Community Counseling And

Community Counseling and

Psychological AssessmentCenter

Handbook

2010 – 2011

For more information, contact:

Dr. Robyn Brammer,
Director of the School Counseling Program

Mental Health and School Counseling Programs

(509) 963-3629

Updated: December 10, 2007

1

COMMUNITY COUNSELING AND PSYCHOLOGICAL ASSESSMENT CENTER (CCPAC) HANDBOOK

CentralWashingtonUniversity

Department of Psychology

Mental Health and School Counseling Programs

Table of Contents

CCPAC General Information

The CCPAC: Description, Mission, and Research Guidelines

CCPAC Standards of Practice/Codes of Ethics

File System

CCPAC Referral Resources

Community Referral Sources

CCPAC Guide to the Test Room

List of Tests and Materials Located in the Clinic Testing Room

CCPAC Documents for All Practica

Guidelines for PSY 593 Supervision

Guidelines for Progress Notes and Client Files

Student Practicum Agreement

PSY 593ABC Student Complaint Procedure

Documents for working with Clients

Script for Teaching Assistants (Version 1)

Script for Teaching Assistants (Version 2)

Telephone Contact Guidelines

Service Request Form

CCPAC Documents for 593A

PSYCHOLOGY 593A Syllabus

Standards covered in PSY 593A

CCPAC Professional Standards

CCPAC Dress Code

CCPAC Emergency Coverage Procedures

Interview Procedures

Telephone Contact Guidelines

SONA System

Consent for Services by Psychology 593A Students

Client Volunteer Questionnaire

Responding to Clients Who Talk about Child Abuse

Responding to Clients Who Talk About Depression or Suicide

P.A.L.L.I.D. A.S.P.

Guide to Terminating the Interview

Client Evaluation of Student Counselor

PSY 593A Interview Summary (Blank)

PSY 593A Interview Summary

Client Talk

Guidelines for 593A Video Review Notes

SAMPLE VIDEO REVIEW NOTES

Computerized Recording in the Clinic

Volunteer Client Form

Summary of Client Services Rendered (Hours Log) 593A

PSY 593A Supervision Log

Supervisor’s Assessment of Student Progress

Supervisor’s Assessment of Student Progress

Student Evaluation of PSY 593A Supervisor

CCPAC Documents for 593B

PSY 593B Syllabus

Supervision Assignments

Night Coverage Supervisors for Emergencies:

Structure of Folder

Summary of Client Services Rendered (Hours Log) 593B/C

Consent for Counseling Services (PSY 593BC)

Initiating the Interview for 593B/593C

Practicum Supervision Log

Counseling Assessment Interview

SOAP Notes

Developing Treatment Plans

Counseling Plan

Sample Counseling Plan

Samantha Sams Counseling Summary

Samantha Sams

CCPAC Client File Checklist

Supervisor’s Assessment of Student Progress

Student Evaluation of PSY 593BC Supervisor

Documents for PSY 593C

PSY 593C Syllabus

Supervision Assignments

Night Coverage Supervisors for Emergencies:

Guidelines for Practicum Supervision

Guidelines for Group Supervision

Script for Session Opening for 593C Community Clients

Additional Documents (as needed)

Adult Assessment Self-Report Questionnaire

Child Assessment Questionnaire

Authorization to Disclose Protected Information

Referral Form for CWU SHCC

Documents for Faculty

Supervisors provide supervisees with the “GUIDELINES FOR PSY 593 SUPERVISION” or an equivalent list of expectations

CCPAC Co-Director (Counseling Practicum) Quarterly Task Checklist

Clinic Hours for Finals week

Faculty Use of CCPAC for Provision of Direct Services

Updated: December 10, 2007

1

CCPAC General Information

Updated: December 10, 2007

1

CENTRALWASHINGTONUNIVERSITY
Community Counseling and Psychological AssessmentCenter

Your future is Central.

The CCPAC: Description, Mission, and Research Guidelines

Description: The Community Counseling and PsychologicalAssessmentCenter is a training clinic for Graduate students in Mental Health Counseling, School Counseling, and School Psychology. Weprovide free, confidential counseling and psychoeducational assessments for children, as well as counseling for adults, couples and families. Graduate-student trainees, who are supervised by clinic faculty, provide all services.

Mission: The CCPAC has three primary goals: 1) train graduate students in Mental Health Counseling, School Counseling, and School Psychology; 2) provide counseling and psychoeducational assessment services to children, and introductory counseling services for adults, couples and families in the community as well as to CWU students; and 3) expand the body of knowledge in counseling and psychology through research. As a training facility, these elements are listed in order of priority with our major focus being on the training of graduate students.

Guidelines for Research: Clinic research will be permitted under the following conditions:

• Preliminary Approval:
• Unanimous consent of clinic faculty. If any faculty member working in the clinic is not comfortable with a research proposal, the research study will not be permitted as faculty may not perform at their highest level as a result.
• Approval of the program committees. The Mental Health and School Counseling Program committee and the School Psychology Program committee must also approve a potential study. This restriction helps to ensure effective operation of the clinic, avoid potential conflicts with existing polices, and oversee the timing of proposed projects.
• Consent of students enrolled in practica. As with faculty, if a student is uncomfortable with a study, it will not be permitted. Their training and care of clients are our top priorities. (Student approval is not necessary for using archival data).
• Secondary Approval:
• Department Head approval: Once the clinic faculty, students, and program committees have approved the research proposal, the request will go to the department head.
• HSRC approval: Research proposals approved at the preliminary approval level must be reviewed and accepted by Central’s Human Subject Review Committee (HSRC). Any changes to a study suggested in the HSRC review process (or after HSRC acceptance) must also be approved by the faculty, students, and program committees (as described above).

Updated: December 10, 2007

1

CENTRALWASHINGTONUNIVERSITY
Community Counseling and Psychological AssessmentCenter

Your future is Central.

CCPAC Standards of Practice/Codes of Ethics

All students and supervisors provide clinical services under the guidance of appropriate professional ethic codes. These include:

A.American Counseling Association: Code of Ethics

B.National Association of School Psychologists: Principles for Professional

Ethics

Copies of these codes are available in your School Counseling or Mental Health Counseling Handbook and anyone working in the clinic is expected to be familiar with the codes appropriate for their professional behavior.

Updated: December 10, 2007

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CCPAC Standards of Practice/Codes of Ethics

Updated: December 10, 2007

1

Faculty Use of CCPAC for Provision of Direct Services

File System

GREENContact Logs

REDStudent Supervision Notes

YELLOWTape notes

MANILLAClient file

Updated: December 10, 2007

1

Faculty Use of CCPAC for Provision of Direct Services

CENTRALWASHINGTONUNIVERSITY
Community Counseling and Psychological AssessmentCenter

Your future is Central.

CCPAC Referral Resources

CENTRAL WASHINGTON UNIVERSITY CAMPUS:
Academic Advising Center 963-3523 / Student Counseling Center 963-1391
Academic Skills Center 963-1834 / Student Health Center 963-1881
Campus Information 963-1111 / Public Safety/Police Service 963-2958 / 911
(dial 0 from on campus) / Residential Services 963-1831
Campus Life (events, etc.) 963-1691 / Student Affairs/Student Life 963-1515
Career Development Services 963-2404 / Student Employment 963-3008
Student Empowerment (gender & family) 963-2127 / Student Services/Sexual Harassment 963-1511
CWU Employees - EAP-Donna Kramer 963-3690 / Testing Services(GRE, etc.) 963-1847
Disability Support Services 963-2171 / Veterans Affairs Office 963-3028
Diversity (Bias, Communities, etc.) 963-2972 / Wellness Center 963-3213
EQUAL (LGBTQA Student Organization) 963-1994 / Courtesy Assistance Team (CAT):
Financial Aid 963-1611 / Safe escorts for walking home at night 963-2950
CWU Family Resource Center (See their web page for comprehensive listings of family resources in WA)
ELLENSBURG COMMUNITY, ETC:
Crisis Line -- Information/Referral………………………………………..925-4168
211/Community Resource Referral……………………………………….877-211-9274
National Suicide Prevention Lifeline……………………………………...800-273-8255
Washington State Department of Health………………………………….800-833-6388
CDC Health Info Line (Global, but including STDs, HIV/AIDS)……….800-232-4636
Washington State AIDS Info Line………………………………………..800-272-2437
Ellensburg Community Health Clinic (Free clinic; basic medical care)….929-7266
Yakima Valley Farm Workers Clinic -- comprehensive health & dental care
-- sliding scale; care without regard to ability to pay; many locations...... 248-3334
Yakima Neighborhood Health Services (Low cost med & dental care)…..834-2098
Abuse/Assault Services……………………………………………………962-7760
Abuse Support and Prevention Education Now (ASPEN)………………..925-9384
Alcoholics Anonymous……………………………………………………925-2494
ALANO Club -- Social Club for Recovering Alcoholics…………………925-2494
ALANON -- Support for Families of Alcoholics………………………….925-4168
ALATEEN -- Support for Teenage Children of Alcoholics (Contact ALANO or ADDS)
Alcohol and Drug Dependency Service (ADDS)
-- Counseling/Information; Referral and Outpatient Treatment………….925-9821
Narcotics Anonymous…………………………………………………….925-2494
Central Washington Comprehensive Mental Health/CDMHP Ellensburg: 925-9861
-- mental health services & emergency service for people in crisis Yakima: 575-4084
Child Care & Information…………………………………………………962-7759
Child Abuse/Neglect:
DSHS: Child Protective Service…………………………………..925-0440
Child Advocacy Council (Counseling Service)…………………...925-6781
CWU Family Resource Center (See their web page for comprehensive listings of family resources in WA)
Department of Social and Health Services (DSHS)………………………962-7710
Dispute Resolution Center………………………………………………...925-5123
Food Bank (FISH).(301 2nd Ave – corner of 2nd & Water St.) …………...925-5990
Kittitas County Health Department (Anonymous HIV/AIDS testing)…....962-7515
Kittitas Valley Recovery Services……………………………………..…..925-7227
Kittitas Valley Community Hospital…………………………………..…..962-9841
Narcotics Anonymous………………………………………………..……925-2494
New Hope Council (community services and referral)….…………..…….925-4844
Hope Source…(community and emergency services and referral)……Ellensburg: 925-1448
………………………………………………………………...………..Cle Ellum: 674-2375
Overeater’s Anonymous…………………………………………………...962-5382
Weight Watchers…………………………………………………………...800-562-6962
Planned Parenthood………………………………………………………..925-7113
Senior Services for elderly…………………………………………………962-7760
Smoking Cessation: WA Tobacco Quit Line
Tobacco Quit Line
1-800-QUIT-NOW
1-800-784-8669 / Spanish Quit Line
1-877-2NO-FUME
(1-877-266-3863) / Deaf and hard of hearing
1-877-777-6534
Weight Watchers…………………………………………………………..800-562-6962
WIC - financial aid for women, infants and children……………………...962-7515
WorkSource………………………………………………………………..925-5311
Youth Services of Kittitas County -- youth recreation programs………….962-2737

Updated: December 10, 2007

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Faculty Use of CCPAC for Provision of Direct Services

Community Referral Sources

Provider / Information
CWUStudentCounselingCenter /

• 963-1391
• Call to schedule an orientation intake
• Must be taking at least 6 credits for fees to include counseling
• If not taking 6 credits, pay $45 for summer
• Summer term: June 18-August 16, hours: 8am-3pm
• Can request counselor
• Counselors for the summer:
• Senior counselors (Randy Robinette, Megan Schmidt)
• Doctoral interns (Tobias Ryan, Kirk Ditterich)

Bradley, Marti MSW LCSW ACSW /

• 925-2123
• Accepts insurance, no sliding scale, $100 individual, $115 couples, fee for service
  20% discount
• Works with couples, not children
• Currently accepting new clients as of 11/26

Cole, James (Jim) Ed.D. Counseling Psychologist /

• 925-5226
• EMDR
• $95/hr, willing to negotiate, accepts insurance

Comprehensive Mental Health /

• 925-9861
• Need a mental illness diagnosis to be seen

Doughty, Laura MS, LMHC /

• 925-2258, CWU alum
• $100/hr, no sliding fee, accepts insurance
• Works with all ages and couples
• Not on Group Health panel
• Accepting new clients as of 11/26

Galbraith, Jackie M.Ed., MS, LMHC /

• 925-2592
• In practice in Ellensburg since 1992, currently full, but does offer 15% discount
• Taking new clients as of 11/26
• On Group Health insurance panel
• Offers sliding fee

Hart, Veronica /

• 962-6626
• $80 per session, Sliding scale fee (Will negotiate with client)
• Clients pay, given form for clients to bill insurance
• Sees clients Tuesday, Wednesday, Thursday: 8am-6pm
• Currently taking new clients
• Types of clients: addictions, general mental health concerns, loss and grief concerns
• Theoretical orientation: primarily behavior therapy, some hypnotherapy for stress reduction,motivational therapy for addiction

Hendrika Mather, MS, LMHC /

• 925-7522, 421 Pearl St #202 OL M/IA, Accepts insurance, $90/hr, sliding fee, has worked with a lot of students
• EMDR

Logan, Thomas MA, LMHC /

• CWU alum
• Men's issues
• $110/hr, bills insurance, POS discount-$75, $50/hr reduced fee

Mather, Hendrika MS, LMHC /

• 925-7522,421 Pearl St. #202
• Accepts insurance, $90/hr sliding fee
• Has worked with a lot of students, EMDR
• Currently accepting new clients as of 11/27
• Accepts Uniform, Blue Cross, Regents health insurance
• Does not accept DSHS and does not currently accept Group Health insurance

Schwartz, Jill MA /

• 962-6110
• Works with individuals, couples, families, children
• $85/hr, will slide to $50/hr

Thomas Logan, MA, LMHC /

• CWU alum
• Men's issues, $110/hr, bills insurance, POS discount-$70, $50/hr reduced fee

Utzinger, AndreaMS, LMHC /

• 962-6265
• $110 per session, if pay at point of service $70, given form for clients to bill insurance. Slide as low as $50/hr
• Hours are flexible, leave a message
• Currently taking new clients
• Types of clients: adults and adolescents, individual, couples, and marital, addictions, range ofmental health concerns, past trauma, history of abuse
• Theoretical orientation: trained in Client-centered, CBT, Psychodynamic, with couples uses
• Gottman's work to guide practice, currently uses Lifespan Integration

Verheul, Julie LMHC /

• 962-4300
• Can work from a Judeo-Christian perspective
• Works with couples, lifespan, trauma, EMDR
• Bills insurance, $85/hr, $110/1.5hr, will slide to $60/hr

Wenger, Suzy MS, LMHC /

• CWU alum 962-9252
• Cash fee basis, based on what you can afford
• Accepts insurance (including Group Health)

Updated: December 10, 2007

1

Faculty Use of CCPAC for Provision of Direct Services

CENTRALWASHINGTONUNIVERSITY
Community Counseling and Psychological AssessmentCenter

Your future is Central.

CCPAC Guide to the Test Room

The test room, located behind the front desk in the clinic, is the central location for all of the Psychology Department’s tests, questionnaires, and inventories. It also holds a small library of various types of psychology reference books. The test room is accessed primarily by school psychology students, some faculty, and counseling students.

In order to use tests from the Test Room, you will need to: (1) reserve them, (2) check them out on the date you requested, and (3) return them on the stated date. To be sure that we can get tests out to all the students who may need them, it is important to sign up for your tests as early as possible. Depending upon the test and your class schedules, some students may have to share tests once they are checked out due to the larger number of students than tests. If for some reason you are unable to return your test(s) on the stated date, please contact me so that we can be sure it is not already reserved for someone else.

To reserve a test, fill out your information on the sign up sheet on the Test Room door. Be sure to write when you will pick it up and when you will return it. On the date that you pick up your test(s), office staff can let you into the Test Room to pick them up. Your tests will have your name on them and be laid out on the floor against the wall closest to the entrance. When you return the test(s), if a teaching assistant is not in the Test Room, other office staff can open the room for you so that you can place your tests against the far wall.

To use questionnaires or inventories, you do not need to reserve them. You may do so if you are reserving other tests, otherwise, you are able to take your needed questionnaire directly from the appropriate spot in the filing cabinet. Please note that if you are the last person to take a questionnaire and there are no others left, please leave a note for me so that I can order more.

The Test Room usually only has one copy of manuals for the questionnaires and inventories. These manuals, which are filed in the filing cabinet with test protocols, must notleave the clinic. You may sign up for them for same-day in-clinic use by filling out the form on the cabinet door located to the right of the desk. Please return them to the test room when you are finished with them.

To use any of the psychology reference books, please fill out your name and the date you plan to return the book on the card inside the book’s cover. Please leave the card on the desk for the assigned teaching assistant. If the book is missing a card, leave the appropriate information on a note. When returning the book, place it back onto the location on the shelf it was taken from.

Thank you for your cooperation and have a good school year!

Updated December 10, 2007

1

Faculty Use of CCPAC for Provision of Direct Services

CENTRALWASHINGTONUNIVERSITY
Community Counseling and Psychological AssessmentCenter

Your future is Central.

List of Tests and Materials Located in the Clinic Testing Room

The following list includes tests and materials (listed alphabetically by title) that can be found in the clinic testing room. Also listed is the common acronym for the test, the publisher, the publication dates, and the number of manuals/test kits available. If any of this information was not found for the test, the notation appears as: N/A (Not Available).

List compiled 12/03

Test / Publisher / Acronym / Date / Number of tests
A Developmental Neuropsychological Assessment / Psych Corp / NEPSY / 1998 / 1
Actualizing Assessment Battery / Ed. & Ind. Testing Service / AAB / 1974 / 1
Adaptive Behavior Inventory / Pro-Ed / ABI / 1986 / 1
Adaptive Behavior Scale for Children / Hawthorne / ABIC / 1982 / 1
Auditory Discrimination Test / WPS / N/A / 1975 / 1
Barclay Classroom Climate Inventory / Educational Skills Development / N/A / 1972 / 1
Basic Personality Inventory / Sigma Assessment / BPI / 1996 / 1
Bayley Scale of Infant Development / Psychological Corporation / N/A / 1993 / 0
Beck Anxiety Inventory / Psychological Corporation / BAI / 1993 / 2
Beck Depression Inventory I/II / Psychological Corporation / BDI-II / 1996 / 2
Beck Hopelessness Scale / Psychological Corporation / BHS / 1993 / 2
Behavior Assessment System for Children / AGS / BASC / 1992 / 1
Behavior Dimensions Scale / Hawthorne / BDS / 1995 / 2
Behavior Evaluation Scale-2 / Hawthorne / BES / 1990 / 2
Behavior Rating Profile-Revised / Pro-Ed / BRP-2 / 1990 / 1
Bender-Gestalt Test of Visual Motor Integration / American Orthopsychiatric Assoc. / N/A / 1946 / 3[1]
Blacky Pictures / Psychological Corporation / N/A / 1950 / 2
Boehm Test of Basic Concepts / Psychological Corporation / N/A / 1986 / 1
Brief Symptom Inventory / Pearson Assessments / BSI / 1993 / 1
Brigance Inventory of Basic Skills / Curriculum Associates / N/A / 1977 / 1
Brigance Test of Early Development / Curriculum Associates / N/A / 1978 / 2
Burke’s Behavior Rating Scales / WPS / N/A / 1977 / 2[2]
Burns & Roe Informal Reading Inventory / Houghton Mifflin / N/A / 1989 / 1