Transcript
Page 1: Practicum & Internship Handbook Service and Indirect Activities ... Personal Challenges: ... , provide supervisor with handbook, and interview at fieldwork

Practicum&InternshipHandbookCounselingandSchoolPsychologyDepartment

ClinicalMentalHealthCounselingProgram

CounselingandSchoolPsychology,SouthernConnecticutStateUniversity

DavisHallRoom126,501CrescentSt.,NewHaven,CT06515Phone:203.392.5910-Fax:203.392.5917

URL:

https://www.southernct.edu/academics/schools/education/departments/counseling/

LastRevised:9/13/2017

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TableofContentsFirstThingsFirst............................................................................................................................................4

StudentChecklistforCMHCPracticum..........................................................................................................4

StudentChecklistforCMHCInternship..........................................................................................................5

StudentPreparation......................................................................................................................................6SelectaSite..............................................................................................................................................................6

Requirements/ExpectationsfortheFieldSite...............................................................................................................6Requirements/ExpectationsfortheSiteSupervisor:.....................................................................................................6

SecureaSite.............................................................................................................................................................8TipsforInterviewingataSite:..................................................................................................................................8Complete/SubmittheFieldSiteContract..................................................................................................................8SecureSCSUApprovaloftheSite..............................................................................................................................8EnrollinCourses.......................................................................................................................................................8StartPracticum/Internship......................................................................................................................................8

DirectServiceandIndirectActivities.............................................................................................................9DIRECTSERVICES......................................................................................................................................................9INDIRECTACTIVITIES.................................................................................................................................................9ClinicalSupervision(countedasindirect):.................................................................................................................9

FacultySupport...........................................................................................................................................10ExpectationsforCMHCProgramCoordinator.........................................................................................................10GroupSeminarInstructor.......................................................................................................................................10ExpectationsforPracticumFacultySupervisors(CSP552).......................................................................................10EvaluationofInstructorsandFieldSites.................................................................................................................10

PracticumRequiredHours...........................................................................................................................11Grading..................................................................................................................................................................11

InternshipRequiredHours..........................................................................................................................12Grading..................................................................................................................................................................12

ProfessionalConsiderations........................................................................................................................13EthicalGuidelines:..................................................................................................................................................13Confidentiality:.......................................................................................................................................................13AudioandVideo-Recording:...................................................................................................................................13PersonalChallenges:...............................................................................................................................................14SupervisionandFeedback:.....................................................................................................................................14SupervisionPreparation:........................................................................................................................................14

ClinicalTrainingManager............................................................................................................................14

SpecialNotetoSupervisors.........................................................................................................................14

ClinicalMentalHealthCounselingFieldSiteContract..................................................................................15

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MidtermStudentPerformanceEvaluationforCMHCPracticumandInternship..........................................19

FinalStudentPerformanceEvaluationforCMHCPracticumandInternship................................................23

StudentEvaluationofSite...........................................................................................................................26

RecordingConsentFormforAdultClients...................................................................................................27

RecordingConsentFormforMinorClient....................................................................................................28

CMHCFIELDWORKOVERVIEW.....................................................................................................................29

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FirstThingsFirstWithintheirfirstyearintheprogram,studentsneedto:

1. Reviewthishandbookinitsentirety,2. Consultwiththeiradvisorinregardtothefieldworkgoalsandmatchingsites,and3. WatchtheonlinepodcastonThingstoKnowforFieldworkontheCurrentStudentspageonthe

website.

StudentChecklistforCMHCPracticum

Task Ensurethatyouareontracktocompleteallpracticumpre-requisites:CSP595and656. ReviewApprovedFieldworkSites(onthewebsite)andmeetwithadvisortodiscuss ContactLPCsupervisors,providesupervisorwithhandbook,andinterviewatfieldwork

sites EnrollinPracticumCourses552&553[Aprilforfall;Novemberforspring] ObtainProfessionalLiabilityInsurancethroughACAstudentmembership SubmitSiteContracttoCMHCProgramCoordinatorbyNovember1forSpringSemester

andJune1forFallSemester.ContractcanbeONLYforthelengthofthesemester. AttendorientationatpracticumsiteanddiscussfieldworkgoalswithSiteSupervisor CompleteWeeklyLogSheetselectronically Student,UniversityFaculty,ProgramCoordinator,andSiteSupervisorareinconsistent

communication SiteSupervisorsubmitsMidtermStudentPerformanceEvaluation SiteSupervisorsubmitsFinalStudentPerformanceEvaluation StudentsubmitsEvaluationofSite

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StudentChecklistforCMHCInternship

TaskFIRSTSEMESTER

Completeallinternshippre-requisites:CSP552/553andportfoliorequirements MaintainProfessionalLiabilityInsurance EnrollinInternshipCourseCSP676[April3] SubmitSiteContracttoCMHCProgramCoordinatorbyNovember1forSpringSemesterandJune1for

FallSemester.Contractcanbeforthelengthoftheinternship,either1semesteror2semesters. Ifnewsite,attendorientationatinternshipsiteanddiscussfieldworkgoalswithSiteSupervisor CompleteWeeklyLogSheetselectronically Student,UniversityFaculty,ProgramCoordinator,andSiteSupervisorareinconsistentcommunication SiteSupervisorsubmitsMidtermStudentPerformanceEvaluation SiteSupervisorsubmitsFinalStudentPerformanceEvaluation

StudentsubmitsEvaluationofSite

SECONDSEMESTER MaintainProfessionalLiabilityInsurance EnrollinInternshipCourseCSP676[Aprilforfall;Novemberforspring] Ensuresitecontractiscurrent.Ifchangingsites,submitanewsitecontracttoCMHCProgram

CoordinatorbyNovember1forSpringSemesterandJune1forFallSemester.Contractcanbeforthelengthoftheinternship,either1semesteror2semesters.

Ifnewsite,attendorientationatinternshipsiteanddiscussfieldworkgoalswithSiteSupervisor CompleteWeeklyLogSheetselectronically Student,UniversityFaculty,ProgramCoordinator,andSiteSupervisorareinconsistentcommunication SiteSupervisorsubmitsMidtermStudentPerformanceEvaluation SiteSupervisorsubmitsFinalStudentPerformanceEvaluation StudentsubmitsEvaluationofSite

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StudentPreparationSelectaSiteStudentsshallusethefollowingguidelineswhenchoosingafieldworksite.

• Determinespecificprofessionalgoalsandneedstohelpdeterminethepreferredtypeofsetting.• Speaktoadvisorand/ortheSCSUFieldSiteCoordinatorforadviceonchoosingsites.• ThesitemustbelistedasanapprovedsiteforPracticumand/orInternship.Ifasiteyouareinterested

inisnotontheapprovedlist,youmaycontacttheCMHCProgramCoordinatortoidentifyifthatsitemaybeaddedtotheapprovedlist.Requirements/ExpectationsfortheFieldSiteForasitetobeapproved,keyagencypersonnelmust:

o Givethestudentadequateopportunitytoaccruedirectandindirecthoursprovidingdiagnosisandtreatmentofpsychologicaldisordersandotherrelatedprofessionalcounselingactivities.Activitiescannotbelimitedtogrouporfamilycounselingandmustincludesufficientnumberofindividualpsychotherapyhourstomeettrainingneeds.

o BefamiliarwithandfollowACAandotherpertinentethicalcodes.ViewtheACACodeathttp://www.counseling.org/knowledge-center/ethics.

o UnderstandConnecticutStaterequirementsforLicensureasaProfessionalCounselor.ViewtheConnecticutstaterequirementsathttp://www.ct.gov/dph/cwp/view.asp?a=3121&q=396906&dphNav_GID=1821.

o Provideanopportunitytomakeaudioorvideorecordingsofclientsessions.o Offeradesignatedareaforstudentwork,confidentialforphonecallsandcounselingsessions.o Providetrainingneededforstudentstofollowthepoliciesandproceduresoftheagency.

SelectingaSiteatwhichyouarealreadyemployedInrarecases,somestudentsmightalreadybeworkingatamentalhealthfacilityduringtheirgraduatecoursework.Inthesesituations,thestudentmaywishtochoosetheirplaceofemploymentastheirfieldworksite.Specialpermissionsarerequiredtoselectaplaceofemploymentasafieldworksite.Thefollowingarealsorequired:

o Thestudentmustclearlyseparatefieldworkhoursandworkhoursforappropriateloggingofrequiredhours.

o Thestudentmustbeperformingclinicalmentalhealthcounselingdutiesthatarerequiredforlicensureandfieldworkrequirements.

o Thestudentmustbeacquiringnewcounselingandcounseling-relatedskillsduringtheirfieldworkhours.

o Thestudentmusthaveadifferentsitesupervisorthatisnottheirprimarysupervisorforwork-relatedissues.

Requirements/ExpectationsfortheSiteSupervisor:TheagencymustprovideaclinicalsupervisorwhomeetsthefollowingSCSUrequirements:

• MustbeaLicensedProfessionalCounselor.• Haveaminimumof2yearsofexperienceasaProfessionalCounselor.• Havecompletedrelevanttrainingorcourseworkincounselingsupervision.• Haspriorexperienceasaclinicalsupervisorofuniversityinterns.

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• HasbeengiventheCMHCPracticumandInternshiphandbookandisawareofCMHCprogram’sexpectations,requirementsandevaluationproceduresforstudentsaspresentedinPracticumandInternshipHandbook.

• Providesstudentwithaminimumofonehourperweekofregularlyscheduledindividualclinicalsupervision.

• ReviewandsignallrelevantdocumentsandcompleteStudentPerformanceEvaluationsatbothmidtermandendofthesemesterforeachsemesteroftheplacement.Generally,finalstudentevaluationsaresubmittedelectronicallyviatheTk-20datamanagementsystem.Supervisorswillreceiveemailregardingprocesses/proceduresforsubmittingevaluationsonTk-20.

• CommunicateregularlywithUniversityfacultyandmeetwiththestudentandaCSPfacultymemberonscheduledsitevisits(1persemester).

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SecureaSiteStudentsmayusethefollowingguidelineswhensecuringapracticumorinternshipsite.

• Contactsitestoidentifyopenpositions.• Attempttospeakdirectlytothesite’sinternshipcoordinatororsupervisor.Ifimmediatecontactis

made,inquireaboutnextstepsand/orrequesttohaveaninterview.• Ifinternshipcoordinatorisnotreachedimmediately,composeapersonalcoverletter,attacha

resume,referencesandtheCMHCBriefFieldworkOverviewHandoutandsendthepackettothesiteinternshipcoordinator.

• Followupthemailingwithatelephonecalltorequestaninterview.TipsforInterviewingataSite:

Studentsshouldapproachthepracticumorinternshipsiteinterviewasaregularjobinterviewandgatherorpreparethefollowing:

o Aresumeandlistofreferences.o CMHCBriefFieldworkOverviewHandout.o Alistofideasandquestionsrelatedtohowthisplacementmightprovemutuallybeneficialto

thestudentandthesite.o Alistofgoalsthestudentwishestoaccomplishthroughthisexperience.o Emailacopyofthishandbook,sothatthestudentcanclearlypresentandexplainUniversity

expectations,especiallythoseaffectingtheSiteSupervisor.Complete/SubmittheFieldSiteContractOnceastudenthasbeenofferedafieldworkposition,thestudentshouldemailacopyoftheCMHCFieldSiteContractreadyforcompletion.SecureSCSUApprovaloftheSiteOnceapotentialsiteisidentified,submitalldocumentationtotheCMHCProgramCoordinatortosecureprogramapproval.Studentsmaynotbeginworkingatthesiteuntilallrequireddocumentshavebeensubmittedandthestudenthasreceivednotificationthattheplacementisapproved.Studentsmayneverseeclientspriortothefirstclassmeetingofthesemester.EnrollinCourses

• Registerearlyfortheappropriatecoursesasdesignatedonthestudent’scoursesequenceandapprovedbythestudent’sadvisor.ForPracticum:CSP552(3credits)andCSP553(4credits).ForInternship:CSP676(4credits).

• Ifastudentdoesnothaveasitecontractonfilewithalloftherequiredpaperworkandsignatures,theycannotstartfieldworkatanysiteandtheywillneedtodropthefieldworkcoursesafterthefirstweekofthecourse.

StartPracticum/InternshipStudentsareexpectedtoattendthefieldsite’sregularemployeeorinternorientation.StudentsmustbeginandendtheirpracticumaccordingtoSCSU’sacademiccalendar.StudentsmuststarttheirinternshipaccordingtoSCSU’sacademiccalendar.

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DirectServiceandIndirectActivities

Fieldworkwillbeacombinationofworkwithclientsandrelatedactivities,aswellaslearningadministrativetasks.Directservicesaredefinedascontactwithclientsduringwhichthestudentdirectlyconductsorparticipatesintheprovisionofcounseling.Indirecthoursincludeservicesorprofessionalactivitiesperformedwhileatone’sfieldsitethatdonotrequiredirectclientcontact.Supervisionhoursarecomposedoffacultyoron-sitesupervision.Thestudentisresponsiblefordocumentingtheirdirectandindirectservicehours.TheSiteSupervisorisrequiredtosignoffonthestudent’shours.

DIRECTSERVICES

• IndividualcounselingPerformingclientsessionsinvolvingtheassessmentand/ortreatmentofspecificmentalandemotionaldisorders.

• Family/couplescounselingPerformingfamilyorcouplessessionsinvolvingtheassessmentand/ortreatmentofspecificmentalandemotionaldisorders.

• GroupCounselingCo-leadingorindependentlyleadingapsychotherapygroup.• DiagnosticInterviewingUseofspecificassessmenttoolsandclinicalskillstoidentifyanappropriate

DSM-5diagnosisandidentifyaclient’sinitialneeds.• TestingandAssessmentAdministrationand/orinterpretationofcounselingassessments;Includes

provisionofinterpretivesummariestoclients.• CareerCounselingCounselingthatincludesclientcareerorvocationaldevelopment.• Co-TherapyActivelyparticipatinginco-therapywithindividualsorgroups(notsimplyobserving).

INDIRECTACTIVITIES

• ObservationObservingon-sitestaffmemberperformingpsychotherapy.• TelephoneorEmailContactsMakingdirectcontactwithclientsthatisnotfacetoface.• ReferralsLinkingclienttosupplementalorsupportiveservices.• ClinicalDocumentationWritingcasenotes,treatmentplans,andtreatmentsummariesorother

writtenreportsfortheformalmedicalrecord.• CaseConsultationWorkingdirectlywithothermentalhealthprofessionalsregardingclients.• StaffMeetingsAttendingclinicaland/oradministrativemeetingswithagencystaff.• ProfessionalDevelopmentActivitiesAttendingprofessionalcounselingtrainings,workshopsor

conferences.

ClinicalSupervision(countedasindirect):• On-siteIndividualClinicalSupervisionWeekly,face-to-faceregularlyscheduledsupervisionregarding

skillsdevelopmentandclientcare;ProvidedbytheSiteSupervisor.• On-siteGroupSupervisionAllformalgroupsupervisionprovidedatthefieldsite.• UniversitySupervisionIndividualsupervisionwithfacultysupervisor(OnlyPracticum)andfieldwork

seminar(BothPracticumandInternship)

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FacultySupportExpectationsforCMHCProgramCoordinatorTheCMHCProgramCoordinatorwillfunctionastheFieldSiteCoordinator,coordinatingandsupervisingpracticumandinternshipsitesthroughtheCMHCprogram.BelowisalistofexpectationsfortheProgramCoordinatorwhensupervisingaCMHCpracticumorinternshipstudent.

• Ensureallpaperworkiscollectedasrequired.• FacilitatecommunicationbetweenUniversityandfieldplacementsite.• ConsultwithbothSCSUfacultyandSiteSupervisorsandstudentsasneeded.• Ensureallclientinformationiskeptconfidential.

GroupSeminarInstructor

• Conductgroupsupervisionmeetingsweeklyoncampusthroughoutthesemester.• MakecontactwithSiteSupervisorandmaintainconsistentcommunication.• VisittheSiteSupervisorandthestudentattheinternshipsiteatleastonceduringthesemesterand

havephonecontactduringthesemesterasneeded.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential.

ExpectationsforPracticumFacultySupervisors(CSP552)ThePracticumFacultySupervisorisexpectedto:

• Conductindividualsupervisionmeetingweeklyoncampusthroughoutthesemester.• Focusonstudentcounselingskillsdevelopmentsuchasmicroskillsandinterviewingstrategies(in

contrast,clinicaldiagnosticandtreatmentissuesarethemainfocusofon-sitesupervision).• ImmediatelycontacttheSCSUFieldSiteCoordinatorshouldanyproblemsorchangesinrelationtothe

student,site,orUniversityoccur.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential

EvaluationofInstructorsandFieldSitesStudentswillcompleteSCSUteachingevaluationsforinstructorsofCSP552/553and676.TheywillalsoevaluatetheirFieldSiteandSiteSupervisors.ResultsofFieldSiteevaluationswillhaveanimpactonthecontinueduseofasiteand/orsitesupervisor.

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PracticumRequiredHoursCMHCCounselingPracticumprovidesanopportunitytodemonstratecounselingskillsunderclosesupervisioninaclinicalmentalhealthsetting.Theprimarygoalofpracticumistodevelopskillsinindividual,grouporfamilycounselinginaprofessionalsetting.Thisisaccomplishedbycombiningastudent’scounselingskillsandpersonalstyleintoaneffectivetherapeuticapproachandenhancingthestudent’sgrowthasapersonandasaprofessionalcounselor.Studentsshouldalsobewillingtoengagewithdiverseclients,includingalldemographicbackgroundsincludingage,ethnicity,affectionalorientation,genderandgenderidentity,religion/spirituality,abilitylevel,andsocio-economicstatus.Studentsarerequiredtospendaminimumof100hoursonsiteduringpracticum.Fortyofthesehoursshouldbeconsidereddirectservicehours(e.g.,face-to-facecounseling/psychotherapy)andtheremaining60indirecthours(e.g.,staffmeetings,clinicaldocumentation,otheractivitiesatthefieldsite).ThesehoursareMINIMUMrequirements.Allactivitiesmustbedocumentedinordertoreceivecreditforfieldsiteworkandmeetlicensurestandards.

PracticumExperiences:DIRECTSERVICEINDIRECTACTIVITIES

MinimumTimeRequirement40hourstotal60hourstotal

GradingInPracticum,thestudentisenrolledintwocourses(CSP552and553)andthereforereceivestwoPass/Failgrades.Thefinalgrade,asassignedbythecourseinstructor,willbebasedon:

• Thestudentfulfillingtherequiredservicehours• TheSiteSupervisor’sevaluation• Completionofanyothercourserequirements,asindicatedoncoursesyllabi

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InternshipRequiredHoursFollowingthepracticumandpre-requisitecourses,studentswillpursueaninternship.Thegoaloftheinternshipistofurtherdevelopandrefinetheskillsdevelopedduringpracticum.Moreover,theinternshipshouldprovidethestudentwiththefullrangeofcounselorresponsibilitiesappropriatetothesetting.Duringinternship,studentsassumeincreasinglevelsofresponsibilityforarangeofcounselingactivities.Studentsshouldalsobewillingtoengagewithdiverseclients,includingalldemographicbackgroundsincludingage,ethnicity,affectionalorientation,genderandgenderidentity,religion/spirituality,abilitylevel,andsocio-economicstatus.Studentsarerequiredtospendaminimumof600hoursonsiteduringtheentiretwo–semesterinternship.Twohundredandfortyofthesehoursshouldbeconsidereddirectservicehours(e.g.,counselingindividualsandgroups)andtheremainingindirecthours(e.g.,faculty/staffmeetings).Thesehoursaretypicallypart-time(approximately20hoursaweek)acrosstwosemesters.PleaserememberthatthesehoursaretheMINIMUMrequirementsthatyoumustperform.Inmanysituations,youwillgowellovertheserequirements.However,youmustdocumentallactivitiesinordertoreceiveclasscredit,aswellasprovideprooffortheNCCandLPC.

InternshipExperiences:DIRECTSERVICEINDIRECTACTIVITIES

MinimumTimeRequirement240hourstotal360hourstotal

GradingInInternship,thestudentisenrolledinonecourseovertwoseparatesemesters(CSP676)andthereforereceivestwoPass/Failgrades.Thefinalgrade,asassignedbythecourseinstructor,willbebasedon:

• Thestudentfulfillingtherequiredservicehours• TheSiteSupervisor’sevaluation• Completionofanyothercourserequirements,asindicatedoncoursesyllabi

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ProfessionalConsiderationsEthicalGuidelines:AsastudentandprofessionalinCounseling,studentsarerequiredtofollowaprofessionalcodeofethics.Studentsmustread,understand,andusetheseethicalguidelines.Additionally,studentsmustadheretostateandfederallawsandtheregulationsofthehostagency.However,becausetheresolutionofmanyethicaldilemmasisnotalwaysclear,studentsshouldconsultfacultyandSiteSupervisorsaboutanyethicallyunclearsituationsthatariseatthesite.Ifthesituationisurgent,studentsshouldimmediatelycontacttheSiteSupervisorandfacultysupervisororseminarinstructor.Ifitisanon-urgentethicalquestion,studentsshouldbringthequestiontosupervisionmeetings.SelectedEthicsCodes:

AmericanCounselingAssociation:http://www.counseling.org/knowledge-center/ethicsAmericanMentalHealthCounselorsAssociation:http://www.amhca.org/?page=codeofethicsNationalBoardofCertifiedCounselors:http://www.nbcc.org/Assets/Ethics/NBCCCodeofEthics.pdf

Confidentiality:InaccordancewiththeethicalprinciplesofACA,stateandfederallawandfieldsiteregulations,studentsmustmaintainstrictclientconfidentialityatalltimes.Studentsarerequiredtoread,understandandsigntheconfidentialityclauseswithintheFieldSiteContract.Whenvideooraudio-recording,studentsarerequiredtosubmitadultorminorRecordingConsentFormsaswellasotheradditionalrecordingreleasesrequiredbythefieldsite.Notethatconfidentiallyisapartoftheinformedconsentprocess.Studentsareresponsibleforinformingclientsofproceduresincounselingandtheroleoftheprofessionalcounselor(includingone’sstatusasapracticumorinternshipstudent)atorbeforethefirstcounselingsession.Limitstoconfidentialityshouldbeaddressedanddefinedinadevelopmentallyappropriatemanner.ThisconfidentialityalsoinvolvestheuseofclientinitialsorpseudonymsforallCMHCcoursework.Otherkeyaspectsofconfidentialityarelocatedintheethicalcodeslistedabove.Asareminder,studentsshouldNEVERdiscussclientswithunauthorizedpersonnel.AudioandVideo-Recording:Audioand/orvideo-recordingsofcounselingsessionsduringfieldexperienceareforthesolepurposeofdevelopment,review,reflectionandrefinementofprofessionalcounselingskills.Theseaudioand/orvideo-recordingsareforgraduatelevelinstructionalpurposesonly.TheCSPdepartmenthighlyvaluesaudioorvideo-recordingatallpracticumandinternshipsites.Whileweunderstandthatvideorecordingisnotalwayspossible,audiorecordingisacceptable.AllrecordingswillbemaintainedwithstrictHIPAAcompliance.Therefore,allstudentswill:

• Willpurchaseanencryptedvideo/voicerecorder.• Willcompleterecordingsonlywiththefullknowledgeandapprovaloftheclient(s),Site

Supervisorandagencyadministration.• Willnotlabelaudio/videorecordingwithanyclientidentifyinginformation.

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• Willkeepmyaudio/videorecorderinalockedlocationwhereotherscannotaccessitandanynarratives/digitalrecordingswillbekeptonasecureserverwithdualpasswordprotection.

• Willonlysharetherecording,transcripts,andnarrativeswithapprovededucationalpersonnel,inthecontextofindividualandgroupsupervision.

• Willundernocircumstanceshareclientaudio/videorecordingwithanyoneotherthandesignatedfieldsiteemployeesorSCSUfaculty.

• Understandsthatiftheyfailtocomplywiththeabovestandardsensuringclientconfidentiality,theyunderstandthattheywillbesubjecttoconsequences,whichmayincludeterminationoftheinternshiporexpulsionfromtheClinicalMentalHealthCounselingprogram.

• Willeraseallrecordingsimmediatelyaftercompletionofsupervisoryreview.PersonalChallenges:Becausepersonalissuesmayimpactone’sclinicalwork,manycounselorsintrainingchoosetoseektheirowncounseling.StudentsatSCSUareeligibleforcounselingthroughSCSUCounselingServices:(203)392-5475.NotethatifastudentchoosestouseSCSUCounselingServicesasafieldsite,theymustseekcounselingserviceselsewhere.Inthiscircumstance,CounselingServiceswillprovideareferraltootherlocalcounselingpractitioners.SupervisionandFeedback:Acrucialcomponentofthepracticumandinternshipprocessisconstructivefeedback.Studentswillreceiveextensivefeedbackfrompeers,sitesupervisorsandfacultysupervisors.Becausepersonalqualities,includingopennessandflexibility,impactone’scounselingeffectiveness,therewillbetimeswhenfeedbackaddressespersonalaswellasprofessionalskills.Studentsmustunderstandandmonitorpersonalreactionstocriticismanddevelopahealthyandconstructivewaytodealwithpotentiallynegativefeedback.SupervisionPreparation:Studentsmusttakeanactiveroleinsupervisionsessions.Studentsmustcometoeachsupervisionsessionfullyprepared.Thisincludescompletingallrequisitepaperworkand/orassignments(e.g.,readings,research),preparingalistofspecificquestionsforthesupervisor,andreviewingvideoand/oraudiorecordingsofsessionspriortosupervision.

ClinicalTrainingManagerTheClinicalMentalHealthCounselingprogramispilotingtheuseofanonlinesoftwareprogramdesignedtomanagestudent,university,andsitecommunication,fieldworkhourdocumentation,andrequiredpaperwork.ThisprogramisslatedtobegininSpring2018;pleasecheckbackforanupdateddescriptioninanewerversionofthehandbook

SpecialNotetoSupervisors

Wedeeplyappreciatethetimeandenergythatyouhavededicatedtoourstudents.Shouldyouhaveadditionalquestionsorneedforsupport,pleasefeelfreetocontacttheCMHCProgramCoordinatororanyoftheCMHCfacultyatanytime.Itisourpleasuretohelpyouinanywaypossible.

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

ClinicalMentalHealthCounselingFieldSiteContractThisagreementismadeon__________between__________________________andtheCSPDepartmentat(date)(fieldsite)SouthernConnecticutStateUniversity.Theagreementverifiesthat_____________________________willbeworking (student)starting__________to__________forapproximately_________perweekfor_________________________.(date)(date) (#hrs)(practicumorinternship)Thiscontractindicatesanagreementonbehalfofasitesupervisor,site,UniversityCMHCfaculty,andstudentinregardstotheirfieldworkexperience.Noclientcontact(facetofaceorphone/email)canbeginuntilthefirstdayoftheacademicterminwhichthestudentisenrolled.ThepracticumexperienceendsonthelastdayoftheacademicterminwhichthestudentisenrolledforPracticum.TheinternshipexperienceextendsacrosstwosemestersandendsthelastdayoftheacademicterminwhichthestudentisenrolledforIntership.Aspartofthisexperience,studentsneed:

DIRECTSERVICES• IndividualcounselingPerformingclientsessionsinvolvingtheassessmentand/ortreatmentofspecificmental

andemotionaldisorders.• Family/couplescounselingPerformingfamilyorcouplessessionsinvolvingtheassessmentand/ortreatmentof

specificmentalandemotionaldisorders.• GroupCounselingCo-leadingorindependentlyleadingapsychotherapygroup.• DiagnosticInterviewingUseofspecificassessmenttoolsandclinicalskillstoidentifyanappropriateDSM-5

diagnosisandidentifyaclient’sinitialneeds.• TestingandAssessmentAdministrationand/orinterpretationofcounselingassessments;Includesprovisionof

interpretivesummariestoclients.• CareerCounselingCounselingthatincludesclientcareerorvocationaldevelopment.• Co-TherapyActivelyparticipatinginco-therapywithindividualsorgroups(notsimplyobserving).INDIRECTSERVICES• ObservationObservingon-sitestaffmemberperformingpsychotherapy.• TelephoneorEmailContactsMakingdirectcontactwithclientsthatisnotfacetoface.• ReferralsLinkingclienttosupplementalorsupportiveservices.• ClinicalDocumentationWritingcasenotes,treatmentplans,andtreatmentsummariesorotherwrittenreports

fortheformalmedicalrecord.• CaseConsultationWorkingdirectlywithothermentalhealthprofessionalsregardingclients.• StaffMeetingsAttendingclinicaland/oradministrativemeetingswithagencystaff.• ProfessionalDevelopmentActivitiesAttendingprofessionalcounselingtrainings,workshopsorconferences.

ClinicalSupervision(countsasindirect):

• On-siteindividualclinicalsupervisionWeekly,face-to-faceregularlyscheduledsupervisionregardingskillsdevelopmentandclientcare;ProvidedbytheSiteSupervisor.

• On-sitegroupsupervisionAllformalgroupsupervisionprovidedatthefieldsite.• UniversitySupervisionIndividualsupervisionwithfacultysupervisor(OnlyPracticum)andfieldworkseminar

(BothPracticumandInternship).

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� Checkifstudentcurrentlyworksatfieldsiteasanemployee.Ifthisischecked,studentwilladditionallyneedtocompleteanInternshipProposalasdescribedinthePracticum-InternshipHandbook.

TheSiteSupervisorforthissitewillbe:____________________________________________.TheirLPC1licensenumberis:_______________________.PleaseattachtheSiteSupervisor’sCVtotheemailreturningthecontract.SiteSupervisorshouldcarefullyreadandinitialtheagreementsbelow.

TheSite: Initial

Willgivethestudentadequateopportunitytoprovidetherequirednumberofdirectandindirecthoursofclinicalmentalhealthcounseling,asdescribedonthepreviouspage.

IsfamiliarwithandfollowACAandotherpertinentethicalcodes.

Isfamiliarwithalloftheguidelinesandexpectationsforsiteexperiences,aswellasrequirementsforConnecticutLicensureasaProfessionalCounselor.

Willprovideanopportunitytomakeaudioorvideorecordingsofclientsessions(HIPAAcompliantpracticeswillbeutilizedforrecording).

Providesstudentwithaprivateareaforcounselingsessionsandclientcontact.

Willorientstudenttothepoliciesandproceduresoftheagency.

TheSiteSupervisor: Initial

HasanindependentlicenseasaLicensedProfessionalCounselororservedasaCMHCSupervisorpriortoDecember2015.

Hasbeenacounselorforovertwoyears.

Hascompletedcourseworkortrainingincounselingsupervision.

Haspriorexperiencesupervisinginternsorotherclinicians.

HasbeengiventheSCSUCMHCPracticum&InternshipHandbookandisawareofCSPpoliciesandprocedures.

Willprovidethestudentwithaminimumofonehourperweekregularlyscheduledindividualsupervisionsessions.

Willcompleteallnecessaryfieldworkpaperworkfortheintern.

WillcommunicateconsistentlyandregularlywithUniversityFacultyandparticipateinscheduledsitevisits(1persemester).

1SupervisormusthaveanLPCunlesstheyservedasaCMHCsupervisorforSCSUpriortoDecember2015.

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TheSCSUDepartmentofCounselingandSchoolPsychologyagreestoprovidefieldsitecoordinationthroughtheProgramCoordinator,sitecontactandstudentsupervisionthroughagroupseminarinstructor,andforpracticumstudents,anadditionalpracticumindividualsupervisor.

Theirresponsibilitieswillbe:

CMHCProgramCoordinator(bothPracticumandInternship)• Ensureallpaperworkiscollectedasrequired.• FacilitateinitialcommunicationbetweenUniversityandfieldplacementsite.• ConsultwithbothSCSUfacultyandSiteSupervisorsandstudentsasneeded.• Ensureallclientinformationiskeptconfidential.

GroupSeminarInstructor(bothPracticumandInternship)

• Conductgroupsupervisionmeetingsweeklyoncampusthroughoutthesemester.• MakecontactwithSiteSupervisorandmaintainconsistentcommunication.• VisittheSiteSupervisorandthestudentattheinternshipsiteatleastonceduringthesemesterandhave

phone/emailcontactduringthesemesterasneeded.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential.

FacultySupervisor(onlyforPracticum–CSP552)

• Conductindividualsupervisionmeetingweeklyoncampusthroughoutthesemester.• Focusonstudentcounselingskillsdevelopmentsuchasmicroskillsandinterviewingstrategies(incontrast,

clinicalissuesarethemainfocusofon-sitesupervision).• ImmediatelycontacttheCMHCProgramCoordinatorshouldanyproblemsorchangesinrelationtothestudent,

siteorUniversityoccur.• Evaluatethestudentanddiscussthatevaluationwiththestudent.• Ensureallclientinformationiskeptconfidential.

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TheFieldworkStudentagreestothefollowingprocedurestoensureconfidentialityandprotectionofallclients.Thestudentshouldcarefullyreadandinitialtheagreementsbelow.

TheStudent: Initial

WillabidebyAmericanCounselingAssociationCodeofEthics,statelaw,andHIPAAregulationsandfollowallstandardscoveringclientaudioand/orvideorecordings.

Willmaintainliabilityinsuranceduringfieldwork.Pleaseattachcopyofliabilityinsurancetotheemailsubmittingthecontract.

Willpurchaseanencryptedvideo/voicerecorder.

Willnotlabelaudio/videorecordingwithanyclientidentifyinginformation.

Willknowwheretheaudio/videorecordingisatalltimes.

Willkeeptheaudio/videorecorderinalockedlocationwhereotherscannotaccessitandanynarratives/digitalrecordingswillbekeptonasecureserverwithdualpasswordprotection.

Willonlysharetherecording,transcripts,andnarrativeswithapprovededucationalpersonnel,inthecontextofindividualandgroupsupervision.

Willundernocircumstanceshareclientaudio/videorecordingwithanyoneotherthandesignatedfieldsiteemployeesorSCSUfaculty.

Willeraseallrecordingsimmediatelyaftercompletionofsupervisoryreview.

Understandsthatiftheyfailtocomplywiththeabovestandardsensuringclientconfidentiality,theyunderstandthattheywillbesubjecttoconsequences,whichmayincludeterminationoftheinternshiporexpulsionfromtheClinicalMentalHealthCounselingprogram.

Allpartiesagreetothetermssetforthinthisdocument.

_________________________________________ _____________________SignatureofPracticum/InternshipStudent Date_________________________________________ _____________________SignatureofSiteSupervisor Date_________________________________________ _____________________SCSUCMHCProgramCoordinator Date

Attachedtothiscontract:

� SiteSupervisorResumeorCV� StudentProofofLiabilityInsurance� InternshipProposalifsiteisplaceofemployment

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

MidtermStudentPerformanceEvaluationforCMHCPracticumandInternship

Directions:ThisformistobecompletedbytheSiteSupervisorattheendofeverysemesterandelectronicallysubmitted.

NameofGraduateStudent:__________________________________Date:__________

NameofSiteSupervisor:_____________________________________

NameofFieldSite:__________________________________________

Practicum Internship

Intra/InterpersonalProfessionalBehavior

Thisareaincludes:• Opennesstonewideas• Flexibility• Cooperativewithothers• Willingnesstoacceptandusefeedback• Abilitytodealwithconflict• Abilitytoacceptpersonalresponsibility• Abilitytoexpressfeelingseffectivelyand

appropriately

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

Ethics

Thisareaincludes:• Demonstratestheabilitytoapplyandadhere

toethicalandlegalstandardsinclinicalmentalhealthcounseling

• Demonstratestheabilitytorecognizetheirownlimitationsasaclinicalmentalhealthcounselorandtoseeksupervisionorreferclientswhenappropriate

• Providesonlythoseservicesandappliesonlythosetechniquesforwhichthestudentisqualifiedbyeducation,trainingandexperience

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

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Administration

Thisareaincludes:• Appliesknowledgeofpublicmentalhealth

policy,financing,andregulatoryprocessestoimproveservicedeliveryopportunitiesinclinicalmentalhealthcounseling

• Appliescurrentrecord-keepingstandardsrelatedtoclinicalmentalhealthcounseling

• Submitsclinicaldocumentationinatimelymanner

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

Assessment

Thisareaincludes:• Demonstratestheabilitytouseprocedures

forassessingandmanagingsuiciderisk• Demonstratesskillinconductinganintake

interview,amentalstatusevaluation,abiopsychosocialhistory,amentalhealthhistory,andapsychologicalassessmentfortreatmentplanningandcaseloadmanagement

• Screensforaddiction,aggression,anddangertoselfand/orothers,aswellasco-occurringmentaldisorders

• Demonstratesappropriateuseofdiagnostictools,includingthecurrenteditionoftheDSM,todescribethesymptomsandclinicalpresentationofclientswithmentalandemotionalimpairments

• Isabletoconceptualizeclientsymptomsanddiscussthedifferentialdiagnosiswithcollaboratingprofessionals

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

ReferralandAdvocacy

Thisareaincludes:• Isawareofinformationregardingcommunity

resourcestomakeappropriatereferrals• Usespsychoeducationandempowerment

strategieswithclients• Advocatesforclientsandservicesthatare

equitableandresponsive

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

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CounselingSkills

Thisareaincludes:• Establishesrelationshipsinsuchamanner

thatatherapeuticworkingalliancecanbeformed

• Createsappropriatestructureandmaintainsprofessionalboundaries

• Respondstoclient’sfeelingsinatherapeuticmanner

• Evidencescongruenceandgenuineness• Communicatesempathy• Evidenceseffectivenon-verbal

communication• Providestherapeuticresponsesthatarewell-

timed• Respondstoclientswithclinicalintention• Carefullyconsidersandprovidesappropriate

self-disclosureforaspecifictherapeuticpurpose

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

MulticulturalCompetence

Thisareaincludes:• Appliesmulticulturalcompetenciestoclinical

mentalhealthcounselinginvolvingcaseconceptualization,diagnosis,treatment,referral,andpreventionofpsychologicaldisorders

• Demonstratesappropriateuseofculturallyresponsivecounselingtechniques

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

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ResearchandEvaluation

Thisareaincludes:• Usesempiricallybasedtechniqueswith

clients• Developsmeasurableoutcomesforclinical

mentalhealthcounselingtreatmentplans

StrengthsWitnessedinStudent:

AreastoFocusonforImprovement:

Howwouldyouratethestudent’soverallperformanceatthesitethusfar?

1–Beginning 2–Developing 3–Proficient 4–Exemplary

GeneralSiteSupervisorComments:

StudentComments:

_________________________________________ _____________________SignatureofStudent Date_________________________________________ _____________________SignatureofSiteSupervisor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

FinalStudentPerformanceEvaluationforCMHCPracticumandInternship

Directions:ThisformistobecompletedbytheSiteSupervisorattheendofeverysemesterandelectronicallysubmitted.

NameofGraduateStudent:________________________________Date:_________

PracticumorInternship:________________________________________________

NameofSiteSupervisor:________________________________________________

NameofFieldSite:_____________________________________________________

RatingScale

1–Beginning 2–Developing 3–Proficient 4–Exemplary

Intra/InterpersonalProfessionalBehavior 1 2 3 4

1. Opennesstonewideas 2. Flexibility 3. Cooperativewithothers 4. Willingnesstoacceptandusefeedback 5. Abilitytodealwithconflict 6. Abilitytoacceptpersonalresponsibility 7. Abilitytoexpressfeelingseffectivelyandappropriately

Ethics 1 2 3 4

1.Demonstratestheabilitytoapplyandadheretoethicalandlegalstandardsinclinicalmentalhealthcounseling

2.Demonstratestheabilitytorecognizetheirownlimitationsasaclinicalmentalhealthcounselorandtoseeksupervisionorreferclientswhenappropriate

3. Provides only those services and applies only those techniques for which the student isqualifiedbyeducation,trainingandexperience

Administration 1 2 3 4

1. Appliesknowledgeofpublicmentalhealthpolicy,financing,andregulatoryprocessestoimproveservicedeliveryopportunitiesinclinicalmentalhealthcounseling

2. Appliescurrentrecord-keepingstandardsrelatedtoclinicalmentalhealthcounseling 3. Submitsclinicaldocumentationinatimelymanner

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Assessment 1 2 3 4

1. Demonstratestheabilitytouseproceduresforassessingandmanagingsuiciderisk 2. Demonstratesskillinconductinganintakeinterview,amentalstatusevaluation,a

biopsychosocialhistory,amentalhealthhistory,andapsychologicalassessmentfortreatmentplanningandcaseloadmanagement

3. Screensforaddiction,aggression,anddangertoselfand/orothers,aswellasco-occurringmentaldisorders

4. Demonstratesappropriateuseofdiagnostictools,includingthecurrenteditionoftheDSM,todescribethesymptomsandclinicalpresentationofclientswithmentalandemotionalimpairments

5. Isabletoconceptualizeclientsymptomsanddiscussthedifferentialdiagnosiswithcollaboratingprofessionals

CounselingSkills 1 2 3 4

1. Establishesrelationshipsinsuchamannerthatatherapeuticworkingalliancecanbeformed

2. Createsappropriatestructureandmaintainsprofessionalboundaries 3. Respondstoclient’sfeelingsinatherapeuticmanner 4. Evidencescongruenceandgenuineness 5. Communicatesempathy 6. Evidenceseffectivenon-verbalcommunication 7. Providestherapeuticresponsesthatarewell-timed 8. Respondstoclientswithclinicalintention 9. Carefullyconsidersandprovidesappropriateself-disclosureforaspecifictherapeutic

purpose

ReferralandAdvocacy 1 2 3 4

1. Isawareofinformationregardingcommunityresourcestomakeappropriatereferrals 2. Usespsychoeducationandempowermentstrategieswithclients 3. Advocatesforclientsandservicesthatareequitableandresponsive

MulticulturalCompetence 1 2 3 4

1. Appliesmulticulturalcompetenciestoclinicalmentalhealthcounselinginvolvingcaseconceptualization,diagnosis,treatment,referral,andpreventionofpsychologicaldisorders

2. Demonstratesappropriateuseofculturallyresponsivecounselingtechniques ResearchandEvaluation 1 2 3 4

1. Usesempiricallybasedtechniqueswithclients 2. Developsmeasurableoutcomesforclinicalmentalhealthcounselingtreatmentplans

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SiteSupervisorComments:

StudentComments:

_________________________________________ _____________________SignatureofStudent Date_________________________________________ _____________________SignatureofSiteSupervisor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

ClinicalMentalHealthCounseling

StudentEvaluationofSite

Directions:ThisformistobecompletedattheendofthesemesterthenforwardedtotheSCSUFieldSiteCoordinator.

Name/LocationofSite:___________________________________________________________Semester/Year:______________ PracticumorInternship:__________

RatingScale

1–PoororInconsistent 2–LimitedOpportunities 3–MetExpectations 4–ExcellentExperiences

Site 1 2 3 4

1.Availabilityofon-sitesupervisionprovidedbySiteSupervisor 2.On-siteaudio/video-recordingand/orlivesupervisionprovidedbySiteSupervisor 3.FeedbackandevaluationbySiteSupervisor 4.Overallqualityandusefulnessofon-sitesupervision 5.Relevanceofpracticum/internshipexperiencetocounseling 6.Orientationtrainingrelevantandhelpful 7.Adequacyofsitefacilities 8.Counselingexperienceincludedworkwithdiversepopulations

Experiences 1 2 3 4

1.Individualcounseling 2.Family/couplescounseling 3.Groupcounseling 4.Diagnosticinterviewing 5.Testingandassessment 6.Careercounseling 7.Co-therapy/observation 8.Caseconsultation 9.Referrals/casemanagement 10.Clinicaldocumentation/treatmentplans 11.Staffmeetings/professionaldevelopment

_________________________________________ _____________________PrintedNameofStudent Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

RecordingConsentFormforAdultClients

CounselorSupervisionrequiresaudio-recordingand/orvideo-recordingofcounselingsessionsandassessmentofmyworkwithclientsinordertoevaluatemyskills.TherecordingsmaybereviewedbymyFacultySupervisor,SiteSupervisororasmallnumberofgraduatestudentsalsoenrolledinfieldwork.Allrecordingswillbeerasedordestroyedafterreviewing.Theseproceduresrequireyourconsent.Informationfromtherecordingsisconfidentialgiventheabovedescribedsupervisionandlearningexperiences.Additionalexceptionstoconfidentialityare:

1. Youdirectmeinwritingtodiscussyoursituationwithsomeoneelse.2. Youaredeterminedtobeathreattoyourselforothers.3. Iamorderedbyacourttodiscloseinformation.4. ThereisanindicationofchildabusethatIamlegallyrequiredtoreport.

CONSENT

I,________________________,agreedtobeaudioorvideo-recordedfortrainingpurposes.Iunderstandthe(printfullname)

aboveconditionsandhaveresolvedanyquestionsorconcerns.

_________________________________________ _____________________ClientSignature Date_________________________________________ _____________________Practicum/InternshipStudent Date_________________________________________ _____________________SiteSupervisor Date_________________________________________ _____________________Practicum/InternshipSeminarInstructor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

RecordingConsentFormforMinorClient

CounselorSupervisionrequiresaudio-recordingand/orvideo-recordingofcounselingsessionsandassessmentofmyworkwithclientsinordertoevaluatemyskills.TherecordingsmaybereviewedbymyFacultySupervisor,SiteSupervisororgraduatestudentsalsoenrolledinmyfieldworkclass.Allrecordingswillbeerasedordestroyedafterreviewing.Theseproceduresrequireyourconsent.Informationfromtherecordingsisconfidentialgiventheabovedescribedsupervisionandlearningexperiences.Additionalexceptionstoconfidentialityare:

1. Youdirectmeinwritingtodiscussyourchild’ssituationwithsomeoneelse.2. Yourchildisdeterminedtobeathreattothemselvesorothers.3. Iamorderedbyacourttodiscloseinformation.4. ThereisanindicationofchildabusethatIamlegallyrequiredtoreport.

CONSENT

I,________________________,parentorguardianof_________________________,agreedtoallowthisminor(printfullname) (printchild’sfullname)

childtobeaudioorvideo-recordedfortrainingpurposes.Iunderstandtheaboveconditionsandhaveresolvedanyquestionsorconcerns._________________________________________ _____________________ParentorGuardianSignature Date_________________________________________ _____________________ClientSignature Date_________________________________________ _____________________Practicum/InternshipStudent Date_________________________________________ _____________________SiteSupervisor Date_________________________________________ _____________________Practicum/InternshipSeminarInstructor Date

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DEPARTMENTOFCOUNSELINGANDSCHOOLPSYCHOLOGY

ClinicalMentalHealthCounselingProgram

CMHCFIELDWORKOVERVIEWTheSCSUCMHCprogramisa60credithourmaster’sprogramdesignedtomeetrequirementsforlicensureinConnecticutasaLicensedProfessionalCounselor(LPC)andtheNationalCertifiedCounselor(NCC)credential.TheCMHCprogramisaccreditedbytheCouncilfortheAccreditationofCounselingandRelatedEducationalPrograms(CACREP),thepremierindependentaccreditingagencyincounseloreducation.

ABOUTFIELDWORKFieldworkintheCMHCprogramgenerallybeginsafterthestudenthascompletedaminimumofthreesemestersofrelevantcoursework.Thestudentisrequiredtoprovideindividual/familyandgroupcounseling,includingthediagnosisandtreatmentofpsychologicaldisordersandrelatedclinicaldocumentation.TheCMHCcurriculum(seebelow),studentsmustcompletethreesemestersoffieldwork:

• FirstSemester:Practicum:100totalhours,40ofwhichmustbeface-to-facedirectclientcounseling• SecondSemester:InternshipI:300totalhours,120ofwhichmustbeface-to-facedirectclientcounseling• ThirdSemester:InternshipII:300totalhours,120ofwhichmustbeface-to-facedirectclientcounseling

BASICREQUIREMENTSOFTHEFIELDSITEInordertofinalizeafieldsiteplacement,thesitemustprovide:

• Givethestudentadequateopportunitytoaccruedirectandindirecthoursprovidingdiagnosisandtreatmentofpsychologicaldisordersandotherrelatedprofessionalcounselingactivities.Activitiescannotbelimitedtogrouporfamilycounselingandmustincludesufficientnumberofindividualpsychotherapyhourstomeettrainingneeds.

• BefamiliarwithandfollowACAandotherpertinentethicalcodes.• UnderstandConnecticutStaterequirementsforLicensureasaProfessionalCounselor.• Provideanopportunitytomakeaudioorvideorecordingsofclientsessions.RecordingproceduresareHIPAA

compliant.• Offeradesignatedareaforstudentwork,confidentialforphonecallsandcounselingsessions.• Providetrainingneededforstudentstofollowthepoliciesandproceduresoftheagency.• Clinicalsupervisorwhomeetsthefollowingrequirements:

o MustbeaLicensedProfessionalCounselor.o Haveaminimumof2yearsofexperienceasaProfessionalCounselor.o Havecompletedrelevanttrainingorcourseworkandexperienceincounselingsupervision.o IswillingtoreviewourhandbookandbecomeawareofCMHCprogram’sexpectations,requirementsand

evaluationproceduresforstudents.o Providesstudentwithaminimumofonehourperweekofregularlyscheduledindividualclinical

supervision.o Reviewandsignallrelevantfieldworkandevaluationdocuments.o CommunicateregularlywithUniversityfacultyandmeetwiththestudentandaCSPfacultymemberon

scheduledsitevisits(1persemester)FORMOREINFORMATION

• RefertotheCMHCPracticumandInternshipHandbookhere:http://www.southernct.edu/academics/schools/education/departments/counseling/CMHC/currentstudents_CMHC.html

• CMHCProgramCoordinator,[email protected]


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