SECTION 5: CLINICAL REHABILITATION COUNSELING
D. CLINICAL REHABILITATION COUNSELING
Students who are preparing to specialize as clinical rehabilitation counselors will demonstrate the professional knowledge and skills necessary to address a wide variety of circumstances within the clinical rehabilitation counseling context. Counselor education programs with a specialty area in clinical rehabilitation counseling must document where each of the lettered standards listed below is covered in the curriculum.
- FOUNDATIONS
- history and development of rehabilitation counseling
- theories and models related to rehabilitation counseling
- social science theory that addresses psychosocial aspects of disability
- principles, models, and documentation formats of biopsychosocial case conceptualization and treatment planning
- neurobiological and medical foundation and etiology of addiction and co-occurring disorders
- etiology and effects of disabilities and terminology relevant to clinical rehabilitation counseling
- screening and assessment instruments that are reliable and valid for individuals with disabilities
- CONTEXTUAL DIMENSIONS
- roles and settings of rehabilitation counselors
- relationships between clinical rehabilitation counselors and medical and allied health professionals, including interdisciplinary treatment teams
- rehabilitation service delivery systems, including housing, independent living, case management, public benefits programs, educational programs, and public/proprietary vocational rehabilitation programs
- rehabilitation counseling services within the continuum of care, such as inpatient, outpatient, partial hospitalization and aftercare, and the rehabilitation counseling services networks
- operation of an emergency management system within rehabilitation agencies and in the community in relation to accommodating individuals with disabilities
- diagnostic process, including differential diagnosis and the use of current diagnostic classification systems, including the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD)
- potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders
- impact of crisis and trauma on individuals with disabilities
- impact of biological and neurological mechanisms on disability
- effects of co-occurring disabilities on the client and family
- effects of discrimination, such as handicapism, ableism, and power, privilege, and oppression on clients’ life and career development
- classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation
- effects of the onset, progression, and expected duration of disability on clients’ holistic functioning (i.e., physical, spiritual, sexual, vocational, social, relational, and recreational)
- transferable skills, functional assessments, and work-related supports for achieving and maintaining meaningful employment for people with disabilities
- role of family, social networks, and community in the provision of services for and treatment of people with disabilities
- environmental, attitudinal, and individual barriers for people with disabilities
- assistive technology to reduce or eliminate barriers and functional limitations
- legislation and government policy relevant to rehabilitation counseling
- cultural factors relevant to rehabilitation counseling
- professional issues that affect rehabilitation counselors, including independent provider status, expert witness status, forensic rehabilitation, and access to and practice privileges within managed care systems
- record keeping, third party reimbursement, and other practice and management issues in rehabilitation counseling
- professional organizations, preparation standards, and credentials relevant to the practice of clinical rehabilitation counseling
- legal and ethical considerations specific to clinical rehabilitation counseling
- PRACTICE
- diagnostic interviews, mental status examinations, symptom inventories, psychoeducational and personality assessments, biopsychosocial histories, assessments for treatment planning, and assessments for assistive technology needs
- career- and work-related assessments, including job analysis, work site modification, transferrable skills analysis, job readiness, and work hardening
- strategies to advocate for persons with disabilities
- strategies for interfacing with medical and allied health professionals, including interdisciplinary treatment teams
- strategies to consult with and educate employers, educators, and families regarding accessibility, Americans with Disabilities Act compliance, and accommodations