Volume 26, Number 4, October 2004
1. Mental Health Counselors’ Decision-Making Priorities Related to Inpatient Admissions for Anxiety Disordered Clients: A Pilot Study (Pages 283-293)
Robert C. Schwartz; John J. Zarski; Randall L. Hilscher
Factors related to making decisions about whether or not a client should be admitted as an inpatient are poorly understood. Research focused on mental health counselors’ decision-making priorities related to admission decisions for anxiety disordered clients is scant. This pilot study assessed which clinical factors most led mental health counselors to recommend an immediate inpatient admission among anxiety disordered clients presenting at a community mental health center. Results revealed that suicidality and inability to care for oneself strongly predicted the recommendations for an inpatient admission. Clinical and research implications are discussed.
2. The Aftermath of the Gulf War: Mental Health Issues Among Iraqi Gulf War Veteran Refugees in the United States
Hikmet Jamil; Sylvia C. Nassar-McMillan; Richard Lambert
Iraqi Gulf War (GW) veteran refugees, or those who fled the Hussein regime and were subsequently granted refugee stated by the United States, are at high risk for the same mental health maladies that afflict U.S. GW veterans. We conducted a pilot survey on a group of Iraqi GW veteran refugees to assess levels of post-traumatic stress disorder (PTSD), depression, panic, and anxiety. We hypothesized that significantly more participants with PTSD would report depression, panic, and anxiety symptoms than their non-PTSD counterparts. We further expected that those with PTSD would report significantly higher mean scores on depression, panic, and anxiety than those participants not identified as having PTSD. Results indicated high levels of each of the symptom categories among the PTSD groups. PTSD sufferers conjointly assessed with significantly elevated levels of depression and
panic as compared to their non-PTSD counterparts.
3. Childhood Sexuality: Discerning Healthy From Abnormal Sexual Behaviors (Pages 309-319)
Page L. Thanasiu
Empirically determined characteristics that mental health counselors can use as a reference when assessing the normalcy of sexual behaviors in preadolescent children are summarized. Once sexual behaviors have been determined to be problematic, mental health counselors need to be aware of
and address factors that will affect children’s sexual attitudes and behaviors.
4. Integrated Health Care: Improving Client Care while Providing Opportunities for Mental Health Counselors
Jana Bowling Aitken; Russ Curtis
Integrated health care, the co-location of mental health and medical professionals within primary care settings, is an emerging trend. In essence, integrated care eases the access such that underserved primary care clients with mental health needs can receive treatment. Current models of integrated care are described, and strategies for mental health counselors’ involvement within primary care settings are discussed.
5. Helping Older Adolescents Search for Meaning in Depression (Pages 333-347)
Robert G. Blair
This paper examines some ways that logotherapy (Frankl, 1984) can be used with older adolescents struggling with depression. The focus of treatment is on the adolescent’s initiating and sustaining a search for meaning.
6. Incorporating Prevention into Mental Health Counselor Training (Pages 349-359)
Connie R. Matthews; Elizabeth A. Skowron
The mental health counseling literature has consistently noted that prevention is integral to the field, yet largely neglected in graduate training programs. This article provides an in-depth discussion of a prevention seminar course in an effort to provide resources and incentive for training programs addressing this area of mental health counseling. A detailed overview of the course, including resources used, is provided. Suggestions are also offered for incorporating prevention into standard counseling courses.
7. Getting the Most Out of Clinical Supervision: Strategies for Mental Health Counseling Students (Pages 361-373)
Quinn M. Pearson
Strategies are presented for helping mental health counseling (MHC) students navigate the process of receiving clinical supervision, from preparing for and initiating supervision to participating actively within and between sessions. Information from supervision practices and principles provides the foundation for guiding students in making the most of their first experiences in clinical supervision.