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In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.
Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.
Introduction to Clinical Mental Health Counseling presents a broad overview of the field of clinical mental health and provides students with the knowledge and skills to successfully put theory into practice in real-world settings. Drawing from their experience as clinicians, authors Joshua C. Watson and Michael K. Schmit cover the foundations of clinical mental health counseling along with current issues, trends, and population-specific considerations. The text introduces students to emerging paradigms in the field such as mindfulness, behavioral medicine, neuroscience, recovery-oriented care, provider care, person-centered treatment planning, and holistic wellness, while emphasizing the importance of selecting evidence-based practices appropriate for specific clients, issues, and settings. Aligned with 2016 CACREP Standards and offering practical activities and case examples, the text will prepare future counselors for the realities of clinical practice.
Nearly 1.9 million U.S. troops have been deployed to Afghanistan and Iraq since October 2001. Many service members and veterans face serious challenges in readjusting to normal life after returning home. This initial book presents findings on the most critical challenges, and lays out the blueprint for the second phase of the study to determine how best to meet the needs of returning troops and their families.
At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.
The most current book available on rehabilitation counseling! This textbook is a comprehensive introduction to rehabilitation counseling, encompassing its history, values, knowledge, skills, and links to the disability community. Underscoring disability as a common part of the human experience, it highlights the knowledge and competencies all rehabilitation counselors need to provide ethical and effective services. To reflect emerging trends, 13 chapters are either completely rewritten or significantly revised. This text offers a stronger focus on psychiatric rehabilitation and mental health counseling practiced by clinical rehabilitation counselors and incorporates new research and knowledge from breakthroughs in neuroscience and psychopharmacology, innovations in digital communication and technology, and shifts in the economy. The book examines the broad ranging practice of rehabilitation counseling as an evolving amalgamation of CORE and CACREP and delves into the impact of current societal changes—COVID-19, the economic turndown, issues of diversity, equity, and inclusion. It provides an enhanced focus on the demand for clinical and mental health counseling from a rehabilitation perspective and introduces specialized competencies to foster the development of strong advanced skill sets. The text also focuses on the importance of having persons with disabilities participate in their own rehabilitation and as an important component of the development of the field itself. The text is supported by rich ancillaries for educators, including Instructor's Manual, PowerPoints, and Test Bank. New to the Third Edition: New chapter authors are high caliber experts with unique voices and perspectives who have partnered with senior scholars from previous editions This new edition is significantly updated to reflect emerging trends that are impacting the professional practice of rehabilitation counseling Updated chapter on technology in rehabilitation counseling includes distance education, assistive technology and telemental health New chapter on Counseling and Mental Health Key Features: Conceptualizes rehabilitation counseling and its complementary relationship to counseling Each chapter addresses CACREP standards and includes learning objectives, reflection activities, and content review questions Extensively addresses both aspects of CACREP specialty identity: traditional rehabilitation counseling and clinical rehabilitation counseling Includes Appendices with a guide to key acronyms and scope of practice Case conceptualizations focuses on the delivery of services
Revised to reflect radical changes in the field and their impact on professional practice Now updated and substantially revised to reflect the CORE/CACREP merger and fundamental changes in the field, this comprehensive graduate-level second edition textbook articulates the complementary relationship between rehabilitation and mental health counseling and how it impacts professional practice. New information is introduced to address the increasing diversity of current and emerging job titles, duties, and settings, as well as to reframe existing content to better prepare rehabilitation counselors for navigating a continually shifting health care system. The second edition defines rehabilitation counseling as a specialty area of the broader counseling profession, and introduces psychiatric rehabilitation as a bridge to understanding the intersection of traditional rehabilitation and mental health counseling. It emphasizes recovery-based models and describes evidence-based research supporting the effectiveness of psychosocial interventions. Esteemed experts also address specific job functions related to assessment, credentialing, counseling, case management, advocacy, and career development. Four completely new chapters cover the fundamental concepts and models that underpin rehabilitation counseling, the evidence-based competencies that constitute rehabilitation counseling practice, and the specialized practices of forensic rehabilitation, and psychiatric rehabilitation. New and Key Features Reflects the CORE/CACREP merger and its impact upon rehabilitation counseling Conceptualizes rehabilitation counseling and its complementary relationship to counseling Includes new chapters on fundamental elements of rehabilitation counseling practice and on specialized practice in forensic and psychiatric rehabilitation. Addresses changes to CRCC 2016 Code of Ethics Covers the infusion of technology into distance education and counseling Laces a global perspective throughout with an emphasis on the ICF model Reflects the reality of professional practice in the current job market Includes new activities to enhance learning Offers an Instructors Manual with test item bank, Power Point presentations, and learning activities on applying chapter content Provides a model syllabus for Introduction to Rehabilitation Counseling
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and current practice and offers recommendations for how best to address this gap by applying a framework that can be used to establish standards for psychosocial interventions. The framework described in Psychosocial Interventions for Mental and Substance Use Disorders can be used to chart a path toward the ultimate goal of improving the outcomes. The framework highlights the need to (1) support research to strengthen the evidence base on the efficacy and effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements that drive an intervention's effect; (3) conduct systematic reviews to inform clinical guidelines that incorporate these key elements; (4) using the findings of these systematic reviews, develop quality measures - measures of the structure, process, and outcomes of interventions; and (5) establish methods for successfully implementing and sustaining these interventions in regular practice including the training of providers of these interventions. The recommendations offered in this report are intended to assist policy makers, health care organizations, and payers that are organizing and overseeing the provision of care for mental health and substance use disorders while navigating a new health care landscape. The recommendations also target providers, professional societies, funding agencies, consumers, and researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is provided to individuals receiving mental health and substance use services.