Abstract

Technology has played an ever increasing role in counselor education training programs over the last century. One current area of interest is computer-assisted learning supported by CD-ROM technology. Concurrently, the last decade or so has seen increased emphasis on how to best coordinate practicum and internship programs in the mental health profession. Incorporating these new trends, a Practicum CD-ROM was developed to help orient students to their practicum site, provide clinical training and resources, and address post-practicum concerns. CD-ROM content areas and video clips are described as well as training and research implications.

The origin of technology in counselor education training dates back to the mid-twentieth century when the phonograph, a precursor to the audiotape, was employed as a means of recording counseling sessions (Covner, 1942a). At that time, typewritten manuscripts of client interviews were limited due to the processing speeds of even the best shorthand experts. Talking-movies, magnetic tape recorders, and dictaphones were also unsatisfactory media due to the exorbitant cost, lack of capacity and flexibility, and the poor quality of the recordings (Covner, 1942b). Smith (1984) extended the use of voice recordings to stereophonic sound that integrated both the actual counseling session and a recording of the supervisor’s feedback with it. This process was termed “dual-channel supervision.”

Around 1970, videotape came into fashion as the cost of the electronic equipment became more economical for helping professionals (Bodin, 1969; Marks, Montgomery, & Davis, 1975; Perlmutter, Loeb, Gumpert, O’Hara, & Higbie, 1967). The usefulness of this new technology was focused in three areas: the training of counselors and other professionals, the enhancement of client personal growth in counseling, and the acceleration of the group counseling process. Videotape would soon become the media of choice over audiotape due to the addition of the visual dimension, especially in the area of counseling supervision (Bernard & Goodyear, 1998; Broder & Sloman, 1982; Stoltenberg & Delworth, 1987).

Advancements in the field soon led to the “live supervision” modalities, which paralleled to a greater extent the advancement and affordability of the developing technology. Telephone interventions were employed to contact both the client and counselor to relay information from both supervisors and other observers during a counseling session (Keeney, 1990; Young, Perlesz, Paterson, O’Hanlon, Newbold, Chaplin, & Bridge, 1989). This approach apparently worked best when the feedback was brief and specific so as not to confuse or overwhelm those receiving it (Bernard & Goodyear, 1998; Frankel & Piercy, 1990; Lewis & Rohrbaugh, 1989; Wright, 1986). Some have even recommended either telephone or teleconferencing supervision sessions for those using the telephone as a counseling medium (Rosenfield, 2002). The bug-in-the-ear (BITE) technique was another direct, but less intrusive, approach to live supervision developed to allow supervisees to wear an earplug so that they could receive live feedback from their supervisor without apparently interrupting a session (Bernard & Goodyear, 1998; Byng-Hall, 1982).

Klitzke and Lombardo (1991) expanded the BITE technique to include computers in live supervision by employing a computer monitor in the counseling room similar to teleprompters used to assist public broadcast journalist. No earplugs were necessary as supervisors typed their feedback on a computer usually in an adjoining room, which was then available for the supervisee to glance at during a session. Neurkrug (1991) created a similar type of live supervision approach believing that computers might enhance counselor skills training through accelerated learning and better outcomes for students.

The benefit of using computers in counselor training has been recognized over the past twenty years. Lee and Pulvino (1998) indicated that computers were becoming an important part of both counseling and counselor education. Most frequent uses have been in the areas of guidance counseling, school counseling, and career counseling (Cairo & Kanner, 1984; Froehle, 1984; Halpain, Dixon, & Glover, 1987; Katz & Shatkin, 1983; Wagman & Kerber, 1984). CD-ROM and interactive multimedia approaches largely emerged in counselor education at the turn of the present century. It was discovered that computer technology could integrate visual graphics, sound, and hands-on exercises as part of counseling interventions and training activities.  Some of these programs have focused on communication/micro-counseling skills training often using case simulations that promote active participation, self-pacing, immediate feedback, real-life situations, and the opportunity to repeat activities to fine tune learning (Engen & Dawson, 2002; Hansen, Resnick, & Galea, 2002).

In the early 1990’s, some mental health professionals began to increase the technology emphasis in the coordination and implementation of practicum and internship programs (Carlozzi, Romans, Boswell, Ferguson, & Whisenhunt, 1997; Pitts, 1992). Others focused their attention solely on the benefits of pre-preparation videotapes prior to supervision experiences in practica (McGraw, 1996) and structured orientations to career counseling (Miller, Mahaffey, Wells, & Tobacyk, 1995). Bookhagen, Wegenast, and McCowan (2002) developed  nine-modules in a self-instructional, multimedia training CD-ROM package to orient new employees into the complexity of a state-run social services agency. The content of these modules covered topics such as the mission statement, staff information, values and standards, policies, and communication skills. However, there was no mention in the available literature that addressed an integrated practicum orientation, multimedia training, and counseling simulation program on any recorded media for use with computers. This article presents one such software package: the University of Central Florida Practicum CD-ROM implemented in the University of Central Florida College of Education Community Counseling Clinic.  In addition to outlining the specific content areas on the CD-ROM, training and research implications also will be discussed.

Practicum CD-ROM

The counseling practicum experience provides counselor education students the opportunity to practice what they have learned or are learning. The course activities are designed to enable learners to perform at their own individual level of competence, to enhance growth through helpful suggestions from more advanced learners and peers, and to be critiqued by supervisors and professors.

The purpose of the Practicum CD-ROM is to help orient practicum students to the clinical practicum site, its policies and procedures, documentation and assessment, clinical training and resources, and the internship process. The CD-ROM has five sections: Home, Introduction, Clinical Issues, Techniques Corner, and What’s Next. For each section, the major components will be presented along with purpose and general content information. In addition, links to screen shots and video clips will be provided.

Home

            The Home Page section provides users with a brief overview of counseling practicum and the Counseling Practicum CD-ROM. It presents users with an > overview of what software (Adobe Acrobat Reader and QuickTime) is needed on their computer to best utilize the CD-ROM in addition to links for downloads from the software providers. There is also a  Welcome Video that orients users to the practicum experience. Additionally, the Home Page section has links to the other four sections (Introduction, Clinical Issues, Techniques Corner, and What’s Next). An email link is included for suggestions or recommendations.

Introduction

The first section of the CD-ROM, termed “Introduction,” offers a general overview of the practicum site. This summary was developed for the College of Education Community Counseling Clinic at the University of Central Florida, but it can easily be generalized to other sites. Major subcategories in this part of the CD-ROM are About the Community Counseling Clinic, Policies & Procedures, Clinic Video Tour, and Campus & Directions.

The About the Community Counseling Clinic section addresses topics related to the basic operations of the facility such as clinic contact information, the types of counseling available, operating hours, the length of the sessions, and the qualifications of the counselors on staff. Furthermore, additional information is presented about the two programs using the clinic, mental health counseling and school counseling, along with the supervised training requirements and expectations for each.

The Policies & Procedures section outlines important operating guidelines for students. Topics covered include a brief historical overview of the clinic, the clinic’s mission statement, a discussion of the various clinical components in the Counselor Education program, and CACREP requirements for practicum and internship classes. In addition, client confidentiality policies, including videotaping procedures, are presented and a rationale for student liability insurance.

Clinic Video Tour link follows Policies & Procedures to visually introduce students to the clinic’s physical layout. The tour includes the campus landscape leading up to the site entrance that increases the students’ familiarity with the site. A walking tour begins from the clinic entrance through the lobby and then into the hallway connecting the counseling rooms. Each counseling room is designated by the type of therapy the room supports such as group, family, individual, and play therapy rooms. General information about the physical layout of the rooms is provided including the location of furniture, therapeutic adjuncts (e.g. sand trays, personal computers, clocks on the walls), video camera placements, and one-way mirror locations.

The last part of the video tour highlights the counseling support areas of which there are two: the control room and the file and assessment closet. The control room offers student counselors a staging area for their counseling sessions and also provides a central observation point for the electronic monitoring equipment to assist with live supervision. The video tour also displays the file and assessment closet where counselors place hard copies of client records and provides instructions on securing files and securing the room. Finally, the Campus Map & Directions link on the CD-ROM offers direction to the clinic from various points of interest on campus and from the surrounding metropolitan area. These directions help counseling students find their way to the clinic for the first time or serve as guidelines for students assisting their clients to their first session. This may be especially helpful for students who are unfamiliar with the local area. This section completes the introductory portion of the CD-ROM. Finally, the user can select the Home Page link to return to the main menu and proceed to the other sections.

Clinical Issues

The second major section of the Practicum CD-ROM, Clinical Issues, provides practical information to assist new counselors with clinical guidelines for working with clients. A combination of document files and video clips present the relevant forms and procedures in a user friendly format. The topics covered in this section are the student handbooks (Graduate Student Handbook & Clinical Experience Handbook), client record database (Filemaker Pro), clinic opening/closing procedures (Opening/Closing Clinic), a compilation of relevant questions and answers (Frequently Asked Questions - FAQ), as well as a collection of housekeeping issues for students to remember when going through the typical counseling process. The latter section focuses on what students should remember when addressing each session such as Before the First Session, First Session, and Subsequent Sessions. Furthermore, two additional sections titled Documenting Clinical Hours and Forms & Assessments provide documentation lists and samples of all relevant academic and clinical paperwork for each student’s immediate use when needed. Students are no longer limited when blank forms run out. These resources provide students with the guidance they need to support their clinical experiences.

Two graduate handbooks are presented in Adobe Acrobat PDF format at the beginning of this section. The Graduate Student Handbook addresses pertinent academic issues (e.g. coursework, orientations, and advising) that students must consider as they navigate through the counselor education program at the university. A second handbook, called the Clinical Experience Handbook, outlines the experiential part of the counselor education program requirements and the forms that are necessary to document student progress such as requirements for practicum and internships and internship site approval forms. Both of these student handbooks are offered in their entirety as part of the Practicum CD-ROM.

The File Maker Pro link on the clinical issues submenu provides a general overview and then a step-by-step illustrated procedure to address the “how to’s” of clinical note-taking and client data entry into the File Maker Pro database. Filemaker Pro manages the electronic copies of clinical notes stored on a secure computer server. Psychosocial assessments, progress notes, and transfer/closures summaries are all available and searchable by client name, date, session number, and counselor number in this database. Hard copies of these documents are also printed and stored in locked file cabinets to meet the legal and ethical standards for local, state, and national certifying bodies related to both client and student records.

Since the clinic operates on an extended schedule during the day and evening to meet the needs of clients in the community, opening and closing procedures are necessary to ensure that the facility is operating fully, records are secure, and the equipment is safe from theft and vandalism. These assurances are provided in the Opening/Closing Clinic section of the CD-ROM along with general cleanliness procedures to sustain the clinic’s high level of functioning.

Another link within this section of the CD-ROM offers answers to Frequently Asked Questions that student’s typically ask when beginning their practicum experience in the clinic. A sampling of typical questions addressed in the CD-ROM are “How do I find out who my clients are?”, “What do I do if my client doesn’t come to the appointment?”, and “What forms do I put in the client file?” Initially, these questions were identified and addressed by clinic staff as a paper copy, which now has been transformed into a file on the CD-ROM.

The next three links under clinical issues attend to student concerns in the early stages of their practicum experience.  Before the First Session addresses what counseling students need to be familiar with when preparing to see their client for the first time. Students need to review the phone intake assessments,  scheduling appointments, check the answering machine and bulletin boards for messages, issue parking passes to clients, create a new client file, and prepare to administer relevant paperwork for client’s signature.

The  First Session section recognizes what students need to be aware of in order to assess their clients and also prepare for their live supervision. Students are required to know how to use their  ear pieces appropriately, the purpose of the clinic intercom system, how to videotape their sessions, as well as how to score and interpret their outcome measures (e.g. Outcome Questionnaire - OQ-45.2, Child Behavior Checklist - CBCL). Before the end of the first session, students need to know how to prepare the client for the second session. Procedures are provided to assist the student with scheduling the next session, filling out appointment cards, and issuing future parking passes. Furthermore, special contingencies are also addressed in this section of the CD-ROM such as suicide assessment protocols and role plays modeling how to perform a suicide risk assessment.

The  Subsequent Sessions link on the Practicum CD-ROM highlights two key housekeeping details in preparing for the next appointment: scheduling and parking passes. One video clip focuses on scheduling, which is the same clip found in the Before the Session section and the second clip addresses parking passes for clients. Because the Community Counseling Clinic is housed on a university campus, clients are given complimentary parking passes for their next appointment.   

Finally, forms and assessment tools are identified on the CD-ROM under the subcategories of Documenting Clinical Hours and Forms and Assessment Instruments. The former links to a preformatted Microsoft Excel spreadsheet file allowing students to log their clinical hours by type under client contact, administrative, and supervision hours headings. The Forms and Assessment Instruments link provides PDF files of all the major documents available in the clinic for student use including clinical summaries, intake assessments, release of information forms, consents for treatment, consents to treat minors, psychosocial assessments, progress notes, transfer/closure summaries, notice of privacy practice forms (HIPAA documentation), videotape consent forms, and suicide prevention contracts. In addition to these documents, this resource includes step-by-step directions to guide students through software packages purchased by the clinic for scoring and interpretation of the Outcome Questionnaire (OQ-45.2) for adults and the Child Behavioral Checklist (CBCL) for children. The instruments represent the two standard client outcome measures used by the Community Counseling Clinic. Students are able to review these resources to facilitate more efficient administration, scoring, and interpretation when seeing clients.

Techniques Corner

            Students beginning the clinical experience portion of their graduate counseling program can identify with feelings of uncertainty, anxiety, and excitement (Baird, 2002). A challenge faced by most is pulling together what they have learned in a variety of courses and applying this knowledge in a clinical setting (Baird, 2002; Faiver, Eisengart, & Colonna, 1995). Techniques Corner provides students with media-enhanced clinical role plays in six areas: Sharing OQ-45.2 Assessment Results, Psychosocial Evaluation, Goal Setting, Starting the Next Session, Assessing Suicidality and Lethality, and Redirecting and Staying on Task. In addition, users are able to download the scripts for each of the role plays used in all six sections. Each section contains a brief description of the topic, text establishing the context of the role-play, and video clips of the role play. This provides students additional learning experiences in mastering clinical skills in the different areas. Additionally, faculty is afforded a tool to facilitate further discussion during class.

            Although clinical sites vary in the type of assessment tools used during the initial appointment, it is beneficial to use a valid assessment in order to objectively measure client outcomes and counselor effectiveness (Whiston, 2000). In addition, assessments can support a diagnosis and identify client strengths that can be utilized in goal attainment (Johnson & Johnson, 2003). Finally, clients should know the purpose of assessments, the assessment results, and the use of assessment results in treatment (Corey, Corey, & Callanan, 2003). The first segment of Techniques Corner provides students with information on scoring, interpreting, and sharing the Outcome Questionnaire, which is used in the Community Counseling Clinic at the University of Central Florida. Students are able to download an Adobe Acrobat file containing the scoring and interpreting information and watch a video role play of a  counselor sharing OQ45.2 results.

            In the next segment, Psychosocial Evaluation, students can read about the purpose and goal in conducting a psychosocial evaluation, read a role play description, observe three role play videos (beginning, middle, and end/summary), and download the specific psychosocial evaluation form used. In addition, users can download a document with guidelines for evaluating mental status, which Faiver, Eisengart, and Colonna (1995) call a “stethoscope for understanding the client’s behavioral, cognitive, and affective domains” (p.40). Three separate, but related, role play videos were created on different stages of the psychosocial evaluation process:  Initiating the psychosocial evaluation, the middle of the psychosocial evaluation where a clinician might gather key symptomatic and diagnostic information, and summarizing the psychosocial results to the client.

            Clients have an expectation that counseling will help them solve the problems they are experiencing. Through effective goal-setting, the counselor is able to provide direction in the problem-solving process (Moursund & Kenny, 2002). According to Presbury, McKee, and Echterling (2001), “you [counselor] should help clients determine their goals for counseling and then relentlessly help them pursue these goals” (p.209). The purpose of the Goal Setting segment including the  goals setting video clip is to assist clients in better understanding the purpose of therapeutic goals and in improving goal-setting skills. In addition, the user is provided information on the importance of goal setting in the counseling process and guidelines on effective goal setting. This has proven to be a critically important segment because counseling without effective goals will likely be ineffective (Corey, Corey, & Callanan, 2003).

             Another challenge expressed by counselors beginning their practicum experience is in beginning the next session. The Starting the Next Session segment assists students in better developing their skills in therapeutically beginning sessions. Three video clips illustrate different stages of the therapy process that help the counselor begin the session in a manner that refocuses them on the major topics or issues. In addition, these skills assist the counselor in initiating a smooth transition into the current session. The clips include a  second session, a  second session with a reluctant client, and a seventh session. These clips can be viewed before or after the session for preparation or evaluation.

            The suicidal client can be the most challenging and frightening crisis situation (Corey, Corey, & Callanan, 2003; Moursund & Kenny, 2002). In addition, failure to prevent suicide has been identified as one of the three major reasons for malpractice (Welfel, 2002). Counselors must not only recognize the signs but effectively evaluate the client’s potential for suicide and the lethality of the plan, if any. In the Assessing Suicidality and Lethality segment, the user receives information on different areas of importance when conducting a suicidality and lethality evaluation. Although the video clip is of a  client disclosing potential suicidal thoughts during an initial psychosocial evaluation, the questions asked are relevant for this type of evaluation at any stage of the therapeutic process. In addition to conducting a thorough evaluation, it is especially important to ensure that documentation is thorough (Corey, Corey, & Callanan, 2003).

            Another challenging task for beginning and experienced counselors is managing logorrhea (excessive talkativeness) and helping the client and counselor stay on task. Client or counselor can stray whether due to client symptoms (e.g. anxiety and mania) or poorly defined goals. Without redirection or refocusing, clients can miss out on insight-gaining opportunities and new ways of reflecting on their inner experiences (Presbury, Echterling, & McKee, 2002). Additionally, the counselor’s ability to effectively redirect and refocus clients helps in processing thoughts and feelings at a deeper and more meaningful level. This Redirecting and Staying on Task segment provides an overview on the value of redirection for managing logorrhea along with four video clip role plays of different redirecting techniques for a client exhibiting pressured and tangential speech. The clips address redirecting towards insightredirecting towards therapy goalsredirecting to further evaluation, and redirecting as an immediacy technique.

 

 

 

What’s Next

            The final section of the Practicum CD-ROM, What's Next, provides users with information on transitioning to their second practicum experience or to their internship. Users are able to download an Adobe Acrobat PDF file of the program’s Clinical Experiences Handbook that contains the application forms for practicum and internship experiences, clinical experience evaluation forms, site evaluation forms, and other forms necessary for successful completion of the program’s clinical experience component. Finally, students can access a link to the college’s Office of Clinical Experiences, the office that coordinates internship placement for School Counseling interns.

Training Implications – Clinical

            Several training implications are evident with this CD-ROM supplement to counseling practicum. Prior to beginning their practicum experience, students have the opportunity to learn about the practicum site and its policies and clinical procedures. In addition, the information, downloads, and video clips accommodate for different learning styles and repetitive self-paced learning. With students having access to this resource, less class time can be devoted to orientation issues and more emphasis placed on addressing clinical issues. As the students begin their clinical experience, they are able to view, analyze, discuss, and model appropriate counseling techniques specific to different clinical situations that they may encounter. In addition to repetitive self-paced learning, it can augment instructional activities during the classroom, seminar, or supervision component of the practicum course. Students are able to address more basic clinical issues on their own time allowing for more advanced discussion during individual or group consultation time.

Training Implications – Practicum Site

The CD-ROM also has training implications for the practicum site. Faiver, Eisengart, and Colonna (1995) discuss the importance of students familiarizing themselves with their clinical experience placement site, so they can recognize what opportunities will be afforded them, become aware of site policies and guidelines, and understand what will be expected of them. Not only does the Practicum CD-ROM afford students access to this information before they begin their practicum experience, students can review it at their own pace. Additionally, the CD-ROM provides for consistency in orienting students to the clinical aspects of the site and practicum experience. Pre-practicum orientations can be pared down and streamlined so more relevant clinical aspects of student training can take place. This increase in training efficiency frees up the clinical staff at the site to perform other functions necessary to support the students’ experiences such as focusing on expanding clinical resources and other administrative issues.

In addition,  the CD-ROM provides “virtual” access to the practicum site by facilitating ongoing inquiries related to the physical layout of the site, locating resources, access to manuals and blank documents, and choosing paperwork covered on the CD-ROM. Lastly, the CD-ROM contains a virtual library of documents, procedures, and forms for immediate review and use. It also provides for an easy review of documents and procedures related to CACREP.    

Research Implications

There are some research implications related to having a practicum CD-ROM as a supplement to a traditional practicum class. It allows for standardization in training and limiting discrepancies between the present practicum class and others during the current and future semesters. This naturally leads to a research investigation comparing counselor effectiveness between students using the CD-ROM and a group of students who do not.  Normative measures, satisfaction scales, and skills surveys can all be used as dependent variables in clinic-related outcome studies. Furthermore, students trained utilizing the CD-ROM can be designated as a control group and experimental treatments can be imparted to investigate if client outcomes differ significantly from a well-established control. The CD-ROM offers enhanced consistency in measurement during research studies since two widely used outcome instruments, the OQ-45.2 and CBCL (Ogles, Lambert, & Fields, 2002; Wiger, & Solberg, 2001), are summarized along with training provided on interpretation and sharing results with clients.

Limitations

However, this resource is not without limitations. The counseling role plays are scripted opposed to actual sessions, which would be optimal (Engen & Dawson, 2002). Although future editions of the CD-ROM will address more clinical issues, issues such as abuse reporting, psychotic clients, and termination were not addressed. There was representation in the video clips from both sexes and different ethnic and racial backgrounds, but multicultural clinical issues were not specifically addressed.

Student access to technology during the actual practicum experience is oftentimes limited due to facility or budget constraints. Engen and Dawson (2002) found this to be a common limitation with the integration of technology in practicum courses. Access to technology also limits the CD-ROM’s use in the classroom, seminar, or group supervision components of practicum courses. Additionally, development costs can be expensive and time-consuming to produce a quality and “professional” product, but it does provide the opportunity to develop collaborative relationships with different university units that offer technical assistance. The final, and most important limitation, is that it requires buy-in from program faculty and students, particularly if individuals are not required to use it as part of the course.

Conclusion

Technology has influenced the way counselor training has evolved over the past sixty years. Beginning with the phonograph in the 1940’s, the adjuncts to supervision have progressed through videotapes, telephones, ear pieces, and video monitoring equipment during live supervision. Supervisor feedback has even presented itself during counseling sessions via teleprompters. Today, computers are used to help coordinate and implement professional orientations in agency settings with self-instructional programs on CD-ROMs.

A natural extension of this technology is a practicum orientation CD-ROM in counselor education programs highlighting the practicum site including policies and procedures, documentation and assessment materials, and some basic skills training and resources for students. A familiar web-browser format provides navigation through the CD-ROM with links from the Home Page’s Main Menu to subsections providing a general introduction, pertinent clinical issues, fundamental techniques, and future considerations to assist students in planning their post-practicum experiences. All are provided from the web-browser format that incorporates QuickTime video clips and Adobe Acrobat document files, which can either be reviewed or printed whenever necessary.

The Practicum CD-ROM offers many training implications as a supplement to a traditional practicum course. Advantages include the opportunity for students to familiarize themselves with the practicum site beforehand, the ability to accommodate different learning styles with reduced class time dedicated to orientation issues, and the ability for the instructor to focus on more advanced clinical skills. Furthermore, benefits to the practicum site and its personnel include the consistency in orientation experiences for students, ongoing orientation support, increased time for staff to develop and expand limited clinical resources, and immediate access to pertinent manuals, protocols and forms.

The Practicum CD-ROM enhances research opportunities. Standardized training of practicum students promotes consistency in treatment and assessment of clients. This leads to increased validity of research studies by providing for well-established controls and limiting extraneous factors that can compromise results. Additionally, the development of the CD-ROM naturally leads to further research studies comparing counselor effectiveness of students trained with the CD-ROM versus those who have not. This future study would verify the efficacy of having the CD-ROM as a supplement to traditional practicum experiences.

Finally, some limitations to consider when developing and implementing this kind of technology include the artificial nature of scripted skills-training clips versus live ones, the lack of information about other important clinical issues (e.g. abuse reporting, multiculturalism), the limited access to technology by all parties involved in the practicum experience, and the extensive development costs when considering time and money. One additional limitation is that obtaining program wide buy-in, including students and faculty, can be difficult if organizational commitment is lacking.

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Authors' Biography

 

Dr. Andrew Daire earned his M.S. in Mental Health Counseling from Stetson University and his Ph.D. in Counseling Psychology from the Florida State University. He is a Florida Licensed Mental Health Counselor and National Certified Counselor. His areas of professional and research interests are caregiving issues with families impacted by special needs, career development, and integrating technology and technology competencies in counselor education. He can be reached at adaire@mail.ucf.edu.

Dr. Rasmus received his Ph.D. in Counselor Education from the University of Central Florida in 2003. He holds two licenses in Florida one in Marriage and Family Therapy (LMFT) and the other in Mental Health Counseling (LMHC) as well as a license in Mississippi as a Licensed Professional Counselor (LPC). His areas of professional interest are marriage and family therapy, reflecting teams, testing and assessment techniques, and outcome measurement. His clinical experiences include working as coordinator for a community counselor clinic, counseling in an alternative high school setting and facilitating anger management groups for perpetrators of domes! tic violence. He can be reached at drscottinthedelta@yahoo.com.