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Introduction to Rehabilitation Counseling

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Let's take some time to understand what it means to be a rehabilitation ... You served as a forensic specialist on behalf of your client, providing expert ... – PowerPoint PPT presentation

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Title: Introduction to Rehabilitation Counseling


1
Introduction to Rehabilitation Counseling
  • Profession and Standards of Practice
  • Code of Professional Ethics
  • Advantages of Certification
  • Lecture 2, 8/26/98

2
Brief Review of Syllabus
3
Discuss Film Selections
4
The Professional Portfolio
  • Lets take some time to understand what it means
    to be a rehabilitation counseling professional
  • Scope of Practice
  • Qualified Practitioner
  • Standards of Practice (Ethical Code)
  • Credentialling

5
Who Are the Stakeholders?
  • The consumers
  • Approximately 49 million persons with
    disabilities
  • Regulatory agencies and lawmakers
  • Purchasers of services and referral sources for
    services
  • Educators of rehabilitation counselors
  • Students

6
What are the Primary Functions of a
Rehabilitation Counselor?
  • Work with consumers who have various disabilities
    to help them develop or enhance their
  • vocational skills for gainful employment
  • coping skills for independence
  • Other skills for community integration

7
Certified Rehabilitation Counselors
  • 14,700, according to phone call with Eda Holt,
    current CEO of the Foundation for Rehabilitation
    Research, former director of the Commission on
    Rehabilitation Counselor Certification (CRCC)

8
Rehabilitation Counseling Defined
  • Collaborative effort
  • Identify problems, barriers, and potentials
  • Make effective use of personal and environmental
    resources
  • Advocate for full participation in Society, with
    a particular focus on career aspirations

9
Rehabilitation Counselor Activities
  • Assessment
  • Goal development and planning
  • Provide or arrange for therapeutic interventions
  • psychological
  • medical
  • social
  • behavioral

10
Activities continued
  • Job placement and follow-up services
  • Vocational evaluation

11
What makes us special?
  • Specialized knowledge of the clients
    disabilities and of environmental factors that
    interact with those disabilities, in addition to
    counseling skills.

12
Related professions for comparison
  • Lets try to define
  • social work
  • mental health counselor
  • school counselor
  • career counselor

13
Work Settings
  • State-federal vocational rehabilitation agencies
  • Community-based rehabilitation agencies
  • Supported employment services
  • Workers compensation and insurance agencies
  • Disability management and.....

14
Settings continued
  • Employee assistance programs
  • industries
  • schools
  • hospitals
  • clinics
  • Residential and Independent Living facilities
  • Student services at colleges and universities

15
More settings.....
  • Corrections facilities
  • Public or private employment agencies
  • A variety of allied health profession settings

16
Qualified provider of rehabilitation counseling
service
  • MA
  • CRC
  • Licensure when necessary

17
Ethical Standards....
  • Established by the Commission on Rehabilitation
    Counselor Certification (CRCC)
  • with cooperation from American Rehabilitation
    Counseling Association (ARCA, part of the ACA),
    and
  • National Rehabilitation Counseling Association
    (NRCA, part of the NRA)

18
and....
  • Alliance for Rehabilitation Counseling (ARC)
  • A coalition of ARCA and NRCA to coordinate our
    efforts to affect change in public policy and law

19
Two key documents that establish Standards of
Practice
  • Scope of Practice for Rehabilitation Counseling
  • Adopted by ARCA, NRCA, CRCC, NCRE, and CORE
  • See Portfolio Insert pp. 1-2
  • Memorize the scope of practice statement (III)

20
Standards of Practice
  • Code of Professional Ethics for Rehabilitation
    Counselors
  • A covenant between ARCA, NRCA, and CRCC
  • National Council on Rehabilitation Counselor
    Education (NCRE)
  • Council on Rehabilitation Education (CORE)
  • Guidelines and Procedures for Processing
    Complaints
  • CRCCs document which describes the process
    following a violation of the code

21
Research that embodies scope of practice studies
  • Professional roles, functions, and competencies
  • Ongoing validity studies
  • Unprecedented in the health care field, a major
    asset in the maintenance of a viable, responsive
    profession
  • Predictive validity studies
  • There are studies to support the effectiveness of
    our services

22
Role and Functions Study
  • Assessment
  • Affective counseling
  • Vocational counseling
  • Case management
  • Job Placement

23
Ten Knowledge Domains
  • 1. Vocational counseling and consultation
    services
  • 2. Medical and psychological aspects of
    disability
  • 3. Individual and Group Counseling
  • 4. Program evaluation and research
  • 5. Case management and service coordination

24
Knowledge domains cont.
  • 6. Family, gender, and multicultural issues
  • 7. Foundations of Rehabilitation
  • 8. Workers Compensation
  • 9. Environmental and attitudinal barriers
  • 10. Assessment

25
Types of Disabilities
  • Physical Disabilities
  • Sensory Impairments
  • Developmental Disabilities
  • Learning Disabilities

26
Types cont.
  • Emotional Disabilities
  • Neurological Disabilities
  • Chemical Dependencies

27
Curriculum Requirements
  • See Portfolio and our Graduate Programs Brochure

28
Anatomy of the Ethical Code
  • The Preamble Types of Assistance
  • Counseling
  • Vocational exploration
  • Psychological and vocational assessment

29
Preamble, types of assistance cont.
  • Evaluation referrals
  • social
  • medical
  • psychiatric
  • vocational
  • Job Placement and Development
  • Other types of services

30
Anatomy of the Code cont.
  • 10 Canons of professional conduct (Aspirational
    Goals)
  • Moral and legal standards
  • Counselor and Client Relationships
  • Client Advocacy
  • Professional relationships

31
Canons cont...
  • Public Statements/Fees
  • Confidentiality
  • Assessment
  • Research activities
  • Competence
  • CRC credential

32
Anatomy of the Code cont
  • Rules of specific enforcement
  • These are enforceable guidelines for specific
    circumstances

33
What types of assistance are you able to provide?
  • Required to do so in a manner that is
    consistent with their education and experience.

34
Scenario 1
  • You served as a forensic specialist on behalf of
    your client, providing expert testimony related
    to a worker injury that was a high profile case,
    which received national attention. You are
    approached by Time magazine to comment on matters
    that are public record. Should you comment?

35
Canon 1, Moral and Legal Standards
  • avoid any behavior that would cause harm to
    others
  • Perhaps your providing an alternative forum for
    this public information brings unwanted and
    stressful attention to the client you served.

36
Scenario 2
  • If you are arrested and charged with criminal
    assault in a situation that is unrelated to your
    profession, and it makes the headlines of your
    local newspaper, have you violated any ethical
    code?

37
Canon 1, R1.7
  • Moral and ethical standards of behavior are a
    personal matter for rehabilitation counselors to
    the same degree as they are for any other
    citizen, except as such standards may compromise
    the fulfillment of the individuals
    responsibilities or reduce public trust in
    rehabilitation counselors.

38
Scenario 3
  • You have successfully placed individuals with
    disabilities at a firm that has a reputation of
    being very conservative, and you know members of
    management would never knowingly hire a person
    who was gay. You have a qualified person for a
    position, and the client happened to inform you
    that she was gay. Should you tell the firm about
    this information?

39
Canon 1, R1.9
  • Rehabiliation counselors will not condone
    practices that result in illegal or otherwise
    unjustifiable discrimination on any basis in
    hiring, promotion, or training.
  • This information should be treated with
    confidentiality, and the placement made with the
    client fully informed of the situation.

40
Scenario 4
  • You had a client successfully placed over two
    years ago, and you meet eachother at a bar. Your
    impression of this person was that you were
    compatible as friends. The former client
    expresses a desire to do social things with you,
    and expresses similar sentiments about
    compatibility. What should you do?

41
Canon 2, Client Counselor Relationship, R2.3
  • make every effort to avoid dual relationships
    that could impair their professional judgment or
    increase the risk of exploitation.
  • The dual relationship may adversly impact future
    need of your services, or the power differential
    between counselor and client may lead to a
    relationship that is exploitative.

42
Scenario 5
  • You receive a referral, a client that has
    recently been discharged from a psychiatric
    institute for the criminally insane. You find
    out from the clients history that he molested
    and murdered a child 20 years ago. Should you
    work with this client?

43
Canon 2, R2.4
  • rehabilitation counselors have an obligation to
    provide unbiased, objective opinions.
  • If the history of this client presents an
    obstacle to your objectivity, it would be best to
    make a referral.

44
Scenario 6
  • A person who uses a wheel chair comes to you for
    advice on a situation. She went to a K-Mart
    where an aisle was blocked with gift wrap boxes,
    and she was unable to get to some bows that she
    wanted. She asks you if the store could get away
    with that. What do you do?

45
Canon 3, Client Advocacy, R3.1
  • ...obligated at all times to promote better
    access for individuals with disabilities to
    facilities, programs, transportation, and
    communication so that clients will not be
    excluded from opportunities to participate fully
    in rehabilitation, education, and society.
  • Great opportunity to make an offer of your
    expertise in terms of the ADA and accessibility,
    etc.

46
Group Activity
  • Come up with some ethical dilemmas from Canons 4
    through 10

47
Why Become a CRC?
  • Established in 1974
  • 23,000 have been credentialled
  • 14,700 currently in practice

48
Specifics of the CRCC Exam
  • 10 different criteria
  • Exam is given in April and October
  • Contact the CRCC at 847/818-1967

49
Credentialling
  • Accreditation
  • Registration
  • Licensure
  • Certification

50
Other types of Credentials
  • CCM (Certifed Case Manager
  • CDMS (Cert. Disability Management Specialist
  • Administered by the CRCC
  • NCC (National Certified Counselor
  • CCMHC (Certified Clinical Mental Health
    Counselor)
  • Administered by the National Board of Certified
    Counselors (NBCC)

51
Others cont.
  • CVE (Certified Vocational Evaluator
  • LPC (Licensed Professional Counselor)
  • Here in Iowa we have the LMHC, Licensed Mental
    Health Counselor
  • MAC (Master Addictions Counselor
  • A joint effort of NAADAC, CRC, NBCC

52
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