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Clinical Training Manual
The University of Texas at San Antonio
Department of Counseling
June 2010




                       Professionalism. Integrity. Wellness.
TABLE OF CONTENTS



                                INTRODUCTION                                        3
                                Department of Counseling
                                Faculty and Staff




                                COMMUNITY FAMILY LIFE CENTER                        8
                                Community Services
                                Clinical Training



                                POLICIES AND PROCEDURES                           13
                                Fitness to Practice
                                Clinical Training Sequence
                                Practicum
                                Internship

                                LICENSURE AND
                                CREDENTIALING
                                                                                  26
                                School Counselor Certification

                                Professional Counselor Licensure

                                National Certified Counselor


2010 CLINICAL TRAINING MANUAL                  http://coehd.utsa.edu/counseling   -2-
To Our Community,
         We believe the best way to
         develop practical counseling skills
         are through challenging
         experiences in the context of
         sound supervision …


           The Department of Counseling Faculty




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Putting counseling theory and                  to provide greater clarity and transparently in
    knowledge into practice is an important        providing positive clinical training
    part of the Department of Counseling’s         experiences.
    mission.
                                                   The department’s faculty and affiliated
    We believe the best way to develop             community providers are dedicated to
    practical counseling skills are through        professional experiences that reflect the
    challenging experiences in the context of      needs of our diverse community.
    sound supervision.
                                                   Our work is continuing to evolve, and we
    This manual was developed for students,        remain committed to meeting your
    supervisors, community providers, and          expectations. We are eager to embrace
    faculty members involved in the                innovation, achieve results and help people
    professional counselor clinical training       improve their wellness. We look to the future
    program at The University of Texas at          with optimism, and hope that you will help in
    San Antonio.                                   these efforts.

    This manual provides comprehensive
    guidelines and procedures for the
    department’s clinical course sequence
    and the information you need in order to
    achieve a positive clinical training
    experience.

    The manual is divided into four sections
    sections. In each section, readers will
    find information on UTSA’s Department
    of Counseling, the department’s
    Community Family Life Center, and other
    information, including policies,
    procedures, forms, syllabi, licensure, and
    credentialing.

    You will also find the tangible results of a
    dedicated team of individuals. You will
    see us reaching out to our diverse
    community.

    You will also learn more about our efforts

2010 CLINICAL TRAINING MANUAL                                   http://coehd.utsa.edu/counseling   -4-
The Department of Counseling


What is the department’s mission?

Our mission is to prepare multiculturally          We are committed to increase the
competent professional counselors and              educational opportunities of diverse
counselor educators for south Texas and            populations. We strive to create an
beyond.                                            atmosphere where the values and concerns
                                                   of racial and ethnic minorities, along with
They should demonstrate the necessary
                                                   different populations, receive attention,
knowledge, skills, identity, and scholarship
                                                   respect, and support. These topics are
required to secure positions within the
                                                   integrated into the department’s curriculum
profession. The department emphasizes
                                                   of courses in order to implement specific
creativity and diversity as well as
                                                   dedication to multiculturalism.
developmental and relational processes.

What are the department’s objectives?

Our graduates will possess expertise in: 1)
human growth and development, 2) abnormal
human behavior, 2) appraisal or assessment
techniques, 3) counseling theories, 4)
counseling methods or techniques (individual,
family and group), 5) research, 6) lifestyle and
career development, 7) social, cultural, and
family issues, and 8) professional orientation.

What about diversity?

In accordance with the department’s mission
and goals, graduates will have a clear
understanding of diversity and be able to
address the needs of an increasingly
changing society.




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Faculty Members

The Department of Counseling is committed in providing cutting edge clinical and educational
experiences. Faculty members are involved in all levels of leadership, and well represented
locally, across the state, nation, and internationally. In 2008, our counseling programs were
awarded an eight-year accreditation from the Council for Accreditation for Counseling and
Related Programs (CACREP).


       Thelma Duffey, Ph.D.

       •thelma.duffey@utsa.edu

       Beth Durodoye, Ed.D.

       •beth.durodoye@utsa.edu

       Marcheta Evans, Ph.D.

       •marcheta.evans@utsa.edu

       Shane Haberstroh, Ed.D.

       •shane.haberstroh@utsa.edu

       Gerald Juhnke, Ed.D.

       •gerald.juhnke@utsa.edu

       Michael Karcher, Ed.D., Ph.D.

       •michael.karcher@utsa.edu

       Michael Moyer, Ph.D.

       •michael.moyer@utsa.edu

       Heather Trepal, Ph.D.

       •heather.trepal@utsa.edu

       Eli Zambrano, Ph.D.

       •eli.zambrano@utsa.edu



2010 CLINICAL TRAINING MANUAL                               http://coehd.utsa.edu/counseling   -6-
Administrative Staff Members



The Department of Counseling’s administrative staff is committed to providing essential
support to students, faculty, and community members. Our staff members are critical
components in meeting the department’s vision, mission, and objectives.



      Donna Bomnskie


      Kristina Talamantez


      Gidget Vasquez




The University of Texas at San Antonio - Downtown
    Campus
College of Education and Human Development

Department of Counseling

501 W. Durango Boulevard

 San Antonio, Texas, 78207

210-458-2600

 210-458-2605 fax




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COMMUNITY FAMILY LIFE CENTER



What is the Community Family Life Center?

We envision the College of Education and
Human Development’s Community Family Life        computers, printers, SMART Boards, and
Center (CFLC) as a national leader in            other tools that promote active community
community service, professional training, and    service, clinical training, and clinical
clinical research. We adhere to a rigorous set   research.
of standards that demonstrate leadership and
excellence in professional counselor             Community Services
preparation.
                                                 Applying counseling theory and knowledge
Our mission is clear - to promote healthy        into professional practice is an important part
social, emotional, and relational functioning,   of the Department of Counseling’s mission.
reflecting the needs of a diverse and dynamic    The CFLC is currently providing services to
society. We accomplish our goals through         the community through two university
active community service, evidence-based         sponsored community-based clinics: 1) the
training, and clinical research. We encourage    CFLC, and 2) Parent Consultation Centers.
inclusion and diversity in its broadest sense.
                                                 The Community Family Life Center
History and Description                          (CFLC) provides individual and group
                                                 counseling services freely available to
Located on The University of Texas at San
Antonio’s (UTSA) Downtown Campus, the
CFLC was created with the primary purpose of
serving San Antonio’s urban downtown area
as well as the surrounding communities. We
are dedicated to helping graduate counseling
students acquire clinical training experiences
that reflect the diverse needs of society.

We have an extensive resource center,
complete with counseling assessment
instruments, over 2500 counseling and related
discipline textbooks, and other instructional
media. The center is equipped with



2010 CLINICAL TRAINING MANUAL                                http://coehd.utsa.edu/counseling   -8-
Community Family Life Center



individuals and families. To make an            needed services to the community. State-of-
appointment please contact our office at:       the-art clinical supervision tools provide
                                                opportunities for student counselor growth
Community Family Life Center
                                                and development. The CFLC has six
Durango Building, 3.304
                                                counseling suites (i.e., three individual suites,
501 West Durango Boulevard
                                                two group suites, and one fully equipped play
San Antonio, Texas 78207
                                                therapy room) for use by students and
                                                faculty.
(210) 458-2055 – main
(210) 458-2605 – fax                            During the Fall 2009 semester, the CFLC
                                                began a joint project with UTSA’s Career
Serving as an on-campus training clinic, the    Services. The project offers undergraduate
CFLC allows masters and doctoral students       students, enrolled in career exploration
to obtain intensive and personalized            courses, guidance and counseling services.
supervision, while at the same time providing   The Juror Counseling Program, another
                                                collaborative project with the Bexar County
                                                Court System, provides freely available
                                                counseling services to jurors that have been
                                                exposed to traumatic testimony or evidence
                                                during criminal court trials. In addition, the
                                                CFLC is currently developing relationships
                                                with other community advocates, including
                                                Avance, the Drug and Social Policy Research
                                                Center, and the Edgewood Family Network.




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Parent Consultation Centers



The Department of Counseling’s Parent            behavioral problems often lead to the
Consultation Centers (PCC) is a joint project    development of other concerns. As a result,
between Northside Independent School             the federal government has appealed for
District (NISD) and the University of Texas at   action, urging counselors, schools, and
San Antonio (UTSA). These clinics offer free     teachers to recognize early signs of
consultation on childhood behavior problems      emotional and behavioral problems in
to NISD parents. Consultation services are       children.
provided by UTSA graduate students enrolled
                                                 These efforts may be helpful in addressing
in the Practicum in Counseling course. This
                                                 the wellness needs of children,
intervention model targets specific,
                                                 adolescents, and their families. The public
measurable objectives for parents and
                                                 health impact of such a model is potentially
students. Student counselors receive intense
                                                 enormous. Brief intervention may serve as
supervision by UTSA faculty and doctoral
                                                 the care itself or as a way to facilitate
students and NISD professional school
                                                 referral for more specialized assistance.
counselors. In 2006 and 2008, the PCC model
was recognized as NISD's Partner of the Year,
really quite an honor. During the 2010
academic school year, the PCC locations are
Driggers Elementary School and Passmore
Elementary School. For additional information
about PCC services, please click on the
following links:

Maps to Driggers and Passmore Elementary
School

Identifying behavioral problems early in the
lifespan may help prevent long-term distress
and cost to families. Left unidentified,




2010 CLINICAL TRAINING MANUAL                               http://coehd.utsa.edu/counseling   - 10 -
Clinical Training Support



The CFLC also provides                  Other activities include         assistance, support,
support and coordination for            development and                  information, and advocacy
the department’s clinical               maintenance of clinical          for clients, families, and
training courses (i.e., Skills,         training related forms, clinic   other service providers.
Practicum, and Internships).            training policies and            Many of these agencies are
Some of these activities                procedures, and adherence        appropriate for internship
include internship site                 to CACREP clinical training      site placements.
affiliation and management,             standards.
                                                                         Individuals or groups in
practicum and internship
                                        Clinical Training Sites          private practice (i.e., private
course enrollment, and
                                                                         therapists, psychologist,
clinical training information           A myriad of human service
                                                                         etc,) are not appropriate as
distribution for students,              organizations provide
                                                                         practicum/internship sites.
faculty, staff, and community           counseling services and are
supervisors (e.g.,                      available in the San Antonio     UTSA counseling students
orientations, websites,                 and the surrounding              are expected to arrange
postings, and manuals).                 communities. These               their own placement from
                                        organizations provide            the department’s list of



                                                  Clinical
                                                  Training




                                              Community
                                              Family Life
                                                Center

                          Clinical                                       Community
                         Research                                          Service




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Clinical Training Support


approved affiliated clinical sites. For practicum, students may complete their hours in the
department’s Community Family Life Center, the Parent Consultation Centers, and/or another
approved affiliated practicum site.

How does an organization become affiliated with the UTSA Department of Counseling?

New, potential practicum and/or internship sites may apply for affiliation with the CFLC,
provided that they meet the necessary program requirements. Please click the following link
for more information on clinical training:


http://coehd.utsa.edu/counseling/community_family_life_center/



The Community Family Life Center’s website contains information on:

   UTSA Clinical Training Sites
   Application to Become an Affiliated Clinical Training Site
   Affiliated Clinical Training Site Agreement
   Site Supervisor Evaluation of Student
   Clinical Course Syllabi
   Clinical Training Forms
   Clinic Operating Hours
   Maps to the UTSA Downtown Campus and the CFLC community clinics
   CFLC Staff Members




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POLICIES AND PROCEDURES



                              Fitness to Practice Policy

In order to complete counselor preparation        These standards, procedures, and evaluation
programs and to be eligible to take               forms may be found in UTSA’s: 1) Handbook
certification and/or other credentialing          of Operating Procedures (HOP), and 2) the
examinations, students must satisfy Fitness       department’s website:
to Practice Requirements. The details of
these requirements can be found in the               http://cepahe.utsa.edu/index.html (Please view
                                                      detailed Fitness to Practice video)
UTSA Handbook of Operating Procedures.
                                                     http://www.utsa.edu/hop/chapter5/5-16.cfm
It is strongly recommended that students
                                                     http://cepahe.utsa.edu/FTP/Fitness_Performan
review these requirements to gain factual
                                                      ce.htm
information regarding what these
                                                     http://cepahe.utsa.edu/FTP/FitnessEval.pdf
requirements entail (See below for access
information).                                     Please note that students may be evaluated
                                                  using the same standards and procedures
Professors and faculty members of the
                                                  during other points in their academic program.
counseling profession are responsible for
                                                  Students are expected to thoroughly review
maintaining the integrity and objectives of
                                                  and comprehend the department’s Fitness to
the clinical courses. These courses will
                                                  Practice policies and procedures.
demand students’ time and energy. Please
accommodate the time for courses into your        Cause for Removal from
lifestyle. As clinical courses are experiential   Practicum/Internship Sites
in nature, they will require students to be
introspective and reflective. Classroom           Students who are removed from practicum
behavior, discussion, professionalism, and        and/or internship will automatically undergo a
coursework are used to evaluate students’         fitness to practice review. Students may be
Fitness to Practice.                              removed from a practicum and/or internship
                                                  site placement for the following reasons:
As outlined in the Department of Counseling
procedures, students’ progress will be               Failure to obtain and/or document proof of
specifically summarized in all clinical               professional liability insurance;
courses. Toward the middle of each
                                                     Failure to function in a mature,
semester, students will be evaluated on a
                                                      responsible, and professional manner;
uniform checklist of standards.
                                                     Failure to follow the ethical guidelines of


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POLICIES AND PROCEDURES


    the counseling profession;                      Students will obtain professional liability
   Dishonesty regarding field placement log        coverage/insurance before the
    or contract, tape recording, and/or             Practicum/Internship class begins. Please
    obtaining client consent;                       note: The COU Department does not endorse
                                                    any particular insurance plan. However,
   Failure to maintain confidentiality of client
                                                    students may find that the professional
    records and/or client situations; and
                                                    liability insurance from the Texas Counseling
   By request of the site administrator/site
                                                    Association (TCA) or the American
    supervisor.                                     Counseling Association (ACA) is the easiest
                                                    to obtain. These professional organizations
Ethical and Legal Standards
                                                    require membership (i.e., student rate), in
                                                    addition to, a nominal coverage fee:
The practicum/internship clinical experience
provides students with the opportunity to              The American Counseling Association,
work with clients in real-world settings.               via the ACA Insurance Trust (ACAIT).
Students are expected to abide by the                   Call 800.347.6647 or visit their website
American Counseling Association (ACA)                   (http://www.acait.com);
ethical and legal standards.                           The Texas Counseling Association. Call
                                                        800.580.8144 or visit their website
Professional Liability Coverage                         (http://www.txca.org; click on join/renew
                                                        w/ insurance).

                                                    Students must provide proof of liability
                                                    coverage (i.e., certificate of insurance) at the
                                                    first class meeting and students will not see
                                                    clients, or collect any direct or indirect service
                                                    hours, without proof of liability coverage.




2010 CLINICAL TRAINING MANUAL                                    http://coehd.utsa.edu/counseling   - 14 -
POLICIES AND PROCEDURES


Site Supervisor Qualifications                   UTSA’s clinical supervisor(s) shall be
                                                 responsible for providing each student/trainee
According to the 2001 CACREP standards,
                                                 with information relating to the:
minimum site supervisor qualifications
include: 1) Master’s degree in counseling or        Consultation process with students’ site
a closely related field; 2) appropriate mental       supervisors;
health professional certifications and/or           Desirable practicum/internship
licenses; 3) minimum of two years of post-           experiences;
degree professional experience; and 4)              Site visits with student’s clinical site;
knowledge of the program’s expectations,            Communication with site supervisors;
requirements, and evaluation procedures.            Consultation with students;

For students who are enrolled in the School         Weekly, University-based group
Counseling program, site supervision is              supervision sessions (i.e., one hour and a
required from a Texas Education Agency               half hours per week);
certified school counselor.                         Final grade assignment

Site Supervisor Responsibilities                 What about attendance?

Site supervisors will be responsible for            Students are expected to attend all class
providing each student with:                         and supervision meetings, including
                                                     group, individual, on-site, and off-site
    Clinical job description/duties;                meetings;
    Client assignments for counseling              Students are expected to develop a
     experiences;                                    schedule with their practicum/internship
    Individual and group counseling                 clinical site supervisor;
     activities;                                    Students should immediately notify
    Weekly supervision schedule (i.e.,              supervisors and clinical sites in the event
     minimum of one hour, face-to-face);             of being delayed or absent;
    Opportunities/encouragement for                Students should make-up any missed
     student/trainee professional                    supervision or practicum/internship hours;
     development;                                   Students consistently failing to attend
    Interim report and final evaluation             class, supervision meetings, or
     process; and                                    practicum/internship hours may result in
  Consultation process with UTSA clinical           the student being dropped from the class
   supervisor(s).                                    or receiving a failing grade; and
University Supervisor Responsibilities


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POLICIES AND PROCEDURES


   Students consistently failing to prepare      professional identity.
    client cases (i.e., with tape recordings)
                                                  Documentation
    for review may result in the student being
    dropped from the class or receiving a         Students will complete and submit all
    failing grade.                                required academic and clinical site
                                                  documentation, in a timely and efficient
Home Visits                                       manner. Students’ practicum and internship
                                                  documentation will be used to verify
While completing practicum and internship
                                                  information for the department’s records and
experiences, it is expected that student
                                                  reviews, as well as state licensure and/or
safety come first. Therefore, in general,
                                                  certification.
students are not permitted to make any
home visits during their practicum/internship
                                                  Confidentiality
experiences. The exception to this
policy/procedure is clinical placement at         Students will be responsible for maintaining
Hospice Care.                                     the confidentiality of all information related to
                                                  their clinical site clients:
Students must, at all times, have immediate
access to their clinical site supervisor, the        Students should understand and follow
site supervisor’s representative, or a                the legal and ethical confidentiality
professional colleague for consultation and           practices of their clinical site.
support when at their field sites; therefore,
students may not work alone at their field           Students shall maintain their
sites.                                                practicum/internship documentation and
                                                      tape recordings in a secure and
Professionalism                                       professional manner, consistent with the
                                                      current ethical guidelines of ACA.
Students should consult with their clinical
site supervisor, follow the clinical site dress
code, and conduct themselves in a                    Students shall not use any client
professional manner at all times. As well as,         identifying information (e.g. full name,
students’ professional demeanor should be             social security number, etc.) in any
consistent with the current ethical guidelines
of ACA. This is consistent with the
requirement of development of a



2010 CLINICAL TRAINING MANUAL                                  http://coehd.utsa.edu/counseling   - 16 -
POLICIES AND PROCEDURES


     practicum or internship documentation              explicit directives.
     (e.g., tapes, notes, tape critiques, fax, e-
     mail, etc.). The exception to this                Students shall notify their
     policy/procedure is the client’s consent           practicum/internship faculty instructor, the
     form(s); and                                       CFLC Director, and the COU Department
                                                        Chair in the event of a client’s death (e.g.
    Students shall utilize appropriate coding          suicide, homicide, etc.).
     procedures when documenting any
     practicum or internship documentation          Background Checks & Criminal Records
     (e.g., tapes, notes, tape critiques, fax, e-
                                                    Students are advised that some clinical sites
     mail, etc.).
                                                    may administer criminal background checks.
                                                    Consequently, clinical sites may deny clinical
Respect for Clients
                                                    placement if the student fails to submit this
The practice of counseling is both client           background check or does not meet the
focused and client driven. Students will treat      clinical site’s background criteria.
all clients with respect, in accordance with
the current ethical guidelines of ACA.              Please review the Texas Licensed
                                                    Professional Counselors rules and
Crisis Procedures                                   regulations (681.164) regarding this matter:
                                                    (http://www.dshs.state.tx.us/counselor/lpc_rul
Students will know, understand, and be able
                                                    es.shtm)
to implement the appropriate crisis
procedures (e.g. suicide, violent behavior,
aggression, etc.) at their clinical site.


    Students will notify their clinical site
     supervisors immediately of any client
     (i.e., actual or potentially actual) crisis
     situation, following the site supervisor’s




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Clinical Training Sequence




                                       Development of
                                      Counseling Skills




                                         Practicum in
                                         Counseling




            Community                                                       School
            Counseling                                                    Counseling
            Internship I                                                  Internship I



            Community                                                        School
            Counseling                                                    Counseling
            Internship II                                                 Internship II



                                                                            School
                                                                          Counseling
                                                                         Internship III




What is the clinical training sequence for the master’s degree?

The above figure illustrates the clinical training sequences for the master’s degree in school
and community counseling. The department’s clinical training sequence is intended to be a
developmental process with each clinical course building on the previous course.




2010 CLINICAL TRAINING MANUAL                                 http://coehd.utsa.edu/counseling   - 18 -
Practicum




What is the procedure for enrolling into         documenting how these conditions will be
practicum or internship?                         met; The documentation letter must be
                                                 delivered to the students faculty course
Students must submit an application for
                                                 instructor at the beginning of any
practicum/internship, to the department’s
                                                 practicum/internship course.
Student Development Specialist, the
semester before they wish to enroll in           Can I accrue any practicum or internship
practicum or internship. Likewise, students      hours between semesters?
must complete a Clinical Orientation prior to
the first class meeting of the semester.
Students may contact the CFLC for
additional information regarding the clinical
orientations.

It is strongly recommended that students                             Apply
receive faculty instructor approval for any
supplemental site hours. Please Note: The
department cannot and will not guarantee
any student specific clinical site placement
acceptance or completion of required
practicum/internship hours.

May I complete my practicum or                                     Register
internship at my work?

Students may use their regular employment
as a clinical placement site under the
following conditions: Students must perform
clinical duties that are different from duties
performed on the basis of a bachelor’s
                                                                 Attend
degree; The students clinical site supervisor
must be different from their current work                      Oritentation
supervisor; Students must obtain a letter
(i.e., from their clinical site supervisor)

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Practicum



According to CACREP standards, students             hours in the department’s Community Family
must complete their practicum and internship        Life Center, the department’s two Parent
direct and related professional service hours       Consultation Centers, or an approved
within the semester they are enrolled (e.g.,        affiliated practicum site.
no carryover hours) in the course. Students
                                                    Students are expected to arrange their own
should also refer to their professional liability
                                                    practicum or internship site from the CFLC’s
insurance coverage regarding eligibility and
                                                    list of affiliated clinical sites. This list is
coverage enrollment.
                                                    distributed in the department’s main office
Still, special circumstances may warrant            (i.e., DB 4.122), the CFLC (i.e., DB 3.304),
continuing care for clients and/or their            and on the Department’s website (i.e.,
families. In this event, students must consult      http://cepahe.utsa.edu/).
with their practicum and/or internship
                                                    Where can I complete my community
instructors, the department’s clinical director,
                                                    counseling Internship?
and their site supervisor, documenting the
following: supervision responsibilities,
emergency response plans, and crisis
procedures.

In turn, the student’s practicum and/or
internship instructor, the department’s
clinical director, and the student’s site
supervisor must document their agreement
with the stated conditions.

Where can I complete my practicum?

For practicum, students may complete their




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Practicum

Time Requirements

Students must complete supervised practicum experiences that total a minimum of 100 clock
hours over a minimum 10-week academic term. Each student’s practicum includes the
following:

1. At least 40 clock hours of direct service with actual clients that contributes to the
     development of counseling skills;
2. Weekly interaction that averages one hour per week of individual and/or triadic
     supervision throughout the practicum by a program faculty member, a student supervisor,
     or a site supervisor;
3. An average of 1 1/2 hours per week of group supervision that is provided on a regular
     schedule throughout the practicum by a program faculty member or a student supervisor;
4. The development of program-appropriate audio/video recordings for use in supervision or
     live supervision of the student’s interactions with clients; and
5. Evaluation of the student’s counseling performance throughout the practicum, including
     documentation of a formal evaluation after the student completes the practicum.

The remaining 60 hours are to include weekly on-site supervision and a variety of
professional activities (i.e., record keeping, supervision, information and referral, in-service
and staff meetings, etc.). These hours must be evenly accrued over the course of the
semester (CACREP 2009, Standard Section III, F1, 2, & 3).

Supervision Requirements

During the practicum course, students receive weekly clinical supervision by both university
instructors/supervisors and clinical site supervisors.


          Location             Clinical Supervisor             Time                         Type

                                                       One and one half (1½)
    University - class           University faculty                                        Group
                                                         hours per week

                                 Program faculty,
 University – individual        doctorial student,      One hour per week           Individual or triadic
                               university supervisor

         Clinical site            Site supervisor          Site specific          Individual, triadic, group




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Internship



Students pursuing a degree in Community        organizations provide assistance, support,
Counseling must complete their internship      information, and advocacy for clients,
experiences in a community agency setting      families, and other service providers. Many of
(e.g. outpatient mental health program,        these agencies are appropriate for internship
residential substance abuse program,           site placements.
bereavement services program, etc.) under
                                               Please note: private practice placements (i.e.
the direct supervision of a licensed mental
                                               private therapists, psychologist, etc,) are not
health professional (preferably a State of
                                               appropriate practicum / internship sites.
Texas Licensed Professional Counselor).
The setting should be able to offer students   Where can I complete my school
a broad range of clinical opportunities.       counseling internship?

A myriad of human service organizations        Students pursuing a degree in School
provide counseling services and are            Counseling must complete their internship
available in the San Antonio and the           experiences in a school setting under the
surrounding communities. These                 direct supervision of a Texas Education
                                               Agency certified school counselor.

                                               Students should seek a school setting that
                                               closely reflects their selected program
                                               specialization. The setting should be able to
                                               offer students a broad range of clinical
                                               opportunities.




2010 CLINICAL TRAINING MANUAL                               http://coehd.utsa.edu/counseling   - 22 -
Internship


Supervision Requirements

During the Internship courses, students receive weekly instruction / clinical supervision by
both university instructors and clinical site supervisors. Students will receive the following
levels of supervision:


          Location             Clinical Supervisor            Time                         Type

                                                      One and one half (1½)
    University - class           University faculty                                       Group
                                                        hours per week


         Clinical site            Site supervisor     One hour (1) per week      Individual, triadic, group



Desirable Experiences in Community Counseling Internship


Desirable experiences in community                      2) Documentation and record keeping
counseling internship include, but are not                 procedures, including:
limited to:                                                a) Intake evaluations;
                                                           b) Case notes; and
                                                           c) Other professional
1) Site orientation, including the                             correspondence/communications.
   agency/organization’s:                               3) Counseling and therapy activities,
     a) Organizational chart;                              including:
     b) Administrative structure;                          a) Clinical staff meetings;
     c) Physical facilities/offices;                       b) Case conferences;
     d) Client population characteristics;                 c) Individual counseling;
     e) Mission, purpose, and service                      d) Group counseling;
        philosophy;                                        e) Referral processes;
     f) Staff qualifications and background;               f) Consultation processes; and
     g) Services offered; and                              g) Establishing and maintaining a
     h) Policies and procedures.                               counseling relationship from initial
                                                               intake to termination, referral, or
                                                               follow-up.
                                                        4) Assessment and testing activities,



- 23 -    http://coehd.utsa.edu/counseling                                    2010 CLINICAL TRAINING MANUAL
Internship



   including:                                     b) Protection of human subjects;
   a) Instrument selection;                       c) Institution review board (IRB) purpose
   b) Administration;                             d) Investigator responsibilities;
   c) Scoring;                                 7) Professional activities, including:
   d) Interpretation; and                         a) In-service/training opportunities;
   e) Report preparation                          b) Human relation skills;
5) Consultation activities, including:            c) Appreciation of and ability to work
   a) Awareness of specialties, skills, and          with clients of different races, religious
       services offered by other helping             convictions, color, gender, sexual
       professionals in the community,               preference, and national origin;
       agency/institution;                        d) Adherence to ACA ethical standards
   b) Community resource list                        and/or other appropriate accreditation
       management;                                   standards; and
   c) Referral processes; and                     e) Professional responsibility with regard
   d) Professional contact procedures;               to established laws, rules, and
6) Counseling-related research activities,           regulations.
   including:
   a) Research ethics;




Desirable Experiences in School Counseling Internship


The internship runs the full span of the       the internship hours. This would need to be
semester. At least 14 of the 16 weeks must     arranged with your instructor on a one-on-
be in a school that is open/active with a      one basis. The supervising, state certified
general population of students. During this    school counselor must provide written
time students must receive weekly              assurance that the student will be actively
supervision from a state certified school      involved in 8 of the 11 activities below for a
counselor.                                     minimum of 14 consecutive weeks in the
                                               same school.
A second school site may be used to
supplement training experiences in the         Comprehensive Guidance Program
primary school setting for as much as 30% of


2010 CLINICAL TRAINING MANUAL                               http://coehd.utsa.edu/counseling   - 24 -
Internship


As part of the school counseling internship                Family issues
requirements, students will continue work on               Harassment issues
a developmental guidance and counseling                    Coping with stress
program that includes the following four
                                                           Suicide prevention
components:
                                                3. Individual Planning
1. Guidance Curriculum
                                                           Educational
             Self-confidence development
                                                           Career
             Motivation to achieve
                                                           Personal-social
             Decision-making, goal-setting,
              planning, and problem solving     4. System Support
              skills                                       Guidance program development
             Interpersonal effectiveness                  Parent education
             Communication skills                         Teacher and administrator
             Cross cultural effectiveness                  consultation
             Responsible behavior                         Staff development for educators
                                                           School improvement planning
2. Responsive Services
                                                           Counselor’s professional
             Academic concerns
                                                            development
             School related concerns
                                                           Research and publishing
             Relationship concerns
                                                           Community outreach
             Physical, sexual and emotional
                                                           Public relations
              abuse as described by the Texas
              family code                       The relative emphasis of each component
             Grief and loss                    will vary from district to district, perhaps from
             Substance abuse                   campus to campus, as well as education
                                                level (elementary, middle and high school)
                                                depending on the developmental and special
                                                needs of the students served.




- 25 -   http://coehd.utsa.edu/counseling                            2010 CLINICAL TRAINING MANUAL
LICENSURE, ENDORSEMENT, AND CREDENTIALING


    American Counseling         The practicum and internship experience provides UTSA
       Association              counseling students with the opportunity to work with
    www.counseling.org          clients in real-world settings. Students are expected to
                                abide by all ACA ethical and legal standards. American
               
                                Counseling Association ethical standards and other
American School Counselor       divisions are available online. Standards and qualifications
       Association              for professional licensure/certification vary by state and are
 www.schoolcounselor.org        subject to change. Students should review and be familiar
                                with the legal/administrative code of the state(s) in which
                               they plan to practice.

  American Mental Health        Endorsement Policy
  Counselors Association
   www.amhca.org/code           Permission should be sought and secured by students
                                prior to formally identifying a faculty member as a
               
                                reference. UTSA counseling students and graduates
 Association for Specialists    seeking endorsements, letters of recommendation or
      in Group Work             reference, credentialing, and/or employment letters should
  www.asgw.org/best.htm         provide the respective faculty member(s) two weeks
                                written notice. Students should also provide faculty
                               members with relevant information and documents about
                                the endorsement including but not limited to: job
 International Association of
     Marriage and Family        description, addressee, curriculum vitae and relevant
         Counselors             enrolled courses.
       www.iamfc.com
                                The counseling faculty believes that it is their professional
                               duty to only endorse or recommend a student or graduate
                                for employment opportunities, licenses, certifications
      National Career           and/or other credentials to which the individual is
  Development Association       adequately prepared through knowledge, training and
       www.ncda.org             experience.

                                Faculty members are required to follow the procedures and
                                agreements of the various licensing and certifying bodies
                                (e.g. DESE, NBCC, Licensing boards). It is expected that
                                students and graduates become familiar with these
                                procedures prior to requesting endorsement.


2010 CLINICAL TRAINING MANUAL                              http://coehd.utsa.edu/counseling   - 26 -
LICENSURE, ENDORSEMENT, AND CREDENTIALING


School Counselor Certification

UTSA counseling students who wish to become State of
Texas Certified School Counselors should refer to the Texas         Texas Education Agency
Education Agency in regard to which, if any, of their internship   http://www.tea.state.tx.us/in
experiences may apply to their certification. The Texas                     dex.aspx
Education Agency shall be the ultimate authority on state
                                                                                
credentialing issues.
                                                                    Texas Education Agency
The State Board for Educator Certification adopts rules to
                                                                      School Guidance and
ensure that each candidate for the school counselor
                                                                            Counseling
certificate is of the highest caliber and possesses the
                                                                   http://www.tea.state.tx.us/in
knowledge and skills necessary to improve the performance              dex2.aspx?id=2828
of the diverse student population of Texas. Rules and
standards for the School Counselor Certificate are listed in                    
the: Texas Administrative Code Title 19 - Education; Chapter
                                                                   Texas Department of State
239 - Student Services Certificates Subchapter A - School
                                                                          Health Services
Counselor Certificate.
                                                                   http://www.dshs.state.tx.us/
Professional Counselor Licensure                                           default.shtm

UTSA counseling students who wish to become State of                            
Texas Licensed Professional Counselors (LPC) should refer
                                                                       Texas State Board of
to the LPC Board Rules (i.e., Title 22, Texas Administrative       Examiners of Professional
Code, Subchapter B, §681.31, effective September 1, 2003)                  Counselors
in regard to which, if any, of their internship experiences may    http://www.dshs.state.tx.us/
                                                                      counselor/default.shtm
apply to LPC requirements. The State of Texas LPC Board
shall be the ultimate authority on state licensing issues.

The Texas Department of Licensing and Regulation is the
primary state agency responsible for the oversight of
occupations that are regulated by the state and assigned to
the department by the legislature. Licensure rules and
standards for Professional Counselors are listed in the Texas
Statutes Occupations Code (i.e., Chapter 503) and are
governed by the Texas State Board of Examiners of
Professional Counselors.

National Board for Certified Counselors
- 27 -   http://coehd.utsa.edu/counseling                            2010 CLINICAL TRAINING MANUAL
LICENSURE, ENDORSEMENT, AND CREDENTIALING



UTSA counseling students who wish to             Prevention and Early Intervention divisions.
become a National Certified Counselor
                                                 The Texas Department of Aging and
should refer to the National Board for
                                                 Disability Services (DADS) provides a
Certified Counselors, Inc. and Affiliates
                                                 comprehensive array of aging and disability
(NBCC). This independent not-for-profit
                                                 services, supports, and opportunities for local
credentialing body for counselors
                                                 communities.
established and monitors a national
certification system, to identify those          Key responsibilities include working with
counselors who have voluntarily sought and       consumers, caregivers, service providers and
obtained certification, and to maintain a        other stakeholders, developing and improving
register of those counselors.                    service, and ensuring and protecting self-
                                                 determination, consumer rights and safety.
NBCC's certification program recognizes
counselors who have met predetermined
standards in their training, experience, and
performance on the National Counselor
Examination for Licensure and Certification
(NCE), the most portable credentialing
examination in counseling.

Additional Information                                        National Board for Certified
                                                                      Counselors
The Texas Department of Family and                               http://www.nbcc.org/
Protective Services (DFPS) is charged with
protecting children, adults who are elderly or                               
have disabilities living at home or in state
                                                            The Department of Family and
facilities, and licensing group day-care                         Protective Services
homes, day-care centers, and registered                      http://www.dfps.state.tx.us/
family homes.
                                                                             
The agency also manages community-based
programs that prevent delinquency, abuse,                     Texas Department of Aging
                                                                 and Disability Services
neglect and exploitation of Texas children,
                                                              http://www.dads.state.tx.us/
elderly and disabled adults. The agency's
services are provided through its Adult
Protective Services, Child Protective
Services, Child Care Licensing, and

2010 CLINICAL TRAINING MANUAL                                 http://coehd.utsa.edu/counseling   - 28 -

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Clinical Training Manual

  • 1. Clinical Training Manual The University of Texas at San Antonio Department of Counseling June 2010 Professionalism. Integrity. Wellness.
  • 2. TABLE OF CONTENTS INTRODUCTION 3 Department of Counseling Faculty and Staff COMMUNITY FAMILY LIFE CENTER 8 Community Services Clinical Training POLICIES AND PROCEDURES 13 Fitness to Practice Clinical Training Sequence Practicum Internship LICENSURE AND CREDENTIALING 26 School Counselor Certification Professional Counselor Licensure National Certified Counselor 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling -2-
  • 3. To Our Community, We believe the best way to develop practical counseling skills are through challenging experiences in the context of sound supervision … The Department of Counseling Faculty -3- http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 4. Putting counseling theory and to provide greater clarity and transparently in knowledge into practice is an important providing positive clinical training part of the Department of Counseling’s experiences. mission. The department’s faculty and affiliated We believe the best way to develop community providers are dedicated to practical counseling skills are through professional experiences that reflect the challenging experiences in the context of needs of our diverse community. sound supervision. Our work is continuing to evolve, and we This manual was developed for students, remain committed to meeting your supervisors, community providers, and expectations. We are eager to embrace faculty members involved in the innovation, achieve results and help people professional counselor clinical training improve their wellness. We look to the future program at The University of Texas at with optimism, and hope that you will help in San Antonio. these efforts. This manual provides comprehensive guidelines and procedures for the department’s clinical course sequence and the information you need in order to achieve a positive clinical training experience. The manual is divided into four sections sections. In each section, readers will find information on UTSA’s Department of Counseling, the department’s Community Family Life Center, and other information, including policies, procedures, forms, syllabi, licensure, and credentialing. You will also find the tangible results of a dedicated team of individuals. You will see us reaching out to our diverse community. You will also learn more about our efforts 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling -4-
  • 5. The Department of Counseling What is the department’s mission? Our mission is to prepare multiculturally We are committed to increase the competent professional counselors and educational opportunities of diverse counselor educators for south Texas and populations. We strive to create an beyond. atmosphere where the values and concerns of racial and ethnic minorities, along with They should demonstrate the necessary different populations, receive attention, knowledge, skills, identity, and scholarship respect, and support. These topics are required to secure positions within the integrated into the department’s curriculum profession. The department emphasizes of courses in order to implement specific creativity and diversity as well as dedication to multiculturalism. developmental and relational processes. What are the department’s objectives? Our graduates will possess expertise in: 1) human growth and development, 2) abnormal human behavior, 2) appraisal or assessment techniques, 3) counseling theories, 4) counseling methods or techniques (individual, family and group), 5) research, 6) lifestyle and career development, 7) social, cultural, and family issues, and 8) professional orientation. What about diversity? In accordance with the department’s mission and goals, graduates will have a clear understanding of diversity and be able to address the needs of an increasingly changing society. -5- http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 6. Faculty Members The Department of Counseling is committed in providing cutting edge clinical and educational experiences. Faculty members are involved in all levels of leadership, and well represented locally, across the state, nation, and internationally. In 2008, our counseling programs were awarded an eight-year accreditation from the Council for Accreditation for Counseling and Related Programs (CACREP). Thelma Duffey, Ph.D. •thelma.duffey@utsa.edu Beth Durodoye, Ed.D. •beth.durodoye@utsa.edu Marcheta Evans, Ph.D. •marcheta.evans@utsa.edu Shane Haberstroh, Ed.D. •shane.haberstroh@utsa.edu Gerald Juhnke, Ed.D. •gerald.juhnke@utsa.edu Michael Karcher, Ed.D., Ph.D. •michael.karcher@utsa.edu Michael Moyer, Ph.D. •michael.moyer@utsa.edu Heather Trepal, Ph.D. •heather.trepal@utsa.edu Eli Zambrano, Ph.D. •eli.zambrano@utsa.edu 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling -6-
  • 7. Administrative Staff Members The Department of Counseling’s administrative staff is committed to providing essential support to students, faculty, and community members. Our staff members are critical components in meeting the department’s vision, mission, and objectives. Donna Bomnskie Kristina Talamantez Gidget Vasquez The University of Texas at San Antonio - Downtown
 Campus College of Education and Human Development
 Department of Counseling
 501 W. Durango Boulevard 
 San Antonio, Texas, 78207
 210-458-2600 
 210-458-2605 fax -7- http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 8. COMMUNITY FAMILY LIFE CENTER What is the Community Family Life Center? We envision the College of Education and Human Development’s Community Family Life computers, printers, SMART Boards, and Center (CFLC) as a national leader in other tools that promote active community community service, professional training, and service, clinical training, and clinical clinical research. We adhere to a rigorous set research. of standards that demonstrate leadership and excellence in professional counselor Community Services preparation. Applying counseling theory and knowledge Our mission is clear - to promote healthy into professional practice is an important part social, emotional, and relational functioning, of the Department of Counseling’s mission. reflecting the needs of a diverse and dynamic The CFLC is currently providing services to society. We accomplish our goals through the community through two university active community service, evidence-based sponsored community-based clinics: 1) the training, and clinical research. We encourage CFLC, and 2) Parent Consultation Centers. inclusion and diversity in its broadest sense. The Community Family Life Center History and Description (CFLC) provides individual and group counseling services freely available to Located on The University of Texas at San Antonio’s (UTSA) Downtown Campus, the CFLC was created with the primary purpose of serving San Antonio’s urban downtown area as well as the surrounding communities. We are dedicated to helping graduate counseling students acquire clinical training experiences that reflect the diverse needs of society. We have an extensive resource center, complete with counseling assessment instruments, over 2500 counseling and related discipline textbooks, and other instructional media. The center is equipped with 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling -8-
  • 9. Community Family Life Center individuals and families. To make an needed services to the community. State-of- appointment please contact our office at: the-art clinical supervision tools provide opportunities for student counselor growth Community Family Life Center and development. The CFLC has six Durango Building, 3.304 counseling suites (i.e., three individual suites, 501 West Durango Boulevard two group suites, and one fully equipped play San Antonio, Texas 78207 therapy room) for use by students and faculty. (210) 458-2055 – main (210) 458-2605 – fax During the Fall 2009 semester, the CFLC began a joint project with UTSA’s Career Serving as an on-campus training clinic, the Services. The project offers undergraduate CFLC allows masters and doctoral students students, enrolled in career exploration to obtain intensive and personalized courses, guidance and counseling services. supervision, while at the same time providing The Juror Counseling Program, another collaborative project with the Bexar County Court System, provides freely available counseling services to jurors that have been exposed to traumatic testimony or evidence during criminal court trials. In addition, the CFLC is currently developing relationships with other community advocates, including Avance, the Drug and Social Policy Research Center, and the Edgewood Family Network. -9- http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 10. Parent Consultation Centers The Department of Counseling’s Parent behavioral problems often lead to the Consultation Centers (PCC) is a joint project development of other concerns. As a result, between Northside Independent School the federal government has appealed for District (NISD) and the University of Texas at action, urging counselors, schools, and San Antonio (UTSA). These clinics offer free teachers to recognize early signs of consultation on childhood behavior problems emotional and behavioral problems in to NISD parents. Consultation services are children. provided by UTSA graduate students enrolled These efforts may be helpful in addressing in the Practicum in Counseling course. This the wellness needs of children, intervention model targets specific, adolescents, and their families. The public measurable objectives for parents and health impact of such a model is potentially students. Student counselors receive intense enormous. Brief intervention may serve as supervision by UTSA faculty and doctoral the care itself or as a way to facilitate students and NISD professional school referral for more specialized assistance. counselors. In 2006 and 2008, the PCC model was recognized as NISD's Partner of the Year, really quite an honor. During the 2010 academic school year, the PCC locations are Driggers Elementary School and Passmore Elementary School. For additional information about PCC services, please click on the following links: Maps to Driggers and Passmore Elementary School Identifying behavioral problems early in the lifespan may help prevent long-term distress and cost to families. Left unidentified, 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 10 -
  • 11. Clinical Training Support The CFLC also provides Other activities include assistance, support, support and coordination for development and information, and advocacy the department’s clinical maintenance of clinical for clients, families, and training courses (i.e., Skills, training related forms, clinic other service providers. Practicum, and Internships). training policies and Many of these agencies are Some of these activities procedures, and adherence appropriate for internship include internship site to CACREP clinical training site placements. affiliation and management, standards. Individuals or groups in practicum and internship Clinical Training Sites private practice (i.e., private course enrollment, and therapists, psychologist, clinical training information A myriad of human service etc,) are not appropriate as distribution for students, organizations provide practicum/internship sites. faculty, staff, and community counseling services and are supervisors (e.g., available in the San Antonio UTSA counseling students orientations, websites, and the surrounding are expected to arrange postings, and manuals). communities. These their own placement from organizations provide the department’s list of Clinical Training Community Family Life Center Clinical Community Research Service - 11 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 12. Clinical Training Support approved affiliated clinical sites. For practicum, students may complete their hours in the department’s Community Family Life Center, the Parent Consultation Centers, and/or another approved affiliated practicum site. How does an organization become affiliated with the UTSA Department of Counseling? New, potential practicum and/or internship sites may apply for affiliation with the CFLC, provided that they meet the necessary program requirements. Please click the following link for more information on clinical training: http://coehd.utsa.edu/counseling/community_family_life_center/ The Community Family Life Center’s website contains information on:  UTSA Clinical Training Sites  Application to Become an Affiliated Clinical Training Site  Affiliated Clinical Training Site Agreement  Site Supervisor Evaluation of Student  Clinical Course Syllabi  Clinical Training Forms  Clinic Operating Hours  Maps to the UTSA Downtown Campus and the CFLC community clinics  CFLC Staff Members 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 12 -
  • 13. POLICIES AND PROCEDURES Fitness to Practice Policy In order to complete counselor preparation These standards, procedures, and evaluation programs and to be eligible to take forms may be found in UTSA’s: 1) Handbook certification and/or other credentialing of Operating Procedures (HOP), and 2) the examinations, students must satisfy Fitness department’s website: to Practice Requirements. The details of these requirements can be found in the  http://cepahe.utsa.edu/index.html (Please view detailed Fitness to Practice video) UTSA Handbook of Operating Procedures.  http://www.utsa.edu/hop/chapter5/5-16.cfm It is strongly recommended that students  http://cepahe.utsa.edu/FTP/Fitness_Performan review these requirements to gain factual ce.htm information regarding what these  http://cepahe.utsa.edu/FTP/FitnessEval.pdf requirements entail (See below for access information). Please note that students may be evaluated using the same standards and procedures Professors and faculty members of the during other points in their academic program. counseling profession are responsible for Students are expected to thoroughly review maintaining the integrity and objectives of and comprehend the department’s Fitness to the clinical courses. These courses will Practice policies and procedures. demand students’ time and energy. Please accommodate the time for courses into your Cause for Removal from lifestyle. As clinical courses are experiential Practicum/Internship Sites in nature, they will require students to be introspective and reflective. Classroom Students who are removed from practicum behavior, discussion, professionalism, and and/or internship will automatically undergo a coursework are used to evaluate students’ fitness to practice review. Students may be Fitness to Practice. removed from a practicum and/or internship site placement for the following reasons: As outlined in the Department of Counseling procedures, students’ progress will be  Failure to obtain and/or document proof of specifically summarized in all clinical professional liability insurance; courses. Toward the middle of each  Failure to function in a mature, semester, students will be evaluated on a responsible, and professional manner; uniform checklist of standards.  Failure to follow the ethical guidelines of - 13 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 14. POLICIES AND PROCEDURES the counseling profession; Students will obtain professional liability  Dishonesty regarding field placement log coverage/insurance before the or contract, tape recording, and/or Practicum/Internship class begins. Please obtaining client consent; note: The COU Department does not endorse any particular insurance plan. However,  Failure to maintain confidentiality of client students may find that the professional records and/or client situations; and liability insurance from the Texas Counseling  By request of the site administrator/site Association (TCA) or the American supervisor. Counseling Association (ACA) is the easiest to obtain. These professional organizations Ethical and Legal Standards require membership (i.e., student rate), in addition to, a nominal coverage fee: The practicum/internship clinical experience provides students with the opportunity to  The American Counseling Association, work with clients in real-world settings. via the ACA Insurance Trust (ACAIT). Students are expected to abide by the Call 800.347.6647 or visit their website American Counseling Association (ACA) (http://www.acait.com); ethical and legal standards.  The Texas Counseling Association. Call 800.580.8144 or visit their website Professional Liability Coverage (http://www.txca.org; click on join/renew w/ insurance). Students must provide proof of liability coverage (i.e., certificate of insurance) at the first class meeting and students will not see clients, or collect any direct or indirect service hours, without proof of liability coverage. 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 14 -
  • 15. POLICIES AND PROCEDURES Site Supervisor Qualifications UTSA’s clinical supervisor(s) shall be responsible for providing each student/trainee According to the 2001 CACREP standards, with information relating to the: minimum site supervisor qualifications include: 1) Master’s degree in counseling or  Consultation process with students’ site a closely related field; 2) appropriate mental supervisors; health professional certifications and/or  Desirable practicum/internship licenses; 3) minimum of two years of post- experiences; degree professional experience; and 4)  Site visits with student’s clinical site; knowledge of the program’s expectations,  Communication with site supervisors; requirements, and evaluation procedures.  Consultation with students; For students who are enrolled in the School  Weekly, University-based group Counseling program, site supervision is supervision sessions (i.e., one hour and a required from a Texas Education Agency half hours per week); certified school counselor.  Final grade assignment Site Supervisor Responsibilities What about attendance? Site supervisors will be responsible for  Students are expected to attend all class providing each student with: and supervision meetings, including group, individual, on-site, and off-site  Clinical job description/duties; meetings;  Client assignments for counseling  Students are expected to develop a experiences; schedule with their practicum/internship  Individual and group counseling clinical site supervisor; activities;  Students should immediately notify  Weekly supervision schedule (i.e., supervisors and clinical sites in the event minimum of one hour, face-to-face); of being delayed or absent;  Opportunities/encouragement for  Students should make-up any missed student/trainee professional supervision or practicum/internship hours; development;  Students consistently failing to attend  Interim report and final evaluation class, supervision meetings, or process; and practicum/internship hours may result in  Consultation process with UTSA clinical the student being dropped from the class supervisor(s). or receiving a failing grade; and University Supervisor Responsibilities - 15 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 16. POLICIES AND PROCEDURES  Students consistently failing to prepare professional identity. client cases (i.e., with tape recordings) Documentation for review may result in the student being dropped from the class or receiving a Students will complete and submit all failing grade. required academic and clinical site documentation, in a timely and efficient Home Visits manner. Students’ practicum and internship documentation will be used to verify While completing practicum and internship information for the department’s records and experiences, it is expected that student reviews, as well as state licensure and/or safety come first. Therefore, in general, certification. students are not permitted to make any home visits during their practicum/internship Confidentiality experiences. The exception to this policy/procedure is clinical placement at Students will be responsible for maintaining Hospice Care. the confidentiality of all information related to their clinical site clients: Students must, at all times, have immediate access to their clinical site supervisor, the  Students should understand and follow site supervisor’s representative, or a the legal and ethical confidentiality professional colleague for consultation and practices of their clinical site. support when at their field sites; therefore, students may not work alone at their field  Students shall maintain their sites. practicum/internship documentation and tape recordings in a secure and Professionalism professional manner, consistent with the current ethical guidelines of ACA. Students should consult with their clinical site supervisor, follow the clinical site dress code, and conduct themselves in a  Students shall not use any client professional manner at all times. As well as, identifying information (e.g. full name, students’ professional demeanor should be social security number, etc.) in any consistent with the current ethical guidelines of ACA. This is consistent with the requirement of development of a 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 16 -
  • 17. POLICIES AND PROCEDURES practicum or internship documentation explicit directives. (e.g., tapes, notes, tape critiques, fax, e- mail, etc.). The exception to this  Students shall notify their policy/procedure is the client’s consent practicum/internship faculty instructor, the form(s); and CFLC Director, and the COU Department Chair in the event of a client’s death (e.g.  Students shall utilize appropriate coding suicide, homicide, etc.). procedures when documenting any practicum or internship documentation Background Checks & Criminal Records (e.g., tapes, notes, tape critiques, fax, e- Students are advised that some clinical sites mail, etc.). may administer criminal background checks. Consequently, clinical sites may deny clinical Respect for Clients placement if the student fails to submit this The practice of counseling is both client background check or does not meet the focused and client driven. Students will treat clinical site’s background criteria. all clients with respect, in accordance with the current ethical guidelines of ACA. Please review the Texas Licensed Professional Counselors rules and Crisis Procedures regulations (681.164) regarding this matter: (http://www.dshs.state.tx.us/counselor/lpc_rul Students will know, understand, and be able es.shtm) to implement the appropriate crisis procedures (e.g. suicide, violent behavior, aggression, etc.) at their clinical site.  Students will notify their clinical site supervisors immediately of any client (i.e., actual or potentially actual) crisis situation, following the site supervisor’s - 17 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 18. Clinical Training Sequence Development of Counseling Skills Practicum in Counseling Community School Counseling Counseling Internship I Internship I Community School Counseling Counseling Internship II Internship II School Counseling Internship III What is the clinical training sequence for the master’s degree? The above figure illustrates the clinical training sequences for the master’s degree in school and community counseling. The department’s clinical training sequence is intended to be a developmental process with each clinical course building on the previous course. 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 18 -
  • 19. Practicum What is the procedure for enrolling into documenting how these conditions will be practicum or internship? met; The documentation letter must be delivered to the students faculty course Students must submit an application for instructor at the beginning of any practicum/internship, to the department’s practicum/internship course. Student Development Specialist, the semester before they wish to enroll in Can I accrue any practicum or internship practicum or internship. Likewise, students hours between semesters? must complete a Clinical Orientation prior to the first class meeting of the semester. Students may contact the CFLC for additional information regarding the clinical orientations. It is strongly recommended that students Apply receive faculty instructor approval for any supplemental site hours. Please Note: The department cannot and will not guarantee any student specific clinical site placement acceptance or completion of required practicum/internship hours. May I complete my practicum or Register internship at my work? Students may use their regular employment as a clinical placement site under the following conditions: Students must perform clinical duties that are different from duties performed on the basis of a bachelor’s Attend degree; The students clinical site supervisor must be different from their current work Oritentation supervisor; Students must obtain a letter (i.e., from their clinical site supervisor) - 19 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 20. Practicum According to CACREP standards, students hours in the department’s Community Family must complete their practicum and internship Life Center, the department’s two Parent direct and related professional service hours Consultation Centers, or an approved within the semester they are enrolled (e.g., affiliated practicum site. no carryover hours) in the course. Students Students are expected to arrange their own should also refer to their professional liability practicum or internship site from the CFLC’s insurance coverage regarding eligibility and list of affiliated clinical sites. This list is coverage enrollment. distributed in the department’s main office Still, special circumstances may warrant (i.e., DB 4.122), the CFLC (i.e., DB 3.304), continuing care for clients and/or their and on the Department’s website (i.e., families. In this event, students must consult http://cepahe.utsa.edu/). with their practicum and/or internship Where can I complete my community instructors, the department’s clinical director, counseling Internship? and their site supervisor, documenting the following: supervision responsibilities, emergency response plans, and crisis procedures. In turn, the student’s practicum and/or internship instructor, the department’s clinical director, and the student’s site supervisor must document their agreement with the stated conditions. Where can I complete my practicum? For practicum, students may complete their 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 20 -
  • 21. Practicum Time Requirements Students must complete supervised practicum experiences that total a minimum of 100 clock hours over a minimum 10-week academic term. Each student’s practicum includes the following: 1. At least 40 clock hours of direct service with actual clients that contributes to the development of counseling skills; 2. Weekly interaction that averages one hour per week of individual and/or triadic supervision throughout the practicum by a program faculty member, a student supervisor, or a site supervisor; 3. An average of 1 1/2 hours per week of group supervision that is provided on a regular schedule throughout the practicum by a program faculty member or a student supervisor; 4. The development of program-appropriate audio/video recordings for use in supervision or live supervision of the student’s interactions with clients; and 5. Evaluation of the student’s counseling performance throughout the practicum, including documentation of a formal evaluation after the student completes the practicum. The remaining 60 hours are to include weekly on-site supervision and a variety of professional activities (i.e., record keeping, supervision, information and referral, in-service and staff meetings, etc.). These hours must be evenly accrued over the course of the semester (CACREP 2009, Standard Section III, F1, 2, & 3). Supervision Requirements During the practicum course, students receive weekly clinical supervision by both university instructors/supervisors and clinical site supervisors. Location Clinical Supervisor Time Type One and one half (1½) University - class University faculty Group hours per week Program faculty, University – individual doctorial student, One hour per week Individual or triadic university supervisor Clinical site Site supervisor Site specific Individual, triadic, group - 21 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 22. Internship Students pursuing a degree in Community organizations provide assistance, support, Counseling must complete their internship information, and advocacy for clients, experiences in a community agency setting families, and other service providers. Many of (e.g. outpatient mental health program, these agencies are appropriate for internship residential substance abuse program, site placements. bereavement services program, etc.) under Please note: private practice placements (i.e. the direct supervision of a licensed mental private therapists, psychologist, etc,) are not health professional (preferably a State of appropriate practicum / internship sites. Texas Licensed Professional Counselor). The setting should be able to offer students Where can I complete my school a broad range of clinical opportunities. counseling internship? A myriad of human service organizations Students pursuing a degree in School provide counseling services and are Counseling must complete their internship available in the San Antonio and the experiences in a school setting under the surrounding communities. These direct supervision of a Texas Education Agency certified school counselor. Students should seek a school setting that closely reflects their selected program specialization. The setting should be able to offer students a broad range of clinical opportunities. 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 22 -
  • 23. Internship Supervision Requirements During the Internship courses, students receive weekly instruction / clinical supervision by both university instructors and clinical site supervisors. Students will receive the following levels of supervision: Location Clinical Supervisor Time Type One and one half (1½) University - class University faculty Group hours per week Clinical site Site supervisor One hour (1) per week Individual, triadic, group Desirable Experiences in Community Counseling Internship Desirable experiences in community 2) Documentation and record keeping counseling internship include, but are not procedures, including: limited to: a) Intake evaluations; b) Case notes; and c) Other professional 1) Site orientation, including the correspondence/communications. agency/organization’s: 3) Counseling and therapy activities, a) Organizational chart; including: b) Administrative structure; a) Clinical staff meetings; c) Physical facilities/offices; b) Case conferences; d) Client population characteristics; c) Individual counseling; e) Mission, purpose, and service d) Group counseling; philosophy; e) Referral processes; f) Staff qualifications and background; f) Consultation processes; and g) Services offered; and g) Establishing and maintaining a h) Policies and procedures. counseling relationship from initial intake to termination, referral, or follow-up. 4) Assessment and testing activities, - 23 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 24. Internship including: b) Protection of human subjects; a) Instrument selection; c) Institution review board (IRB) purpose b) Administration; d) Investigator responsibilities; c) Scoring; 7) Professional activities, including: d) Interpretation; and a) In-service/training opportunities; e) Report preparation b) Human relation skills; 5) Consultation activities, including: c) Appreciation of and ability to work a) Awareness of specialties, skills, and with clients of different races, religious services offered by other helping convictions, color, gender, sexual professionals in the community, preference, and national origin; agency/institution; d) Adherence to ACA ethical standards b) Community resource list and/or other appropriate accreditation management; standards; and c) Referral processes; and e) Professional responsibility with regard d) Professional contact procedures; to established laws, rules, and 6) Counseling-related research activities, regulations. including: a) Research ethics; Desirable Experiences in School Counseling Internship The internship runs the full span of the the internship hours. This would need to be semester. At least 14 of the 16 weeks must arranged with your instructor on a one-on- be in a school that is open/active with a one basis. The supervising, state certified general population of students. During this school counselor must provide written time students must receive weekly assurance that the student will be actively supervision from a state certified school involved in 8 of the 11 activities below for a counselor. minimum of 14 consecutive weeks in the same school. A second school site may be used to supplement training experiences in the Comprehensive Guidance Program primary school setting for as much as 30% of 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 24 -
  • 25. Internship As part of the school counseling internship  Family issues requirements, students will continue work on  Harassment issues a developmental guidance and counseling  Coping with stress program that includes the following four  Suicide prevention components: 3. Individual Planning 1. Guidance Curriculum  Educational  Self-confidence development  Career  Motivation to achieve  Personal-social  Decision-making, goal-setting, planning, and problem solving 4. System Support skills  Guidance program development  Interpersonal effectiveness  Parent education  Communication skills  Teacher and administrator  Cross cultural effectiveness consultation  Responsible behavior  Staff development for educators  School improvement planning 2. Responsive Services  Counselor’s professional  Academic concerns development  School related concerns  Research and publishing  Relationship concerns  Community outreach  Physical, sexual and emotional  Public relations abuse as described by the Texas family code The relative emphasis of each component  Grief and loss will vary from district to district, perhaps from  Substance abuse campus to campus, as well as education level (elementary, middle and high school) depending on the developmental and special needs of the students served. - 25 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 26. LICENSURE, ENDORSEMENT, AND CREDENTIALING American Counseling The practicum and internship experience provides UTSA Association counseling students with the opportunity to work with www.counseling.org clients in real-world settings. Students are expected to abide by all ACA ethical and legal standards. American  Counseling Association ethical standards and other American School Counselor divisions are available online. Standards and qualifications Association for professional licensure/certification vary by state and are www.schoolcounselor.org subject to change. Students should review and be familiar with the legal/administrative code of the state(s) in which  they plan to practice. American Mental Health Endorsement Policy Counselors Association www.amhca.org/code Permission should be sought and secured by students prior to formally identifying a faculty member as a  reference. UTSA counseling students and graduates Association for Specialists seeking endorsements, letters of recommendation or in Group Work reference, credentialing, and/or employment letters should www.asgw.org/best.htm provide the respective faculty member(s) two weeks written notice. Students should also provide faculty  members with relevant information and documents about the endorsement including but not limited to: job International Association of Marriage and Family description, addressee, curriculum vitae and relevant Counselors enrolled courses. www.iamfc.com The counseling faculty believes that it is their professional  duty to only endorse or recommend a student or graduate for employment opportunities, licenses, certifications National Career and/or other credentials to which the individual is Development Association adequately prepared through knowledge, training and www.ncda.org experience. Faculty members are required to follow the procedures and agreements of the various licensing and certifying bodies (e.g. DESE, NBCC, Licensing boards). It is expected that students and graduates become familiar with these procedures prior to requesting endorsement. 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 26 -
  • 27. LICENSURE, ENDORSEMENT, AND CREDENTIALING School Counselor Certification UTSA counseling students who wish to become State of Texas Certified School Counselors should refer to the Texas Texas Education Agency Education Agency in regard to which, if any, of their internship http://www.tea.state.tx.us/in experiences may apply to their certification. The Texas dex.aspx Education Agency shall be the ultimate authority on state  credentialing issues. Texas Education Agency The State Board for Educator Certification adopts rules to School Guidance and ensure that each candidate for the school counselor Counseling certificate is of the highest caliber and possesses the http://www.tea.state.tx.us/in knowledge and skills necessary to improve the performance dex2.aspx?id=2828 of the diverse student population of Texas. Rules and standards for the School Counselor Certificate are listed in  the: Texas Administrative Code Title 19 - Education; Chapter Texas Department of State 239 - Student Services Certificates Subchapter A - School Health Services Counselor Certificate. http://www.dshs.state.tx.us/ Professional Counselor Licensure default.shtm UTSA counseling students who wish to become State of  Texas Licensed Professional Counselors (LPC) should refer Texas State Board of to the LPC Board Rules (i.e., Title 22, Texas Administrative Examiners of Professional Code, Subchapter B, §681.31, effective September 1, 2003) Counselors in regard to which, if any, of their internship experiences may http://www.dshs.state.tx.us/ counselor/default.shtm apply to LPC requirements. The State of Texas LPC Board shall be the ultimate authority on state licensing issues. The Texas Department of Licensing and Regulation is the primary state agency responsible for the oversight of occupations that are regulated by the state and assigned to the department by the legislature. Licensure rules and standards for Professional Counselors are listed in the Texas Statutes Occupations Code (i.e., Chapter 503) and are governed by the Texas State Board of Examiners of Professional Counselors. National Board for Certified Counselors - 27 - http://coehd.utsa.edu/counseling 2010 CLINICAL TRAINING MANUAL
  • 28. LICENSURE, ENDORSEMENT, AND CREDENTIALING UTSA counseling students who wish to Prevention and Early Intervention divisions. become a National Certified Counselor The Texas Department of Aging and should refer to the National Board for Disability Services (DADS) provides a Certified Counselors, Inc. and Affiliates comprehensive array of aging and disability (NBCC). This independent not-for-profit services, supports, and opportunities for local credentialing body for counselors communities. established and monitors a national certification system, to identify those Key responsibilities include working with counselors who have voluntarily sought and consumers, caregivers, service providers and obtained certification, and to maintain a other stakeholders, developing and improving register of those counselors. service, and ensuring and protecting self- determination, consumer rights and safety. NBCC's certification program recognizes counselors who have met predetermined standards in their training, experience, and performance on the National Counselor Examination for Licensure and Certification (NCE), the most portable credentialing examination in counseling. Additional Information National Board for Certified Counselors The Texas Department of Family and http://www.nbcc.org/ Protective Services (DFPS) is charged with protecting children, adults who are elderly or  have disabilities living at home or in state The Department of Family and facilities, and licensing group day-care Protective Services homes, day-care centers, and registered http://www.dfps.state.tx.us/ family homes.  The agency also manages community-based programs that prevent delinquency, abuse, Texas Department of Aging and Disability Services neglect and exploitation of Texas children, http://www.dads.state.tx.us/ elderly and disabled adults. The agency's services are provided through its Adult Protective Services, Child Protective Services, Child Care Licensing, and 2010 CLINICAL TRAINING MANUAL http://coehd.utsa.edu/counseling - 28 -