Despite efforts to boost mental health treatment-seeking behaviors by combat veterans, rates have improved relatively little since 2004. Previous work suggests that trust and confidence in the mental health community may be a significant factor. This study explored how professional titles may impact trust and confidence among active-duty U.S. Army soldiers (n = 32). Consistent with previous research, eight vignettes were used to solicit ordinal (ranked) trust and confidence scores for mental health professionals. Highest confidence and trust were seen in clinical psychologists and licensed professional counselors, followed by psychiatrists, licensed clinical social workers, and marriage and family therapists; however, deviations were seen for each individual vignette and the manifested symptoms depicted. Scores for trust and confidence were strongly correlated and both appear to impact soldiers’ treatment-seeking decisions.
This conceptual article provides a counselor-oriented overview of the origins and consequences of the current opioid epidemic in the United States. After a thorough review of Bronfenbrenner’s ecological perspective on human development, this article presents a case conceptualization model aimed at providing counselors with a tool and strategy to better understand how systemic complexities impact opioid-dependent clients and their communities. A detailed composite case study is used to demonstrate the influence of multiple ecological variables on a specific client. Individual, micro-, meso-, exo-, macro-, and chronosystem stimuli are explored, and the role of advocacy as inherent in systemic conceptualization and treatment planning is discussed.
Natural disasters over the past few decades have necessitated mass migration of Haitian immigrants to the United States. Haitians residing in the United States have experienced significant cultural and social challenges. Recent political deportation mandates have increased the systemic challenges that Haitian students and their families are currently facing in the United States. These systemic barriers have fostered an increase in stressors affecting the mental wellness of Haitian students and their families. This article introduces school counselors to the culturally focused, multiphase model of psychotherapy, counseling, human rights, and social justice as a framework to assist Haitian students and their families.
Counselors are becoming more involved with clients pursuing physician-assisted death (PAD) as legislation for legalization increases. PAD may present complex values-based conflicts that can challenge counselors to maintain ethical practice in counseling. When conflicts arise, counselors must engage in ethical decision making that considers systemic influences on personally held beliefs and values. The authors merge ecological systems theory with the counselor values-based conflict model to offer a holistic approach to resolving values-based conflicts surrounding PAD. In this article, the authors review PAD and counselors’ roles in the hastened death process, discuss sources and impacts of personal and professional values through an ecological systems lens, and provide an applied method of managing values-based conflicts with PAD through a case illustration.
The United States is facing a crisis with respect to filling job vacancies within science, technology, engineering, and math (STEM) industries and with students completing STEM undergraduate degrees. In addition, disparities exist for females and ethnic minorities within STEM fields. Whereas prior research has centered on disparities in STEM fields, retention rates, and some intervention programs, researchers have not given much attention to the role of career development initiatives within STEM recruitment and retention programming. The purpose of the present study was to incorporate demographic variables, math performance, and career development–related factors into predictive models of STEM retention with a sample of undergraduate students within a STEM recruitment and retention program. The resulting two models accurately predicted first-year to second-year retention with 73.4% of the cases and accurately predicted first-year to third-year retention with 70.0% of the cases. Based on the results, the researchers provide a rationale for STEM career programming in K–12 and higher education settings and for the inclusion of career development and career counseling in STEM education programming.
To prevent school counselors from experiencing feelings of burnout, identifying relevant factors is important. The purpose of this article is to review studies investigating the constructs of burnout and occupational stress in school counseling samples. Eighteen published research articles fit the inclusion criteria for this review. The researchers identified external and internal variables relating to school counselor burnout, as well as protective and risk factors. The review identified that school counselors’ higher level of burnout correlated with having non-counseling duties, being assigned large caseloads, working in schools that did not meet adequate yearly progress (AYP) status, experiencing a lack of supervision, possessing greater emotion-oriented stress coping scores, providing fewer direct student services, and having greater perceived stress. In contrast, feelings of burnout among school counselors were mitigated when counselors received supervision, possessed higher task-oriented stress coping strategies, scored at higher levels of ego maturity, reported greater occupational support at their schools, had greater grit scores, and worked in schools that met AYP.