Violence Survivors In The Indian Diaspora, Bagmi Das
On Seeking Help: Social Reactions Experienced By Sexual Violence Survivors In The Indian Diaspora, Bagmi Das
Journal of Counseling Research and Practice
Sexual violence trauma counseling should be informed by the intersections of a survivor’s identity. This research focused on the social reactions experienced by survivors of sexual violence from the Indian diaspora. This study used quantitative survey research methods and correlational analysis as well as descriptive statistics to understand the social reactions that survivors received from informal supports and formal supports. Significant results, implications for counselors, and future research recommendations are discussed.
Full Issue, Mississippi Counseling Association
Full Issue, Mississippi Counseling Association
Journal of Counseling Research and Practice
No abstract provided.
Using Flipgrid Discussions To Increase School Counseling Students’ Cultural Competence In The Online Classroom, Rebekah F. Cole
Using Flipgrid Discussions To Increase School Counseling Students’ Cultural Competence In The Online Classroom, Rebekah F. Cole
Teaching and Supervision in Counseling
This pre-test/post-test quasi-experimental design study investigated the use of Flipgrid to increase school counseling students’ cultural competence, which was measured by the Global Perspectives Inventory (GPI). Student participants in the experimental group utilized Flipgrid to engage in cultural discussions while participants in the control group utilized Blackboard discussion boards. An independent samples and paired-samples t-test were used to analyze the participants’ scores in the experimental and control groups. The statistically significant findings of the paired samples t-test suggest the effectiveness of utilizing Flipgrid in order to increase students’ cultural competence in the online learning environment. The study’s implications for teaching …
School Counseling Interns’ Lived Experiences Addressing Social Determinants Of Health, Alexandra C. Gantt, Kaprea F. Johnson, Judith W. Preston, Brittany G. Suggs, Megan Cannedy
School Counseling Interns’ Lived Experiences Addressing Social Determinants Of Health, Alexandra C. Gantt, Kaprea F. Johnson, Judith W. Preston, Brittany G. Suggs, Megan Cannedy
Teaching and Supervision in Counseling
This phenomenological study explores school counselors in training (SCITs’) experiences addressing social determinants of health (SDOH), the leading causes of educational and wellness inequities. Interviews with eight SCITs revealed three core themes: (1) professional identity conflict between awareness, skills, and action; (2) social justice knowledge to practice gap; and (3) recommendations for knowledge to practice gap resolution. Themes explained participant preparedness for responding to disparities. Participants were aware of challenges related to SDOH, though struggled with addressing those challenges due to lack of preparation or perceived role constraints. Participants also experienced difficulty practically applying their understanding of social justice theory …
Reflection And Readiness: Shared Benefits Of Using An Oral Final Evaluation To Assess Counselor Competency, Tanya Surette, Kelly Brenton
Reflection And Readiness: Shared Benefits Of Using An Oral Final Evaluation To Assess Counselor Competency, Tanya Surette, Kelly Brenton
Teaching and Supervision in Counseling
The COVID-19 pandemic has impacted educational systems worldwide, shifting everything from pedagogy to learning environments. The emerging needs and complexities presented during this time has challenged long-standing practices, requiring creativity and innovation to adapt in the midst of uncertainty and accelerated change. This has been the reality within graduate counselling programs where coursework and internships were interrupted, and the counselling environment altered. In the face of such changes, the critical assessment and evaluation of pre-service counsellor competence remains a high priority of counsellor educators. This article outlines the practice of adopting an Oral Final Evaluation (OFE) of post-practicum graduate counselling …
Working Alliance As A Mediator Between Supervisory Styles And Supervisee Satisfaction, Dan Li, David K. Duys, Yanhong Liu
Working Alliance As A Mediator Between Supervisory Styles And Supervisee Satisfaction, Dan Li, David K. Duys, Yanhong Liu
Teaching and Supervision in Counseling
To answer the research question whether there is a mediation effect of the supervisory working alliance between supervisory styles and supervisee satisfaction, we developed a mediation model and tested this hypothesized mediation effect with a sample of 111 participants that was comprised of master’s and doctoral counselor trainees and counseling practitioners recruited from several counseling professional networks. Results indicated a statistically significant indirect effect of supervisory styles on supervisee satisfaction through the supervisory working alliance. Specifically, when supervisees rated higher on a mixture of three supervisory styles, they were more likely to report a stronger working alliance with their supervisors; …
Matching Variables With The Appropriate Statistical Tests In Counseling Research, Ryan E. Flinn, Michael T. Kalkbrenner
Matching Variables With The Appropriate Statistical Tests In Counseling Research, Ryan E. Flinn, Michael T. Kalkbrenner
Teaching and Supervision in Counseling
Quantitative research literacy, including matching variables with the appropriate statistical tests, is a key element in counselor education and preparation. Counselor educators are tasked with teaching quantitative research and statistics, which counselors-in-training tend to find anxiety-producing. Authors aimed to provide a succinct overview of matching variables with appropriate statistical tests and provide strategies counselor educators can use to enhance their pedagogy.
Encouragement Is Not Enough: Perceptions And Attitudes Towards Corrective Feedback And Their Relationship To Self-Efficacy, Vasti Holstun, Neil Rigsbee, Lynn Bohecker
Encouragement Is Not Enough: Perceptions And Attitudes Towards Corrective Feedback And Their Relationship To Self-Efficacy, Vasti Holstun, Neil Rigsbee, Lynn Bohecker
Teaching and Supervision in Counseling
This correlational study explored the relationship between feedback and counselor self-efficacy during online counselor education residency. Participants (N=145) were students from eight Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited online counseling programs who completed instruments on perceptions of positive and corrective feedback, attitudes towards corrective feedback, and counselor self-efficacy. Results showed a significant positive correlation between perceptions of corrective feedback and self-efficacy. Two factors related to perceptions of corrective feedback also showed significant correlations with self-efficacy. Implications concerning providing corrective feedback in supervision for counselor in training are discussed.
Constructivism In Action: A Dynamic Group Process In Defining And Applying Principles Of Social Justice, Tanupreet Suri, Leslie Woolson, Arianna Trott, Marty Apodaca, M. Kathryn Brammer, Dèsa Karye Daniel, Diane Lacen, Thomas A. Chávez
Constructivism In Action: A Dynamic Group Process In Defining And Applying Principles Of Social Justice, Tanupreet Suri, Leslie Woolson, Arianna Trott, Marty Apodaca, M. Kathryn Brammer, Dèsa Karye Daniel, Diane Lacen, Thomas A. Chávez
Teaching and Supervision in Counseling
As a part of a Multicultural course, students in a doctoral program at a university in the Southwest worked together to synthesize a definition of social justice. The constructivist process implemented in this educational experience represented social justice in action, through co-construction of shared meaning. This definition, centered on Iris Young’s (2004) Five Faces of Oppression, resulted in the following: Social justice is addressing oppression, violence, exploitation, marginalization, powerlessness, and cultural imperialism through counselors’ efforts and advocacy, while promoting a critical perspective of the culture of silence. Social Justice is an active, effective change on micro- and macro-levels to alter …
The Use Of Digital Mediums In Expressive Arts Therapy, Katherine Mcadams
The Use Of Digital Mediums In Expressive Arts Therapy, Katherine Mcadams
Expressive Therapies Capstone Theses
In recent years, there have been considerable advances in technology, which have made digital devices such as computers and cellphones cheaper and more accessible for most Americans. The Pew Research Center (2019) reports that 96% of adult American’s own a cellphone, with 81% owning a smartphone. Usage rates for cellphones and other digital devices amongst children and adolescents are also high with 95% of teens, aged 13-17, report owning a smartphone (Jiang, 2018). Despite these staggering statistics the field of psychology and creative therapies have been slower to adopt and incorporate the use of digital media and technology into the …
Developmental Networks And Interpersonal Support Of Beginning Counselors, Nathan B. West, Joel F. Diambra, Laura S. Wheat
Developmental Networks And Interpersonal Support Of Beginning Counselors, Nathan B. West, Joel F. Diambra, Laura S. Wheat
Journal of Counselor Preparation and Supervision
As beginning counselors complete graduate school and enter the workplace they often experience a turbulent transition (Moss et al., 2014). Interpersonal relationships play a vital role in counselors’ development during this period of change (Skovholt & Trotter-Mathison, 2011). This qualitative study explored beginning counselors’ perspectives regarding the role of interpersonal relationships in their development. Analysis of interviews with 12 beginning counselors (within two years post-graduation) resulted in five themes: Context of Personal-Professional Identity; Adjustment/Transition; Growth Orientation; Network Organization; and Connective Tissue. Implications suggest educators promote effective developmental relationships and encourage established counseling professionals to foster workplace environments that help beginning …
Academic Job Negotiation Experiences, Reflections, And Biases In Counselor Education: A Descriptive Study, Cheryl L. Pence, Andrea Kirk-Jenkins
Academic Job Negotiation Experiences, Reflections, And Biases In Counselor Education: A Descriptive Study, Cheryl L. Pence, Andrea Kirk-Jenkins
Journal of Counselor Preparation and Supervision
This descriptive study explored the job negotiation experiences of 93 counselor educators through an embedded survey design to examine their negotiation experiences, reflections, and potential hiring biases. The most common negotiation preparation strategy was consulting a mentor (80%) and while salary was most regularly negotiated (76%), a list of other benefits was included. Although a majority of participants regretted not making a request (53%), most reported overall positive experiences (63%). These findings support implications for counselor educators including preparing early, using successful negotiation strategies, exploring all potential benefits, and articulating requests for a more positive negotiation experience.
Counseling Students’ Experiences Learning How To Assess Youth Suicide Risk, Laura L. Gallo, Raissa Miller, Diana M. Doumas, Aida Midgett, Sherise Porchia
Counseling Students’ Experiences Learning How To Assess Youth Suicide Risk, Laura L. Gallo, Raissa Miller, Diana M. Doumas, Aida Midgett, Sherise Porchia
Journal of Counselor Preparation and Supervision
Suicide rates continue to rise in the United States, especially within our youth population. Preparing counselors to confidently address suicide risk with their clients is crucial in suicide prevention. The authors conducted a phenomenological investigation of a youth suicide prevention course with 10 counseling students. The course included both a didactic component and an experiential component. We extracted four themes suggesting students believe a) suicide assessment is integral to the counselor role b) suicide is a complex phenomenon; c) the course enhanced self-efficacy; and d) interactive activities supported learning. Implications focusing on the importance of building self-efficacy in risk assessments, …
The Impact Of Race-Ethnicity On Foreign-Born Students’ Counselor Self-Efficacy And Acculturative Stress, Claudia Interiano-Shiverdecker, Sejal Parikh, Claudia Flowers, Mahsa Maghsoudi
The Impact Of Race-Ethnicity On Foreign-Born Students’ Counselor Self-Efficacy And Acculturative Stress, Claudia Interiano-Shiverdecker, Sejal Parikh, Claudia Flowers, Mahsa Maghsoudi
Journal of Counselor Preparation and Supervision
Foreign-born students are present in counselor education programs, yet limited research exists understanding how their race-ethnicity impacts their counselor self-efficacy or acculturative stress. This current investigation examined the effects of race-ethnicity on counselor self-efficacy and acculturative stress within a sample of 94 foreign-born counseling students (FBCSs). Results of a one-way MANOVA revealed that compared with Caucasian FBCSs, students who self-identified as Hispanic/Latinx, Asian/Pacific Islander, Black/African, and other reported significant changes in counselor self-efficacy and acculturative stress. These groups reported less counselor self-efficacy and higher levels of acculturative stress than Caucasian FBCSs, highlighting the importance of with-in group differences, such as …
Addressing Heterosexism: Student Narratives Of A Guided Imagery Activity, Jenny L. Cureton, Victoria Giegerich, Jennifer Murdock Bishop
Addressing Heterosexism: Student Narratives Of A Guided Imagery Activity, Jenny L. Cureton, Victoria Giegerich, Jennifer Murdock Bishop
Journal of Counselor Preparation and Supervision
A published guided imagery (GI) offers an innovative active learning tool for teaching about heterosexism in counselor education. A literature review precedes the description of a critical narrative inquiry of students’ experiences with the GI activity. A sample of 19 students in two sections of a counseling course recounted stories of their GI experience in individual written reflections and focus group interviews. Findings describe individual and collective meaning-making, resulting in three themes about their struggles, insights, and perspectives of themselves and their personal and professional worlds. Implications for counselor education professionals include conceptualization and implementation of guided imagery for active …
Counselor Education Doctoral Students’ Gatekeeper Experiences At A Large, Public Midwestern University: A Pilot Study, Diana Charnley
Counselor Education Doctoral Students’ Gatekeeper Experiences At A Large, Public Midwestern University: A Pilot Study, Diana Charnley
Journal of Counselor Preparation and Supervision
This pilot study seeks to understand the gatekeeping experiences doctoral students have had during their training at a large, public midwestern university in a CACREP-accredited program. Using a basic qualitative approach, five students were interviewed about their gatekeeping experiences and learning process as well as how they navigate their multiple professional roles as developing gatekeepers. The following themes and sub-themes are discussed: (a) gatekeeping experiences, a process with several gates; (b) learning to gatekeep, primarily through experience and overcoming barriers; and (c) multiple professional roles in gatekeeping, focused on teaching and supervision and the impact of faculty mentors.
Imposter Phenomenon And Research Experiences Among Counselor Educators, Jaimie Stickl Haugen, Carrie A. Wachter Morris, Kelly L. Wester, Jordan L. Austin, Shreya Vaishnav, Lindsey K. Umstead, Heather Delgado
Imposter Phenomenon And Research Experiences Among Counselor Educators, Jaimie Stickl Haugen, Carrie A. Wachter Morris, Kelly L. Wester, Jordan L. Austin, Shreya Vaishnav, Lindsey K. Umstead, Heather Delgado
Journal of Counselor Preparation and Supervision
Content analysis was employed to explore research experiences and imposter phenomenon (IP) among 25 counselor educators. Six overarching categories emerged including inconsistent areas of efficacy in the research process, supports in conducting research, barriers in conducting research, experiences of IP across roles, triggers of IP, and factors that quiet IP, with implications for counselor educators.
Counselor Educator, Supervisor, And Practitioner Perspectives On Distance Counseling And Telemental Health Training And Practice, Heather C. Robertson, Ryan Lowell
Counselor Educator, Supervisor, And Practitioner Perspectives On Distance Counseling And Telemental Health Training And Practice, Heather C. Robertson, Ryan Lowell
Journal of Counselor Preparation and Supervision
As distance counseling and telemental health practices continue to grow, it is unclear how counselor training programs are responding to the change or how frequently supervisors and practitioners utilize distance modalities. Counseling professionals (N =103) were surveyed to examine their perceptions of distance counseling training and practice. Respondents indicated multiple roles as Counselor Educators (CE, n = 74), Counseling Supervisors (CS, n = 61), and Counseling Practitioners (CP, n = 86). The majority of CE expressed dissatisfaction with amount of distance counseling content in their training program yet felt confident to teach distance counseling and TMH concepts. Personal experience with …