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- W2343844549 abstract "Counselors working in community and agency settings face a number of challenges not only with developing and maintaining competencies to address the wide range of client issues, but also with the increasing confluence of social, political, and economic forces that dictate the quality, availability, and affordability of these services (Patrick, 2007). Many of these challenges evolved during the past 50 years with the deinstitutionalization of individuals with mental illness. Prior to the passage of Community Mental Health Act of 1963, individuals with mental illness were often confined to state hospitals and asylums where they faced poor quality of life, isolation from the community, disrespectful treatment, and social marginalization (Rosenberg & Rosenberg, 2006). Five decades following the passage of the Community Mental Health Act, the lack of a comprehensive and coordinated system of care continues to raise concerns for those working with clients in community and agency settings.Counselors are continually faced with how best to address the diverse needs of clients often with reduced budgets and shrinking resources (Patrick, 2007). Depending on the agency, the community being served, and the type of services provided, community and agency counselors may be required to wear many hats. It is not uncommon for counselors in these settings to be knowledgeable of not only mental health and substance abuse treatment, but also pharmacology, related medical disorders and disabilities, diverse managed care systems, case management issues, community resources/services, advocacy and legislative issues, and career counseling.In these settings, counselors are often required to focus their efforts on presenting issues such as mental health and substance abuse problems while providing scant attention to concerns such as career development. Career development is not always viewed as a treatment priority (Robertson, 2013), even though employment issues (e.g., joblessness) can exacerbate mental health issues (Ronzio, 2012). The guiding principles, philosophy, and history of counseling are rooted in viewing clients through a holistic lens, yet many agencies place greater emphasis on adhering to the reductionist approaches imposed by third party payers than on the broader developmental needs of their clients. In many instances, and with a shifttoward brief interventions, counselors seeing value in addressing issues that do not fall within the scope of approved services are often leftto find innovative and creative ways to integrate care.The growing consensus that comprehensive and coordinated care is critical to effectively address the needs of clients with co-occurring issues (Drake et al., 2001; Rosenberg & Rosenberg, 2006; Steele & Rechberger, 2002) may eventually create opportunities for counselors to expand care into issues that compound these disorders. Gerig (2007) highlighted the implications for counselors and agencies of incorporating a comprehensive mental health counseling model, including assessing one's strengths, assets, deficits, and symptoms in relationship to one's environment; a collective evaluation of factors impacting the client and how these factors interact; and the interconnectedness of treatment and interventions across presenting issues. Gerig (2007) added most community and agency settings operate from the broader allied/medical health professions model, which may create philosophical and professional identity concerns related to treatment approach and direction across disciplines.One such issue that warrants attention within a comprehensive care model is career planning. A paucity of literature exists emphasizing the importance of integrating career planning as part of the overall community/agency treatment strategy. The focus of this paper is to review issues, factors, and considerations that impact integration of career planning within the framework of community/agency counseling. …" @default.
- W2343844549 created "2016-06-24" @default.
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- W2343844549 date "2016-04-01" @default.
- W2343844549 modified "2023-09-26" @default.
- W2343844549 title "INTEGRATING CAREER PLANNING in COMMUNITY and AGENCY SETTINGS: Issues, Factors, and Considerations" @default.
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