Test 3 Flashcards
(24 cards)
Professional identity
Multifaceted; Multidisciplinary
Where do rehab counselor a work
Human service fields: rehab, social work, coun/psych, etc
Typical jobs: private for profit rehab, state agencies, halfway houses, supported employment, correctional facilities, group homes, schools, etc
How do we specialize?
By work settings
By disability
By function
Historical views
“Talk therapy”
“Two hat theory” vs. “Big hat theory”
Multiple competences and knowledge
Current view of counselor roles
(Hershenson, 1990)
- Counselor
- Coordinator
- Consultant
Multidisciplinary profession
Counselor seen as the “hub”
State-federal rehab programs
Generalist rehab
State-federal rehab: what’s involved?
case finding, diagnosis/assessment, intake, eligibility determination, plan development, service provision, job placement/follow up, post employment
Generalist Rehab (private not-for-profit, ILS)
Counseling/guidance, assessment, paperwork, case management, voc. counseling, affective counseling, job development and placement
Core skills for Direct Service
- Vocational counseling
- Assessment planning and interpretation
- Personal adjustment counseling
- Case management
- Job analysis
Counselor-Client Relationship
-Phases of the rehab process:
evaluation, planning, treatment, termination
-Essential counseling competences
relationship skills, cultural sensitivity, help with adjustment problems
-Counselor edu. and certifications
Phases of the Rehab Process
- evaluation
- planning
- treatment
- termination
Essential Counseling Competencies
- relationship skills
- cultural sensitivity
- help with adjustment problems
Counselor Education and Certifications
- CORE
- CRCC
Four Step Evaluation Process
- Intake Interview
- General Medical Examination
- Medical Specialist (exam/psych eval)
- Work or Vocational Eval
Knowledge builds in a Cumulative Manner
- Info needed through evaluation is dependent upon the severity/type of disability
- Info needed is based on the the severity/type of offense
Cost Factors
- Each step is more costly than the previous one
- Goal is to make the process as comprehensive as possible at each step, using only those measures necessary
Intake Meeting Should Focus On:
- Reasons for seeking rehab services
- Explaining the role/function of the agency
- Building rapport
- Explaining the evaluation process and purposes if each assessment
Systematic interviewing of social-vocational history
- Physical factors
- Educational and vocational history
- Psychosocial factors
- Economic Factors
- Personal Goals
- Criminal record factors
General Medical Evaluation
GME
- required under state-federal program in determining eligibility
- clarify functional implications, potential for recovery, services needed to achieve goals, existing limitations
- counselor should provide referral info to aid the psysician in assessing functioning
Medical Specialist Examination
- Specialists are used for complex disability conditions or those that require training
- Using a physiatrist (specializes in disabilities) or psychiatrist
Medical Consultant
- Consultants are available in the state-federal program to aid in understanding medical and psychological reports
- Primary responsibility for integrating medical/pay report information lies with rehab counselor
Use of Vocational Evaluation
- Recommendation for clients with limited work history or unclear vocational strengths, limitations, and goals
- Also helpful in “trying out” different work accommodations
Areas typically measured in Voc Eval
- Interests
- Aptitudes
- Special Needs
- Learning Styles
- Work Habits and Behaviors
- Personal and Social Skills
- Values/Attitudes toward Work
- Self Concept
- Work Tolerances
Types of Vocational Evaluation
- Work Samples
- Situational Assessments
-OJE
(On the job evaluation)
