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COU581/582 – Supervised Clinical Internships I & II

Graduate Studies in Counseling

Heidelberg College

 

Fall 2008 – Every other Monday 5 – 9:30pm

College Hall 204

1 – 3 Semester Hours

Instructor: Daniel R. Cruikshanks, Ph.D., PCC-S, NCC

                Associate Professor & Clinical Coordinator

                Professional Clinical Counselor w/Supervision                             Endorsement License # E0003431, Exp. 1/19/09

                   College Hall 207

                   (800)925-9250 ext. 2308 or (419)448-2308

                   cell: (419)934-2898

                   dcruiksh@heidelberg.edu

 

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Office hours:  Monday, Tuesday & Wednesday 1 – 5pm by appointment. 

 

Prerequisite: Core courses, COU 609, and approval of the instructor.

 

Texts:

        Required

Faiver, C., Eisengart, S., and Colonna, R. (2004) The counselor intern’s handbook,3rd Ed., United States: Thompson/Wadsworth

Recommended

Jongsma, A. E. and Peterson, L. M. (2003) The complete adult psychotherapy treatment planner.    Hoboken, New Jersey: John Wiley

Rosenthal, H. (2005). The encyclopedia of counseling.  New York: Routledge

Teyber, E. (2005) Interpersonal Process in Therapy: An Integrative Model 5th Edition, United States: Thompson/Brooks/Cole

        Vontress, C. E., Johnson, J. A, and Epp, L. R. (1999) Cross-Cultural Counseling: A         Casebook. Richmond: ACA

DSM-IV-TR

 

Conceptual Framework: Vital Connections

 

The graduate counseling programs at Heidelberg College are based on a constructivist philosophy. This means that the pre-service candidates and in-service counselors-in-training in our programs build or construct their knowledge as a result of a student-centered, hands-on approach to learning. From the beginning of their experience at Heidelberg, our students are actively involved in their coursework and development of counseling skills and experiences.

 

Students build or construct their new knowledge about counseling using several tools - theory, practice, and reflection. These are the building tools that connect the constructivist core of the conceptual framework to each of the counseling licensure concentrations.

 

Heidelberg College MAC Standards

 

  1. Theory - principles of human development, assessment systems & change
  2. Practice - clinical and field experience
  3. Reflection - thinking about, evaluating and revising one's philosophy of change. Thus, constructivism is at the core of the conceptual framework, and the building tools of theory, practice, and reflection connect this core to each of the licensure programs.

               

Course Description

 

The internship is an arranged, two semester (minimum) supervised opportunity for the student to perform all the activities that a regularly-employed staff member in a particular setting would be expected to perform under on-site supervision by a Professional Clinical Counselor endorsed to provide supervision (PCC-S).  An appropriate site location allows the student to obtain audio or video tapes for use in the supervision of the student’s interactions with clients and provides the opportunity for the student to gain supervised experience in the use of a variety of professional resources such as assessment instruments, computers, print and non-print media, and professional literature and research.  The internship requires a minimum of:

 

§       300 clock hours each semester with a minimum of 120 clock hours in direct service work when enrolled for 3 semester hours

§       200 clock hours each semester with a minimum of 80 clock hours in direct service work when enrolled for 2 semester hours

§       100 clock hours each semester with a minimum of 40 clock hours in direct service work when enrolled for 1 semester hours

 

Direct service work includes: (a) face-to-face individual counseling, (b) group counseling, (c) family counseling, (d) psychoeducational groups. Telephone contact with clients is not considered direct service work.

 

In class, emphasis will be on examining and developing counseling skills and interventions and on professional development. On site, independent professional responsibility is assigned according to prior experience and training.  In addition, students should possess: a developing knowledge of self, willingness to learn, the ability to change, and an acceptance of individual and group differences in a multicultural society.  Students are assumed to have a general knowledge of the theories and concepts upon which specific applications and interventions are based in the counseling process.  During the internship experience, students will engage in numerous activities relating to actual individually supervised counseling experience with clients. 

 

The purpose of the internship is to allow counseling students to apply basic knowledge, skills, and professional values to actual practice settings specific to their emphasis in the community and to provide students with opportunities to reflect on this practice. Internship students are expected to ground their clinical work in theory and to be able to discus their work accordingly. The on-site work experience provides an opportunity to integrate theory and practice. The internship is a reciprocal arrangement: students exchange their work in return for on-the-job training and experience in the field. The end result is ultimately the promotion of professional development, integration of skills and theoretical knowledge, and reinforcement of competence. The internship program is designed to give the counselor-in-training a sense of professional identity. The counseling setting, the interaction of staff and clients, the realities and responsibilities of the helping process, and the conscious application of ethical principles combine to promote the personal knowledge and commitment to enter the field of counseling.

 

As with practicum, students are required to carry professional liability insurance prior to participating in internship experience.  Student members of the American Counseling Association are eligible for quality, low cost liability insurance.  Students also must register with the OCSW&MFT Board to obtain Counselor-in-Training status.

 

Internship sites should be seen as employers, and students should recognize that the site has the right to terminate students who fail to fulfill their contract.

 

The Supervised Internship in Counseling for the Master of Arts Program at Heidelberg College has been developed to prepare professional counselors and has been designed to meet or exceed educational and licensure requirements and standards in the State of Ohio as well as CACREP standards for Community Counseling.

 

COU 582 students who have not demonstrated adequate progress in their counseling skills and competence by the end of the term may be required to continue the internship experience for an additional semester and/or until they have satisfied internship requirements and demonstrated competency.  Progress in counseling skills is evaluated primarily through direct observation in the Counseling Lab and through reflective self-evaluation of sessions taped throughout the term.  Additionally, students are evaluated throughout the term by their site supervisors. Students who are required to continue internship will be given an incomplete and will be required to attend COU 581/582 during the following term in order to receive a final grade for the course.

 

Think of this course as your opportunity to explore and grow as a counselor and clinician.  I feel strongly that the less structure I provide for you, the more you can make the class what you need for it to be.  Bring your concerns, your frustrations, your problems, and/or your experiences to class for discussion with the group.  As a group, we will seek answers and provide support and guidance.

 

PHILOSOPHY OF THE INTERNSHIP EXPERIENCE:

We believe that the counseling internship and internship experiences are an integral and indispensable part of the total MAC program. Ideally, internship should provide an opportunity for you to develop your own unique style of counseling, while working within the theoretical and therapeutic framework of the internship site.  Internship also serves a critical venue in which you will continue to develop your professional identity as a professional counselor.

 

You are encouraged to assume the attitude of a reflective practitioner – that is, a practitioner who uses reflective thinking and sound decision-making skills that are well-founded in established research regarding the effective and efficient practice of counseling. Effective counselors must be more than mere technicians. They must be ethical professionals who are grounded in a strong theoretical base, have vast personal knowledge of their own beliefs, values, knowledge, and skills, and be able to integrate all of these aspects into their practice. The counseling internship is a time to begin to synthesize self-knowledge, classroom information, research, and practice through supervised application.

 

Up until this point in the program, you have functioned primarily in the student role. During internship, however, you are expected to function as a counselor trainee. This involves many things, including following the rules and regulations governing the internship site, engaging in professional dress, demeanor, and behaviors, and putting the ACA Code of Ethics into practice in every interaction. It also involves engaging in the process of becoming a reflective practitioner with a strong counselor identity (e.g., you’re not a therapist, psychotherapist, social worker or psychologist).

 

Objectives       

 

Students will:

1.        Explore their personal models of counseling that integrate theory and practice;

2.        Enhance counseling skills and the application of theory and techniques in practical settings;

3.        Demonstrate skills in practicing empathetic active listening, relationship building, and accurate reflection of client feelings;

4.        Develop critical awareness of their own counseling performance and of the counseling performance of others;

5.        Identify issues of diversity that may impact both understanding and intervention in the counseling relationship, and demonstrate appropriate interventions based on a multicultural perspective;

6.        Gain an understanding of the roles of counseling in agencies and schools;

7.        Be aware of and recognize the appropriate use of referral agencies and other community resources;

8.        Understand and abide by the legal and ethical guidelines of the counseling profession;

9.        Develop and/or refine the ability to assist in client problem exploration;

10.     Develop and/or refine the ability to assist in client problem resolution;

11.     Learn to use effectively supervision and other methods of feedback to contribute to their personal and professional growth;

12.     Further develop self-awareness and its use in the application of knowledge, skills, values, and attitudes and understand how each affect counseling performance.

 

Requirements/Grading

 

This is a course in which you will further develop your professional skills and yourself as a professional counselor by working in a clinical environment as though you were an employee of that agency.  Unlike traditional academic courses, students in internship are evaluated both on their academic performance in class and their overall performance in the field.  Unlike other classes, much of the evaluation in internship is a subjective evaluation of the student as a whole person (as demonstrated by knowledge, skills, competence, and integrity) and is determined collaboratively by the professor and the site supervisor.  Students who have not demonstrated adequate growth by the end of the term as judged by the professor and/or the site supervisor may be required to repeat the internship. 

 

Students who demonstrate severe deficiencies in knowledge, skills, competence and/or integrity may be prevented from continuing their internship until appropriate remediation has taken place.

 

Internship is a Pass/Fail course.  During the semester, you will have numerous opportunities to demonstrate your growth and your knowledge, skills, competence, and integrity toward passing the course.  Evaluation of in class assignments and exercises will be done by the professor, while evaluation of field activities will be done in collaboration between the professor and the field supervisor. 

 

(note: specific requirements for assignments may change as the semester progresses, but not without prior discussion with you.)

 

Course structure

 

This course meets every other Monday evening as indicated in the schedule below. 

 

* 5 – 6:30pm   Counseling Lab (2 45 minute sessions)/Individual supervision

* 6:30 – 8pm   Group Supervision/discussion

* 8 – 9:30pm   Counseling Lab (2 45 minute sessions)/Individual supervision

 

During our Lab time, you will provide live supervision to COU505 or COU580 Practicum students.  This will include: observation of counseling sessions, live voiceover feedback during sessions, and post session supervision/feedback sessions with students.  This work will be done under faculty supervision.  You will also provide individual supervision with COU580 students as assigned. Finally, you will have opportunities to practice counseling skills during lab time as well as assisting other students by serving as client. 

 

Group supervision/discussion sessions will function similarly to a staffing meeting.  Each session, you will be prepared to discuss with the group the case that is of greatest interest/concern to you at this time. Each member of the group will be expected not only to present a case, but also to engage in discussion about each others cases every time we meet.  In addition, as time permits, we will discuss site issues, supervision issues and process your experiences both in the Lab and at your sites. 

 

Lab work tentatively will begin on September 8th with a counseling demonstration, and your work in the lab will begin on September 15th.

 

Attendance; preparation; participation.  Learning and teaching is a group process.  For you to learn and for me to claim to have taught, we must be present and engaged. Preparation and participation means that you know the material and are prepared to question and discuss these in class.  I understand that there are occasions for extenuating circumstances.  Please talk with me (in advance when possible) in the event of such.  Otherwise, please plan to attend class prepared and ready to work. Absences will only be excused in the event of a documented family emergency (e.g. illness), acts of God (e.g. weather closing the college), or class cancellation by the professor (e.g. acts of war).

 

Students are expected to behave professionally both in class and at internship sites. Failure to behave professionally and appropriately may result in removal from the internship site and from this course.  Students who have personal issues regarding this course, the professor, other students, or anyone at the internship site are expected to address these outside of class by appointment with the professor.

 

AttendanceStudents with two unexcused and/or unattended (made up on off week) absences will not pass this course.

 

Student Responsibilities

 

A. Supervision and General Activities

 

1.   Obtain professional liability insurance prior to beginning the internship.

 

2.   Register your internship with the Ohio Counselor, Social Worker and Marriage and Family Therapy Board (Registration is done on line).

 

3.   Attend and participate actively in group supervision. Remember that all case information presented during group supervision is confidential.

 

4.   Schedule and attend weekly face-to-face meetings with site supervisor (once a week for one hour, or twice a week for ½ hour each time).

 

5.   In conjunction with your site supervisor, you must have completed the Petition for Practicum/Internship Site form as well as the Internship Site Agreement form.  These must be signed by you, your site supervisor, and me.  The purpose of these documents is to ensure that you have planned and discussed your field experience and to ensure that provisions have been made for you to participate in a wide range of counseling activities at your site.  This documentation also ensures that you have both an appropriate site and site supervisor as defined by the Ohio Counselor and Social Worker Board.

 

6.   Review your agency’s Policy and Procedure Manual during your first week on site.

 

7.   Coordinate a site visit/meeting between your site supervisor and me no later than November 14th. IMPORTANT: Please explain the following to your site supervisor: This visit typically takes between 60 and 90 minutes and primarily involves an informal discussion between the site supervisor and the professor regarding your work and professionalism at your site.  The purpose of the visit is to provide the site supervisor with the opportunity to provide input on your work and to address any questions or concerns they might have regarding the internship process. Unless there are extenuating circumstances (as defined me), students who do not arrange a site meeting by the deadline will receive an incomplete (I) for the course until such visit has taken place.

 

B. Logs and Journal

 
1.    Maintain a weekly log of your internship hours. Twice each semester (along with your journal), turn in a copy of your most recent log showing cumulative hours and signed by your site supervisor.
 
2.    In order to help you develop insight into your own growth and progress, you will keep an internship journal in which you will demonstrate a reflective process of your work on site.  I have found the following format particularly valuable: 

 

* Journals take the form of imaginary letters in which you will correspond with a theorist who you will choose as your mentor. 
* As you struggle to connect your clinical experiences with your theoretical orientation, correspond with your theorist mentor weekly to describe and discuss these experiences and struggles. 
* Try to ground your writing in the theory of that theorist. 
* Since journals are intended to be reflective explorations of personal experiences related to class/client experiences, these discussions with your mentor may extend beyond specific client issues and address any issues related to your efforts toward becoming a professional counselor.
* Entries in this journal are not case notes and they should not take the form of case notes; rather, the journal provides you with the opportunity to reflect on and explore your feelings and thoughts about your work.

 

C. Counseling Skills

 

1.   Recording: Students should record all (or as many as possible) sessions with clients. These should be brought to class for review and discussion throughout the term. Recording must comply with the host site’s policies.  I strongly recommend use of a digital recorder and storage of your sessions on a Memory Stick (flash drive)

·        Prior to recording, students must ensure that clients have signed proper release forms, which include the notification that such tapes may be used for educational purposes.

·        Recordings should be of intentional counseling processes (individual, group, or family – Child sessions will not be accepted).

·        Recordings may represent the spectrum of possible situations within the counseling relationship (i.e., initial sessions, continuing or multi-session work, termination sessions).

·        Tapes must be audible.

 

During the semester, students will select a minimum of four recorded sessions for in-depth self-analysis to be turned in for review. These should include the following:

 

·        The self-evaluation/critique of taped sessions presents a discussion of your impressions of your performance in this session.  Discuss the relationship between what you heard yourself doing with what you were attempting or thought you were doing. Appropriately ground your discussion in theory and techniques. 

·              Based on this self-evaluation, rate the overall quality of this session on this scale:  This is my worst work < 0 ~~~~~ 10 > This is my best work ever

·        Include a typed clinical overview/summary discussion of the session (not more than 1 page).  This discussion should include your impressions of the client and your assessment (i.e. your ideas about what you think is going on with this client – that is, what is the nature of her or his problems). 

·        The first report must be turned in with a typed transcript of the session.  The taped session must be transcribed fully (word for word). 

 

2.    Each week, students will present (informally) at least one counseling case to the supervision group for discussion with the group.  This will be done in a team meeting format. 

 

DOCUMENTATION
Copies of logs, evaluations, and other formal documentation regarding internship will be maintained in the student record and housed by Heidelberg College for a minimum of three years. The faculty member in charge in Internship and the student’s advisor will have full access to these files.  You are encouraged strongly to keep your original documents in a safe place at least until you have completed the licensure process.  You should be aware that the OCSWMFT Board may ask to review these documents at any time during your licensure process.  Heidelberg College cannot guarantee the ability to reproduce a complete record (e.g. all of your time logs). You are responsible for the maintenance of your documentation.

 

D. Reading and Growth

 

1.   A general guideline of reading assignments is included in the syllabus.  The texts have been selected to expand your knowledge of practical clinically relevant materials, to enhance your personal/professional growth, and to enhance your work at your internship site.  These readings are for you, and may or may not be specifically or formally addressed in class sessions.  You are always free to raise any topic from the texts for discussion, and I encourage you to do so.  As you are becoming increasingly accountable for your own growth and ongoing professional development, I will leave the readings to you.  I will not hold you accountable for them, but I sincerely hope that you will take advantage of them.

 

2.   Be mindful of your strengths and opportunities for growth. Ask for help from your site supervisor, classmates, and me as needed and be open to feedback.

 

3.   Adhere to ACA ethical guidelines, site policies and procedures, and state law. Any time you have questions or concerns, ask me and/or your site supervisor. 

 

4.   Contact your site supervisor and your university supervisor (me) immediately if you have concerns that someone may be at risk of harm to self or others or you have concerns about your ability to handle any assigned task or client issue.

 

E. Evaluation

 

1.   Your site supervisor will complete several evaluation forms during each semester. Three copies of this form should be given to him/her along with prepaid envelopes (supplied by me) at the beginning of the semester.

 

2.   At the end of COU 581 and again at the end of COU 582, your site supervisor will evaluate your performance for the OCSWMFTB.  You also will have the opportunity to evaluate your experience for the OCSWMFTB.

 

3.   My portion of your internship grade for the semester will be based on the following:

 

* logs (on time and complete)                          5%

* Journals                                                       5%

* Case presentations                                       10%

* Active participation in weekly supervision                20%

* Live supervision/Lab work                             40%

* Tapes and tape reviews                                 20%

* A minimum performance of 80% is needed to pass this course.

 

REMOVAL FROM A SITE