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Using the Revised CRCC Code of Professional Ethics for Rehabilitation Counselors as a Tool in Resolving Ethical Issues 使用修订后的CRCC康复咨询师职业道德准则作为解决道德问题的工具
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-01-27 DOI: 10.1177/00343552221148200
R. Froehlich, Simone Hicks, Julie C. Hill, Nichole Tichy, Cassandra Riedy-Rush
The Code of Professional Ethics for Rehabilitation Counselors (CRCs) directs CRCs to “apply appropriate decision-making models and skills to resolve dilemmas and act ethically” (Section M—Introduction). Other codes of ethics include similar verbiage, suggesting knowledge and application of the Code as a beginning step when using an ethical decision-making model. The updated “Resolving Ethical Dilemmas” section of the Code (now Section M) guides CRCs on using the Code as a tool when encountering ethical dilemmas. This article describes updates to Section M resulting from the Code revision process. Contemporary counseling ethical decision-making models are reviewed, and descriptions of Commission on Rehabilitation Counselor Certification (CRCC) resources to assist with ethical decision-making are provided. In addition, an examination of the CRCC ethics committee’s process for addressing grievances and providing advisory opinions is outlined. In addition, this article provides a brief overview of how the committee relies on the Code overall, specifically Section M, to carry out its mission. Two case studies provide examples using the Code to examine a process for resolving ethical dilemmas.
《康复咨询师职业道德准则》指导康复咨询师“运用适当的决策模型和技能来解决困境并合乎道德地行事”(m -引言)。其他道德守则也包括类似的措辞,建议在使用道德决策模型时,首先要了解和应用道德守则。守则的“解决道德困境”一节(现为第M节)经修订后,指引中心如何在遇到道德困境时使用守则作为工具。本文描述了代码修订过程对第M节的更新。回顾了当代咨询伦理决策模型,并介绍了康复咨询师认证委员会(CRCC)协助伦理决策的资源。此外,还概述了对中国铁建伦理委员会处理不满和提供咨询意见的过程的审查。此外,本文简要概述了委员会如何总体上依靠《守则》,特别是第M节来执行其任务。两个案例研究提供了使用《守则》的例子,以审查解决道德困境的程序。
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引用次数: 0
Rehabilitation Counselors and Technology, Social Media, and Distance Counseling: Contemporary Considerations 康复咨询师与技术、社交媒体和远程咨询:当代思考
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-01-10 DOI: 10.1177/00343552221147219
R. Froehlich, J. Henry, Nichole Tichy, Julie C. Hill, Kelsey Thompson
The use of technology in rehabilitation counseling including the delivery of rehabilitation services via virtual counseling is occurring at greater rates than ever before. At the same time, views about the utility of social media have evolved, necessitating increased consideration of social media benefits while at the same time highlighting a need for more detailed guidance regarding its usage and risks. As a standard of ethical practice, certified rehabilitation counselors (CRCs) are required to be aware of guidelines that govern the ethical use of technology in the provision of rehabilitation services, including revisions to the Code of Professional Ethics for CRCs. The 2023 revisions to the Technology, Social Media, and Virtual Counseling section of the Code of Professional Ethics for CRCs specify expanded guidance for CRCs integrating apps, relevant social media, and the provision of virtual counseling. To assist CRCs to meet their standard of ethical practice, this article reviews the historical evolution of technology within the Code, the changes and expansions to Section K of the Code and discusses ethical consideration and revised guidance in the critical technology areas of virtual counseling and social media.
在康复咨询中使用技术,包括通过虚拟咨询提供康复服务的比率比以往任何时候都高。与此同时,关于社交媒体效用的观点也在不断演变,需要更多地考虑社交媒体的好处,同时强调需要对其使用和风险提供更详细的指导。作为道德实践的标准,注册康复顾问(CRC)必须了解在提供康复服务时规范技术道德使用的指导方针,包括对《康复顾问职业道德规范》的修订。2023年对《CRCs职业道德准则》技术、社交媒体和虚拟咨询部分的修订规定了对CRCs整合应用程序、相关社交媒体和提供虚拟咨询的扩展指导。为了帮助CRC达到其道德实践标准,本文回顾了《准则》中技术的历史演变、《准则》第K节的变化和扩展,并讨论了虚拟咨询和社交媒体关键技术领域的道德考虑和修订指南。
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引用次数: 0
Ethical Dilemmas: Current and Projected Concerns Reported by Certified Rehabilitation Counselors 道德困境:注册康复顾问报告的当前和预期问题
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-01-04 DOI: 10.1177/00343552221146159
Julie C. Hill, Lindsay E. Stokes, R. Froelich, Diona Emmanuel, T. Landon, Simone Hicks
The purpose of this study was to investigate ethical dilemmas faced by certified rehabilitation counselors. Using a mixed-method survey approach, both quantitative and qualitative data were collected and analyzed. Thematic analysis was used to identify common themes among responses including the ethically challenging incident, additional resources to clarify the situation or reach resolution, projecting future ethical issues, approach to resolution for current ethical issues, and additional issues to address or consider in the code of ethics. Results indicated that participants most frequently encountered ethical dilemmas related to Section B. Confidentiality, Privileged Communication and Privacy of the Commission on Rehabilitation Counselor (CRC) Certification Code of Professional Ethics, followed by Section A. The Counseling Relationship. When addressing recognized ethical dilemmas, participants also identified consideration of the counseling relationship and maintaining confidentiality, privileged communication and privacy as the most important sections of the code to consider. Implications include topics identifying current and projected ethical dilemmas faced by CRCs, as well as the need for a variety of topics to be addressed or considered in the new revisions of the CRC Code of Ethics.
摘要本研究旨在探讨注册康复咨询师所面临的伦理困境。采用混合调查方法,收集和分析定量和定性数据。主题分析用于确定回应中的共同主题,包括具有道德挑战性的事件,澄清情况或达成解决方案的额外资源,预测未来的道德问题,解决当前道德问题的方法,以及在道德准则中要解决或考虑的其他问题。结果表明,参与者最常遇到的伦理困境涉及康复咨询委员会(CRC)职业道德认证准则的b部分保密、特权沟通和隐私,其次是a部分咨询关系。在处理公认的道德困境时,参与者还认为,考虑咨询关系、保密、特权通信和隐私是守则中最重要的考虑部分。影响包括确定CRC当前和预计面临的伦理困境的主题,以及在新的CRC道德准则修订中需要解决或考虑的各种主题。
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引用次数: 3
The 2023 Revision to the CRCC Code of Ethics: Implications for Defining and Protecting the Counselor–Client Relationship CRCC道德准则2023年修订版:对定义和保护顾问-客户关系的启示
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2023-01-02 DOI: 10.1177/00343552221147220
Z. J. Ahonle, Julie C. Hill, P. Rumrill, Charles Edmund Degeneffe, Christina Dillahunt-Aspillaga
The revised 2023 Commission on Rehabilitation Counselor Certification (CRCC) Code of Ethics, adopted in September 2022, addresses changes in ethical standards related to the counseling relationship. To promote awareness and understanding of these changes, this article reviews the purpose of Section A (The Counseling Relationship) of the CRCC Code of Ethics and provides a summary of the key revisions that have been made to Section A in the new revised Code and how the changes in these sub-sections of Section A impact counselors/practice.
修订后的2023年康复咨询师认证委员会(CRCC)道德准则于2022年9月通过,涉及与咨询关系相关的道德标准的变化。为了提高对这些变化的认识和理解,本文回顾了CRCC《道德准则》第A节(咨询关系)的目的,并总结了新修订的《道德准则》对第A节的主要修订,以及第A节这些子章节的变化如何影响咨询师/实践。
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引用次数: 0
Use of Customized Employment in State Vocational Rehabilitation Programs: A Retrospective Study 2017–2020 国家职业康复计划中定制就业的使用:2017-2020年回顾性研究
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-12-21 DOI: 10.1177/00343552221140335
Jaeyoung Kim, Katherine J. Inge, Beth Keeton, Tim Riesen, Yazmin Castruita-Rios, T. Tansey
The purpose of this study was to examine the outcomes of customized employment via an analysis using the U.S. Rehabilitation Services Administration Case Service Report (RSA-911) from Federal Fiscal Years of 2017 through 2020. The independent variables were demographics, barriers to employment, and types of state vocational rehabilitation agency (SVRA) services, and the dependent variables were competitive integrated employment status and weekly earnings at exit. Descriptive analyses, multiple logistic regression, and hierarchical multiple regression comprised data analysis. The study sample (N = 2,280) was 57.9% male and 42.1% female and had a mean age of 32.69 years (SD = 12.83). Seventy-seven percent identified themselves as White and 46.7% had a cognitive disability. The results of this study indicated that consumers who have cognitive disability and cultural barriers; are migrant farmworkers and/or dependents; and receive job placement assistance, short-term job supports, maintenance services, benefits counseling, and supported employment are more likely to get competitive integrated employment at exit (R2 = .34). Multiple variables were found to be significantly related to weekly earnings at exit and explained 24% of the variance. Rehabilitation counselors should take into consideration the findings of this study to determine from which supports consumers may benefit to attain successful employment goals, particularly for customized employment.
本研究的目的是通过使用2017年至2020年联邦财政年度的美国康复服务管理局案例服务报告(RSA-911)进行分析,检验定制就业的结果。自变量是人口统计、就业障碍和国家职业康复机构(SVRA)服务的类型,因变量是竞争性综合就业状况和离职时的周收入。描述性分析、多元逻辑回归和分层多元回归包括数据分析。研究样本(N=2280)为57.9%的男性和42.1%的女性,平均年龄为32.69岁(SD=12.83)。77%的人认为自己是白人,46.7%的人有认知障碍。本研究结果表明,消费者存在认知障碍和文化障碍;是农民工和/或受抚养人;接受就业安置援助、短期工作支持、维护服务、福利咨询和支持性就业更有可能在离职时获得有竞争力的综合就业(R2=0.34)。发现多个变量与离职时的周收入显著相关,并解释了24%的差异。康复顾问应考虑这项研究的结果,以确定消费者可以从哪些支持中受益,从而实现成功的就业目标,特别是定制就业。
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引用次数: 3
Stability of Psychological Well-being Following a Neurological Event and in the Face of a Global Pandemic 神经事件后和面对全球大流行病时心理健康的稳定性
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-12-21 DOI: 10.1177/00343552221139878
A. Andreasen, Marcie King Johnson, D. Tranel
This study examined the stability of psychological well-being in people who have experienced a neurological event resulting in focal brain damage. Evidence suggests that psychological well-being is largely stable in healthy adult populations. However, whether such stability exists in neurological patients with acquired brain lesions is an open question. Given the trait-like characteristics of psychological well-being, we hypothesized that psychological well-being would be stable in neurological patients who are in the chronic epoch of recovery (≥3 months after the neurological event). Eighty participants (women = 40; age: M = 56, standard deviation (SD) = 13) completed the Ryff Scales of Psychological Well-Being (PWBS) twice between 2016 and 2020 (Time 1 [T1] and Time 2 [T2]). The Ryff Scales measure various facets of well-being, including autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Approximately half of participants completed their T2 assessment during the COVID-19 pandemic, creating an opportunity to investigate the effects of the pandemic on the stability of psychological well-being in a neurological population that may be particularly vulnerable to reduced well-being in this context. Pearson correlations and within-sample t-tests were conducted to examine the stability of self-reported well-being over time. Test–retest correlations ranged from .71 to .87, and no significant differences in well-being emerged across the two time points. Significant correlations between T1 and T2 were also evident in the subsample of participants who completed their second assessment during the COVID-19 pandemic. These findings provide evidence that long-term psychological well-being is remarkably reliable and consistent over time in patients who have experienced a major neurological event, even when an unprecedented global event occurred between measurement epochs. Treatment implications of these findings are discussed.
这项研究考察了经历过导致局灶性脑损伤的神经事件的人的心理健康的稳定性。有证据表明,健康成年人群的心理健康状况在很大程度上是稳定的。然而,获得性脑损伤的神经系统患者是否存在这种稳定性是一个悬而未决的问题。考虑到心理健康的特质特征,我们假设处于慢性康复期(神经事件发生后≥3个月)的神经系统患者的心理健康将是稳定的。80名参与者(女性=40;年龄:M=56,标准差(SD)=13)在2016年至2020年间完成了两次Ryff心理健康量表(PWBS)(时间1[T1]和时间2[T2])。Ryff量表衡量幸福感的各个方面,包括自主性、环境控制、个人成长、与他人的积极关系、生活目标和自我接纳。大约一半的参与者在新冠肺炎大流行期间完成了T2评估,这为研究大流行对神经系统人群心理健康稳定性的影响创造了机会,在这种情况下,神经系统人群可能特别容易受到健康下降的影响。Pearson相关性和样本内t检验用于检验自我报告的幸福感随时间的稳定性。测试-再测试的相关性在.71到.87之间,两个时间点的幸福感没有显著差异。在新冠肺炎大流行期间完成第二次评估的参与者的子样本中,T1和T2之间的显著相关性也很明显。这些发现提供了证据,证明经历过重大神经事件的患者的长期心理健康是非常可靠和一致的,即使在测量时期之间发生了前所未有的全球事件。讨论了这些发现对治疗的影响。
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引用次数: 0
Continuing Education Answer Sheet For Volume 66, No 2 继续教育答卷66卷第2期
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-12-07 DOI: 10.1177/00343552221138392
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引用次数: 0
Psychometric Validation of the Brief-COPE Scale in a Sample of Individuals with Multiple Sclerosis: A Brief Report 在多发性硬化症患者样本中Brief- cope量表的心理测量验证:简要报告
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-12-02 DOI: 10.1177/00343552221139875
Kanako Iwanaga, P. Rumrill, C. Reid, Allison Thomas, C. Wagner
People with multiple sclerosis (MS) must often cope with high levels of stress, especially during the ongoing COVID-19 pandemic. The Brief-COPE is commonly used to assess how individuals use different coping strategies to deal with stressful life situations, but its application with people who have MS has not been validated. The purpose of this study was to assess the measurement structure and psychometric properties of the Brief-COPE in a sample of community-dwelling adults with multiple sclerosis, using exploratory factor analysis. Results revealed a three-factor measurement structure: (a) flexible coping, (b) succumbing coping, and (c) substance use coping. Correlations among these three factors and external measures of related concepts provided evidence of the validity of these factors. The Brief-COPE can be incorporated in rehabilitation counseling, mental health, and health care settings to assess coping strategies, assisting people with MS with managing stressful life events during and after the pandemic. Rehabilitation and health researchers can use it to assess the effectiveness of psychosocial interventions aimed to improve coping abilities and mental health of people with MS.
多发性硬化症(MS)患者必须经常应对高水平的压力,特别是在2019冠状病毒病(COVID-19)大流行期间。Brief-COPE通常用于评估个体如何使用不同的应对策略来处理压力生活情况,但其在MS患者中的应用尚未得到验证。本研究的目的是利用探索性因素分析,评估Brief-COPE在社区居住的多发性硬化症成人样本中的测量结构和心理测量特性。结果揭示了三因素测量结构:(a)柔性应对,(b)屈服应对,(c)物质使用应对。这三个因素之间的相关性以及相关概念的外部测量为这些因素的有效性提供了证据。Brief-COPE可纳入康复咨询、心理健康和卫生保健机构,以评估应对策略,帮助MS患者在大流行期间和之后管理压力生活事件。康复和健康研究人员可以用它来评估旨在改善MS患者应对能力和心理健康的社会心理干预措施的有效性。
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引用次数: 0
Service-Connected Disability and Happiness in Student Veterans: A Parallel Mediation Study of PERMA 退伍军人学生服务相关残疾与幸福感的平行中介研究
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-12-01 DOI: 10.1177/00343552221139880
Emre Umucu, Yazmin Castruita Rios, Chuling Lo, Anni Wang, T. Grenawalt, Mizuka Yasuoka, Jessica M. Brooks
The student veteran population has been growing in higher education, along with the attention to their happiness and well-being. Seligman developed the positive emotion, engagement, relationships, meaning, and accomplishment (PERMA) model to help understand an individual’s happiness, including five pillars: Positive emotion, Engagement, Relationship, Meaning, and Accomplishment. In this study, we aim at evaluating the role of the PERMA model’s five pillars in explaining the relationship between service-connected disability and happiness. Data were collected from 205 student veterans. The result demonstrated that positive emotion and accomplishment mediated the relationship between service-connected disability and happiness. The findings of this study suggest utilizing positive psychology to help student veterans improve happiness, as well as engage in more activities that could potentially increase an individual’s positive emotion and accomplishment, and eventually increase the level of happiness.
随着人们对退伍军人幸福感的关注,退伍军人在高等教育中的人数一直在增长。塞利格曼开发了积极情绪、参与、关系、意义和成就(PERMA)模型,以帮助理解个人的幸福感,包括五大支柱:积极情绪、投入、关系、含义和成就。在这项研究中,我们旨在评估PERMA模型的五大支柱在解释与服务相关的残疾和幸福之间的关系方面的作用。数据收集自205名退伍军人学生。结果表明,积极的情感和成就感在服务相关残疾和幸福感之间起中介作用。这项研究的结果表明,利用积极心理学来帮助退伍军人学生提高幸福感,并参与更多的活动,这些活动可能会增加个人的积极情绪和成就,最终提高幸福感。
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引用次数: 3
Factors Affecting Retention Plan Among Faculty of Color in Rehabilitation Counselor Education Programs 影响康复咨询师教育项目中有色人种教师保留计划的因素
IF 1.3 4区 医学 Q2 REHABILITATION Pub Date : 2022-11-03 DOI: 10.1177/00343552221124566
Tameika D. Minor, Weili Lu, Priyanka Yalmanchili, Cindy Kumi
Although many institutions of higher education have become committed to diversity and have made efforts to recruit faculty of color, the counseling profession has had a long history of underrepresentation of students and faculty of color. This study investigated the relationships between demographic characteristics, perceptions of the academic climate, and the employment continuation plans of tenured and tenure-track faculty of color in accredited, rehabilitation counselor education (RCE) programs. Furthermore, this study aimed to identify which factors best predict the employment continuation plans for this population. Participants were administered the Faculty Retention Questionnaire (FRQ) to examine these relationships. The sample consisted of 63 tenure-track and tenured faculty of color employed by accredited RCE programs. A univariate general linear model found that the demographic characteristics (race, ethnicity, gender, country of origin, and tenure status) did not predict the employment continuation plans of tenure-track and tenured faculty of color in accredited RCE programs. Multiple linear regression analysis was utilized to determine if the regression scores for the perception of academic climate components (role as researcher, tenure/promotion opportunities, workplace conditions, social climate, faculty/student relationships, role clarity, inter-role conflict, and person/role conflict) predicted 28.5% of the variance in the employment continuation plans of faculty of color in RCE programs. Among these, inter-role conflict was the only statistically significant predictor. Findings add to the literature pertaining to the retention of faculty of color in counselor education and suggest retention strategies supportive of faculty of color.
尽管许多高等教育机构已经致力于多元化,并努力招募有色人种教师,但咨询行业长期以来对有色人种学生和教师的代表性不足。摘要本研究旨在探讨经认证的康复咨询师教育(RCE)项目中有色人种终身和在职教师的人口学特征、学术氛围感知与继续就业计划之间的关系。此外,本研究旨在确定哪些因素最能预测这一人口的就业延续计划。参与者被管理的教师保留问卷(FRQ)来检查这些关系。样本包括63名被认可的RCE项目聘用的终身教职和终身教职的有色人种教师。单变量一般线性模型发现,人口统计学特征(种族、民族、性别、原籍国和终身教职状态)并不能预测经认证的RCE项目中有色人种终身教职和终身教职教师的就业延续计划。利用多元线性回归分析,确定学术气候因素(研究者角色、终身职位/晋升机会、工作环境、社会气候、师生关系、角色清晰度、角色间冲突和人/角色冲突)感知的回归分数是否预测了有色人种在RCE项目中继续就业计划的28.5%方差。其中,角色间冲突是唯一具有统计学意义的预测因子。研究结果补充了有关辅导员教育中保留有色人种教师的文献,并提出了支持有色人种教师的保留策略。
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引用次数: 0
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Rehabilitation Counseling Bulletin
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