Wake Forest University Department of Counseling

CNS771: Clinical Mental Health Counseling
Spring-1 2024


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Syllabus Contents


Course Faculty

Lead Faculty: Dr. Amy Grybush

Email: grybusa@wfu.edu


Course Description

This course will introduce students to the foundations of clinical mental health counseling. You will learn about the historical and professional foundations of clinical mental health counseling, the roles and functions of clinical mental health counselors, the settings in which clinical mental health counselors practice, and the services that they provide. The course emphasizes the acquisition of knowledge and the development of skills needed by contemporary clinical mental health counselors.


Course Objectives

Upon successful completion of this course, you will be able to:

  1. Describe the history, philosophy, and projected trends of clinical mental health counseling. (CACREP 3.A.1)
  2. Describe the roles and functions of clinical mental health counselors in various practice settings and the importance of relationships between counselors and other therapeutic professionals. (CACREP 3.A.2)
  3. Describe counselors’ roles, responsibilities, and relationships as members of specialized practice and interprofessional teams, including (a) collaboration and consultation, (b) community outreach, and (c) emergency response management (CACREP 3.A.3).
  4. Describe the role and process of the professional counselor advocating on behalf of and with individuals receiving counseling services to address systemic, institutional, architectural, attitudinal, disability, and social barriers that impede access, equity, and success (CACREP 3.A.4).
  5. Identify professional counseling organizations, including membership benefits, activities, services to members, and current issues (CACREP 3.A.6).
  6. Describe professional counseling credentialing across service delivery modalities, including certification, licensure, and accreditation practices and standards for all specialized practice areas (CACREP 3.A.7).
  7. Describe specific methods that counselors can use to manage stress and avoid burnout (CACREP 3.A.11).
  8. Describe the etiology, nomenclature, diagnosis, treatment, referral, and prevention of mental, behavioral, and neurodevelopmental disorders (CACREP 5.C.1).
  9. Describe mental health service delivery modalities and networks within the continuum of care, such as primary care, outpatient, partial treatment, inpatient, integrated behavioral healthcare, and aftercare (CACREP 5.C.2).
  10. Describe legislation, government policy, and regulatory processes relevant to clinical mental health counseling (CACREP 5.C.3).
  11. Demonstrate an understanding of the counseling process, including conducting intake interviews, mental status evaluations, biopsychosocial history, mental health history, and psychological assessment for treatment planning and caseload management (CACREP 5.C.4).
  12. Describe techniques and interventions for prevention and treatment of a broad range of mental health issues (CACREP 5.C.5).
  13. Describe strategies for interfacing with integrated behavioral healthcare professionals (CACREP 5.C.7).
  14. Describe strategies to advocate for people with mental, behavioral, and neurodevelopmental conditions (CACREP 5.C.8).
  15. Demonstrate an understanding of the management of mental health services and programs, including areas such as third-party reimbursement and other practice and management issues in clinical mental health counseling (CACREP 5.C.9).
  16. Explain the effects of crises, disasters, stress, grief, and trauma across the lifespan (CACREP 5.C.13).
  17. Describe diagnostic process, including differential diagnosis, the use of current DSM classifications, and the ICD (CACREP 3.G.11).
  18. Explain ways to evaluate client outcomes and process evaluation and program outcome evaluation (CACREP 3.H.8).
  19. Demonstrate the ability to use procedures for assessing and managing suicide risk (CACREP 3.G.13).
  20. Demonstrate case conceptualization skills using a variety of models and approaches (CACREP 3.E.3).
  21. Describe consultation models and strategies (CACREP 3.E.4).
  22. Demonstrate record-keeping and documentation skills (CACREP 3.E.16).
  23. Describe principles and strategies of caseload management and the referral process to promote independence, optimal wellness, empowerment, and engagement with community resources (CACREP 3.E.17).
  24. Demonstrate understanding and application of suicide prevention and response models and strategies (CACREP 3.E.19).
  25. Describe crisis intervention, trauma-informed, community-based, and disaster mental health strategies (CACREP 3.E.20).

Course Materials

Course materials refer only to the textbook(s), Course Reserves, WFU library readings, or scholarly articles. Refer to the course for all other instructional content (websites, lectures, videos, interactive activities, etc.)

Required Text(s)

Gladding, S. T., & Newsome, D. W. (2017). Clinical mental health counseling in community and agency settings (5th ed.). Merrill/Pearson Education. ISBN: 978- 0-13-438555-6

Reichenberg, L. W. (2014). DSM-5 Essentials: The Savvy Clinician's Guide to the Changes in Criteria. Wiley. ISBN-13: 978-1-118-84608-7

DSM-5-TR Overview: a QuickStudy Laminated Reference Guide ISBN: 978-1423248934

Required Readings

The following are available as links to articles on the course pages, WFU library readings, or through Course Reserves which is accessible from your course menu:

Additional Material

Webcam


Live Sessions

Students will find the day and time in the course:

Attendance at one live session is mandatory. You must attend at least one Live Session during this course. You may attend the live session of your Lead Instructor or Practitioner Instructor. Attendance is worth 15 points.


Methods of Instruction

Instructional methods in this course include lectures, discussions, case studies, experiential activities related to course content, and other interactive activities.


Instructor Interactions

Apart from clinical courses, WFU online courses are primarily asynchronous in nature, meaning students and instructors can engage with the learning materials at different times. There are a few notable exceptions, however, such as live sessions, office hours, and triad work (skills courses). For the asynchronous portions of our courses, students interact with instructors through virtual discussion boards, weekly video and/or written announcements, email communications, and formative and summative feedback on assignments. For the synchronous portions of our courses, students interact with lead instructors in weekly, recorded live sessions, and with practitioner instructors in office hours. Regarding live sessions, lead instructors meet virtually with students one hour per week in which they present on a topic related to the learning material for the week, as well as answer questions that students have about the course material or assignments. In office hours, practitioner instructors answer students’ questions about course content and assignments. They also, at times, present on topics related to that week’s lessons.

In clinical courses, instructors interact with students primarily through individual/triadic and group supervision sessions. Instructors also monitor students’ time logs, review required practicum and internship documents, evaluate their counseling session recordings and writeups, and submit midterm and final evaluations related to students’ counseling skills development, as well as their professional dispositions and behaviors development.


Assessments

This section provides an overview of the items due during this course. See the Course Schedule for additional details.

Discussions

Discussions serve as the main vehicle for communication between students in the class. Using the forums, information will be shared, concepts will be discussed, and opinions expressed.

Assignments

These are the assignments that will be completed and submitted throughout the duration of the course.

Assignment 1.1: Becoming a Mental Health Counselor Blog Post

For this blog entry, you will define what it is to be a clinical mental health counselor and describe your reasons for wanting to become a clinical mental health counselor.

Assignment 1.2: Licensing and Licensure Requirements

For this assignment, you will select a state where you might want to practice and learn about that state’s licensure requirements.

Assignment 2.1: The Case of Robin

For this assignment, you will read the Case of Robin and respond to related questions.

Assignment 2.2: Case Conceptualization

For this assignment, you will review your theoretical client and, based on the data of the biopsychosocial assessment, create basic case conceptualization and treatment plan for her.

Assignment 3.1: Mindfulness in Counseling Blog Post

For this blog entry, you will share your impressions about the use of mindfulness in counseling.

Assignment 3.2: Prevention/Wellness Project

For this assignment, you will design a workshop or program that focuses on prevention and resilience.

Assignment 3.3: Four Types of Consultation Blog Post

For this assignment, you will provide an example of each of Caplan’s four types of consultation and identify which type was illustrated in the provided video clip.

Assignment 4.1: Suicide Assessment Blog Post

For this blog entry, you will select a current journal article that describes suicide assessment and describe the key areas of suicide assessment presented in the article.

Assignment 4.2: Managing Compassion Fatigue Blog Post

For this blog entry, you will reflect on risk factors for developing compassion fatigue. You will describe whether you believe you are at low risk or higher risk for developing compassion fatigue.

Assignment 5.1 Direct and Indirect Services

For this assignment, you will choose one of the clinical settings described in your textbook and provide examples of a) direct client services, b) direct community services, c) indirect client services, and d) indirect community services that might be offered at that site.

Assignment 6.1: Writing a Treatment Plan for a Managed Care Organization Blog Post

For this blog entry, you will develop a treatment plan for a client who experiences frequent panic attacks.

Assignment 6.2: The Case of Peter Blog Post

For this blog entry, you will read the Case of Peter and respond to related questions.

Assignment 6.3: Interview with Clinical Mental Health Counselor

For this assignment, you will write a description of the interview you will conduct with a clinical mental health counselor.

Quizzes

Each week you will complete practice quizzes based on the weekly readings. You will have 30 minutes to complete each quiz. Each quiz question is worth 1 point.

Final Project

You will complete a Final Project in week 7. You will review a case study and respond as the counselor.

Live Session Attendance

Attendance at one synchronous live session is mandatory. You must attend at least one Live Sessions during this course. You may attend the live session of your Lead Instructor or Practitioner Instructor. Attendance is worth 15 points.


Student Learning Outcomes / Key Performance Indicators

There is one signature assignment for this course, the Final Project: Case Study, that is to be submitted in Anthology Portfolio, an e-Portfolio, data storage, and data management program. The Final Project: Case Study assignment will be used for course grade calculations (using the grading rubric), program evaluation reporting, and student learning outcomes (SLO) / key performance indicator (KPI) monitoring. For program evaluation reporting and SLO/KPI monitoring, we use a CACREP rubric that measures student learning on a scale from 1 (harmful) to 5 (exceeds expectations). The student learning outcome on which you will be evaluated for the Final Project: Case Study is: Students demonstrate knowledge and skills needed to assess, diagnose (when appropriate), form case conceptualizations, and develop treatment plans for diverse client populations.

Based on the 2024 CACREP standards (2.E.1.a., 2.C.1.a.), our counseling program is required to report aggregated SLO/KPI ratings, as well as monitor individual student SLO/KPI progress. The expectation is that students, on average and individually, will receive average CACREP rubric ratings of 4 (meets expectations) on each SLO/KPI measure. Student ratings on SLO/KPI measures that fall below a 3 (near expectations) may result in remediation.


Late Work

Students are encouraged to make the same effort to submit all assignments on time that they would use in the workplace. It is, however, understood that sometimes circumstances arise that are beyond our control. To request an extension, students should contact their Lead Faculty as soon as a problem is identified to provide details and determine a realistic deadline. Assignments submitted late without prior approval will not be eligible for full credit.

Unless arrangements have been made, students who submit late assignments will receive a 10% grade deduction for each day beyond the due date.


Grading Policies

This table details the grade points and/or percentages of each assignment.

Grading
Assignment Points Possible
Discussions 180
Assignments 525
Quizzes 96
Live Session Attendance 15
Final Project 100
Total 916

Grading Scale

This table lists the letter grade corresponding to ranges of points.

Final grading is at the discretion of the faculty.

Grading Scale
Letter Grade Percentage
A 93–100
A− 90–92
B+ 87–89
B 83–86
B− 80–82
C+ 77–79
C 70–76
F 0–69

Academic Policies

Every student is required to practice and adhere to the principle of academic integrity while undertaking studies with Wake Forest University. Maintaining academic integrity is considered an essential academic standard of every graduate course and program. The University does not tolerate academic dishonesty.

The graduate faculty at Wake Forest has adopted a formal honor code to provide guidance for student conduct with respect to academic pursuits. Read the Graduate Student Academic Honor Code (PDF).

Academic dishonesty may be an academic issue or a disciplinary issue, or both, depending on its pervasiveness and/or severity. Any student engaged in academic dishonesty may face reprimand, disciplinary warning, a lowered or failing grade(s), and/or probation or suspension from the course, academic program, or University, or expulsion from the University.

The list that follows includes examples, although not all-inclusive, of academic dishonesty:

For the complete academic honesty policy and tips to avoid plagiarism, as well as further information on all academic policies, including the policies for adding and dropping a course, requesting a grade of incomplete, academic probation, termination of enrollment, reinstatement, and student and faculty expectations, see the Wake Forest University Student Handbook.


Synchronous Class Recording Notice

In accordance with Wake Forest University’s policy regarding class recordings, be mindful of this information:


Academic Engagement and Monitoring

It is very important that students actively engage in class discussions, and that students communicate in a timely manner with their instructors if unforeseen circumstances negatively affect their academic engagement. WFU monitors student academic engagement through student activity in the course, much of which can be monitored automatically in Canvas (e.g., logging into the course in Canvas, participating in discussion boards, submitting assignments, reviewing learning materials in the modules); attending live sessions, office hours, and individual/triadic/group supervision sessions; and communicating by phone or email with instructors. If an entire week passes without a student submission of an assignment and/or no contact is made with instructors, the following will occur:


Technical Requirements

Identify the minimum device configuration requirements for this institution.


Help Desk Support

Assistance to resolve technical problems is available 24/7, 365 days a year.

Students can access the Help Desk at: Wake Forest Help Desk.

Help Desk services are restricted primarily to problems associated with the functionality of the course delivery platform. Responsibilities include:

Sometimes students may not be sure whether a problem they are having is caused by their computer system or the online learning management system. The Help Desk will help students figure out where the problem lies and attempt to resolve issues immediately. However, some highly advanced hardware issues may require additional assistance. If this is the case, the Help Desk may suggest seeking assistance from a local computer repair establishment.

Be sure to check the browser version (latest version of Firefox or Chrome) and plug-ins. Use the Check My Browser tool on the Wake Forest Help Desk page (under the Tools drop-down menu) to analyze browser and system settings. This will ensure that students have the necessary settings to navigate their courses.


Canvas Support

Call a Canvas Expert: 833.383.5792

For Canvas technical support, select the Help icon in the navigation bar, where students will find several options including:

When submitting a ticket, be as specific as possible in the description of the issue. Include the name of the course and the date the issue occurred, the browser being used and, if possible, screenshots to help Canvas support personnel troubleshoot the issue and expedite service.

Note: Lead Faculty and PIs do not provide Canvas support.


AskDeac Help Desk

AskDeac services include most technology issues outside of the scope of course delivery. Common requests include assistance setting up a VPN, setting up a WFU Zoom account, using Google Drive, and resetting WFU email passwords.

Assistance to resolve technical issues is available through Email or Live Chat from 8:00 a.m. to 9:00 p.m. EST, Monday through Friday. Phone support is available from 8:00 a.m. to 5:00 p.m. EST, Monday through Friday.

Access AskDeac at: AskDeac.


Diversity, Equity, and Inclusion

Wake Forest University is committed to supporting diversity, equity, and inclusion. The Office of Diversity and Inclusion provides campus resources such as the Intercultural Center, LGBTQ Center, Women’s Center, and more. Locate these on the webpage under Affinity & Support.

To learn more about WFU’s commitment to diversity, equity, inclusion read the Non-Discrimination Statement and policy on Non-Discrimination on the Basis of Disability.

Pro Humanitate—As a part of the Wake Forest community, the faculty and staff of the Department of Counseling fully embrace the concept of Pro Humanitate. In each of our classes (graduate, undergraduate, face-to-face, and virtual), we strive to affirm every person and every identity including but not limited to gender identity, affectional orientation, language, national origin, color, race, disability, sex, religion, creed, and ancestry. We embrace the development of critical thinkers that consistently aspire to become culturally responsive and encourage you to challenge your own biases while developing the necessary skills to enter your chosen profession. Further, the faculty and staff will promote the Realizing Inclusion, Diversity, and Equity (R.I.D.E.) framework in our teaching, research, supervision and advising. We hope that you will join us along this journey, with a commitment to advocacy and social justice in both your personal and professional lives. Pro Humanitate, to better the lives of all humans!


Accessibility and Special Accommodations

Wake Forest strives to provide equal access for all learners. Learning content contained within the Canvas Learning Management System is designed to meet the Web Content Accessibility Guidelines (WCAG) 2.1 AA developed by the World Wide Web Consortium (W3C) and Section 508 of the Rehabilitation Act. Throughout our course development process, we test the capabilities of our learning content against these standards.

Wake Forest University recognizes its responsibility for creating an institutional climate in which students with differing needs and abilities can thrive.

Along with the mission of the Division of Student Life, Disability Services exists to enable students with disabilities to experience equal access to the academic, social, and recreational activities and programs at Wake Forest University. To achieve this goal, the Center for Learning, Access, and Student Success (CLASS) is available to offer academic support for all Wake Forest Students. CLASS staff works with students, faculty, and staff to implement services and accommodations that are in accordance with both state and federal laws and our own commitment to this goal.

If a student has a disability that may require an accommodation for taking this course, use the Student Portal Login located on the Center for Learning, Access, and Student Success (CLASS) website. Alternatively, contact the Center for Learning, Access, and Student Success at the contact information provided.

Contact Information:

118 Reynolda Hall, WFU
Winston-Salem, NC, 27109
Phone: 336-758-5929
Email: class@wfu.edu


Emergency Contingency Plan

Disaster Planning/Catastrophic Event Policy: In the event the University calendar is disrupted by disaster or catastrophic event, please continue with the assigned lessons and adhere to the due dates of assignments and discussions. The instructor will be available by email or by phone, unless the internet or phone is inaccessible.


Course Schedule

The course week runs from Monday (Day 1) to Sunday (Day 7). Due dates for assignments and discussions are stated in day numbers. Unless otherwise noted, all assessments are due by 11:59 p.m. EST. on the designated day.

There will be Live Sessions and Office Hours each week unless otherwise communicated. Students will find the day and time in the course:

Please Note: Readings refer only to textbook, Course Reserves, WFU library readings, or scholarly articles. Refer to the course for all other instructional content (websites, lectures, videos, interactive activities, etc.)

Week 1: Foundations of Clinical Mental Health Counseling Professional Identity (January 15–January 21)

Week 1 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: History of Counseling, Community Counseling, and Clinical Mental Health Counseling

CACREP Standards: 3.A.1; 3.A.6; 3.A.7
Read the following in your Newsome & Gladding text:
  • Chapter 1, pp. 2–25

Read the following articles:
  • Rollins, J. (2021, January). The forces that could shape counseling’s future. Counseling Today, 63(7), 22‐57.
  • Crafting a One-Minute Professional Identity Statement
Discussion 1.1: Projection/Video Clip Analysis (Initial Post Due Day 4, Reply Posts Due Day 7) None Quiz 1.1: Chapter 1 (due Day 7)
Lesson 2: Professional Identity

CACREP Standards: 3.A.1; 3.A.2; 3.A.3

Read the following in your Newsome & Gladding text:
  • Chapter 1, pp. 26–34
None Assignment 1.1: Becoming a Mental Health Counselor Blog Post (due Day 7)

Assignment 1.2: Licensing and Licensure Requirements (due Day 7)
None

Week 2: Roles and Functions of Clinical Mental Health Counselors (January 22–January 28)

Week 2 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: The Counseling Process

CACREP Standards: 3.A.1; 3.A.2; 3.A.4; 5.C.4; 5.c.5; 5.C.7
Read the following in your Newsome & Gladding text:
  • Chapter 4, The Counseling Process

Read the following article:

  • Sperry, J. & Sperry L. (2020). Case Conceptualizations: Key to highly effective counseling. Counseling Today, 63(6), 50–55.
Discussion 2.1: Intake Interview (Initial Post Due Day 4, Reply Post Due Day 7) Assignment 2.1: The Case of Robin (due Day 7) Quiz 2.1: Chapter 4 (due Day 7)
Lesson 2: Client Assessment and Diagnosis

CACREP Standards: 3.E.1; 3.E.3; 5.C.1; 5.C.2; 5.c.5
Read the following in your Newsome & Gladding text:
  • Chapter 5, Client Assessment and Diagnosis

Read the following in your Reichenberg text:

  • Preface, pp. 1–34
None Assignment 2.2: Case Conceptualization (due Day 7) Quiz 2.2: Chapter 5 (due Day 7)

Week 3: Roles and Functions of Clinical Mental Health Counselors (Part 2) (January 29–February 4)

Week 3 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: Holistic Approaches to Clinical Mental Health Counseling

CACREP Standards: 5.C.2,1.b; 3.E.17; 5.C.4

Read the following in your Newsome & Gladding text:
  • Chapter 6, Holistic Approaches to Clinical Mental Health Counseling

Read the following articles:

  • Myers, J. E., & Sweeney, T. J. (2008). Wellness counseling: The evidence base for practice. Journal of Counseling and Development, 87(4), 482–493
  • Kaplan, D.M. (2005). The next advancement in counseling: The bio-psycho-social model. Vistas.
None Assignment 3.1: Mindfulness in Counseling Blog Post (due Day 7)

Assignment 3.2: Prevention/Wellness Project (due Day 7)
Quiz 3.1: Chapter 6 (due Day 7)
Lesson 2: Consultation, Advocacy, and Evaluation

CACREP Standards: 3.E.4; 3.H.8; 5.C.8

Read the following in your Newsome & Gladding text:
  • Chapter 7, Consultation, Advocacy, and Evaluation
None Assignment 3.3: Four Types of Consultation Blog Post (due Day 7) Quiz 3.2: Chapter 7 (due Day 7)

Week 4: Managing Suicide Risk, Crises, and Disasters and Maintaining Effectiveness as a Counselor (February 5–February 11)

Week 4 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: Managing Suicide Risk, Crises, and Disasters

CACREP Standards: 3.E.17; 3.E.19; 3.E.20
Read the following in your Newsome & Gladding text:
  • Chapter 8, pp. 193–210 Dealing with Crises, Disasters, and Suicide, while Managing Stress, and Avoiding Burnout

Read the case study:

  • Suicide Risk Assessment Case Study (PDF).
None Assignment 4.1: Suicide Assessment Blog Post (due Day 7) Quiz 4.1: Chapter 8 (due Day 7)
Lesson 2: Maintaining Effectiveness as a Counselor: Managing Stress and Avoiding Burnout

CACREP Standards: 3.A.11

Read the following in your Newsome & Gladding text:
  • Chapter 8, pp. 210–216 Managing Stress and Avoiding Burnout

Read the following in your Reichenberg text:

  • pp. 45–50 and 101–102

Read the following additional resources:

  • HelpGuide.org
  • SAMHSA: Compassion Fatigue
Discussion 4.1: Recognizing Burnout (Initial Post Due Day 4, Reply Post Due Day 7) Assignment 4.2: Managing Compassion Fatigue Blog Post (due Day 7) None

Week 5: Community Agencies, Medical Settings, and Other Specialized Clinical Settings (February 12–February 18)

Week 5 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: Community Agencies, Medical Settings, and Other Specialized Clinical Settings

CACREP Standards: 3.E.16; 3.A.3; 3.A.4; 5.C.3

Read the following in your Newsome & Gladding text:
  • Chapter 14, Community Agencies, Medical Settings, and Other Specialized Clinical Settings

Read the following in your Reichenberg text:

  • pp. 71–91
Discussion 5.1: Counseling Positions (Initial Post Due Day 4, Reply Posts Due Day 7)

Discussion 5.2: Untreated Mental Illness (Initial Post Due Day 4, Reply Post Due Day 7)
Assignment 5.1 Direct and Indirect Services (due Day 7) Quiz 5.1: Chapter 14 (due Day 7)

Week 6: Employee Assistance Programs, Private Practice, and Managed Care (February 19–February 25)

Week 6 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: Employee Assistance Programs, Private Practice and Managed Care

CACREP Standards: 3.E.16; 3.A.3
Read the following in your Newsome & Gladding text:
  • Chapter 15, Employee Assistance Programs, Private Practice, Coaching, and Managed Care
Discussion 6.1: Projection/Video Clip Analysis (Initial Post Due Day 4, Reply Post Due Day 7) Assignment 6.1: Writing a Treatment Plan for a Managed Care Organization Blog Post (due Day 7)

Assignment 6.2: The Case of Peter Blog Post (due Day 7)

Assignment 6.3: Interview with Clinical Mental Health Counselor (due Day 7)
Quiz 6.1: Chapter 15 (due Day 7)

Week 7: Trauma Informed Care and Project: Case Study (February 26–March 3)

Week 7 Schedule
Lesson Readings Discussions Assignments Quizzes/Exams
Lesson 1: Trauma-Informed Care

CACREP Standards: 3.E.20; 5.G.11; 3.E.3
Read this presentation:
  • Trauma-Informed Care (PDF).
None None Final Project: Case Study (due Day 7)