Foundations for Clinical Mental Health Counseling: An Introduction to the Profession, 3rd edition
Published by Pearson (January 8, 2017) © 2018
- Mark S. Gerig
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Text features and benefits include:
- Presents a well-informed description of relevant settings, public policies, and trends.
- Unique. Positions the clinical mental health counseling profession in the context of the behavioral health professions.
- Gives readers a professional view from the trenches that is current and academically informed.
- NEW! Features increased application of wellness and positive psychology in professional practice.
- NEW! New research provides additional validation and rationale for the clinical mental health counseling paradigm.
- NEW! Discussions of newer, evidenced-based treatment approaches, such as trauma-informed care, integrated dual-diagnosed treatment, family psychoeducation, home-based therapy, and patient care medical homes are included.
- NEW! Presents all new material covering the Diagnostic and Statistical Manual, 5th Edition (DSM-V) and the International Classification of Diseases, 10th Edition (ICD-10).
- NEW! Covers new applications of neuroscience such as neuropsychiatric screening and assessment, neuro-counseling, and neurofeedback.
- NEW! Includes expanded coverage of group counseling, advocacy, managed care, program development and evaluation; qualitative research, and meta-analysis.
- NEW! New content on administrative roles of clinical mental health counselors, such as supervision, management, and leadership is included.Â
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- Among the strengths of the book’s balanced presentation are:
- NEW! Coverage of the updated Multicultural and Social Justice Competencies and multiple heritage identity development theory and their  implications for professional practice.
- NEW! Implications of health care reform.
- NEW! A detailed discussion of recovery philosophy.
- NEW! Infusion of several important standards and codes: the 2016 Council for Accreditation of Counseling and Related Educational Programs Standards; the 2015 American Mental Health Counselor Association (AMHCA) Code of Ethics; the 2014 American Counseling Association Code of Ethics; and the 2015 AMHCA Standards of Professional Practice.
- Shows how the clinical mental health counseling profession is similar to and different than other mental health and counseling-specific professions. (Ch. 2)
- Relates the professional identity of mental health counselors to its theoretical roots. (Ch. 3)
- Explores some of the more contemporary approaches, such as Acceptance and Commitment Therapy, Dialectic Behavior Therapy, and Emotionally Focused Therapy. (Ch. 4)
- Focuses on the new 2016 CACREP Standards, 2015 AMHCA Code of Ethics, and 2014 ACA code of Ethics in Chapters 5 and 6, and infuses them throughout the text. Attention is also given to the new AMHCA Standards for Professional Practice for Clinical Mental Health Counselors.
- Introduces the new professional credential, the CMHC Diplomate, awarded through AMHCA.
- Develops a working knowledge of the ICD-10, the classification system of the World Health Organization. (Ch. 7)Â
- Identifies and discusses work settings and treatment approaches related to work settings of CMHCs. (Ch. 8)
- Covers newly updated psychological inventories commonly used by CMHCs, and includes new information on neuropsychological assessment procedures. (Ch. 9)
- Includes increased coverage on qualitative research methods and meta-analysis, topics that tend to receive decreased attention in foundations texts. (Ch. 9)
- Looks closely at the concepts, skills, and ethical practice standards involved in professional practice in multicultural contexts. (Ch. 10)
- Moves beyond superficial coverage of managed care by exploring the Patient Protection Affordable Care Act and its implications for the practice of clinical mental health counseling. Â Â
- Provides a model for organizing the development and evaluation of mental health delivery systems. (Ch. 12)
- Focuses on how contemporary trends are shaping the contours of professional practice. (Ch. 13)
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Personalize learning with MyLab Counseling
This title is also available with MyLab Counseling—an online homework, tutorial, and assessment program designed to work with the text to engage students and improve results. Within its structured environment, students see key concepts demonstrated through video clips, practice what they learn, test their understanding, and receive feedback to guide their learning and ensure they master key learning outcomes. MyLab Counseling resources include:
- Learning Outcomes and Standards measure student results.MyLab Counseling organizes all assignments around essential learning outcomes and the CACRP standards.
- Video- and Case-Based Assignments develop decision-making skills.
Students watch videos of actual client-therapist sessions or high-quality role-play scenarios featuring expert counselors. They are then guided in their analysis of the videos through a series of short-answer questions. These exercises help students develop the techniques and decision-making skills they need to be effective counselors before they are in a critical situation with a real client. - Licensure Quizzes help students prepare for certification.Automatically graded, multiple-choice Licensure Quizzes help students prepare for their certification examinations, master foundational course content, and improve their performance in the course.
- Video Library offers a wealth of observation opportunities.
The Video Library provides more than 400 video clips of actual client-therapist sessions and high quality role-plays in a database organized by topic and searchable by keyword. - MyLab Counseling includes the Pearson eText version of the book, which integrates MyLab Counseling.
Key content changes include:
- Thorough updating throughout reflects current information in the field and the current expanse of professional literature.
- The 20/20 definition of professional counseling, scope of practice, professional title, their implications, and application in professional practice and increasing licensure portability;.
- Coverage of new technology and the increased application of wellness and positive psychology in professional practice.
- New research that provides additional validation and rationale for the clinical mental health counseling paradigm, with special attention given to understanding mental health in terms of two separate, but interacting dimensions (wellness and pathology) that operate in client-specific ecological contexts.
- Discussion of newer, evidenced-based treatment approaches, such as trauma-informed care, integrated dual-diagnosed treatment, family psychoeducation, home-based therapy, and patient care medical homes.
- Infusion of several important standards and codes: the 2016 Council for Accreditation of Counseling and Related Educational Programs Standards; the 2015 American Mental Health Counselor Association (AMHCA) Code of Ethics; the 2014 American Counseling Association Code of Ethics; and the 2015 AMHCA Standards of Professional Practice.
- All new material covering the Diagnostic and Statistical Manual, 5th Edition (DSM-V) and the International Classification of Diseases, 10th Edition (ICD-10).
- New applications of neuroscience such as neuropsychiatric screening and assessment, neuro-counseling, and neurofeedback.
- Expanded coverage of group counseling, advocacy, managed care, program development and evaluation; qualitative research, and meta-analysis.
- New content on administrative roles of clinical mental health counselors, such as supervision, management, and leadership.
- Coverage of the updated Multicultural and Social Justice Competencies and multiple heritage identity development theory and their implications for professional practice. Â
- Implications of health care reform (e.g., the pooling of financial streams of Medicaid and Medicare, the merging of medical and mental health treatment, and integrated behavioral health in primary care settings).
- Detailed discussion of recovery philosophy, its relationship to the clinical mental health-counseling paradigm, and the integration of consumer-delivered services and programs within the context of community mental health.
Also available with MyLab Counseling
This title is also available with MyLab™ Counseling—an online homework, tutorial, and assessment program designed to work with the text to engage students and improve results. Within its structured environment, students see key concepts demonstrated through video clips, practice what they learn, test their understanding, and receive feedback to guide their learning and ensure they master key learning outcomes. MyLab Counseling resources include:
- Learning Outcomes and Standards measure student results.
MyLab Counseling organizes all assignments around essential learning outcomes and the CACRP standards. - Video- and Case-Based Assignments develop decision-making skills.Students watch videos of actual client-therapist sessions or high-quality role-play scenarios featuring expert counselors. They are then guided in their analysis of the videos through a series of short-answer questions. These exercises help students develop the techniques and decision-making skills they need to be effective counselors before they are in a critical situation with a real client.
- Licensure Quizzes help students prepare for certification.
Automatically graded, multiple-choice Licensure Quizzes help students prepare for their certification examinations, master foundational course content, and improve their performance in the course. - Video Library offers a wealth of observation opportunities.The Video Library provides more than 400 video clips of actual client-therapist sessions and high quality role-plays in a database organized by topic and searchable by keyword.
- MyLab Counseling includes the Pearson eText version of the book, which integrates MyLab Counseling.
Brief Table of Contents
Chapter 1 — What is a Mental Health or Professional Counselor?
Chapter 2 — The Clinical Mental Health Counseling Profession in Historical Perspective
Chapter 3 — Theoretical Foundations for Clinical Mental Health Counselors
Chapter 4 — Traditional and Contemporary Theories of Counseling
Chapter 5 — Education, Licensure, and Certification
Chapter 6 — Ethical and Legal Issues in Clinical Mental Health Counseling
Chapter 7 — The Practice of Clinical Mental Health Counseling: What We Do
Chapter 8 — Contexts for Professional Practice: Where Clinical Mental Health Counselors Work
Chapter 9 — Appraisal and Research in the Practice of Clinical Mental Health Counseling
Chapter 10 — Professional Practice in Multicultural Contexts
Chapter 11 — Managed Care and Third-Party Reimbursement
Chapter 12 — Community Mental Health: Program Development, Evaluation, and Management
Chapter 13 — The Future of Clinical Mental Health Counseling
Appendix A — Professional Associations
Appendix B — Selected Professional Training Institutes
Appendix C — State Licensure Boards
Index
Detailed Table of Contents
Chapter 1- What Is a Mental Health or Professional Counselor?
What is a Counselor? Enter a Land of Confusion!
What It Means to be a Clinical Mental Health or Professional Counselor: Some  Helpful Definitions
Relevant Professional Organizations
Other Specialties Within the Counseling Profession
Addictions Counseling
Career Counseling
College Counseling
Gerontological Counseling
Couples and Family Counseling
Rehabilitation Counseling
School Counseling
Clinical Mental Health Counseling and the Allied Mental Health Professions
Conclusion: The Process of Consolidating Professional Identity
Chapter 2 - The Clinical Mental Health Counseling Profession in Historical Perspective
Early Views and Treatment of Mental Health and Illness
The Emergence of Psychiatry
Roots of the Counseling-Related Professions
Movement Toward the Professionalization of Counseling
           The Private Practice of Psychology
           The Child Guidance Movement
           Carl Rogers and Non-Directive Counseling
           Marriage and Family Counseling
           Rapid Expansion of Assessment and Increase Sophistication of Vocational Counseling
           Post World War II and the Veterans Administration
The Influence of Professional Organizations
The Professionalization and Expansion of Mental Health Counseling
           Problems in the Mental Health System
           Increased Effectiveness of Psychopharmacological Interventions
           Innovations in Counseling Theories and Techniques
           Limited Availability of and Access to Community-Based Services
           The Community Mental Health Centers Act of 1963
           Emergence of Mental Health Counseling
           Licensure of Mental Health and Professional Counselors
The Consolidation of the Mental Health Counseling Profession
Changing Roles, Tools, and Contexts: The Mental Health Professions Move Into the 21st Century
           Application of Technology
           Influence of Positive Psychology and Research into Wellness
           Response to Natural and Human-Made Disasters
Conclusion
Discussion Questions
Suggested Activities
References
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Chapter 3 - Theoretical Foundations for Clinical Mental Health Counselors
Theory and Personal Characteristics of the Counselor
Self-Schema
Worldview
Interpersonal Style 
Client Motivation and the Process of Change: The Transtheoretical Model 
The Role of Theory in Counseling 
Foundational Theories for Clinical Mental Health Counselors 
           Theories of Human Development
           Ecological Perspective
           Theories of Mental Health and Prevention of Mental Illness
           Approaches to Mental Health Promotion
           Prevention in the Context of Promoting Mental Health
Conclusion: The Clinical Mental Health Counseling Paradigm
Discussion Questions
Suggested Activities
References
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Chapter 4 - Traditional and Contemporary Theories of Counseling
Traditional Theories of Counseling and Psychotherapy
           Psychoanalysis
Object Relations
Individual Psychology (Adlerian Therapy)
Behavior Therapy
Cognitive Approaches
Humanistic Therapies and Existential Theory
Narrative Therapy
Feminist Therapy
Family Therapy
Conclusion
Discussion Questions
Suggested Activities
References
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Chapter 5 — Education, Licensure, and Certification
Academic Preparation of Clinical Mental Health Counselors
           The CACREP Model for the Training of Clinical Mental Health Counselors
                       Common Core Curriculum
CACREP Standards for Clinical Mental Health Counseling Programs
                       Foundations
                       Contextual Dimensions
                       Practice
Professional Practice Standards in the Training of Clinical Mental Health Counselors
The Credentialing of Clinical Mental Health Counselors
           Registry
           Certification
           Licensure
Contemporary Issues in Education and Credentialing of Counselors
           Licensure for Clinical Mental Health Counselors in All 50 States: What Comes Next?
                       Portability
                       Controversies and Growing Pains
           Conclusion
           Discussion Questions
           Suggested Activities
           References
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Chapter 6 - Ethical and Legal Issues in Clinical Mental Health Counseling
The Significance of Ethical Codes and the Law 
The Relationship Between the Law and Codes of Ethics 
Foundational Principles of Ethical Codes 
Codes of Ethics 
The Role of the ACA Ethics Committee and Investigation of Alleged Violations 
Specific Ethical and Legal Issues 
           Competence and Scope of Practice
Informed Consent: Client’s Rights and Responsibilities
Confidentiality and Privileged Communication
Health Insurance Portability and Accountability Act
Protection of Clients or Others from Harm
Taking Action When Child or Elder Abuse or Neglect Is Suspected
Protecting Clients Who Pose a Danger to Themselves
Clients Who Pose a Danger to Others
Clients with Communicable Diseases Whose Behavior Poses a Danger to Others
Professional Boundaries and Dual Relationships
                       Application of Technology in Counseling
Conclusion
Discussion Questions
Suggested Activities
References 
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Chapter 7 — The Practice of Clinical Mental Health Counseling: What We Do
Application of the Clinical Mental Health Counseling Paradigm 
Stages of Helping
Establishing the Relationship
                       Assessing or Defining the Presenting Problem
                                   The Initial Interview and Biopsychosocial Assessment
Mental Status Exam
Diagnosis: DSM-V and the ICD-10
Identifying and Setting Goals
Choosing and Implementing Interventions
Planning and Introducing Termination and Follow-Up
Modalities of Intervention
Individual Counseling
Group Work
Family Counseling
Consultation
Advocacy
Contextual Trends Influencing Treatment Processes
           The Post-deinstitutionalization Era
Least Restrictive Treatment
Evidence-Based Treatment
Recovery and the Consumer Movement
Conclusion
Discussion Questions
Suggested Activities
References
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Chapter 8 — Contexts for Professional Practice: Where Clinical Mental Health Counselors Work
           Clinical Mental Health Counselors on the Job: Special PopulationsÂ
                       Homelessness and Mental HealthÂ
                       Treating Persons with Severe and Persistent Mental Illness.
Treating Clients with Co-Occurring Mental Illness and Substance Use Disorders
           Community Mental Health and Corrections
Community Mental Health, Disaster Response, and Emergency Management Systems
           Disaster Response
           Trauma-Informed Care
           Emergency Management Systems
Clinical Mental Health Counselors on the Job: Selected Work Settings
           Agency/Community Mental Health Centers
           Private Practice
           Substance Use Treatment Programs
           Small College Counseling Center
           University Health Service
           In the Barn: Equine Therapy
           Home-based Therapy
           Integrated Behavioral Health in Primary Healthcare Settings
Conclusion
Discussion Questions
Suggested Activities
References
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Chapter 9 — Appraisal and Research in the Practice of Clinical Mental Health Counseling
Appraisal
The Use of Tests
Key Concepts and Principles in Appraisal
Classical True-Score Theory
Reliability
Validity
Standardization
Categories of Appraisal Techniques
Intelligence Tests
Achievement Tests
Aptitude Tests and Interest Inventories
Personality Tests
Self-Report Clinical Scales
Neuropsychological Screening and Assessment
Ethical Practice in Appraisal 
           Test Selection
           Test Administration
           Test Interpretation
Test Reporting
Research
           Key Concepts and Principles in Research
           Sampling
           Validity
           Reliability
Operational Definitions
Specific Models of Research Design
Longitudinal and Cross-Sectional Designs
Direct Observation
Survey Methods
Correlational Methods
Experimental Methods
Within Subjects Designs
Qualitative Methods
Meta-Analysis
Statistical Analysis
Ethical Practice in Research 
Conclusion
Discussion Questions
Suggested Activities
References
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Chapter 10 - Professional Practice in Multicultural Contexts
Diversity and Multiculturalism in America 
Multiculturalism as the Fourth Force in Counseling 
Key Definitions and Concepts 
Barriers to Effective Multicultural Counseling 
           Resistance
           Cultural Encapsulation
           Misapplication of Traditional Theories and Techniques
           Systemic Barriers Within Counseling Delivery Systems
Language Barriers and Miscommunication
Mistrust
Foundational Principles in Multicultural Counseling 
           Activation of Schemas and Confirmation Bias
           Between- and Within-Group Differences
           Racial/Cultural Identity Development Theory
           Acculturation
           Multiple Identities
           Multiple Heritage Identity Development
The Culturally Competent Counselor 
Conclusion 
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Chapter 11 - Managed Care and Third-Party Reimbursement
The Context of Managed Care and Its Development Context
Financial Risk and the Rise of Insurance Companies
The Push Toward Managed Health Care
What Is Managed Care?
Procedures for Reducing Utilization
Pretreatment Authorization of Treatment
Concurrent Utilization Reviews
Incentives for Efficient Providers
Increased Employee and User/Client Cost Sharing
Procedures for Controlling Price Per Unit
Capitation
Less Expensive but Equally Effective Treatment Approaches
Retrospective Claims Reviews
           Responses of Mental Health Practitioners to the Contemporary Economic ContextÂ
Conclusion: Surviving in the Era of Managed Care
Discussion Questions
Suggested Activities
References
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Chapter 12 - Community Mental Health: Program Development, Evaluation, and Management
Historical Background: Community Mental Health in the United States
A Model of Mental Health Delivery Systems
    Assessment of the Needs and Wants of Service Recipients
           Mission
           Goals, Objectives, and Program Outputs
           Programs
           Working Knowledge, Skills, and Resource Supports
           Environmental Supports: Technology and Facility
Program Evaluation
Funding Programs Through Grants
Program Supervision, Management, and Leadership 
Conclusion
Discussion Questions
Suggested Activities
References
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Chapter 13 - The Future of Clinical Mental Health Counseling
Current Factors Influencing the Profession
Professional Credentialing
Consolidation of Professional Identity
Political and Socio-Economic Climate
New Models and Delivery Systems
Contemporary Trends in the Application of Counseling Theory
Spirituality in Clinical Mental Health Counseling
Biologicalization of Psychopathology and Wellness: Psychopharmacology, Neuroscience, and NeurocounselingÂ
Economic Context and Application of Theory in Professional Practice  
Strengths of the Contemporary Mental Health Counseling Profession 
The Struggles of the Contemporary Mental Health Counseling Profession 
How to Live Out Who We Are: Enacting the Clinical Mental Health Counseling Paradigm 
Conclusion
Discussion Questions
Suggested Activities
ReferencesMark S. Gerig is Professor of Counseling and Chair in the Division of Graduate Counseling at Indiana Wesleyan University, located in Marion and Indianapolis, Indiana. He is a Licensed Mental Health Counselor and Licensed Psychologist with over 30 years of experience in professional counseling and counselor education. Mark has previously served as Manager of Crisis and Elderly Services at Hiawatha Behavioral Health, Sault Ste. Marie, Michigan, and as a sessional professor of psychology at Algoma University, Sault Ste. Marie, Ontario, Canada. Throughout these years, he has also provided counseling and consultation services to individuals, families, and organizations. Â
Dr. Gerig has been a leader in state and national organizations. He presently serves on the Diplomate Committee of the American Mental Health Counselors Association. Mark has previously served in the roles of President and Chair of Professional Development in the Indiana Mental Health of the Indiana Mental Health Counseling Association and Mental Health Counseling Representative for the Indiana Counseling Association. In recognition of Dr. Gerig’s professional service, he was named recipient of the 2005 American Mental Health Counselors Association Counselor Educator of the Year and recipient of the Mental Health Counselor of the Year Award by the Indiana Counseling Association (2003).
Dr. Gerig lives near Marion, Indiana with his wife, Michelle. Their son, Brandon, is a fish biologist and completing doctoral studies at the University of Notre Dame. Their daughter, Laurén is a professional painter and is completing her Master of Fine Arts at Michigan State University. In addition to his professional activities, Mark considers the family cottage near Iron Bridge, Ontario as a second home and enjoys hiking, fishing, gardening, and ice hockey.
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