Adult Counseling COUN 6810 Professor: Office: Phone #: E-mail: Textbook Teyber, E., & McClure, F. H. (2011). Interpersonal process in therapy: An integrative model. Belmont, CA: Brooks/Cole. Course description This hybrid course focuses on methods and techniques of counseling adults from motivational interviewing, interpersonal, brief psychodynamic, and solution-focused perspectives. Practical issues that commonly arise when counseling adults (e.g., readiness for change, suicide risk management, substance abuse, transference/countertransference, family violence, counseling termination) are also addressed. Students develop competency in devising treatment plans and implementing specific techniques that can be used to help adult clients address and resolve problems including domestic violence/traumatic events, anxiety, depression, and relationship dysfunction. Multicultural and ethical issues which impact the counseling process are addressed. Student learning outcomes As a result of participating in the course, students will achieve the following: COUN 6810 Adult Counseling 2009 CACREP Standards Standard # II-G-5-c Core Curricular Category Helping Relationships II-G-5-d Helping Relationships Adult Counseling Standard Essential interviewing and counseling skills; Counseling theories that provide the student with models to conceptualize client presentation and that help the student select appropriate counseling interventions. Students will be exposed to models of counseling that are consistent with Learning Activities & Experiences Lecture, discussion & course readings; Clinical interviewing assignment; Counseling technique assignment & presentation Lecture, discussion & course readings; Discussion board; Exam Page 1 current professional research and practice in the field so they begin to develop a personal model of counseling; Standard # CMHC-C-7 Clinical Mental Health Counseling Counseling, Prevention & Intervention – Knowledge Standard Knows the principles, models, and documentation formats of biopsychosocial case conceptualization and treatment planning CMHC-J-1 Research & Evaluation – Skills & Practices Applies relevant research findings to inform the practice of clinical mental health counseling CMHC-J-2 Research & Evaluation – Skills & Practices Develops measurable outcomes for clinical mental health counseling programs, interventions, and treatments Learning Activities & Experiences Lecture, discussion & course readings; Case conceptualization & treatment planning exercise (Planning and Assessment in Clinical Care model) Lecture, discussion & course readings; Counseling technique assignment & presentation Lecture, discussion & course readings; Counseling technique assignment & presentation Course structure This is a “hybrid” course meaning that part of the course is spent in direct face-to-face contact with the instructor and your classmates while the other part is spent completing Internet-based and related activities. The class meets in person on the following dates: • • • • • • • • Date Date Date Date Date Date Date Date When the class meets in person, it will consist of lecture and discussion activities as well as small group & role playing exercises. It is important that you participate in discussions and work diligently on projects and activities with your classmates. The content of the online portion of the course is presented in “modules” which contain topic-specific material and activities to be covered during a particular time period. For each module, you will read the Adult Counseling Page 2 information contained on the Adult Counseling website (or in the textbook) and complete any assigned activities associated with a module. These activities will usually entail completing homework (discussed later) and answering questions posed by the instructor on an electronic discussion board pertaining to the module material and/or readings for a particular week. Make it a goal to complete the module and any associated discussion board activities or assignments by (or prior to) the date listed on the course outline (which can be found later in this syllabus). Course notes for the online portion of the course will be available by accessing the Adult Counseling website through D2L (i.e., https://elearn.mtsu.edu/), MTSU’s portal to university-related materials. The instructor will save the course notes (and all other materials) as Adobe/.pdf files, thus you will be required to have the most recent version of Adobe Reader installed on your computer in order to view and print the notes. (NOTE: This program can be downloaded for free by typing the following URL into the address box of your browser: http://get.adobe.com/reader/). IT IS VERY IMPORTANT THAT YOU CHECK YOUR E-MAIL ACCOUNT WITHIN THE ADULT COUNSELING WEBSITE SEVERAL TIMES A WEEK AS THIS IS THE PRIMARY METHOD OF COMMUNICATION BETWEEN YOU AND THE INSTRUCTOR! (NOTE: University e-mail addresses have automatically been entered into the course website by the Office of Information Technology and these are the addresses that must be used for the course. The instructor will not use any other e-mail address for communication purposes.) If at any time you feel you are having trouble keeping up, contact the instructor immediately so the problem can be addressed expediently. Evaluation of Coursework/Class Participation 1. Attendance. Given that this class only meets “in person” eight times, it is important that you attend all of the class meetings. Indeed, lectures/discussions, small group activities and role plays are an important part of the learning process, thus you are expected to attend class to contribute to its success. Attendance accounts for approximately 12.5% of your grade. The breakdown of credit for attendance is as follows: • • • • Attended seven complete class sessions – 30 points Attended six complete class sessions – 20 points Attended five complete class sessions – 10 points Attended four or less class sessions – 0 points If you miss more than one hour of a class on a day the class meets in person, you will not be given credit for attending that day’s class (i.e., no half-credit is given). If you must miss a class for an extenuating circumstance or university-sponsored event (e.g., attending a sporting event as a member of an MTSU sports team), you may make up ten (10) points by writing three (3) journal article reviews on articles (selected by the instructor) pertaining to the missed class material. You may only earn make-up credit once (i.e., for one missed or partially missed class). Adult Counseling Page 3 2. Class participation. Class participation points are based on a) participation in classroom discussions and activities and b) online discussions and activities. A. Lecture-discussion portion of class: You will be graded on your participation when class meets in person. In particular, the instructor expects students to participate – substantively - at least once during the lecture-discussion of class. It is very important that you read assigned textbook chapters prior to the class in which they will be discussed! Consider preparing for classroom discussions of the textbook material by doing the following: • • • • 1. Come up with three questions that could provide the basis for discussions. 2. Identify three ideas, concepts, techniques, etc. that struck you and/or were of particular interest to you and why. 3. Identify three ideas, concepts, techniques etc. that might pose a challenge in your work with clients and why. 4. Come up with a combination of three things from #1, #2 and/or #3. Even if time or other circumstances does not allow for discussion of the textbook material, preparing responses to the four questions above will still be a good way for you to process and learn information contained in the textbook. It is important that you contribute to classroom discussions in a professional and collegial manner. You can earn 30 points for lecture-discussion participation (i.e., 6 classes X 5 points max awarded for participation = 30 points). Lecture discussion participation points account for approximately 12.5% of your grade. The instructor will use a rubric to assess your participation in the lecture-discussion portion of the class. B. Online portion of the class: You will be required to post responses to discussion board questions throughout the course of the class AND respond to a response of ONE of your classmates at least once during a discussion board activity. Online class participation will account for approximately 12.5% of your grade (6 discussion board postings X 5 points max awarded for participation = 30 points). Class participation points will be assigned as follows: • 30 points – if a) you post responses to the discussion board six (6) times for six separate discussion board activities, b) respond to the response of one of your classmates for six (6) separate discussion board activities, c) deposit six (6) discussion board postings AND responses Adult Counseling Page 4 • • • • • • to discussion board postings in the drop box within the specified time frame, and d) The instructor deems your postings worthy of credit according to the discussion board rubric. 25 points – if a) you post responses to the discussion board five (5) times for five separate discussion board activities, b) respond to the response of one of your classmates for five (5) separate discussion board activities, c) deposit five (5) discussion board postings AND responses to discussion board postings in the drop box within the specified time frame, and d) The instructor deems your postings worthy of credit according to the discussion board rubric. 20 points – if a) you post responses to the discussion board four (4) times for four separate discussion board activities, b) respond to the response of one of your classmates for four (4) separate discussion board activities, c) deposit four (4) discussion board postings AND responses to discussion board postings in the drop box within the specified time frame, and d) The instructor deems your postings worthy of credit according to the discussion board rubric. 15 points – if a) you post responses to the discussion board three (3) times for three separate discussion board activities, b) respond to the response of one of your classmates for three (3) separate discussion board activities, c) deposit three (3) discussion board postings AND responses to discussion board postings in the drop box within the specified time frame, and d) The instructor deems your postings worthy of credit according to the discussion board rubric. 10 points – if a) you post responses to the discussion board two (2) times for two separate discussion board activities, b) respond to the response of one of your classmates for two (2) separate discussion board activities, c) deposit two (2) discussion board postings AND responses to discussion board postings in the drop box within the specified time frame, and d) The instructor deems your postings worthy of credit according to the discussion board rubric. 5 points – if a) you post a response to the discussion board one (1) times for one discussion board activity, b) respond to the response of one of your classmates for one (1) discussion board activity, c) deposit one (1) discussion board posting AND response to a discussion board posting in the drop box within the specified time frame, and d) The instructor deems your postings worthy of credit according to the discussion board rubric. 0 points – if you do not post or deposit any discussion board postings in the drop box or if the instructor deems that your postings are not worthy of credit. The instructor will use a rubric to assess your discussion board comments 3. Homework. You will be required to complete short answer essay questions pertaining to textbook readings on the days that class does not meet in person. Homework must be deposited in the drop box by the assigned deadline in order to receive credit. You will be required to complete six (6) homework assignments. Homework will account for approximately 12.5% of your grade (6 homework assignments X 5 points max awarded per assignment = 30 points). Adult Counseling Page 5 The instructor will use a rubric to assess the quality of your essay responses. 4. Clinical interviewing. During the first week of class you will learn the basic structure of a clinical interview. You will be given the opportunity to practice interviewing a classmate and provided with feedback by the Instructor as he observes your practice interviews. Then you will engage in a mock interview with a classmate which you should record (video) and submit to the instructor for evaluation. The instructor will use a rubric to determine a) if you hit on all of the essential areas of the interview and b) your level of skill in implementing the interview. Try to limit the interview to 30 minutes. When you are done interviewing your classmate, then switch roles and record the second interview. The clinical interview will account for approximately 8% of your grade (20 points). 5. Counseling technique assignment & presentation. During the first week of class you will be paired with a classmate. Each group will prepare a short written and oral class presentation applying a technique relevant to direct practice with adults. Although you have some latitude with regard to the technique that you present, it is recommended that you select a technique with which you are not very familiar so as to expand your “technique repertoire.” You and your partner should brainstorm options for techniques and settle on a technique that you would both like to learn (or at least would be useful to know and perhaps employ with clients in the future). Please follow these directions to complete the assignment: • • • • • • PowerPoint presentation – Based on the review, prepare a PowerPoint presentation for the class: Name and briefly describe the technique. Describe what kind of problems the technique is designed to address. Briefly describe the evidence for the approach (i.e., Three studies from research literature which justify the use of the technique. These should preferably be studies that were designed to demonstrate the effectiveness of the technique itself – perhaps with a particular client population, etc. - and not simply something describes how to use the technique. Include citations using APA style at end of paper.). Application to counseling (i.e., What are some situations in which you might use the technique? What are some considerations and challenges in using the technique? What are some variations of the technique, if any? What would you do differently/how would you adjust if a client did not respond as expected when you used the technique?) Outcome evaluation (i.e., How will you assess the effectiveness of the technique that you use with the client? Is there a specific assessment device that has been developed to measure treatment effectiveness using this technique? If not, is there a generic/global assessment device that you could use to assess treatment effectiveness/outcome, a quasi pre-post device?) Adult Counseling Page 6 • • Describe any special considerations in using the techniques with members of diverse groups/how diversity factors (e.g., race, ethnicity, social economic class, ability and disability, gender/gender identity, sexual orientation, religion, etc.; you do not have to address all of these diversity factors) might play a role in the use of the technique. Give brief overview of the clients you portrayed in your role play (e.g., what brought “client” to counseling; brief background/history; your conceptualization of the client’s problems; your justification of the technique based on your conceptualization). Role-play video clip – Record a 20 minute role play in which you and your classmate demonstrate a segment of a counseling session which incorporates the technique. You might consider completing this assignment with the same classmate whom you interviewed for the clinical interviewing assignment. In fact, your classmate could play the role of the same client whom you interviewed so as to provide a truer feel of a client that was interviewed continuing in counseling. The role play should be based on a scenario in which it would make sense to use the technique. You and your partner should take turns playing the parts of counselor and client; each “counselor” should take 20 minutes to conduct the role play. Use your cell/smart phone or another recording device and upload the video to YouTube for review by the class during your presentation. (Click here for assistance with uploading videos to YouTube.) You may alternatively find a way to record video calls using applications such as Skype, Google+ or OoVoo. Develop a one-page handout of the main points of your presentation for distribution to your classmates based on the PowerPoint presentation guidelines above and bring enough copies for each of your classmates. The presentation (which includes viewing the two role plays video clips) should take 30 minutes. You can earn 40 points for this activity. Points will be distributed as follows: • • • 50% (20 points) - oral presentation 25% (10 points) - written product 25% (10 points) - quality of demonstration of technique in role play This activity will account for approximately 17% of your grade. (NOTE: You may earn a different number of points than you partner depending on the quality of demonstration in your role as the counselor.) 5. Exams. There are two (2) exams for this course. These involve multiple-choice and short-answer essay questions based on classroom and online lecture materials as well as textbook and other assigned readings. Short-answer essay questions will be evaluated on the basis of their accuracy, thoroughness, Adult Counseling Page 7 and the successful application and integration of relevant course material in answering the specific questions that are posed. Exams are open-book and open-note, but must be completed individually (i.e., no consulting with your classmates – you’re on the honor system!). Each exam is worth 30 points (60 points total); exams account for approximately 25% of your grade. Grading system There are a total of 240 points that can be earned in this course. There is no opportunity to earn extra credit! A standard grading scale will be used to calculate students’ scores as follows: • • • • • • • • • 223 – 240 (93 – 100%) 216 – 222 (90 – 92%) 209 – 215 (87 – 89%) 202 – 208 (84 – 86%) 192 – 201 (80 – 83%) 185 – 191 (77 – 79%) 178 – 184 (74 – 76%) 168 – 177 (70 – 73%) 167 and below = = = = = = = = = A AB+ B BC+ C CF Counseling Dispositions Students in the Professional Counseling program are required to demonstrate program Dispositions (i.e., being collaborative, ethical, professional, reflective, self-directed, and critical-thinking students) in this class and in all other academic and professional endeavors. Information regarding demonstration of these dispositions may be communicated to program faculty and used as a component of the faculty’s continuous evaluation of student progress. (See Professional Counseling Program Handbook for details.) Reasonable Accommodations for Students with Disabilities If you have a documented disability as described by Section 504 of the Rehabilitation Act of 1973 and the American with Disabilities Act (ADA) and would like to request academic and/or physical accommodations, please contact John Harris, Director, Disabled Student Services, KUC 120 (898-2783) as soon as possible. Course requirements will not be waived, but reasonable accommodations may be provided as appropriate. Course Outline Adult Counseling Page 8 Day Date Date (Meet in person) Date Topics • Orientation to the course • Overview of Adolescent & Adult Development • Course notes • Practice implementing clinical interviewing skills via role play • The interpersonal process approach Assessing readiness for change • • • • Teyber – Chapter 1 Essay question homework Discussion board Course notes Establishing a working alliance The role of assessment, diagnosis & test data in relation to treatment planning, counseling & referral • • Teyber – Chapter 2 Essay question homework Discussion board Solution-focused counseling #2: Establishing & maintaining effective relationships Motivational interviewing • • • Date (Meet in person) • • Adult Counseling • Course notes • Solution-focused counseling #1: Introduction • Basic structure of clinical interview (inquiring about reason for referral/appointment, current issues/problems, family history, educational history, social history, mental health history, drug/alcohol use, health status) • Date Readings/Activities • • Teyber – Chapter 3 (read prior to class) Motivational Interviewing DVD (watch in class; Disc 1 - Program A, Chapter 3; Page 9 #1 – Introduction (Principles; Opening Strategies: Traps to Avoid; Opening Strategies) Date (Meet in person) • • Date • Program B, Chapters 1 & beginning of Chapter 2) Solution-focused counseling #3: Interviewing for solutions Motivational interviewing #2 (Finish Opening Strategies) • Solution-focused counseling in action • • • • • Date Date (Meet in person) Date (Meet in person) Solution-focused video (Irreconcilable Differences w/ Insoo Kim Berg) Essay question homework Discussion board Clinical interviewing video due • Helping clients with their feelings • • • • Teyber – Chapter 5 Essay question homework Discussion board Exam #1 (take home) • Solution-focused counseling #4: Utilizing exceptions to the problem • Teyber – Chapter 6 (read prior to class) • Solution-focused counseling #5: Utilizing other client resources Solution-focused counseling #6: Changing the doing of the problem Technique #1: Acting as if Motivational interviewing #3 (Case Example) • Teyber – Chapter 7 (read prior to class) Motivational Interviewing DVD (watch in class; Disc 1, Program B, Chapter 7) • • • Adult Counseling Teyber – Chapter 4 (read prior to class) Motivational Interviewing DVD (watch in class; Disc 1, Program B, remainder of Chapter 2; Chapters 3 - 6) • Page 10 Date • Relational themes and reparative experiences • • • Teyber – Chapter 8 Essay question homework Discussion board Date • An interpersonal solution • • • Teyber – Chapter 9 Essay question homework Discussion board Date (Meet in person) • Solution-focused counseling #7: Changing the viewing of the problem; Putting solutionfocused counseling into practice • Teyber – Chapter 10 (read prior to class) Counseling technique presentations – groups #1 & #2 • Date (Meet in person) • Solution-focused counseling #8: When and how to end counseling; When things don’t go as planned • Counseling technique presentations – groups #3 & #4 Date • Psychopharmacology review Consultation • Course notes • Exam #2 (take home) • Date The instructor reserves the right to modify course requirements. 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