Three Topics of Equal Relevance in Mental Health Counselor Development
In the article Professional Identity Development: A Grounded Theory of
Transformational Tasks of New Counselors (2010), authors Gibson,
Dollarhide & Moss designed a study purporting to produce a theory of
professional development. The researchers identified the process of
professional counseling formation as culminating in the “successful
integration of personal attributes and professional training in the
context of a professional community” (pg. 23). They perceive this
process to be transformational and, by their estimation, rests on three
pillars:
- Embodying of the definition of Counseling
- Professional Growth
- Transformation to Systemic Identity
With respect to the first pillar, the American Counseling Association,
in its Code of Ethics, defines counseling in terms of what counselors
do. “Counselors encourage client growth and development in ways that
foster the interest and welfare of clients, and promote formation of
healthy relationships”. This statement exemplifies the essence of the
first pillar. The second pillar, professional growth, promotes the focus
initiated by the first, and the third pillar, transformation to
systemic identity, sustains it. There is, however, a fourth pillar
unmentioned in this study, and that is the pillar of ethical standards
itself, which serves to oversee right relations between professionals
and those they serve. These prompt and direct those guiding principles,
and also shape and inform developmental progression.
With
regard to the affect technology has on professional identity development
in the realm of ethical practices, the proper application of ethical
standards in areas such as confidentiality, privacy, informed consent,
and dual relationships, present ethical challenges to counselors at each
stage of development. Since it is common practice in many agencies to
transmit, store and relay information over a variety of electronic means
such as fax, email, voice mail, to name a few, counselors in training,
beginning at internship, have access to protected information. Despite
its convenience, proper use of information must be exercised if one is
to maintain adherence to laws and statutes governing its transmission,
no matter what mode is used.
Counselors in training who work in
the mental health field (or in my case, in Geriatric Care Management)
must be trained in proprietary use and practice of Health Insurance
Portability and Accountability Act (HIPAA) privacy laws. If standards
are to achieve their highest purpose, that being to form effective
practitioners in the crucible of the ‘transformation to systemic
identity’, then they must practice what is preached, and that message
must generate from the heart of the formational process.
Personally, this article provokes several questions such as: Do I
possess the attributes required to establish a suitable identity as a
professional? How will I successfully cultivate and integrate the
knowledge, skills and values that form the core essence of the
profession? Will I be prepared, when the time comes, to connect theory
with practice? Will the professional community confirm me as a
legitimate member of its society? And, with that accomplished, will I
manage to dodge potential litigious actions that, almost inevitably,
will be leveled against me at some point during the course of my career?
Thankfully, with insurance coverage as a safety net, the fear of losing
the house, the car and the shirt are slightly detained!
On a
brighter note, however, one presumes (hopes?) that the resiliencies of
the profession far outweigh the risks. In our technology driven culture,
we have access to a wealth of web based instructional content for
continuing education and on-going formation. We use webinars, power
point presentations, skype, and email, telephone, etc., to transmit
learning information. Why would such use of resources not be considered
worthy of use as part of a skill set when working with individual
consumers of mental health services? Psycho-education, one-on-one
counseling, instant messaging, video conferencing, are valid modes of
service provision that have become legitimized by vanguard associations
that have sprung up consequently to develop and provide policies to
guide modal specific service delivery practices. (A number of such
organizations are listed in the article Applying Technology to Online
Counseling: Suggestions for the Beginning E-Therapist, Elleven &
Allen).
The three topics, counselor formation, ethics, and the
use of technology in the training and practice of counseling, are
related and intertwined. If one of the major tasks of the mental health
counselor is to “encourage client growth and development in ways that
foster the interest and welfare of clients”, then it behooves the
practitioner to adopt skills shared by the general populace in order to
keep pace, and ultimately optimize choices for therapeutic service
delivery (Guanipa, Nolte & Lizarraga, 2002). But perhaps more
importantly, it challenges them to complete their service delivery in an
ethically sound manner, that best ensures the confidentiality and
security of protected health information when it is transferred,
received, handled, or shared.
American Counseling Association.
(2005). ACA Code of Ethics. Retrieved March 5, 2013 from
http://www.counseling.org/Resources/aca-code-of-ethics.pdf
Elleven,
Russell K. & Allen, Jeff. Applying technology to online
counseling: Suggestions for the beginning e-therapist. Journal of
Instructional Psychology, Vol. 31, No. 3.
Gibson, Donna.,
Dollarhide, Collette T. & Moss, Julie T. (2010) Professional
identity development: A grounded theory of transformational tasks of new
counselors. Counselor Education & Supervision Volume 50
Guanipa,
C , Nolte, L. M,, & Lizarraga, J, (2002), Using the Internet to
help diverse population: A bilingual website. Journal of Technology in
Human Services, 19, 13-23.
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