Appendix E.2.a - CNS 550 Practicum

Indiana Wesleyan University CNS 550 Supervised Practicum SP 2012 Marion Thursdays 12-1:30 Room 225 A supervised counseling experience in the graduate counseling clinic providing the op

Indiana Wesleyan University CNS 550 Supervised Practicum

SP 2012 Marion Thursdays 12-1:30 Room 225

A supervised counseling experience in the graduate counseling clinic providing the opportunity to practice individual and group counseling skills The 100-hour practicum includes a minimum of 40 direct contact hours and weekly individual and group supervision

Instructor Information:

Budd Teare, Ph.D LMFT, CISD

317-713-6163 Office (Indy) 765-677-2237 (Marion)

765-603-9375 Cell

Email: budd.teare@ indwes.edu

Office hours daily open door or by appointment

Course Text:

Clinical Experience Manual

Desk Reference to the diagnostic criteria from the DSM IV-TR (2000) American Psychiatric Association:

Washington, D.C Everyone

Boylan, J., and Scott, J.(2009) Practicum & Internship Text book and Resource Guide for Counseling and

Psychotherapy, (4th.ed) NY: Routledge (Required) Everyone

Hubble, M D (1999) The Heart and Soul of Change What Works in Therapy NY: American Psychological

Association Everyone

Norcross, J., & Guy, J J (2007) Leaving It at the Office New York: Guilford Press Everyone

Corey, G (2009) The Art of Integrative Counseling Belmont: Thomason Higher Education MHC's

Craig, R J (2003) Counseling the Alcohol and Drug Dependent Client: A Practical Approach Allyn & Bacon

Addictions

Erk, R R (2007) Counseling Treatment for Children and Adolescents with DSM-IV-TR Disorders (2nd Edition)

Prentice Hall School Counselors

Napier, A a (1980) The family Crucible Bantam MFC/T's

Additional readings as assigned:

Course description:

This course is intended to provide the emerging professional counselor a supervised counseling experience with the opportunity to practice individual, marriage, and family and group counseling This course will include both

individual and group supervision The 100-hour practicum includes 50 direct client hours; however, more hours may

be required of you to meet the clinic demands Direct client hours will match what comes in the Clinic At the

Practicum level you need experience across all developmental levels and with a variety of problems Through this experience you will most certainly see clients in your specialization and outside your specialization

Course objectives:

Students will

OUTCOME(S)/

OBJECTIVE(S)

IWU Outcomes

METHOD(S)

1 Complete a supervised Practicum experience (minimum 100 clock hours)

with a minimum of 40 direct client contact hours in a therapeutic setting

and ten group hours

CACREP III-F-1

Practice in the Graduate Counseling Center one semester Logs

2 Demonstrate acceptance of supervisory feedback and participate in

individual and group supervision for a average two and a one half hours

per week

III-F-2,3

Supervision and Logs Class Presentations Mid and Final Evaluation

3 Demonstrate counselor behaviors, including verbal and non-verbal

behaviors and personal characteristics, orientations, and skills, that

influence helping behaviors

1.3,2.3,3.3 CACREP

II-G-5-a,b

In Class Presentation of counseling session Tape of session submitted for supervision and Mid and Final Evaluation

4 Demonstrate essential counseling skills, allowing the Practicum Student

to develop a therapeutic relationship, establish appropriate counseling

goals, design intervention strategies, evaluate client outcome, and

terminate the counselor-client relationship appropriately

2.2,2.3 CACREP

II-G-5,c,d

In Class Presentation session

Tape of session submitted for supervision and Mid and Final Evaluation ,Peer Reviews

5 Conceptualize cases based on sound counseling theory and on the result

of formal and informal assessment

2.1,2.2,2.3 CACREP

II-G-5-c,d,e

In Class Presentation of counseling session Tape of session submitted for supervision and Mid and Final Evaluation

6 Demonstrate an understanding of a systems perspective by incorporating

family and community influences on counseling goals for client

II-G-5-d, e

In Class Presentation of counseling session Peer Reviews Tape of session submitted for supervision and Mid and Final Evaluation

7 Demonstrate multicultural counseling competencies as outlined by the

American Counseling Association (ACA) and the Association for

Multicultural Counseling and Development

1.1,1.3 CACREP

II-G-2a,2b,2d,2e

In Class Presentation of counseling session Peer Reviews Tape of session submitted for supervision and Mid and Final Evaluation

8 Use appropriate technological resources within an actual counseling

context

CACREP III F,4

Client Tapes, Logs

9 Provide counseling services in an ethically and legally responsible

manner

III G1,b,j

In Class Presentation of counseling session Tape of session submitted for supervision and Mid and Final Evaluation

10 Demonstrate the ability to keep and management of client records CACREP

II G1, j

Logs, Supervision, Audit

of records

11 Demonstrate an understanding in how to practice therapy with the

integration of faith, values, ethics and integrity

1.3,3.3 Class Participation, Class

presentations, Supervision, Peer reviews Critical Essay

Mid and Final Evaluation

Multi Tasking policy:

Please turn off all cell phones and electronic devices and please refrain from texting, surfing, instant messaging and all other data interchanging through electronic means Laptops may be used in class for in class activities Volitions of this policy will be considered violations of professional standards All violations will result in 0 points for that day and will be reflected in your professional points for the class (See note under important reminders in syllabus) Violations will be considered a class absence and will result in a ½ letter grade

deduction

Grading Scale:

A 95-100 A- 90-94 Excellent work

B+ 87-89 B 84-86 B- 80-83 Good work

C + 77-79 C 73-76 Needs improvement

F 70-72 Failing

Grading: Points 1000

125 pts Class attendance and participation

100 pts Clinical attendance on time ready for clients

25 pts Living Questions essay (Rough Draft)

75 pts Living Questions essay (final)

25 pts Goals,

50 pts Transcript

100 pts Journaling

50 pts Peer Evaluation s

100 pts Case Presentations

50pts Professionalism,

50 pts File notations with completion in timely manner

200pts Individual Supervision Clinic Recordings and supervision participation

45pts Completed Portfolio

5pt Must have at least a 2.5 average on your clinical evaluations (midterm and final combined) to

Pass on to internship

Note:

Completion of hours in the clinic does not ensure the passing of Practicum 550 You must complete all

requirements satisfactorily and receive an Evaluation point average of 2.5 ( based on a 5 point likert scale) on your combined evaluations (mid-term and final)

Disclosure: Due to the high volume of clients you may be required to contribute more than the minimum

practicum hours to the clinic Be prepared to see additional clients if necessary Logs should be turned in monthly Also note, they are a legal document and any misrepresentation of hours may be grounds for dismissal from the program Any student who does not complete their hours or does not turn in their logs by the end of the semester will receive an incomplete for Practicum

Requirements:

Attendance and Participation: All students are expected to attend and participate in every class Graduate

education is highly collaborative and your attendance and participation is crucial to the learning environment You are also expected to attend all your clinic and supervision sessions prepared ahead of time and be on time All students are expected to attend and participate in every class This may not always be possible however if students miss more

than one class there will be a penalty of a ½ letter grade deduction per every absence after ONE and may result

in a Failure of the class

1 Liability Insurance: All students will submit proof of Liability Insurance to your supervisor and to the

Graduate Clinic Office

2 Supervision: You will have one hour of weekly supervision starting with week two The three hour

practicum class will at that point be for 1 1/2 hours, thus with weekly individual supervision this equals 3

hours of supervision Please give a copy of your insurance to the instructor and to the Office Objective

1-11

3 Logs: You need100 clock hours of practicum (Approximately 5 hours per week for 12 weeks) This includes

40 clock hours of direct service to clients, 10 hours of group and 2 1/2 hours per week of supervision Keep an accurate weekly log of activity, signed by university supervisor Objective 1

4 Journaling: All students are expected to journal each week concerning what they are learning about

themselves, their clients and the counseling relationship These journals are personal reflections about

significant learning and the application of that learning The journals are confidential and will be evaluated on the basis of insight in the above areas and application of these insights for future growth Journals should be

typed and turned in at the end of every month, see that your journals reflect your readings in Boylan, Norcross, Humble and Corey, Napier, Craig and Erk (Per specialty) You will be graded on those

inclusions as well This is Graduate School reading is a way of life now and in your future professional life I should not have to assign chapters

5 Practicum goals: Establish 2 goals in the following domains: Make the goals specific behavioral goals Create

a numeric evaluation such as a Likert scale Evaluate your progress throughout the semester at the beginning and the end Objective 3

Professional Development

Personal Growth Spiritual Development

Integration Skills

Self Care Clinical skills

6 Write a critical essay about yourself answering the above questions Turn in a rough draft of the essay at

Midterm Evaluation and the final look at these questions at your Final Evaluation I expect to see a critical

and honest look at you the counselor this is more that an academic assignment Objective 3

Essay Focus Question: What defines our Counseling work and what sustains us in this work?

“Counseling is a disciplined, creative and spiritual reflection on the natural and humanly constructed world of our clients and ourselves disseminated for their benefit and judged by appropriate standards of excellence”

It Requires:

Effort, Insight, and Creativity

Effective Communication and Therapeutic technique

Willingness to learn from the critique of a supervisor, peers and the client

Dimensions of the Counseling Process:

• Analytic: how things work; accurate information; logical explanation

• Strategic: making change happen; altering things in the system; practical congruency

• Empathic: seeing the therapeutic relationship; experiencing the flow of session; sensing the parallel process

What is/ are the Questions you are personally trying to answer by becoming a counselor?

How do they drive or motivate your counseling?

How would you describe your sense of calling or choice to be a counselor in light of your questions?

What kinds of intrinsic rewards give you the most encouragement and will help you to continue in this profession 5 years from now

7 Transcript of one Session: Transcribe one 10 to 15 minutes from a session then write about what you learned about your counseling from it

8 Case Presentations: Each student will make case presentations to the class These presentations will be

typed, double spaced and will include: a brief description of the client; presenting problem; etiology; diagnosis and a treatment plan (including short and long-term goals) with interventions (See forms) Use the two forms provided on Blackboard Objectives 1-11

9 Peer Evaluation: Every student will have an opportunity to view two sessions of another practicum student

and provide feedback to that student regarding their performance This feedback is designed to give each student an opportunity to give and receive feedback from another practicing student counselor A copy of these will be given to your Supervisor as well for grading You will be graded on the professional insight help and input you provide to your fellow students Please select another Practicum student and secure permission

to view a session (it helps if you agree to view each other) they will select the session they wish you to view and give them feedback on View the session do the session report (found on CIPPS) and turn it in when due I should receive 4, total 2 on you by someone else Indentified with an A and 2 that you did on someone

Indentified with a B Objectives 1-11

10 Clinic Recording: All students sessions will be recorded it is your responsibility to hit the record button

before session starts and after it ends (Make sure permission to record is signed first) These recording will also be used in group and individual supervision for teaching and evaluation of counseling skills and progress

(There are no exceptions) Objectives 8

11 Clinic Documentation: will also be evaluated by audit (Therefore, it is essential that client

documentation is current, accurate, and assessable in the clinic and the files brought to supervision)

Written evaluation will be given to each student at mid-term and the final supervision session Objectives 10

12 Group hours: Students will at minimum participate in 10 group hours preferably co-lead or lead the group,

please ok your group assignment with your supervisor by 3 rd week of practicum Objective 1

13 Midterm and Final Evaluation: You will be given a midterm and final evaluation in supervision at stated

times in outline given in syllabus Objectives 1-11

14 Portfolio: At the end of the semester turn into the professor a portfolio folder containing the following in the

order listed

1 Practicum Summary Page

2 Final Hour log summary sheet

3 Monthly hour logs (copies)

4 Copies of Evaluations (Practicum supervisor) Mid-Term, Final

5 Practicum goals with a Beginning and Final evaluation of your progress

6 A Typed Sample of case progress notes Soap Notes (no identifying information)

7 Group assignment sheet containing (title of group, where, dates attended, leader of group and his/her

signature

8 Copy of your Insurance

9 Memberships you may have in professional organizations

Important Reminders: (These will having bearing on your Evaluations)

Clinic Manual: The student is expected to read the Practicum section of the Clinic Manual and have a thorough

knowledge of all requirements related to successful completion of practicum

Confidentiality: Students must maintain confidentiality of all case discussions The discussion of cases outside of the

group setting with persons other than those in the counseling program, the client, the instructor or your supervisor are violations and are grounds for being dismissed from the class with a failing grade Please use caution in this area you are responsible no excuses will be accepted Nothing is to be taken out of the clinic under any circumstances for any reason

Demonstration: Begin a Mastery of the individual and family counseling skills involved in (a) Responding to

individual clients, couples or family, (b) Integrative understanding of individual clients, couples and family system dynamics, (c) Skillfully listening to individual clients, couples or families (d) Facilitating action on the part of the

individual clients, couples or the family

Ethics: All students in the program must demonstrate behavior that is consistent with the Ethical Standards put forth

by the American Counseling Association (ACA;

Violations are grounds for being dismissed from the class with a failing grade

Professional Standards: The counseling profession requires a high level of personal integrity, self-awareness, and

personal maturity Demonstrating professionalism in the classroom and the Clinic is expected of you as well as being

present and engaged in the classroom and the Clinic You are practicing under the professors license act

according

Course Accommodations: If you need course adaptations or accommodations because of a disability, please make an

appointment with The Center for Student Success – Second Floor of the Student Center (Phone x2257) as soon as possible If you have already received an Education Accommodation Notification from CSS, have emergency medical information to share with your course faculty, or if you need special arrangements in case the building must be

evacuated, please make an appointment with the faculty member as soon as possible

Student Honesty/Cheating

Students are expected to exhibit honesty in the classroom, in homework, in papers submitted to the instructor, and in quizzes or tests Each instructor should define what constitutes honest work in a specific course Any deviation from ordinary standards such as the permitted use of notes for an examination or an "open book" test should be stated clearly by the instructor

Cheating is defined as submitting work for academic evaluation that is not the student's own, copying answers from another student during an examination, using prepared notes or materials during an examination, or other

misrepresentations of academic achievement submitted for evaluation or a grade

Plagiarism in research writing is considered cheating

• Plagiarism is defined by the MLA Handbook as "the act of using another person's ideas or expressions in writing without acknowledging the source to repeat as your own someone else's sentences, more or less verbatim."

• The Prentice Hall Reference Guide (2006) indicates, "To plagiarize is to include someone else's writing,

information, or idea in a paper and fail to acknowledge what you took by indicating whose work it is" (p 292)

Students are expected to submit only their own original work They are expected to give credit when borrowing, quoting, or paraphrasing, using appropriate citations An undergraduate student apprehended and charged with

cheating, including plagiarism, during his or her college matriculation, shall receive the following discipline:

1 First incident of cheating failure in paper, assignment, or exam;

2 Second incident of cheating failure in the course involved;

3 Third incident of cheating dismissal from the university

A graduate student is expected to understand clearly the nature of cheating and is subject to dismissal from the

university for a single incident of academic dishonesty or cheating Incidents of cheating and/or plagiarism will be investigated and judged by the appropriate graduate faculty

appropriate university administrator who in turn reports the case to the Dean of the College Unquestionable evidence must be in hand before any action will be taken to confront and accuse a student of cheating

Due Dates: See Practicum Requirements Section

Other assignments may be given in supervsion as the semester progresses

COURSE OUTLINE

Each week come prepared with a 5 Bullet points (important points that you found) about the topic of the day and be prepared to turn it in each week this will count in your Participation % grade In The Counseling field

so much of your learning will depend on you digging for answers Many clients will pose new concerns that you will have to study and research in order to best provide service to them Searching for answers from your reading and research is what you can expect in your real world experience this is practice for that time

Date Assignment/ Topics of Discussion

1/12 Introductions/Overview/Clinic Forms Go over syllabus

1/19 Making First Contact; Conducting Intake Interviews and First Sessions;

1/26 Documentation of Initial Assessment (Boylan, 29-32, 43-48) Writing Progress Notes (Boylan, 49- 66) 2/2 Readiness to Change, Consumer ethics (Boylan, 224-231), Hubble, Chapter 8, pp 227- 262Crisis Management and Intervention (Boylan, 302-316, 269-294)

2/9 Diagnosing and Developing a Treatment Planning (Boylan, 82-96)

2/16 Case Presentations: Integration of Faith and Practice

2/23 Individual Mid Term Evaluations and

Therapeutic Orientation and Case Conceptualizations (Boylan 73-82)

3/1 Case Presentations: Hubble, Chapter 9 pp 263-289 Common Factors

3/8 N0 Class Spring Break

3/15 Hubble, Chap 11,

3/22 Case Presentations; Hubble, Chap 12

3/29 Case Presentations; Hubble, Chap 13 Termination Strategies

4/5 Case Presentations: Hubble, Chap 14

4/12 Case Presentations: Use of Metaphors

4/19 Final Evaluations

4/20 Clinic Closed for Practicum Students

Due dates for 550 Practicum Class

Copy of Malpractice Insurance (before starting in Clinic) 4/12

Read Clinic Manual Turn in Signed Form 4/12

Goals 4/19

Living Question Essay:

2/23 Rough Draft

4/19 Completed essay

Monthly Logs:

Jan 2/9

Feb 3/15

March 4/5

Final logs 4/19/2012

Journals: (must be keeping weekly) 15 total

Jan 2/9

Feb 3/15

March 4/5

Final Journals 4/19/2012

Peer evaluations: (observed sessions)

2/16

3/29

Case Presentation: (3 presented in class)

Date

Date

Date

Date

Transcript of one Session :( 10-15 minutes of session)

_ 3/15

_ Group Assignment when finished

Evaluations (Supervisor and client evaluations)

Mid-Term 2/23

Final 4/19

Portfolio – completion 4/19

INDIVIDUAL SUPERVISION SESSION LOG

Name of Student Counselor

Name of Practicum Supervisor

DIRECTIONS

Each time you are seen for individual supervision, a written summary of that supervision session should be immediately entered into this log, reviewed and signed by both the supervisor and the student Signatures indicate review of each summary rather than an agreement

This log serves as a record of the ongoing professional supervision and development of the student and will be retained in the student’s file

DATE:

Clinic recording review Personal Observation _ Discussion of Case _

OBSERVATIONS AND RECOMMENDATIONS:

Signature of Student Counselor Date Signature of Individual Supervisor Date

Cautions You Received By Supervisor:

Supervision Checklist: (To be completed prior to supervision)