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Journal of Mental Health Counseling
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Volume 29, Number 4, October 2007

 

1. Working with Suicidal Clients Using the Collaborative Assessment and Management of Suicidality (CAMS)  (Pages 283-300)

David A. Jobes; Melinda M. Moore; Stephen S. O’Connor

The Collaborative Assessment and Management of Suicidality (CAMS) was developed to modify clinician behaviors in how they initially identify, engage, assess, conceptualize, treatment plan, and manage suicidal outpatients. This approach integrates a range of theoretical orientations into a structured clinical format emphasizing the importance of the counselor and client working together to elucidate and understand the “functional” role of suicidal thoughts and behaviors from the client’s perspective. Based on clinical research in various outpatient settings, CAMS provides mental health counselors with a novel clinical approach that is tailored to a suicidal client’s idiosyncratic needs thereby insuring the effective clinical assessment, treatment, and tracking of high risk suicidal clients.
Full Article

2. Counseling Arab and Chaldean American Families Julie Hakim-Larson (Pages 301-321)

Ray Kamoo; Sylvia C. Nassar-McMillan; John H. Porcerelli

The last century has seen an increase in the population of Americans of Arab and Chaldean descent. In recent decades, clinicians have articulated the goal of enhancing their knowledge of cultural diversity for the purpose of improving their appreciation for diversity and the quality of their mental health interventions with diverse populations. However, there is currently little systematic empirical research regarding the counseling of Arab and Chaldean Americans, although awareness of the need for such research among mental health professionals has started to emerge. The purpose of this paper is to provide an integrative review of the values and socio-cultural forces that are relevant to the counseling of this population in North America, and to provide some culturally sensitive recommendations for working with American families of Arab and Chaldean ethnicity. In particular, we propose that effective interventions with clients of Arab and Chaldean ethnic backgrounds will need to be informed by an understanding of the everyday sociopolitical contextual background of target clients and the impact of values and acculturation processes on the family network.
Full Article

3. Expanding the Discussion Regarding Parentification and Its Varied Outcomes: Implications for Mental Health Research and Practice (Pages 322-337)

Lisa M. Hooper

Studies have demonstrated that parentification, a potential form of child maltreatment, is a ubiquitous phenomenon that most community counselors as well as other mental health care providers (e.g., school and family counselors, social workers) face. Although these studies have pointed to a relationship between parentification and later psychopathology, the potential for divergent outcomes is rarely discussed. This article advances an often-absent balanced discussion of the extent to which varied outcomes are evidenced in adulthood after one has been parentified in childhood. For example, varied outcomes such as psychopathology and post traumatic growth may be feasible in adulthood after parentification in childhood. Suggestions related to research and practice efforts are put forth for mental health counselors.
Full Article

4. Wilderness Therapy as a Treatment Modality for At-Risk Youth: A Primer for Mental Health Counselors (Pages 338-349)

Nicole R. Hill, Idaho State University

Many mental health counselors identify adolescent clients as the most “difficult” clients with which to work because it is a challenge to engage them in the counseling experience (Church, 1994; Hanna et al., 1999; Gil, 1996). At-risk youth tend to be ill equipped to engage in traditional counseling interventions, which require them to be verbal and to disclose thoughts and feelings (Hanna et al., 1999; Davis-Berman & Berman, 1994). Wilderness therapy, a specialized approach within adventure-based counseling (Fletcher & Hinkle, 2002), provides an alternative treatment modality that maximizes the client’s tendency to spontaneously self-disclose in environments outside the counseling office (Hanna et al.). This article provides an overview of wilderness therapy as a treatment modality and identifies the associated therapeutic factors in an effort to inform mental health counselors.
Full Article

5. Exercise and Functioning Level of Individuals with Severe Mental Illness: A Comparison of Two Groups (Pages 350-362)

Abigail S. Perham; Michael P. Accordino

The purpose of this investigation was to determine if differences exist in the functioning level between adults with severe mental illness who participated in exercise activities and those who did not. The researchers assessed participants’ levels of hygiene, nutrition, ability to hold a job, social situations, and pursuit of appropriate independence in a state hospital. The Current Evaluation of Risk and Functioning-Revised (CERF-R) assessed data. Participants engaging in exercise scored significantly (p < .01) better than non-exercise participants did on variables of hygiene (d = .81) and pursuit of appropriate independence (d = .71). The implications of the study are discussed for mental health counseling.
Full Article

6. Self-injurious behaviors, diagnoses, and treatment methods: What mental health professionals are reporting (Pages 363-375)

Heather C. Trepal; Kelly L. Wester

Self-injurious behaviors are gaining increased attention in both the media and the professional literature. Despite increased interest, little is actually known about prevalence, diagnoses, and treatment considerations, specifically with outpatient mental health populations.This article presents the results from a national survey of American Mental Health Counselor Association (AMCHA) members regarding the rate at which they see clients who self-injure and their clinical opinions of related diagnoses. Finally, the treatment methods used by counselors with clients who self-injure are also reported.
Full Article

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