Microskills Training

For more than four decades, the microskills approach has been the dominant paradigm for training entry-level counseling students. At its inception, the model met a critical need: instruction in discrete counseling behaviors, which at the time was conspicuously missing from training curricula. Although these behaviors have become essential components of training in counseling psychology and other mental health specialties, the authors’ reexamination of the literature leads them to question the overall adequacy of the model. After reviewing prominent textbooks in the field and evaluating the research on microskills training, the authors identify five serious limitations of the model. While respecting and retaining the positive features of the microskills approach, its limitations bespeak the need to develop training paradigms that embrace a broader model of counselor competence.

A Pedagogical Model for Increasing Race-Related Multicultural Counseling Competency 1ψ7

With the increasing need for multicultural competence, questions have emerged about the appropriate classroom strategies to cultivate growth in this area. These questions have been further complicated by a growing focus on self-awareness, which has increased the affective demands of and student resistance to the material. This article proposes a pedagogical model to enhance what the authors call race-related multicultural counseling competency, which focuses on race, racism, and racial identity development. The fundamental premise is that two types of safety, psychological safety and identity safety, must be present. The authors further argue that safety requires attention to both course content and teaching processes as well as an incremental learning approach that emphasizes race-related competence as a lifelong developmental process.

Integrating cultural competency in rehabilitation curricula in the new millennium: keeping it simple

Pre-service rehabilitation education programmes in the United States still prepare future professionals in cultural competency primarily through one required course in multicultural counselling, though there is an expectation that such content will be woven into all graduate rehabilitation coursework. These authors believe that there is still a need in these dawning years of the 21st century to offer more guidance to rehabilitation educators on how to integrate cultural competency into each course at the graduate level. This discussion reviews the literature to date on cultural competency within rehabilitation education in the United States, then concludes by proposing a four-strategy framework for use by rehabilitation educators that is simple, comprehensive, multi-dimensional (i.e., it addresses faculty awareness, student coursework, the student clinical experience and lifelong learning for the student after exiting the pre-service educational programme), and that offers clear guiding parameters without being overly prescriptive.

Establishing a pedagogical framework for the multicultural course in communication sciences and disorders

PURPOSE

To provide an overview of a model for teaching a foundational course in multicultural (MC) issues and to demonstrate how it can be modified for use in communication sciences and disorders (CSD) by integrating 3 primary dimensions of cultural competence: awareness, knowledge, and skills.

METHOD

This tutorial begins by establishing the need for a basic foundational course in MC issues for CSD. Next, the authors describe a framework for MC instruction developed in the field of clinical counseling. Finally, the framework is modified and applied to the implementation of an MC course in CSD.

CONCLUSION

The MC course in CSD can provide a useful foundation for facilitating the cultural competence of students in university training programs that have infused MC material across the American Speech-Language-Hearing Association's 9 content areas.

The case for cultural competency in psychotherapeutic interventions

Cultural competency practices have been widely adopted in the mental health field because of the disparities in the quality of services delivered to ethnic minority groups. In this review, we examine the meaning of cultural competency, positions that have been taken in favor of and against it, and the guidelines for its practice in the mental health field. Empirical research that tests the benefits of cultural competency is discussed.

Social Justice and Cultural Diversity Issues

Early definitions of cultural diversity focused primarily on race/ethnicity, with subsequent inclusion of age, gender, sexual orientation, class, religion, geography, and a combination of positionalities. More recently, social justice has resurfaced as a component of cultural diversity to explain experiences of people of color, women, and marginalized groups. This article examines the movement to include cultural diversity and social justice in rehabilitation education, and offers a model for curriculum development in light of the new CORE standards.

Exemplary multicultural training in school psychology programs

This study examined the characteristics of school psychology programs noted for training students from a multicultural perspective. The program characteristics and training environment at 17 programs were studied through semistructured interviews with faculty and students, and reviews of prospective student application materials for multicultural content. Findings suggest that students at all programs were exposed to minority clients during applied fieldwork, 94% of the programs required a diversity issues course, 59% of the programs specialized in training with specific minority group populations, 31% of the students and 25% of the faculty represented a racial-ethnic minority group member, and 24% of the faculty were bilingual. Most programs used multiple multicultural curriculum models and employed a wide variety of recruitment and retention strategies specifically aimed at minority students. Faculty and students characterized their overall university training environment as supportive of programmatic initiatives regarding diversity issues, yet several reported uneven experiences with implementation.

The role of critical consciousness in multicultural practice: examining how its strength becomes its limitation

Given the strengths of developing critical consciousness in multicultural practice, why do roadblocks persist? This article examines how the strengths of developing critical consciousness in multicultural practice can paradoxically become its limitation. Literatures from counseling psychology, clinical psychology, social psychology, social work, feminist theory, and critical theory are integrated in a discussion of the various components and strengths involved in working toward critical consciousness. This literature is then used to discuss some of the cognitive and affective limitations to achieving critical consciousness. Implications for practice are discussed.

Evaluating cultural competence among behavioral health professionals

Persistent racial and ethnic disparities in access and utilization of behavioral health services have highlighted the need for cultural competence among providers. In response, many agencies are now implementing education and training programs to ensure that behavioral health professionals improve their skills when serving diverse ethnic, racial, and cultural populations. The evaluation of these trainings is vital to ensure that they both improve the cultural competence of providers and promote recovery among persons with severe mental illnesses. This paper discusses the philosophical and practical issues related to measuring cultural competence, based on the evaluation of statewide cultural competence trainings for behavioral health professionals. The evaluation process illustrates the challenges of operationalizing cultural competence, balancing the needs of program implementers and evaluators, and developing a robust and feasible evaluation design, which assesses outcomes both for persons in recovery and providers.

Multicultural genetic counseling: then, now, and in the 21st century

Scholars, educators, and practitioners have argued that racial-cultural issues are obstacles for those seeking genetic counseling. When available, cross-cultural genetic counseling has focused on simplistic knowledge of client health beliefs and cultural customs, professional cultures, and biased theoretical models as reasons for failure to create realistic knowledge of members of racial-cultural groups in the United States. Recognizing the importance of meeting the needs for all who seek genetic counseling services, genetic counselors have been providing direction in cross-cultural genetic counseling research, practice, training, and developing competency, ethical, and professional guidelines. However, emanating from a cultural pluralism perspective, cross-cultural genetic counseling has often resulted in homogenized group stereotypes without attention to intragroup variation and individual differences. A transition from cross-cultural towards multicultural genetics shifts from culture-specific group norms to an integrated social, historical, psychological, and political perspective. By valuing the process of personal and professional racial-cultural identity development, the evolution from cross-cultural to multicultural genetic counseling that has occurred within the past quarter century is discussed.

The development and initial validation of the Multicultural Environmental Inventory: a preliminary investigation

This article describes the development and initial validation of the Multicultural Environmental Inventory (MEI). The MEI is an instrument designed to measure an individual's perceptions about the degree to which graduate counseling programs address multicultural issues within curriculum, supervision, climate, and research. This investigation was conducted using the data from 208 students and faculty from counseling psychology graduate programs across the United States approved by the American Psychological Association. By using techniques of exploratory factor analysis, a 4-factor solution was determined to account for the relationships among the items on the MEI. The instrument was modified from 53 to 27 items on the basis of the items' effectiveness in measuring the underlying constructs of interest, and internal consistency information is provided on the final revised instrument (MEI-R). The factors underlying the MEI-R are discussed within the context of a multicultural environment in graduate counseling programs, and directions for future research are considered.