Central Washington University Assessment of Student Learning Department and Program Report Please enter the appropriate information concerning your student learning assessment activities for this year. Academic Year of Report: 2009-2010 Department: Psychology College: COTS Program: M.S. Mental Health Counseling 1. What student learning outcomes were assessed this year, and why? In answering this question, please identify the specific student learning outcomes you assessed this year, reasons for assessing these outcomes, with the outcomes written in clear, measurable terms, and note how the outcomes are linked to department, college and university mission and goals. The Mental Health Counseling Graduate Program has chosen to assess the all three student learning outcomes: 1. Academic Performance/Thesis Development: Candidates will organize their work effectively, demonstrate critical thinking skills, function independently, and use data/research to conceptualize their thinking. a. In addition to the general assessments in this area, we also started assessing students on the 118 general and mental-health specific CACREP standards. These have been assigned to required classes in the program, and each class will assess a portion of the standards. 2. Clinical Performance. Candidates will demonstrate skills in oral and written communication, listening to client’s concerns, interpersonal relations, and respect for human diversity. Candidates will demonstrate responsiveness to supervision. 3. Other Professional/Personal Development: Candidates will take initiative for their clinical, academic, and personal duties. They will demonstrate dependability and time management skills. Candidates will also maintain professional/ethical behavior, work as a team with peers, maintain flexibility when approaching clinical and academic concerns, and demonstrate appropriate self-awareness of personal strengths and weaknesses. Please see Appendix 1 “Psychology Student Learning Outcomes for 2009-10” for a list of these SLOs and a summary of the related department, college and university mission and goals. Please see Appendix 2 “CACREP Standards” for a list of the new standards that will be assessed for every student using artifacts in all classes. 2. How were they assessed? In answering these questions, please concisely describe the specific methods used in assessing candidate learning. Please also specify the population assessed, when the assessment took place, and the standard of mastery (criterion) against which you will compare your assessment results. If appropriate, please list survey or questionnaire response rate from total population. A) What methods were used? B) Who was assessed? C) When was it assessed? Mental health counseling graduate candidates are reviewed once a year by the program faculty using the Assessment of Candidate Progress Form. This assessment covers academic progress, clinical skills, and professional/disposition aspects. In 2009-10, there were eight 1st year candidates and eleven 2nd year candidates in the program. All of the 2nd year candidates were assessed during Winter 2010 and all of the 1st year candidates were assessed Spring 2010. Candidates are also evaluated in the middle and end of each practica. These rating scales are completed with peer supervision; i.e., if a negative evaluation is warranted, the supervisor must receive corroboration from another faculty member who has viewed the artifacts for that course. After completing the practica, candidates begin their two-quarter internship. Ten candidates completed the mental health counseling internship and four more are in process. 7/24/16 1 a) Assessment of Candidate Progress: With this form, the program faculty review every candidate during his/her first and second year. Candidates who receive “unacceptable” scores in knowledge, skills, or dispositions are provided specific feedback on how to improve. If candidates cannot receive a satisfactory score by the winter of their second year, they will not be allowed to proceed toward internship. The following figure shows the most recent scores. Candidates who started their program in 2009 will not receive their final evaluation scores until Winter 2011. 4 3.5 3 2.5 2 1.5 1 0.5 0 2005 2006 2007 2008 2009 Initial Knowledge Initial Skills Initial Disposition Final Knowledge Final Skills Final Disposition b) During every candidate’s first quarter, they are required to take a multicultural counseling class (PSY 574). At the beginning of course, we provide them with the Multicultural Awareness, Knowledge, Skills Survey Counselor Edition-Revised (Kim, Cartwright, Asay, & Daniels, 2003). This assessment consists of 33 questions and is split into three content areas: Multicultural Awareness, Multicultural Knowledge, and Multicultural Skills. The test is provided to candidates at the beginning and end of the course to assess their competency. It is provided again at the end of the course to measure their improvement. The data below is for the last three years. On average, candidates raised their scores on each of the three areas. This data is not reported in the program assessment review because it is used to measure candidate competence without a forced criterion. Assessing candidate competency provides a mechanism for how much training will be needed to assist candidates through their development. c) Capstone (internship) evaluation. In addition to receiving top marks on their National Counseling Exam, this year’s cohort also received strong scores on their internship evaluations. The large cohort admitted in 2008 will not complete their internships until summer 2010. For the 2007 cohort, the students averaged 4.7 (out of 5.0) on the 59 benchmarks. d) New to this year we also started assessing students in classes on the 118 general and mental-health specific CACREP standards. This process started in Spring 2010. Beginning in Fall 2010, it will become required for all classes in the program. We also changed our rating scales from a 5-point scale to a 4-point scale. The 2nd year students remained on the old 5-point scale, so their scores are artificially higher. 3. What was learned? In answering this question, please report results in specific qualitative or quantitative terms, with the results linked to the outcomes you assessed, and compared to the standard of mastery (criterion) you noted above. Please also include a concise interpretation or analysis of the results. Candidate Learning Outcomes Academic Performance/Thesis Development: Candidates will organize their work effectively, demonstrate critical thinking skills, function independently, and use data/research to conceptualize their thinking. 7/24/16 Criterion of Mastery Assessment Results By their second review, candidates must receive a “2.5” or above in all three categories to continue in the program. Candidates failing to 11 out of 11 2nd year candidates (100%) received a “3” or higher on the “Academic Performance” section of the Assessment of Candidate Progress Form. Average 2 reach this benchmark may petition for another evaluation the following quarter. Clinical Performance: Candidates will demonstrate skills in oral and written communication, listening to client’s concerns, interpersonal relations, and respect for human diversity. Candidates will demonstrate responsiveness to supervision. score was 3.7. 8 out of 8 1st year candidates (100%) received a “3” or higher on the “Academic Performance” section of the Assessment of Candidate Progress Form. Average score was 3.19. CACREP. The new national standards require all students to be measured by all standards. We rated each student on a 4-point scale, and scores are based on a course artifact. Overall, students averaged 3.12 on the first 47 scores assessed. By the end of their 2nd year, we will have scores on all 118 standards. By their second review, candidates must receive a “2.5” or above in all three categories to continue in the program. Candidates failing to reach this benchmark may petition for another evaluation the following quarter. 11 out of 11 2nd year candidates (100%) received a “3” or higher on the “Clinical Performance” section of the Assessment of Candidate Progress Form. Average score was 3.2. Candidates must receive a “2.5” (Expected performance) or above on their PSY 593A evaluation. They must receive a “Satisfactory” or above on 593B or C. 8 out of 8 1st year candidates (100%) received a “3” or above on their PSY 593A evaluation. Average score for the class was 3.05. 8 out of 8 1st year candidates (100%) received a “3” or higher on the “Clinical Performance” section of the Assessment of Candidate Progress Form. Average score was 3.1. 9 out of 9 candidates (100%) received a “Satisfactory” or above on 593B. Average score for the class was 3.02. Other Professional/Personal Development: Candidates will take initiative for their clinical, academic, and personal duties. They will demonstrate dependability and time management skills. Candidates will also maintain professional/ethical behavior, work as a team with peers, maintain flexibility when approaching clinical and academic concerns, and demonstrate appropriate self-awareness of personal strengths and weaknesses. 7/24/16 The candidate must not receive any “1”s on the 59item evaluation from PSY 681B. 3 candidates completed the PSY 681B Mental Health Counseling Internship. 100% earned scores above “3” on the evaluation form. The average score (on a scale of 1 to 5) was 4.6 By their second review, candidates must receive a “2.5” or above in all three categories to continue in the program. Candidates failing to reach this benchmark may petition for another evaluation the following quarter. 11 out of 11 2nd year candidates (100%) received a “3” or higher on the “Professional/Personal Development” section of the Assessment of Candidate Progress Form. Average score was 3.36. 3 7 out of 8 1st year candidates (87.5%) received a “3” or higher on the “Professional/Personal Development” section of the Assessment of Candidate Progress Form. Average score was 3.1. Evaluation of Candidate’s Multicultural Competencies. Candidates must receive a “2.5” or above in all categories to continue in the program. Candidates receive a score of multicultural competence as they finish their coursework. All 11 candidates received scores above 3. Average score across all domains was 4.1. National Counseling Examination. The National Board for Certified Counselors released data on all candidates. All 6 CWU candidates passed every section of the National exam (which is very rare). Based on these assessment results, we can draw the following conclusions: The 2nd year cohort of candidates is performing very well in the program and have all achieved the criterion of mastery on the practicum evaluations and all sections of the Assessment of Candidate Progress. The 1st year cohort of candidates is generally doing well. None of the candidates in the 1 st year group had to repeat PSY 593A. 4. What will the department or program do as a result of that information? In answering this question, please note specific changes to your program as they affect candidate learning, and as they are related to results from the assessment process. If no changes are planned, please describe why no changes are needed. In addition, how will the department report the results and changes to internal and external constituents (e.g., advisory groups, newsletters, forums, etc.). The Mental Health Counseling program faculty met to discuss the year’s program data on June 7, 2010. In addition to the data described above, we also responded to data from our alumni survey and our employer survey. These results will be posted on our web site in the fall. Preliminary summaries were already mailed to the alumni. The following changes were adopted for the coming academic year (2010-11): We will complete the first assessment process of the 118 CACREP standards. These will measure every student in every course. This is a massive undertaking that took three years to design. Initial assessments have been successful. The program received full CACREP approval in July 2009. 5. What did the department or program do in response to last year’s assessment information? In answering this question, please describe any changes that have been made to improve candidate learning based on previous assessment results. Please also discuss any changes you have made to your assessment plan or assessment methods. Generally, the high scores reported by our cohorts were encouraging. Based on the scores from last year, we completely changed the assessment method for 593A, reducing the overall number of items assessed and highlighting the most important. The mission statements for the Mental Health Counseling program was edited and shortened. We formalized the process of reviewing practica candidates. This came in response to two candidates who were failing at midterm. We needed a mechanism to remove as much subjectivity (or perceived subjectivity) from the review process. All practica and assessment assessments are now completely online. 6. Questions or suggestions concerning Assessment of Candidate Learning at Central Washington University: The Psychology Department recommends the following change to Assessment of Student Learning at CWU: There should be an identified assessment coordinator for each department. This individual should have a specified number of service WL units that accurately reflects the complexity and enormity of the 7/24/16 4 assessment process. These service WL units should be above and beyond the regular service allocation for that individual (essentially resulting in some reassigned time from either teaching or scholarship). With a large undergraduate major, students at five university centers, and four different masters degree programs (three of which must meet external certification and accreditation standards), our department assessment routine is a daunting task. 7/24/16 5 Appendix 1 “Appendix 1: Psychology Student Learning Outcomes for 2009-10” Candidate Learning Outcomes Related Program Goals Related Departmental Goals Related College Goals Related University Goals 1. Academic Performance/Thesis Development: Students will organize their work effectively, demonstrate critical thinking skills, function independently, and use data/research to conceptualize their thinking. 1. Assist the department in fulfilling the department goals. 1. Maintain currency of academic programs Goals I:& II: Maintain and strengthen an outstanding academic and student life at all sites Goals I:& II: Maintain and strengthen an outstanding academic and student life at all sites Goal III: Provide for outstanding graduate programs that meet focused regional needs and achieve academic excellence. Goal V: Achieve regional and national prominence for the university. 2. Prepare students for careers in the field of mental health to provide a full range of Mental Health Counseling services. 3. Meet or exceed current national standards for professional training 2. Promote effective teaching 3. Promote excellence in learning to prepare students for careers and advanced study 8. Serve as a center for psychological and educational services to the community and region Method(s) of Assessment Assessment of candidate progress form (Appended. Academic performance category Includes all coursework and thesis research Comprehensive examination. They may either pass (1) the internal comprehensive exam, (2) the national Counselor Preparation Comprehensive Examination (CPCE), or a portfolio review. Who Assessed All students in program. assessed by student’s advisor (based on aggregated CACREP scores) All students When Assessed Standard of Mastery/ Criterion of Achievement Assessment of candidate progress is completed the spring of first year and winter of second year. By their second review, students must receive a “3” or above in all three categories to continue in the program. Students failing to reach this benchmark may petition for another evaluation the following quarter. Prior to graduation If the student opts for the internal test, they must pass all eight categories (no failing scores) to pass the test. Thesis chair and committee must sign off on defense. Thesis oral defense Prior to graduation 7/24/16 6 Candidate Learning Outcomes 2. Clinical Performance. Students will demonstrate skills in oral and written communication, listening to client’s concerns, interpersonal relations, and respect for human diversity. Students will demonstrate responsiveness to supervision. Related Program Goals Related Departmental Goals Related College Goals Related University Goals 1. Assist the department in fulfilling the department goals. 3. Promote excellence in learning to prepare students for careers and advanced study 2. Prepare students for careers in the field of mental health to provide a full range of Mental Health Counseling services. 6. Pursue diversity goals by attracting women and minority students and faculty members and by increasing student and faculty contact with diverse populations. Goal III: Provide for outstanding graduate programs that meet focused regional needs and achieve academic excellence. Goals I:& II: Maintain and strengthen an outstanding academic and student life at all sites 3. Meet or exceed current national standards for professional training. 7/24/16 8. Serve as a center for psychological and educational services to the community and region 7 Goal V: Build partnerships that with private, professional, academic, government, and community-based organizations. Goal VI: Build inclusive and diverse campus communities that promote intellectual inquiry Method(s) of Assessment Assessment of candidate progress form (Appended. Clinical Performance category. includes all aspects of clinical skills development). Who Assessed All students in program. assessed by student’s advisor (based on aggregated CACREP scores) When Assessed Standard of Mastery/ Criterion of Achievement Assessment of candidate progress is completed the spring of first year and winter of second year. By their second review, students must receive a “3” or above in all three categories to continue in the program. Students failing to reach this benchmark may petition for another evaluation the following quarter. PSY 593A is started either the student’s first or second quarter. Students continue to take the sequence until every quarter until they complete PSY 681B. Students must receive a “3” (Expected performance) or above on their PSY 593A evaluation. They must receive a “Satisfactory” or above on 593B or C. Candidate Learning Outcomes Related Program Goals Related Departmental Goals Related College Goals Related University Goals 3. Other Professional/Personal Development: Students 1. Assist the department in fulfilling the department goals. 3. Promote excellence in learning to prepare students for careers and advanced study 2. Train specialists to provide comprehensive, developmental guidance programs in the schools 8. Serve as a center for psychological and educational services to the community and region Goal VII: Create and sustain productive, civil, and pleasant learning environments. Goals I:& II: Maintain and strengthen an outstanding academic and student life at all sites will take initiative for their clinical, academic, and personal duties. They will demonstrate dependability and time management skills. Students will also maintain professional/ethical behavior, work as a team with peers, maintain flexibility when approaching clinical and academic concerns, and demonstrate appropriate self-awareness of personal strengths and weaknesses. 3. Meet or exceed current national standards for professional training Goal VI: Build inclusive and diverse campus communities that promote intellectual inquiry Method(s) of Assessment Assessment of candidate progress form (Appended. Other Professional and Personal Development category) Program Director’s Evaluation of Candidate’s Multicultural Competencies PSY 593A, B, and C evaluations are completed the faculty supervisor. PSY 681A and 681B evaluations are completed by the onsite supervisor. Who Assessed All students in program. assessed by student’s advisor (based on aggregated CACREP scores) Program director When Assessed Standard of Mastery/ Criterion of Achievement Assessment of candidate progress is completed the spring of first year and winter of second year. By their second review, students must receive a “3” or above in all three categories to continue in the program. Students failing to reach this benchmark may petition for another evaluation the following quarter. Evaluation comes during 682B Students must receive a “3” or better on their overall multicultural competencies evaluation. PSY 593A is started either the student’s second or third quarter. Students continue to take the sequence until every quarter until they complete PSY 681B. Students may not receive a “1” on any item on the 593A,593B,593C,681A, and 682B assessments. They must also receive an overall score of “3” (satisfactory). *CACREP is the leading national body for accrediting educational programs in mental health counseling. It establishes standards for the institution, program objectives and curriculum (including foundations, contextual dimensions, and knowledge and skills), clinical instruction, faculty and staff, organization and administration, and evaluations in the program. The current CACREP standards may be found at http://www.cacrep.org/2001Standards.html 7/24/16 8 Appendix 2: CACREP Standards After completing their program, students will have multiple scores on these 118 standards. The scores will be aggregated and used to provide the Assessment of Candidate Progress evaluations in Spring and Winter. Standard G. Common core curricular experiences and demonstrated knowledge in each of the eight common core curricular areas are required of all students in the program. 1. PROFESSIONAL ORIENTATION AND ETHICAL PRACTICE—studies that provide an understanding of all of the following aspects of professional functioning: G.1.a. history and philosophy of the counseling profession; G.1.b. professional roles, functions, and relationships with other human service providers, including strategies for interagency/interorganization collaboration and communications; G.1.c. counselors’ roles and responsibilities as members of an interdisciplinary emergency management response team during a local, regional, or national crisis, disaster or other trauma-causing event; G.1.d. self-care strategies appropriate to the counselor role; G.1.e. counseling supervision models, practices, and processes; G.1.f. professional organizations, including membership benefits, activities, services to members, and current issues; G.1.g. professional credentialing, including certification, licensure, and accreditation practices and standards, and the effects of public policy on these issues; G.1.h. the role and process of the professional counselor advocating on behalf of the profession; G.1.i. advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients; and G.1.j. ethical standards of professional organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling. 2. SOCIAL AND CULTURAL DIVERSITY—studies that provide an understanding of the cultural context of relationships, issues, and trends in a multicultural society, including all of the following: G.2.a. multicultural and pluralistic trends, including characteristics and concerns within and among diverse groups nationally and internationally; G.2.b. attitudes, beliefs, understandings, and acculturative experiences, including specific experiential learning activities designed to foster students’ understanding of self and culturally diverse clients; G.2.c. theories of multicultural counseling, identity development, and social justice; G.2.d individual, couple, family, group, and community strategies for working with and advocating for diverse populations, including multicultural competencies; G.2.e counselors’ roles in developing cultural self-awareness, promoting cultural social justice, advocacy and conflict resolution, and other culturally supported behaviors that promote optimal wellness and growth of the human spirit, mind, or body; and G.2.f. counselors’ roles in eliminating biases, prejudices, and processes of 7/24/16 9 Assessment course Primary Secondary 502 / 503 502 / 503 502 / 503 681b,682B 502 / 503 593A 502 / 503 593a 681B 502 / 503 681b,682B 502 / 503 574,584 574 589 574 574 574 561 574 574 574 Standard intentional and unintentional oppression and discrimination. 3. HUMAN GROWTH AND DEVELOPMENT—studies that provide an understanding of the nature and needs of persons at all developmental levels and in multicultural contexts, including all of the following: G.3.a. theories of individual and family development and transitions across the life span; G.3.b. theories of learning and personality development, including current understandings about neurobiological behavior; G.3.c. effects of crises, disasters, and other trauma-causing events on persons of all ages; G.3.d. theories and models of individual, cultural, couple, family, and community resilience; G.3.e a general framework for understanding exceptional abilities and strategies for differentiated interventions; G.3.f. human behavior, including an understanding of developmental crises, disability, psychopathology, and situational and environmental factors that affect both normal and abnormal behavior; G.3.g. theories and etiology of addictions and addictive behaviors, including strategies for prevention, intervention, and treatment; and G.3.h. theories for facilitating optimal development and wellness over the life span. 4. CAREER DEVELOPMENT—studies that provide an understanding of career development and related life factors, including all of the following: G.4.a. career development theories and decision-making models; G.4.b. career, avocational, educational, occupational and labor market information resources, and career information systems; G.4.c. career development program planning, organization, implementation, administration, and evaluation; G.4.d. interrelationships among and between work, family, and other life roles and factors, including the role of multicultural issues in career development; G.4.e. career and educational planning, placement, follow-up, and evaluation; G.4.f. assessment instruments and techniques relevant to career planning and decision making; and G.4.g. career counseling processes, techniques, and resources, including those applicable to specific populations in a global economy. 5. HELPING RELATIONSHIPS—studies that provide an understanding of the counseling process in a multicultural society, including all of the following: G.5.a. an orientation to wellness and prevention as desired counseling goals; G.5.b. counselor characteristics and behaviors that influence helping processes; G.5.c. essential interviewing and counseling skills; G.5.d. 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 current professional research and practice in the field so they begin to develop a personal model of counseling; G.5.e. a systems perspective that provides an understanding of family and other systems theories and major models of family and related interventions; 7/24/16 10 Assessment course Primary Secondary 571 552 584 552 552 552 552 552 552 573 573 573 573 573 573 573 560 593A 568 560 593c 560, 593b, 568 560,593b 593b 571 568 Standard G.5.f. a general framework for understanding and practicing consultation; and G.5.g. crisis intervention and suicide prevention models, including the use of psychological first aid strategies. 6. GROUP WORK—studies that provide both theoretical and experiential understandings of group purpose, development, dynamics, theories, methods, skills, and other group approaches in a multicultural society, including all of the following: G.6.a. principles of group dynamics, including group process components, developmental stage theories, group members’ roles and behaviors, and therapeutic factors of group work; G.6.b. group leadership or facilitation styles and approaches, including characteristics of various types of group leaders and leadership styles; G.6.c. theories of group counseling, including commonalities, distinguishing characteristics, and pertinent research and literature; G.6.d. group counseling methods, including group counselor orientations and behaviors, appropriate selection criteria and methods, and methods of evaluation of effectiveness; and G.6.e. direct experiences in which students participate as group members in a small group activity, approved by the program, for a minimum of 10 clock hours over the course of one academic term. 7. ASSESSMENT—studies that provide an understanding of individual and group approaches to assessment and evaluation in a multicultural society, including all of the following: G.7.a. historical perspectives concerning the nature and meaning of assessment; G.7.b. basic concepts of standardized and nonstandardized testing and other assessment techniques, including norm-referenced and criterion-referenced assessment, environmental assessment, performance assessment, individual and group test and inventory methods, psychological testing, and behavioral observations; G.7.c. statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations; G.7.d. reliability (i.e., theory of measurement error, models of reliability, and the use of reliability information); G.7.e. validity (i.e., evidence of validity, types of validity, and the relationship between reliability and validity); G.7.f. social and cultural factors related to the assessment and evaluation of individuals, groups, and specific populations; and G.7.g. ethical strategies for selecting, administering, and interpreting assessment and evaluation instruments and techniques in counseling. 8. RESEARCH AND PROGRAM EVALUATION—studies that provide an understanding of research methods, statistical analysis, needs assessment, and program evaluation, including all of the following: G.8.a. the importance of research in advancing the counseling profession; G.8.b. research methods such as qualitative, quantitative, single-case designs, action research, and outcome-based research; G.8.c. statistical methods used in conducting research and program evaluation; G.8.d. principles, models, and applications of needs assessment, program 7/24/16 11 Assessment course Primary Secondary 502 / 503 560 593b 560, 568 561 561 681b 561 561 681b 561 544 544 544 544 568 544 568 544 568 568 / 567 544 568 / 567 555 555 568 555 555 568 Standard evaluation, and the use of findings to effect program modifications; G.8.e. the use of research to inform evidence-based practice; and G.8.f. ethical and culturally relevant strategies for interpreting and reporting the results of research and/or program evaluation studies. CLINICAL MENTAL HEALTH COUNSELING Students who are preparing to work as clinical mental health counselors will demonstrate the professional knowledge, skills, and practices necessary to address a wide variety of circumstances within the clinical mental health counseling context. In addition to the common core curricular experiences outlined in Section II.F, programs must provide evidence that student learning has occurred in the following domains: FOUNDATIONS A. Knowledge MH.A.1. Understands the history, philosophy, and trends in clinical mental health counseling. MH.A.2. Understands ethical and legal considerations specifically related to the practice of clinical mental health counseling. MH.A.3. Understands the roles and functions of clinical mental health counselors in various practice settings and the importance of relationships between counselors and other professionals, including interdisciplinary treatment teams. MH.A.4. Knows the professional organizations, preparation standards, and credentials relevant to the practice of clinical mental health counseling. MH.A.5. Understands a variety of models and theories related to clinical mental health counseling, including the methods, models, and principles of clinical supervision. MH.A.6. Recognizes the potential for substance use disorders to mimic and coexist with a variety of medical and psychological disorders. MH.A.7. Is aware of professional issues that affect clinical mental health counselors (e.g., core provider status, expert witness status, access to and practice privileges within managed care systems). MH.A.8. Understands the management of mental health services and programs, including areas such as administration, finance, and accountability. MH.A.9. Understands the impact of crises, disasters, and other trauma-causing events on people. MH.A.10. Understands the operation of an emergency management system within clinical mental health agencies and in the community. B. Skills and Practices MH.B.1. Demonstrates the ability to apply and adhere to ethical and legal standards in clinical mental health counseling. MH.B.2. Applies knowledge of public mental health policy, financing, and regulatory processes to improve service delivery opportunities in clinical mental health counseling. COUNSELING, PREVENTION, AND INTERVENTION C. Knowledge MH.C.1. Describes the principles of mental health, including prevention, intervention, consultation, education, and advocacy, as well as the operation of programs and networks that promote mental health in a multicultural society. 7/24/16 12 Assessment course Primary Secondary 568 / 567 568 / 567 555,593a,593b 555 502 589 502 502 681a 502 593c 568 584 589 681B 568 560 593a 589 681B 574 593A Standard MH.C.2. Knows the etiology, the diagnostic process and nomenclature, treatment, referral, and prevention of mental and emotional disorders. MH.C.3. Knows the models, methods, and principles of program development and service delivery (e.g., support groups, peer facilitation training, parent education, self-help). MH.C.4. Knows the disease concept and etiology of addiction and co-occurring disorders. MH.C.5 Understands the range of mental health service delivery—such as inpatient, outpatient, partial treatment and aftercare—and the clinical mental health counseling services network. MH.C.6. Understands the principles of crisis intervention for people during crises, disasters, and other trauma-causing events. MH.C.7. Knows the principles, models, and documentation formats of biopsychosocial case conceptualization and treatment planning. MH.C.8 Recognizes the importance of family, social networks, and community systems in the treatment of mental and emotional disorders. MH.C.9 Understands professional issues relevant to the practice of clinical mental health counseling. D. Skills and Practices MH.D.1. Uses the principles and practices of diagnosis, treatment, referral, and prevention of mental and emotional disorders to initiate, maintain, and terminate counseling. MH.D.2. Applies multicultural competencies to clinical mental health counseling involving case conceptualization, diagnosis, treatment, referral, and prevention of mental and emotional disorders. MH.D.3. Promotes optimal human development, wellness, and mental health through prevention, education, and advocacy activities. MH.D.4. Applies effective strategies to promote client understanding of and access to a variety of community resources. MH.D.5. Demonstrates appropriate use of culturally responsive individual, couple, family, group, and systems modalities for initiating, maintaining, and terminating counseling. MH.D.6. Demonstrates the ability to use procedures for assessing and managing suicide risk. MH.D.7 Applies current record-keeping standards related to clinical mental health counseling. MH.D.8. Provides appropriate counseling strategies when working with clients with addiction and co-occurring disorders. MH.D.9. Demonstrates the ability to recognize his or her own limitations as a clinical mental health counselor and to seek supervision or refer clients when appropriate. DIVERSITY AND ADVOCACY E. Knowledge MH.E.1. Understands how living in a multicultural society affects clients who are seeking clinical mental health counseling services. MH.E.2. Understands the effects of racism, discrimination, sexism, power, privilege, and oppression on one’s own life and career and those of the client. 7/24/16 13 Assessment course Primary Secondary 584 560 567 584 568 681A 593B 593B 571 560 593A 593B 574 593C 593B 593C 593A 593B,593C 593B 593A,593C 593B,593C 593B,593C 593A 593B,593C 574 681B 574 681B Standard MH.E.3. Understands current literature that outlines theories, approaches, strategies, and techniques shown to be effective when working with specific populations of clients with mental and emotional disorders. MH.E.4. Understands effective strategies to support client advocacy and influence public policy and government relations on local, state, and national levels to enhance equity, increase funding, and promote programs that affect the practice of clinical mental health counseling. MH.E.5. Understands the implications of concepts such as internalized oppression and institutional racism, as well as the historical and current political climate regarding immigration, poverty, and welfare. MH.E.6. Knows public policies on the local, state, and national levels that affect the quality and accessibility of mental health services. F. Skills and Practices MH.F.1. Maintains information regarding community resources to make appropriate referrals. MH.F.2. Advocates for policies, programs, and services that are equitable and responsive to the unique needs of clients. MH.F.3. Demonstrates the ability to modify counseling systems, theories, techniques, and interventions to make them culturally appropriate for diverse populations. ASSESSMENT G. Knowledge MH.G.1. Knows the principles and models of assessment, case conceptualization, theories of human development, and concepts of normalcy and psychopathology leading to diagnoses and appropriate counseling treatment plans. MH.G.2. Understands various models and approaches to clinical evaluation and their appropriate uses, including diagnostic interviews, mental status examinations, symptom inventories, and psychoeducational and personality assessments. MH.G.3. Understands basic classifications, indications, and contraindications of commonly prescribed psychopharmacological medications so that appropriate referrals can be made for medication evaluations and so that the side effects of such medications can be identified. MH.G.4. Identifies standard screening and assessment instruments for substance use disorders and process addictions. H. Skills and Practices MH.H.1. Selects appropriate comprehensive assessment interventions to assist in diagnosis and treatment planning, with an awareness of cultural bias in the implementation and interpretation of assessment protocols. MH.H.2. Demonstrates skill in conducting an intake interview, a mental status evaluation, a biopsychosocial history, a mental health history, and a psychological assessment for treatment planning and caseload management. MH.H.3. Screens for addiction, aggression, and danger to self and/or others, as well as co-occurring mental disorders. MH.H.4. Applies the assessment of a client’s stage of dependence, change, or recovery to determine the appropriate treatment modality and placement criteria within the continuum of care. RESEARCH AND EVALUATION 7/24/16 14 Assessment course Primary Secondary 560 681A 574 682B 593B 593C 593B 593C,682B 574 682B 568 584,593B 568 544 584 568 56 584 593B 593B 593B 593B Standard I. Knowledge MH.I.1. Understands how to critically evaluate research relevant to the practice of clinical mental health counseling. MH.I.2. Knows models of program evaluation for clinical mental health programs. MH.I.3. Knows evidence-based treatments and basic strategies for evaluating counseling outcomes in clinical mental health counseling. J. Skills and Practices MH.J.1. Applies relevant research findings to inform the practice of clinical mental health counseling. MH.J.2. Develops measurable outcomes for clinical mental health counseling programs, interventions, and treatments. MH.J.3. Analyzes and uses data to increase the effectiveness of clinical mental health counseling interventions and programs. DIAGNOSIS K. Knowledge MH.K.1. Knows the principles of the diagnostic process, including differential diagnosis, and the use of current diagnostic tools, such as the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). MH.K.2. Understands the established diagnostic criteria for mental and emotional disorders, and describes treatment modalities and placement criteria within the continuum of care. MH.K.3. Knows the impact of co-occurring substance use disorders on medical and psychological disorders. MH.K.4. Understands the relevance and potential biases of commonly used diagnostic tools with multicultural populations. MH.K.5. Understands appropriate use of diagnosis during a crisis, disaster, or other trauma-causing event. L. Skills and Practices MH.L.1. Demonstrates appropriate use of diagnostic tools, including the current edition of the DSM, to describe the symptoms and clinical presentation of clients with mental and emotional impairments. MH.L.2. Is able to conceptualize an accurate multi-axial diagnosis of disorders presented by a client and discuss the differential diagnosis with collaborating professionals. MH.L.3. Differentiates between diagnosis and developmentally appropriate reactions during crises, disasters, and other trauma-causing events. 7/24/16 15 Assessment course Primary Secondary 555 593A 502 568 555 593B 593C,681B 555 593B 584 584 568 584 574 584 584 584 584 593B