This chapter begins with a discussion of the importance of a clear understanding of psychiatric diagnoses for all allied health professionals. Given the historical prevalence of psychiatric diagnoses, it is a good use of our time to review the seminal diagnostic systems that inform diagnosis in clinical counseling. Clinical counselors and other mental health professionals may be the first health care providers to have established any type of therapeutic relationship with their client, revealing information that previously had never been a focus of any other professionals’ clinical attention. The accurate diagnosis of psychiatric conditions leads to appropriate referrals, selection of the most appropriate evidence-based treatments, and ultimately amelioration or elimination of problematic symptoms that negatively impact health and functioning. The most commonly used diagnostic system for psychiatric conditions worldwide is the International Classification of Diseases (ICD) system.
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The field of counseling is an exciting and challenging career choice. It is a profession that has a prolific history of enabling person-centered counseling approaches for individuals, couples, partners, and families, and facilitates therapeutic services for children, adolescents, adults, and older adults. This book offers an excellent resource for graduate-level coursework that relates to an orientation to the counseling profession, professional issues, and special topic seminars, as well as other counseling-related coursework. It provides both contemporary insight and practical strategies for working with the complexity of real-life issues related to assessment, diagnosis, and treatment of diverse clients and their families. The book provides professionals with chapters organized into the 10 CACREP and CORE content areas that address the awareness, knowledge, and skills required to work with children, adolescents, individuals, groups, couples, families, and persons from diverse cultural backgrounds. The content areas are: professional counseling identity, ethical and practice management issues, case management and consultation issues, multicultural counseling awareness, counseling theories and techniques, career counseling and human growth, assessment and diagnosis, counseling couples, families, and groups, counseling specific populations, and contemporary issues in counseling.
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The International Classification of Functioning, Disability, and Health: Applications for Professional Counseling
The International Classification of Functioning, Disability, and Health (ICF) is a classification system published by the World Health Organization (
WHO). The International Statistical Classification of Diseases and Related Health Problems (ICD) provides an etiological classification of health conditions related to mortality and morbidity, while the ICF provides a functional complement to the diagnosis-based ICD. The use of the ICF is important for a number of reasons, not the least of which is the prevalence of people with disabilities throughout the world. People with disabilities constitute one of the largest minority groups in the United States. The managed care industry has caused health professionals to be more outcome focused in their reports to third-party payers, rather than reporting only traditional diagnostic information. The medical model of disability guided early efforts to describe causes of mortality and morbidity, and has been relatively effective for detection and treatment of acute health problems.
This book brings to life the International Classification of Functioning, Disability, and Health (ICF; World Health Organization, 2001) for rehabilitation counselors. The book presents contemporary information that can be used to educate, guide practice, and provide the foundation for emerging research related to the psychosocial aspects of disability and chronic disease. It provides a powerful and informative resource for students, practitioners, and scholars in developing and reinforcing rehabilitation counseling principles that guide rehabilitation counseling education, practice, and research. The book is organized into five major parts containing 30 chapters. Part I presents the historical perspectives on illness and disability. Part II offers insights into the personal impact of illness and disability on individuals by looking closely at several unique psychosocial life experiences. It discusses various theories of adaptation to disability, the unique experiences faced by women with disabilities, gender differences regarding sexuality, multicultural and family perspectives of disability, and quality of life (QOL) issues for those with disabilities. Part III addresses issues such as involvement, support, and coping of family members (parents, children, spouses, and partners) which includes family caregiving and counseling, to promote optimal medical, physical, mental, emotional, and psychological functioning of the person with a disability. Part IV reflects the growing need for diagnostic, treatment, and preventive interventions, and the coordination of important resources to help persons with chronic illnesses and disabilities achieve optimal levels of independent functioning. It delves on substance use disorders, trauma-related mental health problems among combat veterans, and assistive technology. The final part addresses several contemporary issues faced by persons with chronic illness and disabilities (CIDs) that are relevant to counselors and practice. It discusses newer challenges that these individuals face, including obesity, poor nutrition, poverty, suicide, threat of terrorism, and depression, all of which are on the rise in the United States.
The International Classification of Functioning, Disability and Health (ICF; World Health Organization [WHO], 2001), and its predecessors the International Classification of Impairments, Disabilities and Handicaps (ICIDH and ICIDH - 2; WHO, 1980, 1999) have been influential in the conceptualization of the construct of disability in the United States and internationally for more than three decades. This chapter begins with a brief overview of the history of classification of health and illness, and the role that different conceptualizations of disability have played along the way. It then reviews the development of the ICF within the context of these conceptualizations and introduces its key concepts, conceptual framework, and a brief orientation to its use. It concludes with consideration of the current and future impact of the ICF on conceptualizing psychological and social aspects of illness and disability.
Aside from the study of theories of counseling and psychotherapy, there is probably no other area of study that is more related to the everyday practice of counseling that than the area of professional ethics. This book is a major revision of the prior edition, providing continuity to faculty who has used the book in teaching courses on ethics in counseling, but with notable changes and additions. The new edition has a distinct and timely focus on counseling as a profession. A new section provides material that not only applies to mental health practice generally, but it applies specifically to specialty practice with chapters specifically titled and focused on counseling specialties. Many of the early chapters are updated versions of those that appeared in the earlier edition. The book has been organized to provide the developing mental health professional with a clear and concise overview of ethical issues in counseling and psychotherapy. It intends to provide a thorough and scholarly foundation, defining ethical concepts and practice, legal issues, methods for clarifying values, decision-making models, and contemporaneous and emerging issues. The book is broad in its coverage of the most practiced specialties in mental health practice, and provides an efficient and effective overview of the broad scope of particular areas addressed in counseling. The specialities addressed are: mental health counseling; school counseling; couple, marital, and family counseling; rehabilitation counseling; addictions counseling; career counseling; and group counseling. It is hoped that this book will inspire ethically sensitive counselors and psychotherapists who will reflect before acting and who will consult with educated colleagues at those moments when ethical dilemmas arise. Ethical counselors and psychotherapists are those who have the best interests of their clients at heart, and who also respect the rights that derive from being professionals.
The use of counseling technology and electronic communication between clients and counselors has received increasing attention. While there is great potential in using the internet to deliver counseling services, it is critical that counselors are aware of the ethical implications whenever they use technology to interact with clients. The chapter focuses on the ethical use of counseling technology and provision of distance counseling services. It identifies common ethical tensions underlying the decision to use technology when providing counseling services. The chapter promotes the critical-evaluative thinking underlying e-professionalism and technology ethics as necessary habits in the digital age. A focus on accessibility is critical because we are all dependent on digital technology as a necessary form of assistive technology to function in a digital society. Social media has become the way people communicate, and thus counselors need to inform clients about the inherent threats to privacy and confidentiality.