Graduate Counselling and Applied Psychology (GCAP) 635

Intervening to Facilitate Client Change (Revision 2)

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Delivery Mode: Paced study; online and summer institute (36 hours face-to-face).

Credits: 3

Area of Study: Graduate Studies

Prerequisite: GCAP 631, GCAP 633.

This course must be taken through GCAP.

Faculty: Faculty of Health Disciplines

Centre: Graduate Centre for Applied Psychology

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Overview

In this course, you will learn specific interventions or procedures that can be used to facilitate client change. When others refer to techniques of counselling, they are most often referring to specific interventions. More importantly, you will learn how to conceptualize, plan, implement, evaluate, and terminate counselling interventions in a variety of contexts. You will also learn a repertoire of counselling interventions from different theoretical orientations and generic counselling sequences (history-taking, goal setting, risk screening) that all competent counsellors, whatever their theoretical orientation, must know. Finally, you will integrate your newfound knowledge of interventions into your developing theoretical framework, and develop a plan for continuing competence.

Outline

The course begins with five weeks of online study, structured as follows.

  • Lesson 1: Revising Common Factors - The Relationship between Alliance, Assessment, and Interventions
  • Lesson 2: Forming an Intervention Plan - Case Conceptualization
  • Lesson 3: Cultural and Contextual Factors in Intervention Planning
  • Lesson 4: Client Factors and "Motivation"
  • Lesson 5: Goal-Setting in Intervention Planning

Students then select a minimum of three self-study modules from a range of options offered in an online format. They have five weeks to complete their self study. The modules do not need to be selected in advance. Student will have access to all available modules and can complete additional ones if they choose. Students in the art therapy steam must complete both art therapy modules.

Title Overview
Cognitive-Behavioural Therapy

Cognitive-behavioural therapies are distinguished by the assertion that cognitive activity is a key contributor to behaviour and emotion. These interventions aim to influence an individual's internal and external experience by altering the cognitions involved in that experience. This module reviews the assumptions and concepts of cognitive-behavioural therapy, and examines their application in the context of two major therapeutic models: Beck's Cognitive Therapy (CT) and Ellis's Rational-Emotive Behaviour Therapy (REBT). Finally, applications of CT and REBT are illustrated using depression as an example.

Solution-Focused Therapy

Solution-focused therapy (SFT) is a strength-focused approach to counselling that challenges typical ways of viewing human functioning and human problems. Instead of thinking of counselling as solving problems or correcting deficits, SFT focused on what is going right. This module introduces students to the assumptions of the solution-focused approach and acquaints them with basic skills in questioning, intervention design, and adapting treatment to client response and readiness.

Interventions for Suicidal Clients

Working with clients who are suicidal can be one of the most stressful endeavours counsellors encounter in their professional career. This module will examine a variety of assessment and treatment issues and therapeutic tasks that are essential when working with suicidal individuals. Through the use of self-reflection exercises and discussions, the module will also provide the opportunity for students to examine their own values and attitudes towards suicide.

Treated Stress-Related Problems

The Treating Stress-Related Problems module utilizes a contemporary view of stress to provide a framework for understanding the factors influencing people's experience of stress and how stress-related medical and psychological problems develop. It then presents a framework for planning stress control interventions with clients that has been systematically validated in a wide variety of field settings.

Narrative Therapy

Narrative therapy is a postmodern approach to therapy that eschews pathologizing conceptualizations of human problems and questions taken-for-granted cultural ideas. This module will provide an introduction to the theory underlying narrative therapy and provide a skill platform for continuing practice development in narrative therapy.

Social Justice Interventions

The Social Justice Interventions module is designed to introduce students to the concept of social justice as an integral component of the the theory and practice of counselling psychology. Social justice is defined as a collaborative, action-oriented initiative aimed at eradicating the social inequities that adversely affect the well-being of individuals and groups, particular members of non-dominant populations. The module provides students with an opportunity to explore a range of social justice interventions, ranging from those targeting individual clients to broader systems level strategies.

Practical Strategies for Addictions Counselling

This module introduces some strategies that can be employed when helping clients who misuse alcohol and drugs. These will include information about assessment, consideration of options for counselling interventions, and community supports. You will also be invited to examine your own beliefs about addiction, and how they can influence your work.

Brief Psychodynamic Therapy

Brief dynamic psychotherapy (BDP) is an interpersonal approach to counselling that uses the relationship between client and therapist to facilitate changes in how clients relate to themselves and others. This is a competency-based approach that emphasizes relational factors, interpersonal pattern recognition, and relationship management as change agents in the therapeutic process.

Child Art Therapy

The Child Art Therapy module focuses on how art therapy can be directed specifically to the needs and concerns of children. The purpose of the model is to develop competency in the use of art therapy with children. The experience of childhood is universal, yet extremely variable. The importance of using the art process in the communication of the inner world of children is central to art therapy.

Adolescent Art Therapy

The purpose of this module is to assist students in working creatively with this client population. Adolescence is a period in the life cycle that is dedicated to a number of tasks, including experimenting with new relationships and formulating new beliefs and worldviews. The issues that arise include the intrapsychic conflicts that simultaneously involve the need for a secure emotional base as well as the need to separate/individuate from the family. Developmental theorists hypothesize that adolescents are also faced with a lack of self-definition and the task of creating and shaping an identity; certain early life events and experiences may indicate further conflict that art therapists need to be aware of in order to meaningfully engage with adolescents.

The course continues in face-to-face format at the summer institute where students complete the following lessons:

  • Lesson 6: Consolidation and Review
  • Lesson 7: Developing a Problem Definition
  • Lesson 8: Expanding History-Taking
  • Lesson 9: Pre-Intervention Screening
  • Lesson 10: Capitalizing on Client and Therapist Characteristics
  • Lesson 11: Case-based Intervention - Conceptualization
  • Lesson 12: Case-based Intervention - Goal Setting
  • Lesson 13: Case-based Intervention - Initiating an Intervention
  • Lesson 14: Case-based Intervention - Following Up
  • Lesson 15: Case-based Intervention - Evaluation and Termination
  • Lesson 16: Approaches to Psychotherapy Intervention
  • Lesson 17: Building on Your Personal Counselling Style and Continuing Competence

Course Evaluation

To receive credit for GCAP 635, students must submit all of the course assignments. The passing grade for the course is B- (70%). Students must also complete three elective modules and integrate their learning into the Case Analysis assignment. Finally, full participation in the summer institute activities is required to pass the course.

The assessment structure for GCAP 635: Intervening to Facilitate Client Change is based on the following course activities, with the percentage weighting of each activity as indicated. Your final grade for the course will be a composite mark based on your performance in these course activities.

Course Activity Weight
Participation in Online Discussions 10%
Participation in Summer Institute Session 10%
Assignment 1: Case Analysis Part I 20%
Assignment 2: Case Analysis Part II 25%
Assignment 3: Highlighting an Intervention 15%
Assignment 4: Summer Institute Video Skills Analysis 20%
Total 100%

Course Materials

Course Texts

Cormier, S., Nurius, P. S., & Osborn, C. J. (2013). Interviewing and change strategies for helpers (7th ed.) [eBook version]. Retrieved from http://www.cengage.com

Corey, G. (2013). The art of integrative counselling (3rd ed). [eBook version]. Retrieved from http://www.cengage.com

Note: Students will be provided with links to the etexts from within their course materials.

Other Materials

All other materials are available to students online.

Other Information

Students with a disability, who require academic accommodation, need to register with the Access to Students with Disabilities Centre at Athabasca University. Notification of the need for academic accommodation must normally be provided to the program office no later than fourteen (14) days prior to the first day of class. It is the student's responsibility to register with the Disability Centre to request academic accommodation if required and to notify the instructor that such accommodation has been requested. Every reasonable effort will be made to accommodate individual student needs. However, because GCAP courses are paced, all student are required to participate weekly in the online discussion forums. There are also several courses where online exams are required.

Athabasca University reserves the right to amend course outlines occasionally and without notice.

Opened in Revision 2, April 2011.

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