COUN 671
COUNSELING
INTERNSHIP
HANDBOOK
Summer 2012
TABLE OF CONTENTS
Introduction and State Requirements p. 2
Sample Syllabus pp. 3-6
Introduction Letter to Supervisors p. 7
Procedures for Obtaining Internship Approval p. 8
State of Ohio Professional Counselor Trainer Initial Application pp. 9-11
Sample OCSWMFTB Internship Approval Letter p. 13
Expectations for Xavier Interns p. 14
Xavier University Affiliation Agreement and Instructions pp. 15-17
Internship Log Form pp. 18-26
Field Project Information p. 27
Field Site Project Proposal Form p. 28
Instructions for Extending Internship p. 29
Extension Letter for OCSWMFTB p. 30
Extension Request Form from OCSWMFTB p.31-32
Incomplete Internship Form p. 33
Student Evaluation Procedures p. 34
Xavier University Interim Evaluation Form p. 35
State of Ohio Internship Supervisor Evaluation Rating Form pp. 36-39
Confidential Internship Site Evaluation Form p. 40
XAVIER
UNIVERSITY
This booklet contains important information and the required forms necessary for you to successfully begin, register, and verify the completion of your counseling internship. We recommend you read each item thoroughly to help you avoid confusion in determining how the internship is approved and conducted.
To gain approval to begin your internship experience, all forms must be completed and returned to the Clinical Coordinator. We also strongly recommend that you keep copies of all forms filed with Xavier and/or the Ohio Counselor Board.
Best wishes for a successful internship experience!
INTERNSHIP INFORMATION
Students must have successfully completed COUN 669 and 773 (Counseling Pre-Practicum and Practicum), before taking COUN 671.
OVERVIEW
The Ohio Counselor and Social Worker Board requires that a minimum of 600 clock hours of supervised clinical counseling experience in an on-site setting be completed as part of the student’s Masters program. The Xavier program is designed to help students meet this requirement by offering COUN 671. This Counseling Internship is for 4 semester hours and requires a minimum of 600 clock hours of internship activities.
Of this 600-clock hour total, the following requirements must be met:
§ 240 of the 600 hours must be in direct service counseling activities with individuals and/or groups.
§ 200 of the 600 hours must involve supervised activities in the area of diagnosis and treatment of mental and emotional disorders.
§ Face-to-face meetings with the on-site supervisor must occur at a minimum ratio of one clock hour for every 20-clock hours of intern activities.
§ Supervisors must possess a Professional Clinical Counseling (PCC) license. In addition, these individuals must also possess a “Supervising Counselor” designation approved by the Ohio Board.
§ Internships must be pre-approved by the Xavier University Counseling Program Clinical Coordinator and the Ohio Counselor Board.
§ While it is the student’s responsibility to procure an appropriate internship placement, the clinical coordinator maintains a listing of possible internship sites for reference.
PROCEDURES
1. Students should contact the Xavier University Counseling Program Clinical Coordinator for a Counseling Internship Packet. This packet contains the necessary information and forms required to approve and begin your internship. It is recommended that students obtain this packet the semester prior to the anticipated start of the internship.
2. After the completion of all forms and receiving the necessary approvals, students may begin to log internship hours.
3. Once all approvals are granted (via CSSWMFT Board), students who are actively involved and registered through Xavier University may refer to themselves as a “Counselor Trainee.”
SAMPLE
XAVIER UNIVERSITY
COURSE TITLE: Counseling Internship
SEMESTER: Fall 2004
COURSE NUMBER: COUN 671-01
CREDIT HOURS: 4
DAY & TIME: Monday 4:15 p.m. – 6:45 p.m.
LOCATION OF CLASS: Joseph 312
INSTRUCTOR: Dr. Rhonda L. Norman, LPCC, CCDC III-E
OFFICE LOCATION/PHONE: Hailstones 215 – 745-3450
E-MAIL ADDRESS:
OFFICE HOURS: Monday and Wednesday 2:00 – 4:00pm and by appointment
COURSE DESCRIPTION:
This experiential course is designed as an integrative field placement. Students are expected to engage in on-site counseling program activities that allow application of the Community Counseling program curriculum content under the direction of an approved site supervisor and Xavier faculty. The topics covered during the semester reflect those identified for the Clinical Internship CACREP core area.
COURSE OBJECTIVES:
As a result of participating in this course students will:
· Understand the professional role of a community counselor and how the role interfaces with their internship site.
· Understand and integrate multicultural issues such as race, culture, sexual orientation and class into the clinical internship practice.
· Be able to describe the characteristics of individual clients that are served in a community counseling setting.
· Understand how to conduct a bio-psychosocial assessment and know how to interpret and conceptualize the client case.
· Be able to provide the appropriate diagnosis and treatment plan for clients, along with completing 200 hours of activities related to diagnosis and treatment planning.
· Be able to provide appropriate referrals to community resources.
· Complete a minimum of 600 hours of which 240 hours must be in direct service, along with one hour of supervision for every 20 hours of internship practice.
· Utilize theories and techniques to develop professional counseling relationships with clients and client families.
· Utilize theories and techniques to develop professional counseling relationships with agency staff and other professionals in the community.
· Be able to utilize technology to support the clinical practice, especially for documentation purposes.
· Understand the legal and ethical issues related to the clinical internship practice.
If at all possible, there should be some experience in a variety of services. The degree of involvement in these areas is naturally dependent upon the field site emphasis.
REQUIRED TEXT:
Faiver, C., Eisengart, S. & Colonna, R., (2004). The Counselor Intern’s Handbook.
Belmont, CA: Wadsworth.
INSTRUCTIONAL METHODS AND ACTIVITIES:
This course will utilize didactic learning methods including large and small group discussion, individual case presentations, and role-play.
ASSIGNMENTS
1. Students are required to complete a minimum of 600 clock hours of supervised counseling experiences. A minimum of 240 of these 600 hours must be in direct service activities with clients. Additionally, students must have a minimum of 200 clock hours of indirect and direct service experiences, which include the diagnosis, and treatment of mental and emotional disorders and conditions.
2. Students will produce a log cataloging these experiences in appropriate clinical counseling areas to assure some exposure to each: assessment/appraisal and records, group work, individual counseling, consultation, resources and referral, placement, case note procedures, evaluation, and treatment planning.
3. Students will complete an acceptable project that will be beneficial to the particular setting. The scope to be agreed upon by the college instructor, site supervisor, and the student.
4. Students must attend seminars as scheduled on campus for progress updates. In addition to the seminar meetings, also required are completion of any other assignments.
5. Case presentation.
6. Each student will be responsible for developing a portfolio that can be used for employment seeking purposes. This portfolio may contain writing samples, completed projects, program/grant proposals, research paper, etc.
7. Students must submit a satisfactory evaluation of performance by site supervisor. This evaluation will verify hours completed and verify 1-hour face-to-face supervision for every 20 client contact hours performed by the student.
Supervisor requirement:
a. The site supervisor must hold one of the following credential: LPCC, PC or PCC and be recognized by OCSWB as a “supervising counselor”.
b. Supervision must include activities related to the Diagnosis and Treatment of Mental and Emotional Disorders.
c. The Supervisor must include one hour of face – to – face supervisory contact between supervisor and student for every 20 hours of internship activities.
d. The supervisor will complete an evaluation form attesting to the student’s satisfactory completion of all the above activities in Clinical Counseling.
Students who have not successfully completed all internship requirements by the final class meeting will receive an incomplete.
Students are strongly reminded of ethical considerations while enrolled in this course. Consult the ACA Statement of Ethics or the Ohio Licensure Law for details.
**Do not hesitate to contact the instructor should you have an ethical question.
PERFORMANCE EVALUATION CRITERIA AND PROCEDURES:
Attendance/Participation/Discussion
Completion of 600 hours/240 direct service hours/200 Diagnosis and Treatment hours
Completion of Site Project
Completion of Internship Log
Case presentation (In class)
Satisfactory Performance Evaluation from Internship Site Supervisor
A grade of “S” is only given if all of the above criteria are met.
ATTENDANCE POLICY:
Graduate students are training to be professional helpers responsible for the welfare of clients in need. Attendance in professional counseling courses is required to evaluate the readiness and preparedness of each student to enter the profession.
Attendance in counseling internship seminar is very important for progress updates. Attendance means arriving for class on time and staying for the duration of the class. Participation means preparing for class by reading required texts/materials and periodically entering into class discussion.
A student who misses more than 2 classes in a semester may be subject to possible action by the instructor, which includes, but is not limited to:
· Recommendation to withdraw from the class.
· Additional assignments to complete the class.
· Reduction in grade per the percentage allotted to attendance and participation.
· Any other action deemed appropriate by the instructor.
Naturally, faculty members are sensitive to significant life circumstances that can result in class absence. In such instances, faculty will attempt to work with these students on a case – by – case basis.
Attendance in the counseling internship seminar is very important for progress updates. Participation in discussions or activities is essential to satisfactory completion of the internship.
SCHEDULE for COUN 671-01
Note: Additional readings will be assigned or topics may change based on the concerns of the counseling internship class. The first half of each class will be utilized for site updates, the second half of class will be utilized for topical discussion or case presentations.
August 23 / Overview of Class. Introductions, Review of Syllabus/Text.Read: Chapter 1, 2 & 3
August 30 / Therapeutic orientation of counselor in training.
Therapeutic orientation of internship site.
Read: Chapter 6, 7 & 8
September 6 / Xavier Holiday – no class
September 13 / No class. (Incompletes)
September 20 / Professional Challenges
Read: Chapter 9 & 10
Log Review – Turn in copy of Log
Applying the ACA Ethical Standards
September 27 / No class.
October 4 / Counseling Intervention Tool – 2 presentations
Site Project Descriptions Due
October 11 / No class. (Incompletes)
October 18 / Counseling Intervention Tool – 2 presentations
October 25 / No class
November 1 / Mid – Term Evaluation Due
Counseling Intervention Tool – 1 presentations
November 8 / No class
November 15 / Counselors and Psychotropic Medications
Read: Chapter 4
Counselor Self Care – Compassion Fatigue – Self Test for counselors
(Charles Figley)
November 22 / No Class – (Incompletes)
November 29 / Completing the Clinical Internship
Read: Chapter 11
December 6 / No class.
December 13 / Due: Project Summary, Log, Copy of Extension Request (if extending internship)
(Incompletes will also meet)
Final Exam Week
**Please turn off or silence all pagers and cell phones while in class.
XAVIER
UNIVERSITY
Department of Counseling
3800 Victory Parkway
Cincinnati, Ohio 45207-3226
Phone (513) 745 – 3655
Fax (513) 745 – 2920
www.xavier.edu
Dear Site Supervisor,
Many thanks to you and your organization for your willingness to assist in our graduate course, COUN 671- Counseling Internship. We value the training and insights you will be giving to the Xavier graduate student working under your direction.
The requirements for the student to successfully complete this course are as follows:
1. Students are required to complete of a minimum of 600 clock hours of supervised counseling experiences. A minimum of 240 of these 600 hours must be in direct service activities with clients. Additionally, students must have a minimum of 200 clock hours of indirect and direct service experiences which include the diagnosis and treatment of mental and emotional disorders and conditions.
2. Students will produce a log cataloging these experiences in appropriate clinical counseling areas to assure some exposure to each one (i.e., assessment/appraisal and records, group work, individual counseling, consultation, resources and referral, placement, case note procedures, evaluation, and treatment planning.
3. Students will complete an acceptable project that will be beneficial to the particular setting. The scope to be agreed upon by the college instructor, site supervisor, and the student.
4. Students must attend seminars as scheduled on campus for progress updates.
5. Students must submit a satisfactory evaluation of performance by site supervisor. This evaluation will verify hours completed and verify 1 hour of face-to-face supervision for every 20 client contact hours performed by the student.
A grade of “S” is only given if all of the above criteria are met.
The instructor will be contacting you during the semester to discuss the progress of our student. Please do not hesitate to contact us at any time should you have comments, questions, or concerns.
Again, thank you for your contribution to Xavier and the helping professions.
Sincerely,
Dr. Butch Losey
Clinical Coordinator
Obtaining Internship Approval
The State of Ohio Professional Counselor Training Supervision Agreement on the following pages must be filed with the Ohio Counselor, Social Worker and Marriage & Family Therapist Board to request approval to begin the internship if you are seeking counselor in training status.
You will note that the student completes the first two pages of the form and the supervisor must complete the last page.
Proof of enrollment in the internship (e.g. a copy of your class registration or a copy of your unofficial transcript) showing your registration will suffice) must accompany this form.
Likewise, your supervisor must attaché a “Professional Disclosure Statement” with the form.
Students should submit the original of this form to The Ohio Counselor, Social Worker and Marriage & Family Therapist Board and a copy of it to the Xavier Clinical Coordinator.
When the State of Ohio approves the internship, an approval letter will be sent to the student (see sample p. 10). Again, a copy of this approval should be given to the Xavier Clinical Coordinator to include in your file.