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Exploring Counseling Students’ Perceived Competencies about Integrated Care

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2017, Doctor of Philosophy (PhD), Ohio University, Counselor Education (Education).
Integrated care has its foundation in the biopsychosocial model of care, and it is gaining importance in the health sector. The calls for practitioner training in integrated care have increased due to the siloed nature of training for health practitioners. This study explored graduate counseling students’ perceived competencies in integrated care using a survey instrument—integrated care competency survey (ICCS). The researcher generated the ICCS items based on the Substance Abuse and Mental Health Services Administration and Health Resources and Services Administration (SAMHSA-HRSA) integrated care competency categories. The researcher pilot-tested the survey items to establish validity and reliability measures for this study. The ICCS consists of nine sub-categories and demographic information such as gender, specialty, graduate degree level, exposure to integrated care training, and field experience. Using a cross-sectional survey research design with random and purposeful sampling techniques, a sample size of 243 graduate counseling students in 15 CACREP accredited counselor education programs responded to this study. Data analyses employed in the study included descriptive statistics, a 5-way and a 3-way MANOVA, and a multiple regression. Additionally, supplemental analysis on the open-ended questions yielded themes that triangulated with the quantitative results. Based on the results from the study, it can be concluded that the participants had satisfactory perceived competency levels in integrated care (M = 3.95; SD = .83). However, there were no indications of considerably high or low perceived competencies in integrated care. Additional findings suggested that participants with exposure to training in integrated care and field experience were more likely to demonstrate competency in integrated care concepts. Supplemental responses showed that participants had attained useful skills such as communication, leadership and advocacy, and counseling techniques and micro-skills that are valuable in integrated care. Moreover, previous work experiences in medical fields or collaborative work environments were considered beneficial. However, participants expressed concerns in the areas of adjustment to medical culture, communication and collaborative interactions, and lack of specific training in integrated care. Despite the concerns raised by the participants, there was evidence that self-learning, supervision and consultation, and professional development support graduate counseling students in integrated care settings. The results for this study have implications for counselor education programs, counselor educators and supervisors, and existing curricula for counselors. The researcher anticipates that these findings will foster discussions in counselor education programs, mental health fields, and medical training fields on issues related to competencies and research in integrated care.
Christine Bhat, Ph.D (Committee Chair)
Gordon Brooks, Ph.D (Committee Member)
Thomas Davis, Ph.D (Committee Member)
Yegan Pillay, Ph.D (Committee Member)
269 p.

Recommended Citations

Citations

  • Asempapa, B. (2017). Exploring Counseling Students’ Perceived Competencies about Integrated Care [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1490828580486265

    APA Style (7th edition)

  • Asempapa, Bridget. Exploring Counseling Students’ Perceived Competencies about Integrated Care. 2017. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1490828580486265.

    MLA Style (8th edition)

  • Asempapa, Bridget. "Exploring Counseling Students’ Perceived Competencies about Integrated Care." Doctoral dissertation, Ohio University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1490828580486265

    Chicago Manual of Style (17th edition)