Chapter 4: Employment Settings for Clinical Mental Health Counselors Flashcards
Challenges: isolation, business/management portion, marketing
Private Practice
Benefits: Team approach, see effects of treatment, steady client base
Hospital Setting
Challenges:
1) Counseling with a physical barrier
2) You are working with the system and it’s harder to establish trust with client
3) You can’t control the setting you go back to (recidivism)
Correctional Facilities
Challenges:
1) Atmosphere is more punitive
2) It is harder to treat certain patients (positive regard for all clients)
Correctional Facilities
Challenges:
1) Dual diagnosis/underlying disorders/problems
2) Ambivalence
3) Detoxification before any mental health treatment
Substance Abuse Treatment Centers
Challenges:
1) Based heavily on medical model
2) Undergraduate staff is more prevalent and it’s harder for those counselors to treat dual diagnosis
Substance Abuse Treatment Centers
Harder to find identity as a clinical mental health counselor here
School setting
Parents can be a challenge, sometimes more than the child. Parents can also be a barrier to treatment
School setting
The model is muddled between each school
School setting
Benefits:
1) Long term basis
2) Rewarding work
3) Counselor can do a lot more prevention work
School setting
We always want to have a client is the ____ restrictive setting
Least
Most restrictive site
In patient
Rank the delivery systems from most to least restrictive
Inpatient > Partial > Outpatient
This site is more generalizable to the patient’s real life
Outpatient Facility
In this setting, you often do not make your own clinical decisions
Managed Care
