The Professional Counselor | Volume 14, Issue 1 11 Moreover, regarding policy change, researchers have suggested career counselors should be aware of and actively engaged in policy efforts (Crucil & Amundson, 2017; Watts, 2000). Watts (2000) described public policy considering career development as including four distinct roles: legislation, remuneration, exhortation, and regulation. Watts described these roles in detail and implored career counselors to influence these policy processes by seeking the support of interest groups and communicating with policy makers. Again, career counselors can work individually and within their own communities to increase their awareness and knowledge of policies and their impact. They can work toward influencing policies at the state and national levels to improve the accessibility and existence of important social programs and resources. Conclusion Career counselors in rural communities have a responsibility to acknowledge and address SDOMH challenges that are disproportionately impacting their clients. Collaboration, consultation, counseling framed through the lens of SDOMH, and advocacy appear to be strategies to support the employment needs of individuals and the rural community. Employment services in rural communities must be framed through a socially conscious (e.g., aware of the SDOMH systemic issues), action-oriented (e.g., prepared to engage in advocacy), and resiliency-focused lens that provides tailored individual services while simultaneously addressing systemic issues. Conflict of Interest and Funding Disclosure The authors reported no conflict of interest or funding contributions for the development of this manuscript. References American Counseling Association. (2014). ACA code of ethics. https://www.counseling.org/docs/default-source/ default-document-library/2014-code-of-ethics-finaladdress.pdf Amundson, N. E. (1993). Mattering: A foundation for employment counseling and training. Journal of Employment Counseling, 30(4), 146–152. https://doi.org/10.1002/j.2161-1920.1993.tb00173.x Andermann, A. (2016). Taking action on the social determinants of health in clinical practice: A framework for health professionals. Canadian Medical Association Journal, 188(17–18), E474–E483. https://doi.org/10.1503/cmaj.160177 Andermann, A. (2018). Screening for social determinants of health in clinical care: Moving from the margins to the mainstream. Public Health Reviews, 39(1), 1–17. https://doi.org/10.1186/s40985-018-0094-7 Annis, R. C., Racher, F., & Beattie, M. (Eds.). (2004). Rural community health and well-being: A guide to action. Rural Development Institute. https://www.researchgate.net/publication/242551842_Rural_Community_ Health_and_Well-Being_A_Guide_to_Action Bradshaw, T. K. (2007). Theories of poverty and anti-poverty programs in community development. Community Development, 38(1), 7–25. https://doi.org/10.1080/15575330709490182 Brassington, I. (2011). What’s wrong with the brain drain? Developing World Bioethics, 12(3), 113–120. https://doi.org/10.1111/j.1471-8847.2011.00300.x Browne, J., Mccurley, J. L., Fung, V., Levy, D. E., Clark, C. R., & Thorndike, A. N. (2021). Addressing social determinants of health identified by systematic screening in a Medicaid accountable care organization: A qualitative study. Journal of Primary Care & Community Health, 12. https://doi.org/10.1177/2150132721993651
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