Professional Documents
Culture Documents
Instant Download Ebook of Gatekeeping in The Mental Health Professions 1St Edition Alicia M Homrich Online Full Chapter PDF
Instant Download Ebook of Gatekeeping in The Mental Health Professions 1St Edition Alicia M Homrich Online Full Chapter PDF
Instant Download Ebook of Gatekeeping in The Mental Health Professions 1St Edition Alicia M Homrich Online Full Chapter PDF
https://ebookmeta.com/product/a-concise-introduction-to-mental-
health-in-canada-second-edition-elliot-m-goldner/
https://ebookmeta.com/product/assessment-in-health-professions-
education-2nd-edition-rachel-yudkowsky-editor/
https://ebookmeta.com/product/youth-mental-health-approaches-to-
emerging-mental-ill-health-in-young-people-1st-edition-alison-
yung/
https://ebookmeta.com/product/mental-health-in-east-asia-
cultural-beliefs-social-networks-and-mental-health-
experiences-1st-edition-anson-au/
Medical Terminology for Health Professions Ann Ehrlich
https://ebookmeta.com/product/medical-terminology-for-health-
professions-ann-ehrlich/
https://ebookmeta.com/product/surveillance-practices-and-mental-
health-the-impact-of-cctv-inside-mental-health-wards-1st-edition-
suki-desai/
https://ebookmeta.com/product/mental-health-in-the-digital-
age-2nd-edition-sheri-bauman/
https://ebookmeta.com/product/mental-health-matters-a-practical-
guide-to-identifying-and-understanding-mental-health-issues-in-
primary-schools-1st-edition-paula-nagel/
https://ebookmeta.com/product/innovations-in-global-mental-
health-1st-edition-samuel-o-okpaku/
CONTENTS
Cover
Title Page
Copyright
Dedication
Preface
About the Editors
About the Contributors
Acknowledgments
Chapter 1: Introduction to Gatekeeping
The Purposes of Gatekeeping
The Role of the Gatekeeper
The Process of Gatekeeping
The Mandate for Gatekeeping
Defining Competency
Striving for Proficiency in Gatekeeping
Conclusion
Key Points and Best Practices
Chapter 2: Critical Terminology in Gatekeeping
Defining Gatekeeping
Defining Trainee Behavior and Standards for Conduct
Measuring the Behavior and Conduct of Students and
Supervisees
Controversial Terminology and Recommended Language in
Gatekeeping
Ethical and Legal Terminology in Gatekeeping
Sources of Legal Mandates
Due Process
Conclusion
Key Points and Best Practices
Chapter 3: Challenges and Strategies in Addressing Problematic
Trainees
The Transformative Nature of Training
Trainees as Developmental Beings
Conflicting Philosophies and the Gatekeeping Mandate
Due Process and Gatekeeping Procedures
What Is Due Process?
Upholding Ethics While Minimizing Litigation
Conclusion
Key Points and Best Practices
Chapter4: Trainee Development and Factors Affecting Behavior
A Developmental Perspective
Integrated Developmental Model of Supervision
Upholding the Dignity of the Supervisee
Factors That Influence Supervisees' Behavior
Cultural Perspectives
Assisting Trainees in Accepting Feedback
Conclusion
Key Points and Best Practices
Chapter 5: Faculty and Supervisor Roles in Gatekeeping
Roles of Faculty and Supervisors
Leadership and Modeling
Gatekeeping Activities
Conclusion
Key Points and Best Practices
Chapter 6: Collaboration During Gatekeeping
Faculty/Supervisor Leadership
Collaborative Commitment
Collaboratively Maintaining Gatekeeping Systems and
Procedures
Consulting With Colleagues
Conclusion
Key Points and Best Practices
Chapter 7: Informing Trainees About Gatekeeping Policies
Informing Students of Program Expectations and Professional
Standards
Faculty Supervisor–Supervisee Contract
Field Site Supervision Agreement
Information Sources of Standards Expected of Students
Informing Postgraduate Supervisees of Supervisory
Expectations and Professional Standards
Conclusion
Key Points and Best Practices
Chapter 8: Standards for Personal Behavior and Professional
Conduct
Literature Across Clinical Professions
Considerations When Constructing Competencies
Personal and Professional Behaviors as Professional
Competencies
Contributor's Perspective
Codes of Ethics as Guides for Standards
Contributor's Perspective
Conclusion
Key Points and Best Practices
Chapter 9: Evaluating Trainee Professional Performance
Introduction to Dynamic Assessment
The Challenge of Evaluating Behavior
Determining Checkpoints or Gateways
Critical Points in Graduate Training Programs
Critical Points in Pre- and Postdegree Supervision
Defining the Range of Trainee Functioning
Examples of Behavioral Misconduct
Factors Identified as Grounds for Dismissal
Measuring and Evaluating Conduct
Formative and Summative Assessment Feedback
Conclusion
Key Points and Best Practices
Chapter 10: Designing Remediation Plans and Interventions
Remediation Defined (or What's It All About?)
Macrolevel (Big Picture) Guidelines for Remediation
Summary of Due Process Considerations for Remediation
Suggested Approaches to Writing Remediation Plans
Remedial Interventions
Outcomes of the Remediation Process
Challenges and Considerations in Remediation
Case Study
Conclusion
Key Points and Best Practices
Chapter 11: Documentation in Gatekeeping
Why Document?
When to Document
What to Document
Documentation and Student Privacy
How to Document
Practical Examples for Clinical Educators and Supervisors
Ethical Implications for Documentation
Documentation and Due Process
Conclusion
Key Points and Best Practices
Chapter 12: Preventing Problematic Behavior in Trainees
Modeling Appropriate Behavior
Developing Encouraging Working Relationships With
Trainees
Fostering Professional Development to Prevent Problems
Admissions Processes That Screen for Problematic Trainees
Conclusion
Key Points and Best Practices
Appendix A Ethical Mandates for Gatekeeping Practices in
Clinical Training and Supervision
Appendix B Sample Appeals Process From a Published Student
Handbook
Appendix C Sample Correspondence Following Up a Remediation
Planning Meeting
Appendix D Sample Professional Pledge for Entering Students
Appendix E Sample Verification of Understanding Agreement
(Informed Consent)
Appendix F Sample Supervision Contracts
Appendix G Sample Documentation of Student Behavior and
Faculty Action
Appendix H Sample Student Progress Evaluation Rating Form
and Accompanying Rubric for Evaluating Multiple Students
Appendix I Sample Strategies for Reinforcing Professionalism at
Transition Points in a Graduate Program
References
Index
End User License Agreement
List of Tables
Table 7.1
Table 7.2
Table 8.1
Table 8.2
Table 8.3
Table 8.4
Table 8.5
Table 8.6
Table 9.1
Table 10.1
Table 10.2
List of Illustrations
Figure 1.1
Figure 1.2
Figure 6.1
Figure 7.1
Figure 7.2
Copyright © 2018 by the American Counseling Association. All rights reserved.
Printed in the United States of America. Except as permitted under the United
States Copyright Act of 1976, no part of this publication may be reproduced or
distributed in any form or by any means, or stored in a database or retrieval
system, without the written permission of the publisher.
American Counseling Association
6101 Stevenson Avenue, Suite 600 | Alexandria, VA 22304
Associate Publisher | Carolyn C. Baker
Senior Production Manager | Bonny E. Gaston
Digital and Print Development Editor | Nancy Driver
Copy Editor | Beth Ciha
Cover and text design by Bonny E. Gaston
Library of Congress Cataloging-in-Publication Data
Names: Homrich, Alicia M., editor. | Henderson, Kathryn L., editor. | American
Counseling Association, issuing body.
Title: Gatekeeping in the mental health professions / Alicia M. Homrich, Kathryn L.
Henderson, editors.
Description: Alexandria, VA : American Counseling Association, [2018] | Includes
bibliographical references and index.
Identifiers: LCCN 2018007027 | ISBN 9781556203282 (pbk. : alk. paper)
Subjects: | MESH: Counseling—education | Mentoring—methods | Mental Health
Services—standards | Clinical Competence—standards | United States
Classification: LCC RC466 | NLM WM 18 | DDC 362.2/04256—dc23 LC record
available at https://lccn.loc.gov/2018007027
To mentors, who we often want to be when we become
professionals, and the careers they model of integrity and
compassion, who do the hard work with the students who need it the
most
—KLH
• • •
To clinical faculty and supervisors, the frontline gatekeepers for our
respective professions, for your courage and commitment to
developing future ethical, effective clinical professionals and
redirecting those who are unable to attain expected standards.
Thank you for protecting the quality of the mental health community
and those who seek our expertise to pursue their fullest potential.
—AMH
Preface