COUN-612 COUNSELING STRATEGIES FOR HEALTHY ADJUSTMENT Summer 2010 SB=South Boston SVHED / FVL=Farmville Campus INSTRUCTOR: Dr. Jennifer Apperson PHONE: 434-395-2323 E-MAIL: appersonjm@longwood.edu OFFICE: 303 Ruffner, Farmville, VA 23909 HOURS: before class or by appointment COURSE DESCRIPTION: An examination of counseling issues and treatment strategies for a variety of personal and interpersonal adjustment problems relevant for school and community based counseling. Students will learn to plan effective individual treatment approaches based on interventions with demonstrated effectiveness. REQUIRED TEXTS: Welfel, E.R. & Ingersoll, R.E., Eds. (2001). The Mental Health Desk Reference. John Wiley & Sons, Inc.: N.Y., N.Y. And choose the most appropriate ONE of the following: Jongsma, A.E. & Peterson, L.M. (2004). The Complete Adult Psychotherapy Treatment Planner. 4th Ed. New York: John Wiley & Sons, Inc. or Knapp, S.E., & Jongsma, A.E. (2002). The School Counseling and School Social Work Treatment Planner. New York: John Wiley & Sons, Inc COURSE OBJECTIVES: Students successfully completing EDUC-612 will demonstrate through written assignments, class discussions, and essay examinations: 1. An understanding of personal and social problems as a set of life challenges and opportunities for personal growth. 2. An understanding of the adaptive and maladaptive processes by which individuals attempt to cope with and resolve significant life challenges. 3. A working knowledge of the counselor skills appropriate to facilitating the task of personal growth in the face of adversity. 4. A familiarity with the assessment of, and counseling strategies specifically associated with the following life challenges (and others as appropriate to the class): (not in this order) anger management anxiety behavior problems depression and other mood problems dissociative disorders eating disorders enuresis/encopresis impulse control problems loss loss of contact with reality school refusal sexual and gender identity issues situationally precipitated problems sleep problems somatoform disorders substance abuse other issues/problems 5. An understanding of growth and change through adaptation to life challenges as an ongoing developmental process. 6. The ability to interpret and construct behaviorally oriented treatment plans reflecting evidence based practices for addressing therapeutic issues. COURSE OUTLINE AND ASSIGNMENTS: UNIT 1 (SB: May 2-3/FVL: June 11, 12, 18) Lecture topics: Introduction, common counseling issues, review syllabus, what is healthy functioning?, goals of counseling, healthy coping strategies, stress. Reading assignment: In Welfel & Ingersoll: Chapter 7, Stress, Coping, and Well-Being: Applications of Theory to Practice, pp.44-50 In Treatment Planning: NA Lecture topic: Writing behaviorally oriented treatment plans. Reading assignment: In Welfel & Ingersoll: Chapter 12, Effective Treatment Planning, pp. 83-87; (optional, Chapter 1, pp. 3-9; Chapter 10, pp.69-76; Chapter 11, pp.77-82; Chapter 13, pp. 88-93) In Treatment Planning: Introduction Lecture topic: When coping fails: Effective counseling strategies for dealing with situationally precipitated problems (adjustment disorders, stress). Reading assignment: In Welfel & Ingersoll: Chapter 3, Counseling the Unemployed and Underemployed Clients,, pp. 18-24; Chapter 4, Effective College Counseling, pp. 25-31. In Treatment Planning: Financial Stress, Type A Behavior, Vocational Stress, Legal Conflicts, Blended Family, Phase of Life Problems, Parenting, Poverty/Economic Concerns, Teen Pregnancy, Family Conflict, Intimate Relationship Conflicts, Sibling Rivalry, Blended Family, Conflict Management, Diversity/Tolerance Training Lecture topic: Effective counseling strategies for dealing with Substance use/abuse Reading assignment: In Welfel & Ingersoll: Chapter 19, Clinical Practice Issues in Assessing for Adult Substance Use Disorders, pp. 128-134; Chapter 33, Substance Abuse among Children and Adolescents, pp. 231238. In Treatment Planning: Chemical Dependence, Chemical Dependence-Relapse, Substance Abuse UNIT 2 (SB: May 16-17/FVL: June 19, 25, 26) Lecture topic: Effective counseling strategies for dealing with anxiety problems Reading assignment: In Welfel & Ingersoll: Chapter 16, Treating Anxiety Disorders in Adults, pp. 106-111; Chapter 25, Treating Anxiety Disorders in Children, pp. 177-183; Chapter 36, Responding to Survivors of Sexual Assault, pp. 252-258, Chapter 24, Child Maltreatment: Treatment of Child and Adolescent Victims, pp. 169-176. In Treatment Planning: Anxiety, Phobia, Panic/Agoraphobia, Social Phobia/Shyness, ObsessiveCompulsive Disorder, Posttraumatic Stress Disorder, Sexual Abuse Victims, Sexual Abuse, Separation Anxiety, Anxiety Reduction Lecture topic: Effective counseling strategies for dealing with loss Reading assignment: In Welfel & Ingersoll: Chapter 6, Death and Bereavement, pp. 38-43 In Treatment Planning: Grief/Loss Unresolved Grief/Loss, Lecture topic: Effective counseling strategies for dealing with disorders involving loss of contact with reality. Reading assignment: In Welfel & Ingersoll: Chapter 21, Schizophrenia and Severe Mental Illness: guidelines for Assessment, Treatment, and Referral, pp. 142-154. In Treatment Planning: Psychoticism Lecture topic: Effective counseling strategies for dealing with dissociative disorders Reading assignment: In Welfel & Ingersoll: NA In Treatment Planning: Dissociation Discussion topic: Evaluating the effectiveness of treatments Reading assignment: Internet sources on help groups, class discussion UNIT 3 (SB: May 30-31/FVL: June 28 [9:00-5:00], July 2) Midterm Exam Date: SB: Friday May 30/F: Saturday June 28 am Lecture topic: Counseling strategies for effectively dealing with depression and other mood problems Reading assignment: In Welfel & Ingersoll: Chapter 17, Diagnosis and Treatment of Adult Depressive Disorders, pp. 112-118; Chapter 28, Assessment and Treatment Recommendations for Children and Adolescents with Depresion, pp. 199-204; Chapter 37, Suicide Risk Assessment, pp. 259-263; Chapter 38, Counseling Interventions with Suicidal Clients, pp. 264-270. In Treatment Planning: Depression, Mania or Hypomania, Suicidal Ideation/Attempt, Depression, Suicidal Ideation/Attempt Lecture topic: Counseling strategies for effectively dealing with eating disorders Reading assignment: In Welfel & Ingersoll: Chapter 8, The Fat Client, pp. 51-59; Chapter18, Eating Disorders: Guidelines for Assessment, Treatment, and Referral, pp.119-134. In Treatment Planning: Eating Disorders Lecture topic: Counseling strategies for effectively dealing with impulse control problems Reading assignment: In Welfel & Ingersoll: NA In Treatment Planning: Conduct Disorder/Delinquency, Fire Setting, Oppositional Defiant, Anger Management, Impulse Control Disorder, Attention-Seeking Behavior, Anger Management/Aggression UNIT 4 (SB: June 6-7/FVL: July 3, 9, 10) Lecture topic: Counseling strategies for effectively dealing with childhood behavior problems Reading assignment: In Welfel & Ingersoll: Chapter 26, Interventions for Attention-Deficit/Hyperactivity Disorder, pp. 183-190; Chapter 27, Bullying: Counseling Perpetrators and Victims, 191-198; Chapter 29, Counseling Interventions for Children with Disruptive Behaviors, pp. 205-212; (optional, Chapter 22, pp. 155-161; Chapter 23, pp. 162-168; Chapter 30, pp. 213-218; Chapter 31, pp. 213-224). In Treatment Planning: Attention-Deficit/Hyperactivity Disorder, Oppositional Defiant Disorder, Parenting Skills/Discipline, Responsible Behavior Training, Social Maladjustment/Conduct Disorder Lecture topic: Counseling strategies for effectively dealing with school refusal Reading assignment: In Welfel & Ingersoll: NA In Treatment Planning: School Refusal, School Refusal/Phobia Lecture topic: Counseling strategies for effectively dealing with enuresis/encopresis Reading assignment: In Welfel & Ingersoll: NA In Treatment Planning: Enuresis/Encopresis Lecture topic: Counseling strategies for effectively dealing with somatoform disorders & physical problems Reading assignment: In Welfel & Ingersoll: Chapter 2, Counseling Clients with Underlying Medical Problems, pp. 10-17. In Treatment Planning: Somatization, Chronic Pain, Medical Issues, Physical Disabilities/Challenges Lecture topic: Counseling strategies for effectively dealing with sexual & gender identity issues Reading assignment: In Welfel & Ingersoll: NA In Treatment Planning: Sexual Abuse Perpetrator, Female Sexual Dysfunction, Male Sexual Dysfunction, Sexual Abuse Lecture topic: Counseling strategies for effectively dealing with sleep disturbance Reading assignment: In Welfel & Ingersoll: NA In Treatment Planning: Sleep Disturbance Lecture topic: Counseling strategies for effectively dealing with personality disorders/traits. Only if time permits Reading assignment: In Welfel & Ingersoll: Chapter 20, Management of Personality Disorders, pp. 142-154. In Treatment Planning: Antisocial Behavior, Borderline Personality, Paranoid Ideation Cumulative Final Exam: SB: June 7/FVL: July 10 COURSE REQUIREMENTS: 1. Obtain and read the required texts. 2. Two short answer/essay EXAMINATIONS based on class discussions, lecture, and text book. 35% each. 3. CLASS DISCUSSION: From the following list of resources to which people in need sometimes turn (and which counselors might be tempted to use as referral sources), select a topic and conduct a brief Internet search to find information about the resource. Be very careful to screen your Internet sources for accuracy and for legitimacy. Working in groups, tell the class what the group or treatment is all about (no formal presentation is necessary). State what you would need to see to determine if it is a beneficial source of help or an effective treatment strategy and therefore a legitimate referral source, or strategy for you to use, potentially harmful, or neither. Examples: Scientology, The Forum (EST), AA/Alanon, EMDR, DBT, hypnosis, others? Part of the 10% participation grade. Due - SB: May 17/FVL: June 25. 4. CASE STUDY AND TREATMENT PLAN: The focus of this class is on identifying counseling issues and planning the most appropriate counseling strategies for those issues. Select one counseling issue of interest to you (and relevant to the age with which you wish to work). Locate and review 3-4 professional sources written in the past 5 years that identify the most effective way, according to the research, that a counselor can deal with that issue. Focus on evidence based treatments available. Construct an annotated bibliography of your sources. In some cases, the author will supply an excellent summary of their article (abstract). In these cases, copy the author’s summary and clearly state that you have copied the author’s abstract or summary. If the abstract is very short, give me enough to understand the author’s methodology and conclusions. Construct or find a detailed case study (approximately 1 page in length) of an individual exhibiting that counseling issue (again, if you copied from another source, cite the source). Using the format for treatment plans distributed in class construct a treatment plan according the guidelines used in this class. Your treatment plan should reflect the counseling strategies presented in the literature you reviewed. Prepare copies of the case study and treatment plan for the class. Be prepared to present the case, treatment plan and a brief justification for the intervention strategies to the class. Grades will be based on the quality of the sources, annotated bibliography, and treatment plan. Due the week we plan to cover similar concerns. 20%. HONOR CODE: The Longwood Honor Code indicates that students are on their honor not to lie, cheat or steal. Each student is to pledge that they have not done so, nor that they know of anyone else who has done so on each exam and on all written material. Students may study together and share material but may not receive assistance during the exams. Plagiarism, including direct copying of an author's work or paraphrasing the work too closely, is a violation of the Honor Code. The exams from this class or any of my classes are not to be taken from the area at any time. Possession or knowledge of the possession of one of my exams is in violation of the Honor Code. The Honor Code is based on the need for trust in an academic community and will be observed in this and all of my classes. GRADING: Grades will be based on 2 essay exams worth 35% each; class participation worth 10%; bibliography, case study and treatment plan worth 20%. A seven-point scale will be used for determining the letter grade. An "F" will be assigned for the entire course if a student missed a total of 25% of scheduled class hours (excused and unexcused).