university of mary hardin-baylorgraduate.umhb.edu/counseling/sites/graduate.umhb.edu... · 2015. 1....

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University of Mary Hardin-Baylor

Contact Information

Instructor: Rochelle Cade, PhD, LPC-S

Office: Frazier 113

Office Phone: 254-295-4612

E-mail: [email protected]

Office Hours: Monday 11:00-2:00; Tuesday 1:00-4:00;

Wednesday 11:00-2:00; Friday 12:00-2:00

Course Name, Number and Section: CNSL 6395.26 Practicum

Term: Spring 2015

Course Day and Time: Wednesday from 4:30 to 5:50

Course Location: Frazier 107

Catalog Description:

This course is a three credit graduate clinical course in which students meet weekly with

faculty for individual supervision and group supervision over the 14 or 15 week semester

(typically three hours per week). Assignments and expectations for this course reflect

that students in graduate level courses are expected to spend additional time outside of

supervision meetings each week. In this course students are required to accrue a

minimum of 100 direct and indirect hours related to their on and off-campus placement

sites.

This course is the first of three clinical instruction courses offering supervised clinical

practice in counseling skills, behaviors, professional orientation/dispositions, and

assessment. Primary emphasis is on performing counseling and related activities in a

marriage and family or clinical mental health setting.

Course Objectives:

Practicum students are expected to perform at an average level of 6 or better for the

Primary Counseling Skills and an overall average level of five (5) or better on the

Counseling Competencies Scale (CCS).

Upon completion practicum students will be able to:

1. Demonstrate a strong professional orientation, professional dispositions, and a

clearly defined refined professional identity as a marriage and family counselor

and/or a clinical mental health counselor in philosophy and practice through:

a. Adhering to the ethical guidelines of the ACA, and AAMFT.

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b. Behaving in a professional manner toward supervisors, community contacts,

and clients.

c. Demonstrating an awareness of self in working with clients

d. Demonstrating emotional stability, congruence, and self-control in working

with others.

e. Actively engaging in his/her development as a counselor.

f. Demonstrating awareness, appreciation, and respect of cultural differences.

g. Responding non-defensively to supervisory feedback and altering behavior

accordingly.

h. Recognizing limitations of his/her competencies.

i. Maintains appropriate boundaries with supervisors, peers, and clients.

j. Exhibiting flexibility and adaptability.

k. Demonstrating self-acceptance and appropriate self-confidence.

l. Joining and participating in professional counseling organizations and keep

abreast of the trends in the field.

m. Knowing the requirements of professional credentialing practices and

standards, and keep abreast of changing legislature affecting state licensure.

n. Actively working as client advocate and professional advocate to promote

effective therapeutic outcome.

o. Demonstrating skill in using ethical decision-making related to ethical and

legal issues concerning those cases with which they are working. (2009

CACREP PI F.1. and III G.1 and 2)

2. Demonstrate in the counseling session a basic knowledge of the processes of the

helping profession and competency in counseling skills and strategies as they work

with individuals, groups and families by

a. Using effective non-verbal communication skills.

b. Appropriately using encouragers to support the development of the

therapeutic relationship

c. Demonstrating appropriate use of open-ended questions

d. Using paraphrasing and summarization

e. Consistently using therapeutic skills to promote greater depth in counseling

sessions

f. Using reflection of feeling

g. Using restatement of content

h. Appropriately challenging clients’ inconsistencies in a supportive and caring

manner

i. Demonstrating ability to focus or refocus client to appropriate therapeutic

goals

j. Empathizes with client

k. Demonstrating respect of, acceptance of, and caring for client

l. Showing familiarity with and skills in implementing various theoretical

perspectives and the techniques supported by those theories. (2009 CACREP

Section III G.2, 3, 4, 5 and 6)

3. Demonstrate behaviors that are indicative of professionalism and that add to the

quality of the client’s counseling experience by

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a. Actively engaging in the learning process

b. Attending all class meetings and supervision sessions

c. Adhering to clinical site policies and procedures

d. Demonstrating knowledge of current research in both counseling and

consultation

e. Keeping accurate and thorough records, both for supervision documentation

purposes and for client files.

f. Showing the ability to conceptualize cases, including the multiple influences

on a client’s level of functioning.

g. Seeking consultation to support delivery of counseling services.

h. Constructing a comprehensive and appropriate biopsychosocial report and

treatment with diagnosis.

i. Administering, scoring, and interpretation of assessment instruments,

including constructing a written assessment report.

j. Showing technological competence in working directly with and in assisting

clients in using computer based programs.

k. Completing in a timely manner all tasks assigned by the faculty supervisor,

site supervisor, or clinic manager. (2009 CACREP Section III 1, 7, and 8)

4. Demonstrate professional competency between 5.0 and 6.0 in Primary Counseling

Skills, Professional Disposition, and Professional Behaviors as defined in the

Counseling Competencies Scale (CCS). Students are able to recognize their level

of competence and limitations in the counseling process. The CCS can be

retrieved online at www.umhb.edu/academics.graduate school . (2009 CACREP

CMHC D.1, D.9; MCFC D.2, D.6 )

5. Demonstrate an integration of the academic core curricular knowledge during

their clinical instruction experiences to include knowledge of

psychopharmacological medications so appropriate referrals and consultations can

be made. (2009 CACREP CMHC G.3, MCFC G.3)

6. Demonstrate an understanding of and the ability to apply ethical and legal

concerns in clinical mental health counseling or marriage, couple, and family

counseling, and the student engages professionally and ethically in a variety of

professional activities, including direct counseling service, record keeping,

supervision, information and referral, in-service training and staff meetings. (2009

CACREP CMHC A.2; B.1; D.7; MCFC A.2, B.1, D.5; 2009 CACREP PP G.4.)

7. Demonstrate knowledge of the roles and functions of clinical mental health

counselors or marriage, couple, and family counselor in a variety of practice

settings and the importance of collaboration with other health professionals. (2009

CACREP CMHC A.3, MCFC A.3)

8. Demonstrate mastery of counseling and consulting strategies and techniques

through interaction with the on-site supervisor and through having received

critiques of their counseling sessions by off-site supervisors or Faculty

Supervisor. (2009 CACREP PP G.6)

9. Demonstrate a personal model of counseling and supervision appropriate to the

students program of study, in the treatment of mental and emotional disorders or a

systems model in the treatment of systemic issues. (2009 CACREP CMHC A.5,

MCFC A.5)

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10. Demonstrate knowledge of professional organizations, preparation standards, and

credentials relevant to the practice of clinical mental health counseling or

marriage, couple, and family counseling. (2009 CACREP CMHC A.4, MCFC

A.4)

11. Select and use appropriate assessment instruments, to include the DSM and/or

appropriate systems assessments, to assist in diagnosis, treatment planning, and

intervention with a diverse population. (2009 CACREP CMHC H.1, L.1, MCFC

H.1)

12. Demonstrate skills in conducting intake interview, mental status evaluation,

biopsychosocial history, mental health history, systems assessment models, and

psychological assessment for treatment planning and caseload management

appropriate to student’s program of study. (2009 CACREP CMHC H.2, MCFC

H.2)

13. Marriage, couples, and family counselors will use appropriate systems assessment

to determine which members of a family system should be involved in treatment.

(2009 CACREP MCFC H.3)

14. Demonstrate an understanding of the importance of family, social networks, and

community systems and resources in treating and assisting clients in accessing

community resources. (2009 CACREP CMHC C.8; D.4; MCFC F.2 )

15. Clinical Mental Health Counselors will understand the models, methods, and

principle of program development and service delivery. (2009 CACREP CMHC

C.3)

16. Clinical Mental Health Counselors demonstrate an orientation to wellness and

prevention as desired counseling goals in addition to exhibiting a strong identity

as a professional counselor by engaging in prevention, education, and advocacy

activities. (2009 CACREP PI G.5.a; CMHC C.1; D.3)

17. Marriage, Couple, and Family Counselors apply systemic model to promote

prevention, development, and wellness approaches in working with individual, a

variety of family structures, and other systems. (2009 CACREP D.1)

18. Apply multicultural competencies in case conceptualization, diagnosis, treatment,

and termination of counseling as well as prevention of mental and emotional

disorders. (2009 CACREP CMHC D.2,5; F.3; MCFC F.1,4)

19. Apply knowledge of public mental health policy, financing and regulatory

processes. (2009 CACREP CMHC B.2)

20. Use intake interviews and standardized instruments, such as the Substance Abuse

Subtle Screening Inventory, to screen for addiction, aggression, danger to self

and/or others, and co-occurring mental disorders. (2009 CACREP CMHC C.4;

H.3, MCFC C.2)

21. Assess suicide risk and takes appropriate procedures to keep the client safe. (2009

CACREP CMHC D.6; MCFC D.4)

22. Clinical Mental Health Counselors recognize the potential for substance use to

mimic and coexist with medical and psychological disorders and assesses the

client’s stage of dependency, change, or recovery to determine appropriate

treatment modality and placement criteria within continuum of care. (2009

CACREP CMHC H.4)

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23. Use counseling strategies appropriate to client’s presenting problem, including

crisis and trauma causing events, disasters, and clients with addictions and co-

occurring disorders. (2009 CACREP CMHC C.4, 6; D.8; MCFC A.7; B.2)

24. Sees supervision or refers clients to appropriate resources and professional when

he/she does not have adequate knowledge or skills to work with a client. (2009

CACREP CMHC D.9; F.1; MCFC D.6)

25. Understand how to evaluate research relevant to the student’s program of study

and apply counseling interventions, techniques, and strategies that have been to be

effective when working with specific populations of clients with mental and

emotional disorders. (2009 CACREP CMHC E.3; I.1.,3; J.1.,3; MCFC E.3; I.1,3;

J.1,3)

26. Use treatment planning, goal setting, and other appropriate assessment tools to

measure counseling outcome. (2009 CACREP CMHC J.2; MCFC J.2)

27. Verbalize with supervisor and other collaborating professionals a client’s multi-

axial diagnosis as differentiated from developmentally appropriate reactions

caused by crisis, disaster, and/or trauma. (2009 CACREP CMHC A.9; L.2.,3;

MCFC A.7;)

GENERAL COURSE INFORMATION Students must apply for Practicum the semester prior to enrollment. See application

online at www.umhb.edu/academics/graduate school. Lab fee and professional liability

insurance are required and can be purchased each August through the Counseling and

Psychology Department. Each student must present a copy of his/her receipt for

insurance and copy of professional liability insurance before beginning practicum.

Practicum provides the graduate student with practical experiences that are an integral

part of professional preparation programs in the helping professions.

Students are required to work as counseling interns at the UMHB Community Life

Center, the counselor training facility for the Graduate Counseling and Psychology

Programs. A total of 100 clock hours are required. Of these 100 hours, 40 must be direct

counseling experience with the remaining 60 hours in testing, report writing, case

consultation, peer-supervision, client staffing, and educational enhancement activities

such as video tape reviews and book reviews related to specific disorders, theories, and/or

issues.

The student is required to work with staff in performing such counseling activities as

interviewing, counseling, and various types of group work; test

administration/interpretation; information gathering through the use of assessment; record

keeping, case studies, and follow-up/evaluation of clients. The student receives extensive

and close supervision by licensed site-based practitioners. Supervisors will observe

students’ counseling performance through live video feed or digitally recorded sessions

(2009 CACREP PP G.5).

In addition, students will meet for group supervision with the practicum professor for one

and one-half hours per week for the length of the semester (2009 CACREP PP G.3). Each

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student will also receive individual supervision by the practicum professor for one hour

each week (2009 CACREP PP G.2) . A formal student evaluation will be made at mid-

term and at the end of the semester by the practicum professor regarding the student’s

performance based on the Counselor Competency Scale (CCS).

During the first week of activities, the usual emphasis is on orientation to site policies and

practice, observation of professional activities, and review of client records and treatment

plans in preparation for counseling practice. As the practicum progresses through the

several weeks, activities are gradually expanded to include intake interviewing, resting,

co-leading, and contacts with referral sources. Individual counseling sessions are

increased, group work (if available) and outreach are added, and the student participates

in consultation with supervisors and peers. In the final weeks of practicum, experiences

include individual, couples and group counseling and consultation and referral.

Students will maintain weekly logs and monthly logs, and will submit a semester total of

counseling activities at the end of the semester to their faculty supervisor. The student’s

internship folder will stay on file in the faculty supervisor’s office. This file must contain

all of the forms listed in the Practicum and Internship Handbook as well as a copy of

forms used for evaluation by the faculty supervisor. The faculty supervisor will check

these folders weekly for logs and other required documentation and review these with the

student.

Credit Hour(s): This is a traditional, 3-credit hour course. Each credit hour earned in

this course requires at least fifteen (15) contact hours, as well as a minimum of thirty (30)

hours of student homework.

Textbook:

Yalom, I. D. (2002). The gift of therapy. New York, NY: Perennial.

Academic Honesty:

The University of Mary Hardin-Baylor policy on academic integrity applies to all

courses. UMHB expects the highest standards of academic integrity among all members

of the campus community. All acts of plagiarism or violations of academic honesty are

considered serious offenses and may result in failure of the assignment or the course.

Special Accommodations:

If you have a disability for which you are or may be requesting an accommodation, you

are encouraged to contact both your professor and the Accommodation & Student

Assistance Program office in the Robert & Linda Black Center for Counseling, Testing &

Health Services, Mabee Student Center, Suite 310, as early as possible in the term.

Assignments:

Assignment #1: Review recorded sessions and complete related papers

i. Students will review two of their own recorded counseling sessions from

the first half of the semester, and complete a Clinical Self-Rating Form

and reflection paper for each reviewed session.

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ii. Students will review two of their own recorded counseling sessions from

the second half of the semester, and complete a Clinical Self-Rating Form

for each reviewed session. Students should schedule with the Clinical

Director a time to view session for these assignments in the Director's

office at the CLC. Although same-day accommodations might be made, it

would be best to schedule in advance to avoid conflicts.

iii. Students will review two master’s counseling sessions (available on DVD

at the UMHB library on 1-day checkout) and write a reflection paper for

each reviewed session. Students will provide a personal account of how

the master’s theory either matches or conflicts with student’s clinical

experience. This will be both philosophical and practical in nature.

Students can reference clinical experiences but not identifying information

about clients. Each reflection paper will be no less than two content pages

in length, providing appropriate references when needed.

Assignment #2: Review one professional article per week for 10 weeks regarding

counseling practice or theory or chapter review from the required text for the class.

i. Students will review professional journal articles that address

clinical topic provided by the practicum instructor. The instructor

may provide a chapter review as an alternative assignment.

ii. Students will provide a reflection of the article or chapter being

reviewed, and the student must bring the reflection to class on the

due date assigned and be prepared to participate in discussion of

the article in class.

iii. These articles will be measured via the Counseling Competencies

Scale (CCS).

Assignment #3: Review of Clinical Sessions by Faculty Supervisor

iv. It is required for students to see a consistent load of clients at the

Community Life Center.

v. Students will provide case presentations and digitally recorded

sessions in group or individual supervision every week. Students

will discuss their developing theoretical perspective and course of

action used with a client.

vi. Supervisor will provide written feedback and/or feedback for

student’s clinical sessions, using a supervision form based on

competencies covered in the Counseling Competencies Scale

(CCS).

vii. Site supervisors will provide bi-weekly feedback to the faculty

supervisor regarding student’s performance at off-site facilities.

viii. Students will receive a midterm and final formal evaluation from

student’s faculty supervisor using the Counseling Competencies

Scale (CCS).

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Assignment #4: Completed Contracts

ix. Students will complete their practicum contract no later than the

second class.

x. Students will have their supervisor complete his or her contract by

the second class of the semester.

xi. Students’ off-site supervisor will provide a vita and copy of his/her

license as soon as a Practicum/Internship contract has been signed

by the students and the off-site supervisor.

Assignment #5: Weekly Log of Indirect and Direct Counseling Hours

xii. Students will complete a total of 100 hours. 40 of the hours must

consist of direct clinical therapy.

xiii. Students will complete a weekly log of students’ indirect clinical

hours, direct clinical hours, and supervision hours on the form that

is provided in students’ Practicum/Internship Handbook.

xiv. Students will bring this log to practicum class each week.

xv. Students will turn in students’ logged hours at the end of the

semester.

xvi. Students will provide reviews for all sessions that students observe

in the center.

Assignment #6: Client Files

xvii. Students are responsible for keeping up-to-date records on all

clients. Forms are provided in the Practicum/Internship Handbook

and at the Community Life Center for this purpose.

Assignment #7: Community Life Center Hours of Services i. Students will provide regular hours of service to the CLC each

week.

ii. Students will enter their schedule in titanium and keep it

updated. Students will communicate any changes or

modifications to their Titanium schedule to the CLC director, Dr.

Martin.

iii. Students will be at the CLC at their scheduled times. In order to

complete the required number of direct 40-hours and indirect 60-

hours for the 14-weeks semester, it is recommended students

have minimum 3 direct hours each week and 5 indirect hours

each week. This number of direct hours will vary as they are

dependent on client attendance.

iv. This assignment pertains to ALL students, including students

who have been given permission to earn Practicum hours at an

external site.

Assignment #8: Completed Evaluations

xviii. Students will have their site supervisor complete a bi-weekly

evaluation of students’ performance.

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xix. Site-supervisors will make contact with the faculty supervisors

every other week to provide feedback regarding the student’s

performance.

Assignment #9: Supervision

xx. Students will engage in one and a half hours of group supervision

per week.

xxi. Students must have one hour of individual supervision per week by

students’ faculty supervisor.

xxii. Students must have one hour of individual supervision per week by

students’ site supervisor.

Awarding Credit for Practicum will be determined based on the following formula:

Students’ must score a minimum of 75% on Assignment #1 and #2 -

Clinical Performance- (Evaluated using the CCS) The student must

score an average of 6 or better on the CCS Primary Counseling Skills

section and an average of 5 or better on the overall scale to receive Credit

for this course and in order to qualify for enrolling in Internship I (CNSL

6397).

Special Note

The student must have secured an off campus internship site prior to the beginning of

Internship I. It is expected the students should have at least developed several

connections and potentially interviews at potential sites.

Evidence-Based Learner Outcome

Student learning of objectives 8, 9, 23, 24, and 25 is evidenced by a score of 6 or better

on the Counselor Competency scale.

Student learning of objectives 5, 6, 7, 10 11, 13, 23, and 25 will be evidenced by scoring

a 70 or better on Assignment #1 and #2.

Student learning of objectives 1 through 25 will be evidenced through the students

overall performance at a level of 5 or above on the Counselor Competency Scale.

Late Work Policy:

Some assignments may be eligible to be turned in late at a discounted grade. Late

assignments will be discounted at the rate of one letter grade per day. After four days,

the assignment will not be accepted. All assignments are due at the beginning of the

class session. If they are turned in after the beginning of the class session, the score will

be discounted by one letter grade.

Assignments missed due to university approved absences or specific individually

documented instances (note from a doctor in the case of illness or absences due to legal

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or civil proceedings) are eligible for late submission. Professors/instructors should be

notified prior to a university approved absence.

Grade Scale:

A = 90 to 100

B = 80 to 89 Please note grade point cut-off

C = 70 to 79 points. Always monitor your

D = 60 to 69 current performance level via

F = < 59 MyCampus.

Academic Decorum

The learning process involves an exchange of ideas and an exploration of concepts

between faculty and students and a certain level of decorum facilitates this process.

Supportive actions include:

(1) Coming to class prepared including reading all assignments.

(2) Being attentive and responsive in class.

(3) Respecting the course instructor and fellow students (opinions and ideas).

(4) Contributing to the class by making topic-specific comments.

(5) Offering critiques and alternative ideas in a non-condescending manner.

(6) Providing a fair share of work to group projects and team activities.

Examples of disruptive behaviors to avoid include:

(1) Talking, sleeping, or otherwise distracting members of the class.

(2) Using electronic devices for personal use.

(3) Exhibiting argumentative or attention-seeking behavior.

(4) Failing to show respect or act with civility.

TECHNOLOGY: Students will need to set-up and regularly check their university

email (Ex: [email protected]) account. In addition to announcements in class, the

instructor will use university email accounts to communicate information regarding the

syllabus, scheduling changes, handouts etc.

Students are expected to turn cell-phones off or set them on vibrate during class. Students

are expected to refrain from using cell phones, laptops, and other electronic devices for

non-academic purposes during class as this is a disturbance to other students and the

learning environment. This is a graduate class and students will be expected to be

attentive and engaged.

Attendance Policy:

Class attendance is viewed by the instructor as critically important and imperative to

success in this course are expected to be present at all class meetings. Absences are

counted from the first class session of the term. Students who accumulate absences,

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including university excused absences, equaling 25% or more of the total class days

scheduled during the semester, will earn an automatic failure for the class.

If you are absent, you have a responsibility to submit work that is due for that class

period by a) sending it with another person in class, or b) turning it in personally to the

professor prior to the due date. The assignment must be posted as received no later than

the beginning of the class time on the date it is due. Additionally, you have a

responsibility to inquire of other students in class for notes, materials, and assignments

from classes you miss. Please note that there are a minimum of fourteen class days (25% equals 3 class days).

For attendance purposes, either as a tardy to class or leaving class early results in a ½

absence.

Schedule of Course Activities:

The schedule of course activities are included in a calendar below. The topics and dates

are tentative and subject to possible revision/change, should the need arise.

Course Date Group Supervision: Topic Yalom Readings Assignment Due

Week 1

January 14

Introduction to

Supervision, Professional

Behavior, and Required

Documentation

Chapters 1-6

Week 2

January 21

Suicide and Homicide

Assessment and

Intervention,

Student Case Presentation/

Chapters 7-13 All agreement forms due

Case Presentation

Documentation

Journal Review 1 Due

Week 3

January 28

CPS Reporting, Student

Case Presentation/

Chapters 14-20 All agreement forms due

Case Presentation

Documentation


Week 4

February 4

Treatment Plan and SOAP

Case Notes.


Peer Feedback

Chapters 21-27 Case Presentation

Documentation


Week 5

February

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Counselor Development,

Challenges, and Self-Care.


Peer Feedback


Documentation


Students Self Review Due

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Week 6

February

18

Developing Appropriate

Case Conceptualization.


Peer Feedback

Chapters 35-41 1st Self Rating Form

Case Presentation

Documentation


Review of Students Session

Week 7

February

25


Peer Feedback

Chapters 42-48 1st CCS Evaluation

Case Presentation

Documentation


Week 8

March 4


Peer Feedback


Documentation


Week 9

March 11


Peer Feedback


Documentation


Spring Break March 16-20

Week 10

March 25


Peer Feedback


Documentation


Week 11

April 1


Peer Feedback


Documentation


Week 12

April 8


Peer Feedback


Documentation


Week 13

April 15


Peer Feedback


Documentation

Week 14

April 22


Peer Feedback

None 2nd Self Rating Form

Case Presentation

Documentation

Week 15

April 29

Closing and Termination None 2nd CCS Evaluation

File Audit

Review of Students Session

All Documentation Due

Week 16

May 6

Class will not meet on this date unless a need arises (e.g. inclement weather). The

instructor will announce on April 30 if this class session will be held.

university of mary hardin-baylorgraduate.umhb.edu/counseling/sites/graduate.umhb.edu... · 2015. 1....

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