Perinatal depression (PND), depression that occurs during pregnancy or in the first year following delivery, is a common and debilitating mental health condition. In New York City, it is estimated that at least one in ten women suffer from PND. The clinicians who serve these women require training in acceptable, feasible, and effective treatments. Interpersonal psychotherapy (IPT) is a time-limited, evidence-based psychotherapy that has been found to be effective in the treatment of PND in community and primary care settings. The present study investigates the nuances of an IPT training program for licensed mental health providers who treat perinatal depression within integrated care settings in NYC. Using a qualitative-focused mixed-methods design, this study aims to systematically and comprehensively evaluate the acceptability, feasibility, sustainability, and preliminary effectiveness of the training program, and of the providers’ perceptions of IPT as a treatment for the patients they serve. To achieve these aims, five of the eight providers who participated in the training program were interviewed at two timepoints and quantitative data including demographics, use of IPT, satisfaction with training experience, and effectiveness of the training program were collected. Results indicate that providers viewed their training experience as acceptable and feasible and viewed IPT as an appropriate, relevant, and helpful treatment for their perinatal patients’ depression. Quantitative results provide preliminary support for the training model’s potential effectiveness, demonstrating that provider-trainees were able to obtain and retain knowledge of IPT and achieve certification as IPT practitioners. Overall, Patient Health Questionnaire (PHQ-9) scores show that patients who were treated by the study’s provider-trainees self-reported depression symptoms improved over the course of their IPT treatment. Recommendations for future directions and implications for future provider training programs are discussed.

Seriously emotionally disturbed adolescents in residential placement tend to act out aggressively. Such behavior often creates an atmosphere of intimidation and fear which contributes to the high stress, sense of incompetence, and frequent turn over of youth care staff. Formal training for these practitioners is limited in scope and availability. The training program, Therapeutic Crisis Intervention (TCI) (Budlong I 1983) which was the focus of this study, was designed to train youth care workers to deal with aggressive youth. It was anticipated that the program would increase youth care workers perceived sense of competence and reduce their perceived level of job stress. The Occupational Stress Inventory (OST) and the Correctional Institution Environment Scale (CIES) were used to measure reported perceptions of competence. The Maslach Burnout Inventory (MBI) was used to measure reported perceptions of job stress. Fifty one subjects, from four residential centers, were randomly assigned to a training group, a training group with follow-up, or a control group. A four way ANOVA was used to analyze main effects and single interactive effects of the classification variables (i.e., age, educational attainment and experience) with training. In general, the analysis provided the following conclusions: (1) Neither reported self efficacy nor reported job stress were significantly impacted by TCI Training; (2) Although younger participants receiving training without follow-up reported a greater sense of depersonalization (i.e., higher perceived stress) and a lower sense of competence in using supportive skills than their older counterparts, younger participants who received follow-up in addition to the training, reported a lower sense of depersonalization (i.e., lower perceived stress) and a higher sense of competence in using support skills than their older counterparts; (3) Older participants reported lower levels of depersonalization after receiving training. Implications for these findings are discussed. / Ed. D.

This study was conducted to determine why counselors use the Diagnostic and Statistical Manual of Mental Disorders (Third Edition, Revised) (DSM-III-R), to describe their opinions regarding the advantages and disadvantages of its use, to determine whether they believe deliberate misdiagnosis of clients occurs, to determine whether they believe they are adequately trained in the use of the DSM-III-R, and to identify counselor characteristics that are significantly related to their evaluations of the DSM-III-R. A mailed questionnaire was used to collect data from a random sample of 550 Certified Clinical Mental Health Counselors. The response rate was 70.7%. Results of the study indicate that the respondents use the DSM-III-R for billing insurance, case conceptualization, treatment planning and communication with other professionals, meeting requirements of employers and external entities such as the courts, and for educational and evaluative functions. These reasons for its use are also considered to be the advantages of using the DSM-III-R. Disadvantages of the using the DSM-III-R identified include possible negative results of its use, bias and labeling, and difficulty in usage as well as difficulty applying it in marriage and family counseling. Respondents believe clients are deliberately misdiagnosed using the DSM-III-R, and a majority of respondents (62.87%) who indicated whether reported they had training in the use of the DSM-III-R and whether they believe they are adequately trained in its use said their training is adequate. Results of canonical correlation analyses indicate that respondents' amounts of training in the use of the DSM-III-R, their work settings, and their clients' being charged for counseling services are significantly related to various aspects of their evaluations of the advantages and disadvantages of the DSM-III-R. / Ph. D.

Youth living in the United States are experiencing increasing rates of mental health issues (New Freedom Commission on Mental Health, 2003; U.S. Department of Education, 2006) and are less likely to receive mental health services (U.S.DHHS, 2009). Children and adolescent mental health services are fragmented, often times ineffective, and difficult to obtain (Brown, 2006; Center for Mental Health in Schools, 2008; Jacob, 2008). Children of color and children living in poverty (ASCA, 2009; Panigua, 2005; Shavers, 2013; and Vera, Buhin, & Shin, 2006), are more likely than their peers to experience mental health disorders and less likely to receive outside mental health services (U.S. Department of Health and Human Services,1999; U.S. National Institute of Mental Health, 2001). Professional school counselors, play a significant role in identifying, meeting and connecting students in need of additional mental health services (ASCA, 2012; Jacob, 2008) and are advised to collaborate with community agencies to better meet the mental health needs of all their students (ASCA, 2009; ASCA, 2012). If left untreated, mental health issues can have a direct impact on students’ learning and academic performance (Adelman & Taylor, 2006). In response, there have been many recent initiatives to promote mental health in schools, including H.R. 628: Mental Health in Schools Act currently being considered by a United States congressional committee. School-based mental health counseling programs (SBMHCPs) have been implemented to address the fragmented mental health delivery system for children and adolescents needing mental health services (Center for Mental Health in Schools, 2003; New Freedom Commission on Mental Health, 2003; & Surgeon General Report on Mental Health, 1999). There is limited research about SBMHCPs from the perspective of those who have been addressing the mental health needs of students for decades—professional school counselors and professional school counselor educators. This qualitative study examined professional school counselors’ and counselor educators’ experiences working collaboratively with school-based mental health counselors. Seventeen school counselors (n=17) and five (n=5) counselor educators participated in a structured online questionnaire. Phenomenological data analysis methods were used to analyze the results (Hays & Woods, 2011; Moustakas, 1994). Results describe professional school counselor and counselor educator’s perceptions about school-based mental health programs, the roles of professional school counselors and school-based mental health counselors, training recommendations, and funding issues related to school-based mental health programs.

AIDS-related stigma and mental health professionals.

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Thesis (MA (Psychology))--University of Stellenbosch, 2007. / South Africa has been a democratic country for more than ten years, and still transformation is not visible in many areas. Psychological services are inaccessible and unaffordable for the larger part of South-Africans. The B.Psych degree was specifically implemented to address this problem. The course aims to give graduates access to registration as counsellors at the HPCSA in order to bring psychological services to people more easily. This study thus explores the employment patterns of registered counsellors in South Africa. These counsellors have been trained to deliver services within the primary health care sector because most people use services within this sector. Only eight percent of registered counsellors in South Africa are working within this sector. Most registered counsellors are working in the education sector or the private sector. Counsellors that are working in the education sector are primarily delivering educational services and not psychological services. Counsellors that are working in the private sector are contributing to making services inaccessible and unaffordable to many people. The absence of workers in the primary healthcare sector is mainly because there is little employment for registered counsellors within this sector. The findings of this study are in accordance with the findings of Kotze (2005) that accessibility to psychological services did not significantly change with the implementation of the B.Psych course.

Multicultural education in counselor education is a popular topic among counselor educators and scholars. To date, scholars have focused on understanding the experiences of counselor educators who teach dedicated multicultural courses. However, less attention has been given to other counselor educators who are required by ethical and training standards to address multicultural issues across the curriculum. The purpose of this study was to understand counselor educators’ experiences addressing multicultural issues in courses that do not have a specific multicultural or diversity focus. I used phenomenological methodology to explore the experiences of counselor educators who hold doctoral degrees in counseling or a related field, have taken a multicultural/diversity course in their graduate training, are full-time clinical or tenure-line faculty members in CACREP-accredited programs, and have never taught courses dedicated to multicultural or diversity issues. Twelve participants (six men and six women), ranging in age ranged from 31 to 65, participated in the study. Ten participants identified as White, one African-American, and one Hispanic. The research team identified eight themes: (1) reasons for avoidance, (2) constraints, (3) qualities and practices, (4) educator as a factor in student development, (5) infusion, (6) personal background, (7) awareness of biases and assumptions, and (8) counselor educator responsibility/gatekeeping. Findings from this study will add to the literature regarding infusion of multicultural issues across the curriculum. Additionally, the implications offered will serve as a resource for counselor educators as they experience unique personal and professional challenges when addressing multicultural issues in classrooms beyond the main multicultural or diversity course offered in counseling programs. Implications for this study may lead to development of more focused guidelines on how to increase the increase the comfort of counselor educators as they facilitate multicultural discussions and assist counselors-in-training in working toward cultural competence.