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Practicum & Internship Handbook Counseling and School Psychology Department Clinical Mental Health Counseling Program Counseling and School Psychology, Southern Connecticut State University Davis Hall Room 126, 501 Crescent St., New Haven, CT 06515 Phone: 203.392.5910 - Fax: 203.392.5917 URL: https://www.southernct.edu/academics/schools/education/departments/counseling/ Last Revised: 9/13/2017

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Page 1: Practicum & Internship Handbook Service and Indirect Activities ... Personal Challenges: ... , provide supervisor with handbook, and interview at fieldwork

Practicum&InternshipHandbookCounselingandSchoolPsychologyDepartment

ClinicalMentalHealthCounselingProgram

CounselingandSchoolPsychology,SouthernConnecticutStateUniversity

DavisHallRoom126,501CrescentSt.,NewHaven,CT06515Phone:203.392.5910-Fax:203.392.5917

URL:

https://www.southernct.edu/academics/schools/education/departments/counseling/

LastRevised:9/13/2017

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TableofContentsFirstThingsFirst............................................................................................................................................4

StudentChecklistforCMHCPracticum..........................................................................................................4

StudentChecklistforCMHCInternship..........................................................................................................5

StudentPreparation......................................................................................................................................6SelectaSite..............................................................................................................................................................6

Requirements/ExpectationsfortheFieldSite...............................................................................................................6Requirements/ExpectationsfortheSiteSupervisor:.....................................................................................................6

SecureaSite.............................................................................................................................................................8TipsforInterviewingataSite:..................................................................................................................................8Complete/SubmittheFieldSiteContract..................................................................................................................8SecureSCSUApprovaloftheSite..............................................................................................................................8EnrollinCourses.......................................................................................................................................................8StartPracticum/Internship......................................................................................................................................8

DirectServiceandIndirectActivities.............................................................................................................9DIRECTSERVICES......................................................................................................................................................9INDIRECTACTIVITIES.................................................................................................................................................9ClinicalSupervision(countedasindirect):.................................................................................................................9

FacultySupport...........................................................................................................................................10ExpectationsforCMHCProgramCoordinator.........................................................................................................10GroupSeminarInstructor.......................................................................................................................................10ExpectationsforPracticumFacultySupervisors(CSP552).......................................................................................10EvaluationofInstructorsandFieldSites.................................................................................................................10

PracticumRequiredHours...........................................................................................................................11Grading..................................................................................................................................................................11

InternshipRequiredHours..........................................................................................................................12Grading..................................................................................................................................................................12

ProfessionalConsiderations........................................................................................................................13EthicalGuidelines:..................................................................................................................................................13Confidentiality:.......................................................................................................................................................13AudioandVideo-Recording:...................................................................................................................................13PersonalChallenges:...............................................................................................................................................14SupervisionandFeedback:.....................................................................................................................................14SupervisionPreparation:........................................................................................................................................14

ClinicalTrainingManager............................................................................................................................14

SpecialNotetoSupervisors.........................................................................................................................14

ClinicalMentalHealthCounselingFieldSiteContract..................................................................................15

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MidtermStudentPerformanceEvaluationforCMHCPracticumandInternship..........................................19

FinalStudentPerformanceEvaluationforCMHCPracticumandInternship................................................23

StudentEvaluationofSite...........................................................................................................................26

RecordingConsentFormforAdultClients...................................................................................................27

RecordingConsentFormforMinorClient....................................................................................................28

CMHCFIELDWORKOVERVIEW.....................................................................................................................29

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FirstThingsFirstWithintheirfirstyearintheprogram,studentsneedto:

1. Reviewthishandbookinitsentirety,2. Consultwiththeiradvisorinregardtothefieldworkgoalsandmatchingsites,and3. WatchtheonlinepodcastonThingstoKnowforFieldworkontheCurrentStudentspageonthe

website.

StudentChecklistforCMHCPracticum

Task Ensurethatyouareontracktocompleteallpracticumpre-requisites:CSP595and656. ReviewApprovedFieldworkSites(onthewebsite)andmeetwithadvisortodiscuss ContactLPCsupervisors,providesupervisorwithhandbook,andinterviewatfieldwork

sites EnrollinPracticumCourses552&553[Aprilforfall;Novemberforspring] ObtainProfessionalLiabilityInsurancethroughACAstudentmembership SubmitSiteContracttoCMHCProgramCoordinatorbyNovember1forSpringSemester

andJune1forFallSemester.ContractcanbeONLYforthelengthofthesemester. AttendorientationatpracticumsiteanddiscussfieldworkgoalswithSiteSupervisor CompleteWeeklyLogSheetselectronically Student,UniversityFaculty,ProgramCoordinator,andSiteSupervisorareinconsistent

communication SiteSupervisorsubmitsMidtermStudentPerformanceEvaluation SiteSupervisorsubmitsFinalStudentPerformanceEvaluation StudentsubmitsEvaluationofSite

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StudentChecklistforCMHCInternship

TaskFIRSTSEMESTER

Completeallinternshippre-requisites:CSP552/553andportfoliorequirements MaintainProfessionalLiabilityInsurance EnrollinInternshipCourseCSP676[April3] SubmitSiteContracttoCMHCProgramCoordinatorbyNovember1forSpringSemesterandJune1for

FallSemester.Contractcanbeforthelengthoftheinternship,either1semesteror2semesters. Ifnewsite,attendorientationatinternshipsiteanddiscussfieldworkgoalswithSiteSupervisor CompleteWeeklyLogSheetselectronically Student,UniversityFaculty,ProgramCoordinator,andSiteSupervisorareinconsistentcommunication SiteSupervisorsubmitsMidtermStudentPerformanceEvaluation SiteSupervisorsubmitsFinalStudentPerformanceEvaluation

StudentsubmitsEvaluationofSite

SECONDSEMESTER MaintainProfessionalLiabilityInsurance EnrollinInternshipCourseCSP676[Aprilforfall;Novemberforspring] Ensuresitecontractiscurrent.Ifchangingsites,submitanewsitecontracttoCMHCProgram

CoordinatorbyNovember1forSpringSemesterandJune1forFallSemester.Contractcanbeforthelengthoftheinternship,either1semesteror2semesters.

Ifnewsite,attendorientationatinternshipsiteanddiscussfieldworkgoalswithSiteSupervisor CompleteWeeklyLogSheetselectronically Student,UniversityFaculty,ProgramCoordinator,andSiteSupervisorareinconsistentcommunication SiteSupervisorsubmitsMidtermStudentPerformanceEvaluation SiteSupervisorsubmitsFinalStudentPerformanceEvaluation StudentsubmitsEvaluationofSite

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StudentPreparationSelectaSiteStudentsshallusethefollowingguidelineswhenchoosingafieldworksite.

• Determinespecificprofessionalgoalsandneedstohelpdeterminethepreferredtypeofsetting.• Speaktoadvisorand/ortheSCSUFieldSiteCoordinatorforadviceonchoosingsites.• ThesitemustbelistedasanapprovedsiteforPracticumand/orInternship.Ifasiteyouareinterested

inisnotontheapprovedlist,youmaycontacttheCMHCProgramCoordinatortoidentifyifthatsitemaybeaddedtotheapprovedlist.Requirements/ExpectationsfortheFieldSiteForasitetobeapproved,keyagencypersonnelmust:

o Givethestudentadequateopportunitytoaccruedirectandindirecthoursprovidingdiagnosisandtreatmentofpsychologicaldisordersandotherrelatedprofessionalcounselingactivities.Activitiescannotbelimitedtogrouporfamilycounselingandmustincludesufficientnumberofindividualpsychotherapyhourstomeettrainingneeds.

o BefamiliarwithandfollowACAandotherpertinentethicalcodes.ViewtheACACodeathttp://www.counseling.org/knowledge-center/ethics.

o UnderstandConnecticutStaterequirementsforLicensureasaProfessionalCounselor.ViewtheConnecticutstaterequirementsathttp://www.ct.gov/dph/cwp/view.asp?a=3121&q=396906&dphNav_GID=1821.

o Provideanopportunitytomakeaudioorvideorecordingsofclientsessions.o Offeradesignatedareaforstudentwork,confidentialforphonecallsandcounselingsessions.o Providetrainingneededforstudentstofollowthepoliciesandproceduresoftheagency.

SelectingaSiteatwhichyouarealreadyemployedInrarecases,somestudentsmightalreadybeworkingatamentalhealthfacilityduringtheirgraduatecoursework.Inthesesituations,thestudentmaywishtochoosetheirplaceofemploymentastheirfieldworksite.Specialpermissionsarerequiredtoselectaplaceofemploymentasafieldworksite.Thefollowingarealsorequired:

o Thestudentmustclearlyseparatefieldworkhoursandworkhoursforappropriateloggingofrequiredhours.

o Thestudentmustbeperformingclinicalmentalhealthcounselingdutiesthatarerequiredforlicensureandfieldworkrequirements.

o Thestudentmustbeacquiringnewcounselingandcounseling-relatedskillsduringtheirfieldworkhours.

o Thestudentmusthaveadifferentsitesupervisorthatisnottheirprimarysupervisorforwork-relatedissues.

Requirements/ExpectationsfortheSiteSupervisor:TheagencymustprovideaclinicalsupervisorwhomeetsthefollowingSCSUrequirements:

• MustbeaLicensedProfessionalCounselor.• Haveaminimumof2yearsofexperienceasaProfessionalCounselor.• Havecompletedrelevanttrainingorcourseworkincounselingsupervision.• Haspriorexperienceasaclinicalsupervisorofuniversityinterns.

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• HasbeengiventheCMHCPracticumandInternshiphandbookandisawareofCMHCprogram’sexpectations,requirementsandevaluationproceduresforstudentsaspresentedinPracticumandInternshipHandbook.

• Providesstudentwithaminimumofonehourperweekofregularlyscheduledindividualclinicalsupervision.

• ReviewandsignallrelevantdocumentsandcompleteStudentPerformanceEvaluationsatbothmidtermandendofthesemesterforeachsemesteroftheplacement.Generally,finalstudentevaluationsaresubmittedelectronicallyviatheTk-20datamanagementsystem.Supervisorswillreceiveemailregardingprocesses/proceduresforsubmittingevaluationsonTk-20.

• CommunicateregularlywithUniversityfacultyandmeetwiththestudentandaCSPfacultymemberonscheduledsitevisits(1persemester).

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SecureaSiteStudentsmayusethefollowingguidelineswhensecuringapracticumorinternshipsite.

• Contactsitestoidentifyopenpositions.• Attempttospeakdirectlytothesite’sinternshipcoordinatororsupervisor.Ifimmediatecontactis

made,inquireaboutnextstepsand/orrequesttohaveaninterview.• Ifinternshipcoordinatorisnotreachedimmediately,composeapersonalcoverletter,attacha

resume,referencesandtheCMHCBriefFieldworkOverviewHandoutandsendthepackettothesiteinternshipcoordinator.

• Followupthemailingwithatelephonecalltorequestaninterview.TipsforInterviewingataSite:

Studentsshouldapproachthepracticumorinternshipsiteinterviewasaregularjobinterviewandgatherorpreparethefollowing:

o Aresumeandlistofreferences.o CMHCBriefFieldworkOverviewHandout.o Alistofideasandquestionsrelatedtohowthisplacementmightprovemutuallybeneficialto

thestudentandthesite.o Alistofgoalsthestudentwishestoaccomplishthroughthisexperience.o Emailacopyofthishandbook,sothatthestudentcanclearlypresentandexplainUniversity

expectations,especiallythoseaffectingtheSiteSupervisor.Complete/SubmittheFieldSiteContractOnceastudenthasbeenofferedafieldworkposition,thestudentshouldemailacopyoftheCMHCFieldSiteContractreadyforcompletion.SecureSCSUApprovaloftheSiteOnceapotentialsiteisidentified,submitalldocumentationtotheCMHCProgramCoordinatortosecureprogramapproval.Studentsmaynotbeginworkingatthesiteuntilallrequireddocumentshavebeensubmittedandthestudenthasreceivednotificationthattheplacementisapproved.Studentsmayneverseeclientspriortothefirstclassmeetingofthesemester.EnrollinCourses

• Registerearlyfortheappropriatecoursesasdesignatedonthestudent’scoursesequenceandapprovedbythestudent’sadvisor.ForPracticum:CSP552(3credits)andCSP553(4credits).ForInternship:CSP676(4credits).

• Ifastudentdoesnothaveasitecontractonfilewithalloftherequiredpaperworkandsignatures,theycannotstartfieldworkatanysiteandtheywillneedtodropthefieldworkcoursesafterthefirstweekofthecourse.

StartPracticum/InternshipStudentsareexpectedtoattendthefieldsite’sregularemployeeorinternorientation.StudentsmustbeginandendtheirpracticumaccordingtoSCSU’sacademiccalendar.StudentsmuststarttheirinternshipaccordingtoSCSU’sacademiccalendar.

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DirectServiceandIndirectActivities

Fieldworkwillbeacombinationofworkwithclientsandrelatedactivities,aswellaslearningadministrativetasks.Directservicesaredefinedascontactwithclientsduringwhichthestudentdirectlyconductsorparticipatesintheprovisionofcounseling.Indirecthoursincludeservicesorprofessionalactivitiesperformedwhileatone’sfieldsitethatdonotrequiredirectclientcontact.Supervisionhoursarecomposedoffacultyoron-sitesupervision.Thestudentisresponsiblefordocumentingtheirdirectandindirectservicehours.TheSiteSupervisorisrequiredtosignoffonthestudent’shours.

DIRECTSERVICES

• IndividualcounselingPerformingclientsessionsinvolvingtheassessmentand/ortreatmentofspecificmentalandemotionaldisorders.

• Family/couplescounselingPerformingfamilyorcouplessessionsinvolvingtheassessmentand/ortreatmentofspecificmentalandemotionaldisorders.

• GroupCounselingCo-leadingorindependentlyleadingapsychotherapygroup.• DiagnosticInterviewingUseofspecificassessmenttoolsandclinicalskillstoidentifyanappropriate

DSM-5diagnosisandidentifyaclient’sinitialneeds.• TestingandAssessmentAdministrationand/orinterpretationofcounselingassessments;Includes

provisionofinterpretivesummariestoclients.• CareerCounselingCounselingthatincludesclientcareerorvocationaldevelopment.• Co-TherapyActivelyparticipatinginco-therapywithindividualsorgroups(notsimplyobserving).

INDIRECTACTIVITIES

• ObservationObservingon-sitestaffmemberperformingpsychotherapy.• TelephoneorEmailContactsMakingdirectcontactwithclientsthatisnotfacetoface.• ReferralsLinkingclienttosupplementalorsupportiveservices.• ClinicalDocumentationWritingcasenotes,treatmentplans,andtreatmentsummariesorother

writtenreportsfortheformalmedicalrecord.• CaseConsultationWorkingdirectlywithothermentalhealthprofessionalsregardingclients.• StaffMeetingsAttendingclinicaland/oradministrativemeetingswithagencystaff.• ProfessionalDevelopmentActivitiesAttendingprofessionalcounselingtrainings,workshopsor

conferences.

ClinicalSupervision(countedasindirect):• On-siteIndividualClinicalSupervisionWeekly,face-to-faceregularlyscheduledsupervisionregarding

skillsdevelopmentandclientcare;ProvidedbytheSiteSupervisor.• On-siteGroupSupervisionAllformalgroupsupervisionprovidedatthefieldsite.• UniversitySupervisionIndividualsupervisionwithfacultysupervisor(OnlyPracticum)andfieldwork

seminar(BothPracticumandInternship)

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FacultySupportExpectationsforCMHCProgramCoordinatorTheCMHCProgramCoordinatorwillfunctionastheFieldSiteCoordinator,coordinatingandsupervisingpracticumandinternshipsitesthroughtheCMHCprogram.BelowisalistofexpectationsfortheProgramCoordinatorwhensupervisingaCMHCpracticumorinternshipstudent.

• Ensureallpaperworkiscollectedasrequired.• FacilitatecommunicationbetweenUniversityandfieldplacementsite.• ConsultwithbothSCSUfacultyandSiteSupervisorsandstudentsasneeded.• Ensureallclientinformationiskeptconfidential.

GroupSeminarInstructor

• Conductgroupsupervisionmeetingsweeklyoncampusthroughoutthesemester.• MakecontactwithSiteSupervisorandmaintainconsistentcommunication.• VisittheSiteSupervisorandthestudentattheinternshipsiteatleastonceduringthesemesterand

havephonecontactduringthesemesterasneeded.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential.

ExpectationsforPracticumFacultySupervisors(CSP552)ThePracticumFacultySupervisorisexpectedto:

• Conductindividualsupervisionmeetingweeklyoncampusthroughoutthesemester.• Focusonstudentcounselingskillsdevelopmentsuchasmicroskillsandinterviewingstrategies(in

contrast,clinicaldiagnosticandtreatmentissuesarethemainfocusofon-sitesupervision).• ImmediatelycontacttheSCSUFieldSiteCoordinatorshouldanyproblemsorchangesinrelationtothe

student,site,orUniversityoccur.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential

EvaluationofInstructorsandFieldSitesStudentswillcompleteSCSUteachingevaluationsforinstructorsofCSP552/553and676.TheywillalsoevaluatetheirFieldSiteandSiteSupervisors.ResultsofFieldSiteevaluationswillhaveanimpactonthecontinueduseofasiteand/orsitesupervisor.

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PracticumRequiredHoursCMHCCounselingPracticumprovidesanopportunitytodemonstratecounselingskillsunderclosesupervisioninaclinicalmentalhealthsetting.Theprimarygoalofpracticumistodevelopskillsinindividual,grouporfamilycounselinginaprofessionalsetting.Thisisaccomplishedbycombiningastudent’scounselingskillsandpersonalstyleintoaneffectivetherapeuticapproachandenhancingthestudent’sgrowthasapersonandasaprofessionalcounselor.Studentsshouldalsobewillingtoengagewithdiverseclients,includingalldemographicbackgroundsincludingage,ethnicity,affectionalorientation,genderandgenderidentity,religion/spirituality,abilitylevel,andsocio-economicstatus.Studentsarerequiredtospendaminimumof100hoursonsiteduringpracticum.Fortyofthesehoursshouldbeconsidereddirectservicehours(e.g.,face-to-facecounseling/psychotherapy)andtheremaining60indirecthours(e.g.,staffmeetings,clinicaldocumentation,otheractivitiesatthefieldsite).ThesehoursareMINIMUMrequirements.Allactivitiesmustbedocumentedinordertoreceivecreditforfieldsiteworkandmeetlicensurestandards.

PracticumExperiences:DIRECTSERVICEINDIRECTACTIVITIES

MinimumTimeRequirement40hourstotal60hourstotal

GradingInPracticum,thestudentisenrolledintwocourses(CSP552and553)andthereforereceivestwoPass/Failgrades.Thefinalgrade,asassignedbythecourseinstructor,willbebasedon:

• Thestudentfulfillingtherequiredservicehours• TheSiteSupervisor’sevaluation• Completionofanyothercourserequirements,asindicatedoncoursesyllabi

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InternshipRequiredHoursFollowingthepracticumandpre-requisitecourses,studentswillpursueaninternship.Thegoaloftheinternshipistofurtherdevelopandrefinetheskillsdevelopedduringpracticum.Moreover,theinternshipshouldprovidethestudentwiththefullrangeofcounselorresponsibilitiesappropriatetothesetting.Duringinternship,studentsassumeincreasinglevelsofresponsibilityforarangeofcounselingactivities.Studentsshouldalsobewillingtoengagewithdiverseclients,includingalldemographicbackgroundsincludingage,ethnicity,affectionalorientation,genderandgenderidentity,religion/spirituality,abilitylevel,andsocio-economicstatus.Studentsarerequiredtospendaminimumof600hoursonsiteduringtheentiretwo–semesterinternship.Twohundredandfortyofthesehoursshouldbeconsidereddirectservicehours(e.g.,counselingindividualsandgroups)andtheremainingindirecthours(e.g.,faculty/staffmeetings).Thesehoursaretypicallypart-time(approximately20hoursaweek)acrosstwosemesters.PleaserememberthatthesehoursaretheMINIMUMrequirementsthatyoumustperform.Inmanysituations,youwillgowellovertheserequirements.However,youmustdocumentallactivitiesinordertoreceiveclasscredit,aswellasprovideprooffortheNCCandLPC.

InternshipExperiences:DIRECTSERVICEINDIRECTACTIVITIES

MinimumTimeRequirement240hourstotal360hourstotal

GradingInInternship,thestudentisenrolledinonecourseovertwoseparatesemesters(CSP676)andthereforereceivestwoPass/Failgrades.Thefinalgrade,asassignedbythecourseinstructor,willbebasedon:

• Thestudentfulfillingtherequiredservicehours• TheSiteSupervisor’sevaluation• Completionofanyothercourserequirements,asindicatedoncoursesyllabi

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ProfessionalConsiderationsEthicalGuidelines:AsastudentandprofessionalinCounseling,studentsarerequiredtofollowaprofessionalcodeofethics.Studentsmustread,understand,andusetheseethicalguidelines.Additionally,studentsmustadheretostateandfederallawsandtheregulationsofthehostagency.However,becausetheresolutionofmanyethicaldilemmasisnotalwaysclear,studentsshouldconsultfacultyandSiteSupervisorsaboutanyethicallyunclearsituationsthatariseatthesite.Ifthesituationisurgent,studentsshouldimmediatelycontacttheSiteSupervisorandfacultysupervisororseminarinstructor.Ifitisanon-urgentethicalquestion,studentsshouldbringthequestiontosupervisionmeetings.SelectedEthicsCodes:

AmericanCounselingAssociation:http://www.counseling.org/knowledge-center/ethicsAmericanMentalHealthCounselorsAssociation:http://www.amhca.org/?page=codeofethicsNationalBoardofCertifiedCounselors:http://www.nbcc.org/Assets/Ethics/NBCCCodeofEthics.pdf

Confidentiality:InaccordancewiththeethicalprinciplesofACA,stateandfederallawandfieldsiteregulations,studentsmustmaintainstrictclientconfidentialityatalltimes.Studentsarerequiredtoread,understandandsigntheconfidentialityclauseswithintheFieldSiteContract.Whenvideooraudio-recording,studentsarerequiredtosubmitadultorminorRecordingConsentFormsaswellasotheradditionalrecordingreleasesrequiredbythefieldsite.Notethatconfidentiallyisapartoftheinformedconsentprocess.Studentsareresponsibleforinformingclientsofproceduresincounselingandtheroleoftheprofessionalcounselor(includingone’sstatusasapracticumorinternshipstudent)atorbeforethefirstcounselingsession.Limitstoconfidentialityshouldbeaddressedanddefinedinadevelopmentallyappropriatemanner.ThisconfidentialityalsoinvolvestheuseofclientinitialsorpseudonymsforallCMHCcoursework.Otherkeyaspectsofconfidentialityarelocatedintheethicalcodeslistedabove.Asareminder,studentsshouldNEVERdiscussclientswithunauthorizedpersonnel.AudioandVideo-Recording:Audioand/orvideo-recordingsofcounselingsessionsduringfieldexperienceareforthesolepurposeofdevelopment,review,reflectionandrefinementofprofessionalcounselingskills.Theseaudioand/orvideo-recordingsareforgraduatelevelinstructionalpurposesonly.TheCSPdepartmenthighlyvaluesaudioorvideo-recordingatallpracticumandinternshipsites.Whileweunderstandthatvideorecordingisnotalwayspossible,audiorecordingisacceptable.AllrecordingswillbemaintainedwithstrictHIPAAcompliance.Therefore,allstudentswill:

• Willpurchaseanencryptedvideo/voicerecorder.• Willcompleterecordingsonlywiththefullknowledgeandapprovaloftheclient(s),Site

Supervisorandagencyadministration.• Willnotlabelaudio/videorecordingwithanyclientidentifyinginformation.

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• Willkeepmyaudio/videorecorderinalockedlocationwhereotherscannotaccessitandanynarratives/digitalrecordingswillbekeptonasecureserverwithdualpasswordprotection.

• Willonlysharetherecording,transcripts,andnarrativeswithapprovededucationalpersonnel,inthecontextofindividualandgroupsupervision.

• Willundernocircumstanceshareclientaudio/videorecordingwithanyoneotherthandesignatedfieldsiteemployeesorSCSUfaculty.

• Understandsthatiftheyfailtocomplywiththeabovestandardsensuringclientconfidentiality,theyunderstandthattheywillbesubjecttoconsequences,whichmayincludeterminationoftheinternshiporexpulsionfromtheClinicalMentalHealthCounselingprogram.

• Willeraseallrecordingsimmediatelyaftercompletionofsupervisoryreview.PersonalChallenges:Becausepersonalissuesmayimpactone’sclinicalwork,manycounselorsintrainingchoosetoseektheirowncounseling.StudentsatSCSUareeligibleforcounselingthroughSCSUCounselingServices:(203)392-5475.NotethatifastudentchoosestouseSCSUCounselingServicesasafieldsite,theymustseekcounselingserviceselsewhere.Inthiscircumstance,CounselingServiceswillprovideareferraltootherlocalcounselingpractitioners.SupervisionandFeedback:Acrucialcomponentofthepracticumandinternshipprocessisconstructivefeedback.Studentswillreceiveextensivefeedbackfrompeers,sitesupervisorsandfacultysupervisors.Becausepersonalqualities,includingopennessandflexibility,impactone’scounselingeffectiveness,therewillbetimeswhenfeedbackaddressespersonalaswellasprofessionalskills.Studentsmustunderstandandmonitorpersonalreactionstocriticismanddevelopahealthyandconstructivewaytodealwithpotentiallynegativefeedback.SupervisionPreparation:Studentsmusttakeanactiveroleinsupervisionsessions.Studentsmustcometoeachsupervisionsessionfullyprepared.Thisincludescompletingallrequisitepaperworkand/orassignments(e.g.,readings,research),preparingalistofspecificquestionsforthesupervisor,andreviewingvideoand/oraudiorecordingsofsessionspriortosupervision.

ClinicalTrainingManagerTheClinicalMentalHealthCounselingprogramispilotingtheuseofanonlinesoftwareprogramdesignedtomanagestudent,university,andsitecommunication,fieldworkhourdocumentation,andrequiredpaperwork.ThisprogramisslatedtobegininSpring2018;pleasecheckbackforanupdateddescriptioninanewerversionofthehandbook

SpecialNotetoSupervisors

Wedeeplyappreciatethetimeandenergythatyouhavededicatedtoourstudents.Shouldyouhaveadditionalquestionsorneedforsupport,pleasefeelfreetocontacttheCMHCProgramCoordinatororanyoftheCMHCfacultyatanytime.Itisourpleasuretohelpyouinanywaypossible.

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

ClinicalMentalHealthCounselingFieldSiteContractThisagreementismadeon__________between__________________________andtheCSPDepartmentat(date)(fieldsite)SouthernConnecticutStateUniversity.Theagreementverifiesthat_____________________________willbeworking (student)starting__________to__________forapproximately_________perweekfor_________________________.(date)(date) (#hrs)(practicumorinternship)Thiscontractindicatesanagreementonbehalfofasitesupervisor,site,UniversityCMHCfaculty,andstudentinregardstotheirfieldworkexperience.Noclientcontact(facetofaceorphone/email)canbeginuntilthefirstdayoftheacademicterminwhichthestudentisenrolled.ThepracticumexperienceendsonthelastdayoftheacademicterminwhichthestudentisenrolledforPracticum.TheinternshipexperienceextendsacrosstwosemestersandendsthelastdayoftheacademicterminwhichthestudentisenrolledforIntership.Aspartofthisexperience,studentsneed:

DIRECTSERVICES• IndividualcounselingPerformingclientsessionsinvolvingtheassessmentand/ortreatmentofspecificmental

andemotionaldisorders.• Family/couplescounselingPerformingfamilyorcouplessessionsinvolvingtheassessmentand/ortreatmentof

specificmentalandemotionaldisorders.• GroupCounselingCo-leadingorindependentlyleadingapsychotherapygroup.• DiagnosticInterviewingUseofspecificassessmenttoolsandclinicalskillstoidentifyanappropriateDSM-5

diagnosisandidentifyaclient’sinitialneeds.• TestingandAssessmentAdministrationand/orinterpretationofcounselingassessments;Includesprovisionof

interpretivesummariestoclients.• CareerCounselingCounselingthatincludesclientcareerorvocationaldevelopment.• Co-TherapyActivelyparticipatinginco-therapywithindividualsorgroups(notsimplyobserving).INDIRECTSERVICES• ObservationObservingon-sitestaffmemberperformingpsychotherapy.• TelephoneorEmailContactsMakingdirectcontactwithclientsthatisnotfacetoface.• ReferralsLinkingclienttosupplementalorsupportiveservices.• ClinicalDocumentationWritingcasenotes,treatmentplans,andtreatmentsummariesorotherwrittenreports

fortheformalmedicalrecord.• CaseConsultationWorkingdirectlywithothermentalhealthprofessionalsregardingclients.• StaffMeetingsAttendingclinicaland/oradministrativemeetingswithagencystaff.• ProfessionalDevelopmentActivitiesAttendingprofessionalcounselingtrainings,workshopsorconferences.

ClinicalSupervision(countsasindirect):

• On-siteindividualclinicalsupervisionWeekly,face-to-faceregularlyscheduledsupervisionregardingskillsdevelopmentandclientcare;ProvidedbytheSiteSupervisor.

• On-sitegroupsupervisionAllformalgroupsupervisionprovidedatthefieldsite.• UniversitySupervisionIndividualsupervisionwithfacultysupervisor(OnlyPracticum)andfieldworkseminar

(BothPracticumandInternship).

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� Checkifstudentcurrentlyworksatfieldsiteasanemployee.Ifthisischecked,studentwilladditionallyneedtocompleteanInternshipProposalasdescribedinthePracticum-InternshipHandbook.

TheSiteSupervisorforthissitewillbe:____________________________________________.TheirLPC1licensenumberis:_______________________.PleaseattachtheSiteSupervisor’sCVtotheemailreturningthecontract.SiteSupervisorshouldcarefullyreadandinitialtheagreementsbelow.

TheSite: Initial

Willgivethestudentadequateopportunitytoprovidetherequirednumberofdirectandindirecthoursofclinicalmentalhealthcounseling,asdescribedonthepreviouspage.

IsfamiliarwithandfollowACAandotherpertinentethicalcodes.

Isfamiliarwithalloftheguidelinesandexpectationsforsiteexperiences,aswellasrequirementsforConnecticutLicensureasaProfessionalCounselor.

Willprovideanopportunitytomakeaudioorvideorecordingsofclientsessions(HIPAAcompliantpracticeswillbeutilizedforrecording).

Providesstudentwithaprivateareaforcounselingsessionsandclientcontact.

Willorientstudenttothepoliciesandproceduresoftheagency.

TheSiteSupervisor: Initial

HasanindependentlicenseasaLicensedProfessionalCounselororservedasaCMHCSupervisorpriortoDecember2015.

Hasbeenacounselorforovertwoyears.

Hascompletedcourseworkortrainingincounselingsupervision.

Haspriorexperiencesupervisinginternsorotherclinicians.

HasbeengiventheSCSUCMHCPracticum&InternshipHandbookandisawareofCSPpoliciesandprocedures.

Willprovidethestudentwithaminimumofonehourperweekregularlyscheduledindividualsupervisionsessions.

Willcompleteallnecessaryfieldworkpaperworkfortheintern.

WillcommunicateconsistentlyandregularlywithUniversityFacultyandparticipateinscheduledsitevisits(1persemester).

1SupervisormusthaveanLPCunlesstheyservedasaCMHCsupervisorforSCSUpriortoDecember2015.

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TheSCSUDepartmentofCounselingandSchoolPsychologyagreestoprovidefieldsitecoordinationthroughtheProgramCoordinator,sitecontactandstudentsupervisionthroughagroupseminarinstructor,andforpracticumstudents,anadditionalpracticumindividualsupervisor.

Theirresponsibilitieswillbe:

CMHCProgramCoordinator(bothPracticumandInternship)• Ensureallpaperworkiscollectedasrequired.• FacilitateinitialcommunicationbetweenUniversityandfieldplacementsite.• ConsultwithbothSCSUfacultyandSiteSupervisorsandstudentsasneeded.• Ensureallclientinformationiskeptconfidential.

GroupSeminarInstructor(bothPracticumandInternship)

• Conductgroupsupervisionmeetingsweeklyoncampusthroughoutthesemester.• MakecontactwithSiteSupervisorandmaintainconsistentcommunication.• VisittheSiteSupervisorandthestudentattheinternshipsiteatleastonceduringthesemesterandhave

phone/emailcontactduringthesemesterasneeded.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential.

FacultySupervisor(onlyforPracticum–CSP552)

• Conductindividualsupervisionmeetingweeklyoncampusthroughoutthesemester.• Focusonstudentcounselingskillsdevelopmentsuchasmicroskillsandinterviewingstrategies(incontrast,

clinicalissuesarethemainfocusofon-sitesupervision).• ImmediatelycontacttheCMHCProgramCoordinatorshouldanyproblemsorchangesinrelationtothestudent,

siteorUniversityoccur.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential.

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TheFieldworkStudentagreestothefollowingprocedurestoensureconfidentialityandprotectionofallclients.Thestudentshouldcarefullyreadandinitialtheagreementsbelow.

TheStudent: Initial

WillabidebyAmericanCounselingAssociationCodeofEthics,statelaw,andHIPAAregulationsandfollowallstandardscoveringclientaudioand/orvideorecordings.

Willmaintainliabilityinsuranceduringfieldwork.Pleaseattachcopyofliabilityinsurancetotheemailsubmittingthecontract.

Willpurchaseanencryptedvideo/voicerecorder.

Willnotlabelaudio/videorecordingwithanyclientidentifyinginformation.

Willknowwheretheaudio/videorecordingisatalltimes.

Willkeeptheaudio/videorecorderinalockedlocationwhereotherscannotaccessitandanynarratives/digitalrecordingswillbekeptonasecureserverwithdualpasswordprotection.

Willonlysharetherecording,transcripts,andnarrativeswithapprovededucationalpersonnel,inthecontextofindividualandgroupsupervision.

Willundernocircumstanceshareclientaudio/videorecordingwithanyoneotherthandesignatedfieldsiteemployeesorSCSUfaculty.

Willeraseallrecordingsimmediatelyaftercompletionofsupervisoryreview.

Understandsthatiftheyfailtocomplywiththeabovestandardsensuringclientconfidentiality,theyunderstandthattheywillbesubjecttoconsequences,whichmayincludeterminationoftheinternshiporexpulsionfromtheClinicalMentalHealthCounselingprogram.

Allpartiesagreetothetermssetforthinthisdocument.

_________________________________________ _____________________SignatureofPracticum/InternshipStudent Date_________________________________________ _____________________SignatureofSiteSupervisor Date_________________________________________ _____________________SCSUCMHCProgramCoordinator Date

Attachedtothiscontract:

� SiteSupervisorResumeorCV� StudentProofofLiabilityInsurance� InternshipProposalifsiteisplaceofemployment

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

MidtermStudentPerformanceEvaluationforCMHCPracticumandInternship

Directions:ThisformistobecompletedbytheSiteSupervisorattheendofeverysemesterandelectronicallysubmitted.

NameofGraduateStudent:__________________________________Date:__________

NameofSiteSupervisor:_____________________________________

NameofFieldSite:__________________________________________

Practicum Internship

Intra/InterpersonalProfessionalBehavior

Thisareaincludes:• Opennesstonewideas• Flexibility• Cooperativewithothers• Willingnesstoacceptandusefeedback• Abilitytodealwithconflict• Abilitytoacceptpersonalresponsibility• Abilitytoexpressfeelingseffectivelyand

appropriately

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

Ethics

Thisareaincludes:• Demonstratestheabilitytoapplyandadhere

toethicalandlegalstandardsinclinicalmentalhealthcounseling

• Demonstratestheabilitytorecognizetheirownlimitationsasaclinicalmentalhealthcounselorandtoseeksupervisionorreferclientswhenappropriate

• Providesonlythoseservicesandappliesonlythosetechniquesforwhichthestudentisqualifiedbyeducation,trainingandexperience

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

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Administration

Thisareaincludes:• Appliesknowledgeofpublicmentalhealth

policy,financing,andregulatoryprocessestoimproveservicedeliveryopportunitiesinclinicalmentalhealthcounseling

• Appliescurrentrecord-keepingstandardsrelatedtoclinicalmentalhealthcounseling

• Submitsclinicaldocumentationinatimelymanner

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

Assessment

Thisareaincludes:• Demonstratestheabilitytouseprocedures

forassessingandmanagingsuiciderisk• Demonstratesskillinconductinganintake

interview,amentalstatusevaluation,abiopsychosocialhistory,amentalhealthhistory,andapsychologicalassessmentfortreatmentplanningandcaseloadmanagement

• Screensforaddiction,aggression,anddangertoselfand/orothers,aswellasco-occurringmentaldisorders

• Demonstratesappropriateuseofdiagnostictools,includingthecurrenteditionoftheDSM,todescribethesymptomsandclinicalpresentationofclientswithmentalandemotionalimpairments

• Isabletoconceptualizeclientsymptomsanddiscussthedifferentialdiagnosiswithcollaboratingprofessionals

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

ReferralandAdvocacy

Thisareaincludes:• Isawareofinformationregardingcommunity

resourcestomakeappropriatereferrals• Usespsychoeducationandempowerment

strategieswithclients• Advocatesforclientsandservicesthatare

equitableandresponsive

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

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CounselingSkills

Thisareaincludes:• Establishesrelationshipsinsuchamanner

thatatherapeuticworkingalliancecanbeformed

• Createsappropriatestructureandmaintainsprofessionalboundaries

• Respondstoclient’sfeelingsinatherapeuticmanner

• Evidencescongruenceandgenuineness• Communicatesempathy• Evidenceseffectivenon-verbal

communication• Providestherapeuticresponsesthatarewell-

timed• Respondstoclientswithclinicalintention• Carefullyconsidersandprovidesappropriate

self-disclosureforaspecifictherapeuticpurpose

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

MulticulturalCompetence

Thisareaincludes:• Appliesmulticulturalcompetenciestoclinical

mentalhealthcounselinginvolvingcaseconceptualization,diagnosis,treatment,referral,andpreventionofpsychologicaldisorders

• Demonstratesappropriateuseofculturallyresponsivecounselingtechniques

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

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ResearchandEvaluation

Thisareaincludes:• Usesempiricallybasedtechniqueswith

clients• Developsmeasurableoutcomesforclinical

mentalhealthcounselingtreatmentplans

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

Howwouldyouratethestudent’soverallperformanceatthesitethusfar?

1–Beginning 2–Developing 3–Proficient 4–Exemplary

GeneralSiteSupervisorComments:

StudentComments:

_________________________________________ _____________________SignatureofStudent Date_________________________________________ _____________________SignatureofSiteSupervisor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

FinalStudentPerformanceEvaluationforCMHCPracticumandInternship

Directions:ThisformistobecompletedbytheSiteSupervisorattheendofeverysemesterandelectronicallysubmitted.

NameofGraduateStudent:________________________________Date:_________

PracticumorInternship:________________________________________________

NameofSiteSupervisor:________________________________________________

NameofFieldSite:_____________________________________________________

RatingScale

1–Beginning 2–Developing 3–Proficient 4–Exemplary

Intra/InterpersonalProfessionalBehavior 1 2 3 4

1. Opennesstonewideas 2. Flexibility 3. Cooperativewithothers 4. Willingnesstoacceptandusefeedback 5. Abilitytodealwithconflict 6. Abilitytoacceptpersonalresponsibility 7. Abilitytoexpressfeelingseffectivelyandappropriately

Ethics 1 2 3 4

1.Demonstratestheabilitytoapplyandadheretoethicalandlegalstandardsinclinicalmentalhealthcounseling

2.Demonstratestheabilitytorecognizetheirownlimitationsasaclinicalmentalhealthcounselorandtoseeksupervisionorreferclientswhenappropriate

3. Provides only those services and applies only those techniques for which the student isqualifiedbyeducation,trainingandexperience

Administration 1 2 3 4

1. Appliesknowledgeofpublicmentalhealthpolicy,financing,andregulatoryprocessestoimproveservicedeliveryopportunitiesinclinicalmentalhealthcounseling

2. Appliescurrentrecord-keepingstandardsrelatedtoclinicalmentalhealthcounseling 3. Submitsclinicaldocumentationinatimelymanner

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Assessment 1 2 3 4

1. Demonstratestheabilitytouseproceduresforassessingandmanagingsuiciderisk 2. Demonstratesskillinconductinganintakeinterview,amentalstatusevaluation,a

biopsychosocialhistory,amentalhealthhistory,andapsychologicalassessmentfortreatmentplanningandcaseloadmanagement

3. Screensforaddiction,aggression,anddangertoselfand/orothers,aswellasco-occurringmentaldisorders

4. Demonstratesappropriateuseofdiagnostictools,includingthecurrenteditionoftheDSM,todescribethesymptomsandclinicalpresentationofclientswithmentalandemotionalimpairments

5. Isabletoconceptualizeclientsymptomsanddiscussthedifferentialdiagnosiswithcollaboratingprofessionals

CounselingSkills 1 2 3 4

1. Establishesrelationshipsinsuchamannerthatatherapeuticworkingalliancecanbeformed

2. Createsappropriatestructureandmaintainsprofessionalboundaries 3. Respondstoclient’sfeelingsinatherapeuticmanner 4. Evidencescongruenceandgenuineness 5. Communicatesempathy 6. Evidenceseffectivenon-verbalcommunication 7. Providestherapeuticresponsesthatarewell-timed 8. Respondstoclientswithclinicalintention 9. Carefullyconsidersandprovidesappropriateself-disclosureforaspecifictherapeutic

purpose

ReferralandAdvocacy 1 2 3 4

1. Isawareofinformationregardingcommunityresourcestomakeappropriatereferrals 2. Usespsychoeducationandempowermentstrategieswithclients 3. Advocatesforclientsandservicesthatareequitableandresponsive

MulticulturalCompetence 1 2 3 4

1. Appliesmulticulturalcompetenciestoclinicalmentalhealthcounselinginvolvingcaseconceptualization,diagnosis,treatment,referral,andpreventionofpsychologicaldisorders

2. Demonstratesappropriateuseofculturallyresponsivecounselingtechniques ResearchandEvaluation 1 2 3 4

1. Usesempiricallybasedtechniqueswithclients 2. Developsmeasurableoutcomesforclinicalmentalhealthcounselingtreatmentplans

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SiteSupervisorComments:

StudentComments:

_________________________________________ _____________________SignatureofStudent Date_________________________________________ _____________________SignatureofSiteSupervisor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

ClinicalMentalHealthCounseling

StudentEvaluationofSite

Directions:ThisformistobecompletedattheendofthesemesterthenforwardedtotheSCSUFieldSiteCoordinator.

Name/LocationofSite:___________________________________________________________Semester/Year:______________ PracticumorInternship:__________

RatingScale

1–PoororInconsistent 2–LimitedOpportunities 3–MetExpectations 4–ExcellentExperiences

Site 1 2 3 4

1.Availabilityofon-sitesupervisionprovidedbySiteSupervisor 2.On-siteaudio/video-recordingand/orlivesupervisionprovidedbySiteSupervisor 3.FeedbackandevaluationbySiteSupervisor 4.Overallqualityandusefulnessofon-sitesupervision 5.Relevanceofpracticum/internshipexperiencetocounseling 6.Orientationtrainingrelevantandhelpful 7.Adequacyofsitefacilities 8.Counselingexperienceincludedworkwithdiversepopulations

Experiences 1 2 3 4

1.Individualcounseling 2.Family/couplescounseling 3.Groupcounseling 4.Diagnosticinterviewing 5.Testingandassessment 6.Careercounseling 7.Co-therapy/observation 8.Caseconsultation 9.Referrals/casemanagement 10.Clinicaldocumentation/treatmentplans 11.Staffmeetings/professionaldevelopment

_________________________________________ _____________________PrintedNameofStudent Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

RecordingConsentFormforAdultClients

CounselorSupervisionrequiresaudio-recordingand/orvideo-recordingofcounselingsessionsandassessmentofmyworkwithclientsinordertoevaluatemyskills.TherecordingsmaybereviewedbymyFacultySupervisor,SiteSupervisororasmallnumberofgraduatestudentsalsoenrolledinfieldwork.Allrecordingswillbeerasedordestroyedafterreviewing.Theseproceduresrequireyourconsent.Informationfromtherecordingsisconfidentialgiventheabovedescribedsupervisionandlearningexperiences.Additionalexceptionstoconfidentialityare:

1. Youdirectmeinwritingtodiscussyoursituationwithsomeoneelse.2. Youaredeterminedtobeathreattoyourselforothers.3. Iamorderedbyacourttodiscloseinformation.4. ThereisanindicationofchildabusethatIamlegallyrequiredtoreport.

CONSENT

I,________________________,agreedtobeaudioorvideo-recordedfortrainingpurposes.Iunderstandthe(printfullname)

aboveconditionsandhaveresolvedanyquestionsorconcerns.

_________________________________________ _____________________ClientSignature Date_________________________________________ _____________________Practicum/InternshipStudent Date_________________________________________ _____________________SiteSupervisor Date_________________________________________ _____________________Practicum/InternshipSeminarInstructor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

RecordingConsentFormforMinorClient

CounselorSupervisionrequiresaudio-recordingand/orvideo-recordingofcounselingsessionsandassessmentofmyworkwithclientsinordertoevaluatemyskills.TherecordingsmaybereviewedbymyFacultySupervisor,SiteSupervisororgraduatestudentsalsoenrolledinmyfieldworkclass.Allrecordingswillbeerasedordestroyedafterreviewing.Theseproceduresrequireyourconsent.Informationfromtherecordingsisconfidentialgiventheabovedescribedsupervisionandlearningexperiences.Additionalexceptionstoconfidentialityare:

1. Youdirectmeinwritingtodiscussyourchild’ssituationwithsomeoneelse.2. Yourchildisdeterminedtobeathreattothemselvesorothers.3. Iamorderedbyacourttodiscloseinformation.4. ThereisanindicationofchildabusethatIamlegallyrequiredtoreport.

CONSENT

I,________________________,parentorguardianof_________________________,agreedtoallowthisminor(printfullname) (printchild’sfullname)

childtobeaudioorvideo-recordedfortrainingpurposes.Iunderstandtheaboveconditionsandhaveresolvedanyquestionsorconcerns._________________________________________ _____________________ParentorGuardianSignature Date_________________________________________ _____________________ClientSignature Date_________________________________________ _____________________Practicum/InternshipStudent Date_________________________________________ _____________________SiteSupervisor Date_________________________________________ _____________________Practicum/InternshipSeminarInstructor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

ClinicalMentalHealthCounselingProgram

CMHCFIELDWORKOVERVIEWTheSCSUCMHCprogramisa60credithourmaster’sprogramdesignedtomeetrequirementsforlicensureinConnecticutasaLicensedProfessionalCounselor(LPC)andtheNationalCertifiedCounselor(NCC)credential.TheCMHCprogramisaccreditedbytheCouncilfortheAccreditationofCounselingandRelatedEducationalPrograms(CACREP),thepremierindependentaccreditingagencyincounseloreducation.

ABOUTFIELDWORKFieldworkintheCMHCprogramgenerallybeginsafterthestudenthascompletedaminimumofthreesemestersofrelevantcoursework.Thestudentisrequiredtoprovideindividual/familyandgroupcounseling,includingthediagnosisandtreatmentofpsychologicaldisordersandrelatedclinicaldocumentation.TheCMHCcurriculum(seebelow),studentsmustcompletethreesemestersoffieldwork:

• FirstSemester:Practicum:100totalhours,40ofwhichmustbeface-to-facedirectclientcounseling• SecondSemester:InternshipI:300totalhours,120ofwhichmustbeface-to-facedirectclientcounseling• ThirdSemester:InternshipII:300totalhours,120ofwhichmustbeface-to-facedirectclientcounseling

BASICREQUIREMENTSOFTHEFIELDSITEInordertofinalizeafieldsiteplacement,thesitemustprovide:

• Givethestudentadequateopportunitytoaccruedirectandindirecthoursprovidingdiagnosisandtreatmentofpsychologicaldisordersandotherrelatedprofessionalcounselingactivities.Activitiescannotbelimitedtogrouporfamilycounselingandmustincludesufficientnumberofindividualpsychotherapyhourstomeettrainingneeds.

• BefamiliarwithandfollowACAandotherpertinentethicalcodes.• UnderstandConnecticutStaterequirementsforLicensureasaProfessionalCounselor.• Provideanopportunitytomakeaudioorvideorecordingsofclientsessions.RecordingproceduresareHIPAA

compliant.• Offeradesignatedareaforstudentwork,confidentialforphonecallsandcounselingsessions.• Providetrainingneededforstudentstofollowthepoliciesandproceduresoftheagency.• Clinicalsupervisorwhomeetsthefollowingrequirements:

o MustbeaLicensedProfessionalCounselor.o Haveaminimumof2yearsofexperienceasaProfessionalCounselor.o Havecompletedrelevanttrainingorcourseworkandexperienceincounselingsupervision.o IswillingtoreviewourhandbookandbecomeawareofCMHCprogram’sexpectations,requirementsand

evaluationproceduresforstudents.o Providesstudentwithaminimumofonehourperweekofregularlyscheduledindividualclinical

supervision.o Reviewandsignallrelevantfieldworkandevaluationdocuments.o CommunicateregularlywithUniversityfacultyandmeetwiththestudentandaCSPfacultymemberon

scheduledsitevisits(1persemester)FORMOREINFORMATION

• RefertotheCMHCPracticumandInternshipHandbookhere:http://www.southernct.edu/academics/schools/education/departments/counseling/CMHC/currentstudents_CMHC.html

• CMHCProgramCoordinator,[email protected]