NCAT Counseling Services Policies _ Procedures - North Carolina by niusheng11


									      North Carolina Agricultural and Technical State University

                            Counseling Services

                    POLICIES AND PROCEDURES

                          TABLE OF CONTENTS

SECTION   1:   MISSION STATEMENT                                               3
SECTION   2:   GOALS AND OBJECTIVES                                            3
SECTION   3:   ADMINISTRATIVE ORGANIZATION                                     4
SECTION   4:   GENERAL OFFICE PROCEDURES                                       4
               Hours of Service                                                4
               Attendance                                                      5
               Scheduling and Recording Leave                                  5
               Emergency Coverage                                              5
               Employee Work Planning and Performance Management               5
               Telephone Procedures                                            5
               Use of Phone                                                    6
               Office Dress Code                                               6
SECTION 5:     ETHICAL STANDARDS                                               6
SECTION 6:     INDIVIDUAL SERVICES                                             7
               Eligibility for Services                                        7
               Faculty and Staff Eligibility                                   7
               Initial Appointments                                            8
               Intake Procedures                                               8
               Assignment to a Counselor                                       8
               Termination of Counseling                                       9
               Maintaining Records                                             9
               Confidentiality of Client Records                              10
               Disclosure of Confidential Information without Prior Consent   11
               Release of Confidential Information to Students                11
               Disclosure of Confidential Information to Third Parties        11
               Disclosure Pursuant to Judicial Order                          11
               Disclosure for Research Purposes                               12
               University Withdrawal Procedures                               12
               Academic Counseling, Information and Regulations               13
               Course Credit by Examination                                   14
               Career Counseling                                              14
               Changing a Major                                               14
               Personal Counseling                                            15

SECTION 7:      GROUP SERVICES                                                       15
                New Student Orientation                                              15
                New Student Informational/Freshman Interview Program                 15
                Drug/Alcohol Groups                                                  16
                Personal Growth Programs                                             16

SECTION 8:      SPECIAL TREATMENT ISSUES                                             16
                Hospitalization                                                      17
                Voluntary Hospitalization                                            18
                Procedures for Voluntary Hospitalization                             18
                Involuntary Hospitalization                                          18
                Procedures for Involuntary Hospitalization                           19
                Student Return to the University After Psychiatric Hospitalization   19
                Procedure to File Commitment                                         20
                Mental Health Student Conference                                     22
                Child Abuse Reporting                                                25
                Elder Abuse Reporting                                                25
                Responding to a Subpoena                                             26

SECTION 9:      TESTING SERVICES                                                     26
SECTION 10:     CONSULTATION AND TRAINING SERVICES                                   27

SECTION   11:   STAFF DEVELOPMENT                                                    27
SECTION   12:   RESEARCH                                                             27
SECTION   13:   QUALITY ASSURANCE                                                    28
SECTION   14:   ANNUAL REPORT                                                        28
SECTION   15:   Internship Program Overview                                          29
SECTION   16:   APPENDICES                                                           33
                1.    Emergency Manual
                2.   Clinical Services Forms
                3.   Leave Request
                4.   Minor Consent Form
                5.   Intern/Practicum/Shadow Graduate Student Forms
                6.   Drug Education
                7.   Client Satisfaction
                8.   University Withdrawal
                9.   Annual Report
           North Carolina Agricultural and Technical State University

                                     Counseling Services

                            POLICIES AND PROCEDURES


The purpose of Counseling Services is to assist students in accomplishing their personal,
academic and career goals through counseling, testing and enrichment programs. To accomplish
its mission, Counseling Services has a well developed set of goals that are consistent with the
mission of the University and the goals of the Student Affairs Division.


Provide high quality individual and group counseling services to students who may be
experiencing psychological, academic, career or behavioral difficulties.

    New students are contacted by Counseling Services by September 30th of each year to
     inform about services and upcoming significant dates.
    Academic/career/personal counseling sessions are conducted with students on a daily basis.

Provide programming focused on the developmental needs of students to maximize the students’
potential to benefit from the academic environment.

    Conduct four (4) one-half day life skills seminars during the academic year
    Serve as liaisons to Housing and Residence Life and Academic Departments

Provide testing and evaluative assessment services to help foster student self-understanding and

    Plan a calendar of all testing programs indicating proctors by September l of each academic
    Inform students with learning difficulties about services available to them for

Provide professional development opportunities for staff including in-service training programs,
workshops and other continuing education activities.

    Staff is to attend at least one professional meeting, workshop or seminar for self-enrichment.
    Hold weekly staff meetings.
    Plan at least one In-Service Training Conference monthly during academic year
Provide consultative services to the Institution to make the environment as beneficial as possible
to the intellectual, emotional and physical development of students.

    Counselors conduct consultation sessions with departments/etc. each year (ex. Study Skills,
     Time Management, and other Special Programs).
    Counselors will provide institution training on mental health issues impacting university

Conduct research, planning and training programs that will be responsive to internal as well as
external needs of the university campus.

 All outreach programs are evaluated after each presentation; and each revised or eliminated
  each academic year.
 Present IRB approved research at national professional conferences

The organizational components include the Vice Chancellor for Student Affairs who is the
governing and administrative authority for all aspects of Student Services and the Director of
Counseling Services who is responsible for the direct administration, clinical component,
supervision and coordination of all counseling services and programs. Other responsibilities of
the Director include selecting and supervising the following professional student affairs
personnel to assist with the planning, organization and implementation of programs and services.

The Assistant Director is responsible for assisting in the management, coordination and
supervision of Counseling Services functions, programs and services.

Seven Clinical Counselors are responsible for providing counseling which includes: personal,
academic, educational, and career counseling and assessments and appraisals for individual

Hours of Service

Counselors will be available to see students during the hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday.


All staff members are encouraged to inform the receptionist or Counselor on Duty (COD) when
they leave the office area. If staff is late or absent from work, please call the office. Staff is
encouraged to call within a half-hour following his/her designated arrival time.
For all leave or absences from the office, approval should be obtained from the Director or in her
absence the Assistant Director or designee. In addition, the Receptionist should be notified. If
the Director, Assistant Director or designee are away from the office, and the leave constitutes an
emergency, the receptionist or a counselor should be notified. Tardiness when phoned to the
Office should follow the same basic procedures as outlined above.

Scheduling and Recording Leave

Leave may be taken (if possible) when it will least interfere with the efficient operation of the
Office. The employee must submitted the Notice of Leave Form (see appendix) and it has been
approved in advance by the Director.

Individual leave records should be recorded on the Employee Leave Record forms found in
Banner ( and submitted

Emergency Coverage

During daytime business hours, the Director, Assistant Director, or a counselor will respond to an
emergency situation. After hours, the Director and the Assistant Director are available for
emergency response.

Employee Work Planning and Performance Management

In accordance with State policy, the Director will establish and maintain an annual work and
performance management plan for each SPA employee under her supervision. This is a
mandatory program for all SPA employees as directed by the State Personnel Commission.

Telephone Procedures

The appropriate procedures for answering the telephone are listed below for your convenience.
Answer by saying “Counseling Services, this is [your name]. How may I help you?”

   Always answer the telephone in a polite and courteous voice.
   The telephone should be answered by the second ring.
   Keep a positive tone in your voice.
   If caller is to be placed on hold, inform caller they will be placed on hold.
   If caller is on hold for 30 seconds, check back on them and let them know you are still
    assisting them.
   If caller is kept on hold for longer than one minute, check back and ask caller if they want to
    continue to hold or if they prefer being called back.
   If caller needs to be assisted by another department, provide caller with the appropriate
    department telephone number and inform the caller that you will transfer them to the
    appropriate department (where possible)
   Please take and deliver accurate messages.
Use of Phone

All staff members are expected to limit personal phone calls to those which are essential to
completing their job requirements. Any personal long distance calls should be charged to a phone
card or made from a personal cell phone. Should emergency circumstances arise which
necessitate a personal long distance phone call, staff should notify the Director/Assistant Director
and make arrangements to reimburse the State. An itemized phone bill for each phone line in the
Counseling Center is obtained each month from the Telecommunications Department of the

Office Dress Code

Although there is not a standard office dress code, professionalism should be taken into
consideration when preparing for work. Overall hygiene is very important, with good grooming
as the finishing touch. Appropriate dress suitable for a professional office setting is also highly
recommended. Each staff member is encouraged to project a professional image that will reflect
favorably on the Office of Counseling Services as well as the University.


The counseling staff functions in accordance with the highest ethical standards. Situations
presenting ethical issues or dilemmas are reviewed carefully, occasionally involving outside
consultation, and are resolved in accordance with recognized professional codes. The published
ethical code of the American Counseling Association, National Association of Social Workers,
and the American Psychological Association are the accepted standards of ethical conduct for the
Office of Counseling Services. A copy may be obtained through the Counseling Services web
site (

Counselors may engage in limited private counseling practice that does not interfere with
meeting obligations to the University. Counselors may not see North Carolina A&T currently
enrolled students in their private practice. As part of that practice, counselors do not seek to
limit, decrease or extinguish campus counseling services for the benefit of the private counseling
practice and likewise, counselors do not use their employment to gain favors or special treatment
for their private practices.

Counselors do not conduct private practice during their employment hours or conduct private
counseling sessions with private clients in the campus office facilities, or use campus equipment
in counseling private clients. Students are not charged fees when they are counseled in the staff
member’s employment capacity, and counselors never allow time their private counseling duties
to conflict with or prevent full discharge of responsibilities as University employees.

The Counseling Services’ staff affirms and supports policies regarding affirmative action, sexual
harassment, and grievance procedures. The Counseling Services’ staff does not discriminate
against clients on the basis of race, color, religion, marital status, national origin, ancestry, sex,
sexual orientation, physical or mental handicap, medical condition, status as a veteran or disabled
veteran, age, or citizenship.


Eligibility for Services

Counseling Services offers a variety of services to help all currently enrolled North Carolina
A&T State University students address challenges and difficulties they may face. Our services
are designed to help students understand themselves better, create and maintain healthy
relationships, improve their academic performance and make satisfying career and life choices.
We are dedicated to helping our students by providing brief counseling from a wide spectrum of
services. Those include individual and group counseling, outreach and consultation, training and
supervision, teaching, psychological testing, and research. If more intensive or specialized care is
needed, we will assist with making referrals to healthcare providers in the community.

With a signed consent form (see appendix), family members of currently enrolled NC A&T’s
students are eligible for a 1-2 time family consultation(s) with the student when the rendering of
such service is advantageous to the welfare of the student. The family member(s) are not eligible
for individual or couple counseling, but may meet with a counselor for purposes of obtaining a

Faculty and Staff Eligibility:

          Faculty and staff may consult with or be consulted by the counseling staff regarding
           generalized student concerns or specific situations involving students (subject to the
           policy on confidentiality).
          Faculty and staff may be seen on an emergency basis for one interview for personal
           crisis intervention or consultation, or referral to community resources.

For reasons of professional responsibility, in the case of students who have just separated from
the University, eligibility may be extended for not more than three (3) sessions. Any such
extensions of eligibility must be clearly justified.

    Inquiries and requests for service made by the general public usually come by telephone.
     Such calls are handled carefully as a public service, and for the sake of positive public
     relations. Callers are usually directed to appropriate agencies or other community referrals.
     On occasion, as dictated by humanitarian aims and professional ethics, a staff member may
     offer a consultation to a non-eligible person who is in crisis and distress, with the goal of
     assisting for an appropriate referral to community resources. This very infrequent situation
     may occur when a confused and distressed person suddenly appears or telephones for help.
Initial Appointments
Students usually schedule appointments in advance by visiting or telephoning Counseling
Services. Walk-in and emergency appointments are also available. At the time of the first
appointment, students are requested to read the Confidentiality/Rights and Responsibilities
Information and complete the Personal Data Form (See Appendix).

Intake Procedures
The receptionist will assist walk-in students. Below are the intake procedures to be followed:

When students arrive at the office requesting services, the receptionist will determine the
students service need (e.g. testing, withdrawal, counseling) and inform the counselor-on-duty
(COD) of the student’s service request. Students will be asked to complete the required intake

When the paperwork is complete, the receptionist will give the completed paperwork and the
client’s chart to the counselor (see Maintaining Records for information on paperwork).

Assignment to a Counselor

If the student requests to see a specific counselor, that request will be honored to the extent
possible within scheduling limitations.

Students who are referred or who walk-in on an emergency basis will be seen immediately by the
COD or first available counselor. The Director/Assistant Director may be consulted in
determining a course of action.

If after seeing a counselor, a student requests a different counselor, the following procedure

If the student has had one or more sessions with a counselor, the counselor will present this
request at the next case disposition meeting. After reviewing the case and this request can be
met, the client will be assigned to different counselor. If request cannot be met and or the
counselor is uncertain about the appropriateness of continued treatment, the Director/Assistant
Director will meet with the student for further evaluation of the request.

If a counselor determines that a psychiatric evaluation, medical evaluation or consultation is
indicated, the counselor will consult with colleagues or the Director/Assistant Director and make
appropriate referrals to Sebastian Student Health Center.

If a counselor determines that a student needs services not provided by the University, it is
incumbent upon the counselor to locate the appropriate service provider in the community and
make a referral. Efforts should be taken to make sure that the student makes contact with the
referral agency.
Termination of Counseling

Services may be terminated for the following reasons:

   Student’s need cannot be met by existing services. In such cases, every effort will be made
    to provide appropriate referral.
   Student has used services to the limits as currently structured, 20 or less sessions during the
    academic year. In such cases there should be a consultation with the Director.
   Student has failed to attend two scheduled appointments without appropriate notification.
    Counseling services can be reinstituted once the student has discussed the missed
    appointments with his/her counselor and a clear commitment to attending additional
    sessions have been established.
   Student is concurrently in treatment with another mental health provider, and efforts to
    coordinate treatment are not successful.

Maintaining Records

Client Files
A chart is created for all students seen for an intake interview for the following reasons:
        1. Individual counseling (academic, career, personal, life skills/personal growth)
        2. Psychological Testing and assessment services
        3. Group Counseling
        4. Consultation Record

A chart will not be generated for students seeking Withdrawal services. The Withdrawal process
is considered an administrative procedure, not a counseling procedure. A copy of the Official
Student Withdrawal Form is made when the student initiates the withdrawal process with
Counseling Services. An original “pink” copy of the Withdrawal Form is kept for seven (7) years
as record of the withdrawal after the withdrawal has been completed and processed.

At times, a student may be seeking counseling during the withdrawal process. Under these
circumstances, the withdrawal process is considered a counseling session. A session note is
generated and a chart is created. A copy of the Withdrawal Form is included in the chart.

A confidential clinical record documenting the student’s treatment is kept for a period of seven
(7) years after treatment has terminated. ACA, NASW, and APA guidelines are followed for
documenting clinical notes.

Filing Procedures
All personal client files should be kept in the central filing cabinet located in the main office.
Files or any materials that belong in the files are not to be removed from campus. Files should be
locked at the end of the work day and over weekends.
Electronic File Contents-
When students are seeking counseling services (personal, academic, career, etc), the electronic
record will contain the following forms:
       1. Disposition Form
       2. Counseling Information and Agreement Form
       3. Intake Form (completed by the student)
       4. Intake / Evaluation Form (completed by counselor)
       5. Mental Status Evaluation and Report
       6. Checklist of Suicide Risk Factors, Suicide Risk Assessment Summary
       7. Chemical Uses Care Formulation
       8. Correspondence
       9. Progress Notes
       10. Consent to Release/Exchange Information
       11. Termination Summary
       *Contact list is generated by Titanium. All forms are provided in the Appendix.

Confidentiality of Client Records

This policy follows and is subject to the general University Policy.

Records are collected and maintained to aid in serving clients, while at the same time protecting
clients’ privacy and fulfilling the professional responsibilities of confidentiality. No information
is a matter of public record, including the names of clients utilizing counseling services. Official
records of the service may include the following information:

   Appointment records for individual, couple, and group sessions
   Demographic data supplied by the client on the Personal Data Form
   Intake assessment provided by the counselor on the Intake Report
   Summary notes of each client contact, dated and signed by the counselor
   Any release of information signed by the client and copies of correspondence pursuant to
    that release of information
   Copies of any correspondence with or about the client
   Any document required by law

Counseling services are confidential, in keeping with ethical standards of the American
Counseling Association, National Association of Social Workers, and the American
Psychological Association. No information is released to outside parties without the client’s
written consent, except as noted in the Disclosure of Confidential Information without
Consent section below.

All persons using Counseling Services are advised in writing of the specific legal limits of
Disclosure of Confidential Information without Prior Consent

Information may be released from client records to appropriate persons in connection with an
emergency if the knowledge of such information is necessary to protect the health and safety of a
client or other persons.

   Counselors have a legal responsibility (Tarasoff vs. Regents of the University of California)
    to follow procedures for dealing with potentially violent behavior on the part of the client.
   Counselors have an ethical responsibility to follow procedures for dealing with potentially
    suicidal behavior on the part of the client.
   Counselors have a legal responsibility to report to the local police authority and juvenile
    police authority or to the county child protective services, any cases of child abuse reported
    by clients.
   Counselors have a legal responsibility to report suspected dependent adult or elder abuse.
   The guidelines for releasing information under these special circumstances are outlined in
    Section 8 “Special Treatment Issues”.

Release of Confidential Information to Students

Client access to records:

Within a period of five (5) working days following receipt of a client’s written request, the client
may inspect or obtain copies of his or her official record unless it is determined that there could
be a substantial risk of significant adverse consequences if the client has access to the record or
specific portions of the record.

Disclosure of Confidential Information to Third Parties

A Consent to Release/Obtain Information Form is provided for clients requesting release of
information gathered in the course of counseling to other appropriate mental health professionals.
The form is valid for a maximum of one year from the date signed and includes:

   The individual or agency to who the information is to be made available.
   The data or information to be released.
   The client’s signature. (Telephone requests for release of data will not be honored; however,
    email requests from students will be honored).

Disclosure Pursuant to Judicial Order

Confidential information may be released if properly subpoenaed pursuant to a judicial
proceeding. In such proceedings, the University notifies the student prior to compliance. Every
effort will be made to retain the confidentiality of records in the client’s best interest.
Disclosure for Research Purposes

Students participating in research studies conducted by Counseling Services will be informed of
the safeguards against disclosure in the research design. Research studies of this nature demand
proper student knowledge and consent.

University’s Withdrawal Procedure

                                 PROTOCOL FOR WITHDRAWAL

Regular Withdrawal (within withdrawal time period and with or without financial credit*)
(Completed and processed at the discretion of the Student and before the withdrawal
deadline date)

       ■ The Student completes required intake forms and Official Student Withdrawal
         Form in the Office of Counseling Services.

       ■ A Clinical Counselor at Counseling Services conducts an Exit Interview according to

              a.      Find out the reason the student is withdrawing in order to ascertain
                      whether, with assistance, the student can remain at the University and
                      work through the concerns.
                      Also find out the last date the student attended classes or whether the
                      student has attended classes at all (this would have a bearing on the
                      financial credit issue).
              b.      If withdrawal is warranted, the counselor disseminates information
                      relative to the withdrawal process and consequences of the withdrawal—
                      academic requirements (grade point average, attempted hours versus
                      earned hours, academic standing), financial aid, readmission, how housing
                      is affected, etc.
              c.      Determine what the student's plans are relative to returning to school (will
                      return the next semester, go to school closer to home, Community College,
              d.      Guide the student through the steps required to properly process the
                      Withdrawal Form (what signatures are required, locations, & etc.).
Regular, Administrative Withdrawal ( within time period and with or without financial
credit) Completed in Counseling Center and signed by Administrator (Director of Counseling)
in the absence of the Student from campus.

    ■ Student Official Withdrawal is completed by Counseling Services Staff (via
      telephone, letter, A&T faculty/staff referral, & etc.) because the student is not
      physically able (due to location or medical state) to come to A&T and/or into the
      Counseling Office to initiate the withdrawal.
    ■ Counseling Staff person obtain identifying information of person (name, telephone
      number, relationship to student, etc.) initiating the withdrawal.
    ■ The Director of Counseling Services signs as administrator and for Chair and Dean
      in the appropriate places on the Form. A copy of the form is forwarded to the
      department of the student's major.
    ■ If the student has on-campus housing, clearance signature from Housing and Residence
      Life is secured.
    ■ Signature is also secured from the Vice Chancellor for Student Affairs.
    ■ Finally the Official Student Withdrawal Form is sent to the Treasurer's Office via
      Treasurer’s Office staff or campus mail for completion of the processing of the form.

* Financial Credit is determined by the number of weeks of attendance before withdrawal.
Retroactive Withdrawal (Completed after-the-fact, any date after the deadline date to
withdrawal when there are clearly documented extenuating circumstances, i.e.: illness,
hospitalization, student was validated but never attended, etc)

       (Initiated in the Counseling Services Office but is processed with the approval and at
       the discretion of the School Dean and with signature of Vice Chancellor for Academic

       The exception is, if the student was validated but never attended school. The Counseling
       Services Director, designated by the Vice Chancellor for Student Affairs, conducts the
       Appeal for Financial Credit investigation and completes the Official Retroactive Student
       Withdrawal Form (noting that the student "never attended") with signature from the Vice
       Chancellor for Student Affairs.

Academic Counseling, Information and Regulations

Academic counseling is provided to students who report that they cannot concentrate, do not
know how to study, are failing courses, have poor academic averages and seek assistance in
discovering and overcoming the causes of such difficulties. Clinical Counselors in the office of
Counseling Services will provide academic skills training.
Course Credit by Examination

Credit may be earned by examination for any undergraduate course for which a suitable
examination has been adopted or prepared by the department granting the credit. The student
receives the grade “CE” and regular credit for the number of hours involved. However, the credit
hours are excluded in computing the student’s grade point average.

Credit may also be granted for the successful completion of standardized tests under the College
Level Examination Program (CLEP), as approved for specific courses by University departments.
Fees for CLEP and other standardized examinations are determined externally, rather than by the
University. These credits are treated as transfer credits. Questions about the program may be
addressed to the Office of Admissions or the Office of Counseling Services.

Career Counseling

Career counseling is available to students who wish to appraise their talents and interests and to
select a program of study or major appropriate to their career or personal objectives. Clinical
Counselors assist students in choosing an appropriate major, changing majors, and finding
occupational information related to the major through utilization of interest inventories, printed
and computer materials to assess interests, values and aptitudes.

Changing a Major

Students may transfer from one department/school of the University to another with the written
approval and acceptance of the Deans’ of Schools involved. The proper forms on which to apply
for such a change are obtained from the Office of the Registrar and executed at least six weeks
prior to the beginning of the semester in which the student plans to transfer. When such a transfer
is made the student must satisfy the current academic requirements of the school and/or
department to which the student transfers.

   When a student decides to change his/her “major” he/she needs to obtain a “Change of
    Major” Form from the Office of the Registrar in the Dowdy Building. The Change of Major
    Form must be signed by the Department Chairperson, Dean of the School that the student is
    leaving, and by the Department Chairperson and Dean of the School that the student is
    joining. The student must then turn the completed Form in to the Office of the Registrar
   The student should get a copy of the new Department’s curriculum. Once a major is decided
    on, the student will be assigned an advisor. An appointment should be scheduled as soon as
    possible to map out a four-year plan.
   If a student is making a radical switch to another discipline, he/she should schedule an
    appointment with the new Department Chairperson to discuss the reason for change and the
    requirements of the new degree program.
   Counseling Services can offer students assistance by administering a career Interest
    Inventory to identify career interests and discussing the reasons for the switch in majors, i.e.,
    the student’s strengths and weaknesses, long-range goals, desired standard of living
    concerns, such as job location, etc..
    REMEMBER: A student is required to declare a major at or before completing 45 semester
     hours. If a major is not declared, the student may not be allowed to register for the next

Personal Counseling

Personal counseling is available to students who have personal concerns and emotional
difficulties that may interfere with effective learning. Counseling Services provides a safe,
confidential environment where students can explore issues of concern, gain awareness and
insight, and become increasingly active in taking charge of their life.

Individual Counseling

Individual counseling is the core component of the Office of Counseling Services. Most students
require only short-term counseling (5-7 sessions), but others continue for long-term therapy.
Future therapy will be determined by therapist/student based on need and resources.

Group Counseling

When several students present similar concerns, a counselor may choose the group approach.
Group counseling is provided on an ongoing basis with groups being formed as needed (see
appendix for Group Interest Form and information on Group Counseling).


New Student Orientation

New student orientation provides services and assistance which aid new students in their
transition to the University, expose new students to the broad educational opportunities of the
University, and integrate new students into the life of the University. The Vice Chancellor for
Enrollment Management, who is responsible for Orientation, designates the Director of
Orientation, to plan and coordinate the Orientation Program and appoints an Orientation
Committee, inclusive of staff from Counseling Services, to assist in the implementation and
evaluation of the Orientation Program.

In addition to the Orientation Program conducted at the beginning of the fall semester, the
University offers Summer Orientation Programs. The advantages of attending summer
orientation are many. Counseling Services provides an overview of services and informational
brochures. Students can meet faculty persons who will help them select courses, register for
classes prior to fall, discuss financial aid matters and pay fees.

New Student Informational Session
New freshman students face a variety of challenges during the first year. In an effort to help these
students make the transition to college, counselors schedule personal information sessions with
the students to assess their adjustment to college life.
Drug/Alcohol Groups
The Drug/Alcohol Program focuses on four components:

   Assessing level of usage and potential for addiction.
   Providing education on the physical and mental effects of the substance.
   Recognizing and preventing potential addiction.
   Creating awareness of available rehabilitative services.
   Making Referrals to outside providers for treatment as needed (see Appendix)

Students are required to:

   Attend a minimum of five weekly counseling sessions
   Actively participate in individual/group counseling sessions
   Consent to drug testing (See Appendix).

Professional standards of confidentiality are observed.

Personal Growth Programs

Counseling Services sponsors four student seminars per year on developmental topics. This
programming requires that counselors leave their office to venture into the academic and student
community to provide relevant activities, programs and services to meet the needs of the student.
Outreach programming consists primarily of a series of four one half-day personal growth
seminars on topics such as: Skills for Student Success, Drug and Alcohol Issues, Relationships,
Skills for Career Success, Communication, Diversity, Domestic Violence, and Time/Stress
Management. Workshop topics are relative to national college trends.

In addition to student seminars, counselors conduct special workshops or presentations for
campus and community groups.

Section 504 of the Federal Rehabilitation Act of 1973 affects the use of a mandatory withdrawal
for students with mental disorders and prohibits dismissing a student solely because of a mental
disorder. However, a student may be recommended for voluntary hospitalization or subject to
involuntary hospitalization for psychiatric reasons if the Director of Counseling Services
concludes, on the basis of clear and convincing evidence, that:
    (1) the student is mentally ill, as defined by the current American Psychiatric Association
        Diagnostic and Statistical Manual or its equivalent, AND
    (2) the student has acted in such a way in the relevant past as to show that the student
            a. Is dangerous to self because:
                    i. the student would be unable, without care, supervision, and the continued
                        assistance of others not otherwise available, to exercise self-control,
                        judgment, and discretion in the conduct of the student’s daily
                        responsibilities and social relations, or to satisfy the student’s need for
                      nourishment, personal or medical care, shelter, or self-protection and
                      safety; AND

                      there is a reasonable probability of the student suffering serious physical
                      debilitation within the near future unless adequate treatment is given. A
                      showing of behavior that is grossly irrational, of actions that the student is
                      unable to control, of behavior that is grossly inappropriate to the situation,
                      or of other evidence of severely impaired insight and judgment shall create
                      a prima facie inference that the student is unable to care for him/herself;

                  ii. the student has attempted suicide or threatened suicide and that there is a
                      reasonable probability of suicide unless adequate treatment is given.

                      Previous episodes of dangerousness to self, when applicable, may be
                      considered when determining reasonable probability of physical
                      debilitation, suicide, or self-mutilation.

           b.   Is dangerous to others because:

          Within the relevant past, the student has inflicted or attempted to inflict or threatened
          to inflict serious bodily harm or another, or has acted in such a way as to create risk of
          serious bodily harm to another, or has engaged in extreme destruction of property; and
          that there is a reasonable probability that this conduct will be repeated. Previous
          episodes of dangerousness to others, when applicable, may be considered when
          determining probability of future dangerous conduct.

There are times when the treatment and/or level of care that we provide at Counseling Services
are not sufficient to meet the needs of our students. When students need a higher level of care
than we are able to provide, having the student treated at an area hospital becomes a clinical

Cases in which Counseling Services may we may consider hospitalization include, but are not
limited to:
        1. A student is contemplating suicide or is threatening to seriously harm or kill self.
        2. A student is presenting with delusional or psychotic thinking and is displaying
            behavior that is grossly irrational or grossly inappropriate to the situation, or whose
            insight and judgment is impaired to the point that he/she is unable to care for
        3. The student has threatened to kill or seriously harm another individual.
        4. A student’s mental and/or emotional state has de-compensated to a point in which
            they are disabled and poses a threat to functioning in their daily life.
A. Voluntary Hospitalization
When a counselor has a reasonable belief that a person is a danger to self or others or gravely
disabled, and the student is willing to be voluntarily admitted to a hospital, the counselor will
assist the student in arranging for appropriate hospitalization.

As a rule, Counseling Services discusses the option of inpatient hospitalization when a student
reaches a threshold in which the department is unable to provide an appropriate level of care and
the student is believed to be in danger of greater harm if the student does not receive a higher
level of care. It is Counseling Services’ belief that individuals are left more empowered when
they, and sometimes along with their families, make the decision to admit themselves into a
hospital. During these critical times, Counseling Services will often obtain a release from the
student and include families in the decision making process.

Procedures for Voluntary Hospitalization

     1. If, in the clinician’s judgment, a student requires hospitalization for psychological
        reasons, immediately consult with the Director of Counseling, the psychiatrist, or the
        Assistant Director. If neither of these individuals is available, consult with another senior
        staff member for a consultation.
     2. Attempt to gain agreement from the student that hospitalization is necessary and that the
        student is willing to voluntarily go for assessment.
     3. There are several steps taken in order to facilitate a student’s hospitalization. Moses
        Cone Hospital is the agency we use to facilitate an in-patient hospitalization. They will
        assess the student as well as secure a hospital bed at an area hospital.
             a. Have student complete a Consent to Release/Exchange Information form, naming
                 the Moses Cone Hospital as the agency that is allowed to exchange release and
                 exchange information. Copy this form, keep the original and send a copy with the
             b. Call Campus Police and request an officer be sent to transport a student to the
                 Moses Cone Hospital, unless family or friend is available to transport.
             c. If the student has insurance, have the information ready for the Intake specialist at
                 the Moses Cone Hospital. If the student does not have insurance, inform the
                 intake specialist.
             d. Call the Moses Cone Hospital to notify them that we are sending a student for
                 assessment and provide information about the case.
     4. Have Campus Police transport student to the Moses Cone Hospital.
     5. Document event and include all discussions about options shared with the client, decision
        made based on what information, notes regarding consultation, and contact with other

B.      Involuntary Hospitalization
When a counselor has a reasonable belief that a person is a danger to self or others or is gravely
disabled, and that person is not willing to be voluntarily hospitalized, the counselor must initiate
involuntary hospitalization procedures for 72-hour treatment and evaluation. The counselor will
first consult with the Director of Counseling. If the Director is not on-site, the University
Psychiatrist should be consulted.

There are times when a student will decide not to admit him/herself, yet present an imminent
threat to self or others. That is, the student has made it clear that the student intends to commit
suicide, commit homicide, or engage in an activity that poses a threat of serious harm to self,
others or the University facilities. During these times, Counseling Services may make the
clinical decision to involuntarily commit the student.

The process of involuntarily hospitalizing an individual is a serious matter made with great
consideration. This process involves the loss of civil freedom and rights by the individual. This
process is always used as a last resort and only after all other reasonable measures and steps have
been taken and/or considered. Involuntary hospitalization is used only as a means to preserve
and protect a student’s life, the life of other individuals, or property.

Procedures for Involuntary Hospitalization
In order to be involuntarily hospitalized, a student must be dangerous to self or dangerous to

Emergency Hospitalization

N.C. General Statute 122C-262 permits, when a student is:
(1) mentally ill,
(2) dangerous to self or others AND
(3) requires immediate hospitalization to prevent harm to self or others,
that student may be transported, without a petition for commitment or a magistrate or court order,
directly to a hospital to undergo an examination by a physician or eligible psychologist. This
emergency hospitalization option should be used only in clear cases of the need for immediate
action to prevent harm.

Upon return to the University after a psychiatric hospitalization, voluntary or involuntary, or a
voluntary withdrawal due to psychiatric reason, the student must be reassessed. In such
instances, the following occurs:

               1. Counseling Services will generate a letter informing the student that the
                  following procedures must be completed in order to return to the University:
                      a. The treating psychiatrist or psychologist must complete the Treating
                         Doctor’s Re-Enrollment Questionnaire.
                      b. The student will need to participate in a face-to-face interview with the
                         Director of Counseling Services, the Assistant Directors of Counseling
                         Services, and/or the University Psychiatrist before returning to the
                      c. The student may be asked to meet with the Student Mental Health
                         Conference, Section C below, to discuss concerns about the student’s
                      d. In the case of a student withdrawal or suspension, the student must
                         then apply for readmissions through the Office of Admissions.

Procedure to File for Commitment
Medical doctors and licensed psychologists can FAX the petition to the Magistrate.

       1. Between 8:30am and 4pm, Monday through Friday.

           Psychologists and Physicians
                  COMMITMENT form (form AOC-SP-300). Providing a local address where
                  the Respondent (individual whom you are petitioning to have committed) is
                  residing is critical. This address must be accurate in order for the police or
                  sheriff to be able to locate and detain them.
              2. Contact the Magistrate at the Civil Magistrate’s Office and inform them that
                  you intend to FAX a petition for involuntary commitment. (336) 412-7855
                  between 8:30am and 4:30 pm Monday-Friday, the Magistrate’s office is
                  located in the Guilford County Courthouse 201 South Eugene Street, room
              3. Complete and FAX a notarized copy of the AFFIDAVIT AND PETITION
                  FOR INVOLUNTARY COMMITMENT(form AOC-SP-300) (336) 335-3445
              4. Call Magistrate to verify receipt of paperwork. (336) 412-7855

                  COMMITMENT form (form AOC-SP-300). An address of the Respondent
                  (individual whom you are petitioning to have committed) must be accurate in
                  order for the police or sheriff to be able to locate and detain them.
              2. Contact the Magistrate at the Civil Magistrate’s Office and inform them that
                  you intend to file a petition for involuntary commitment. (336) 412-7855
              3. Individuals who are not licensed psychologist or physicians must appear
                  before the Magistrate and provide, under oath, information necessary for the
                  petition. The Magistrate’s office is located in the Guilford County Courthouse
                  located ate 201 South Eugene Street, room 214.

       2. Between 4pm and 8:30am, Monday through Friday, Saturday and Sunday, and

           Psychologists and Physicians
                  COMMITMENT form (form AOC-SP-300). Providing a local address where
                  the Respondent (individual whom you are petitioning to have committed) is
                  residing is critical. This address must be accurate in order for the police or
                  sheriff to be able to locate and detain them.
               2. Contact the Magistrate at the Civil Magistrate’s Office and inform them that
                  you intend to FAX a petition for involuntary commitment. (336) 412-7855
                  Between 4pm and 8:30am Monday-Friday, Saturday and Sunday and
                  Holidays, the Magistrate’s office is located in the lower level of the Guilford
                  Detention Center (Jail) located at 401 West Sycamore Street.
               3. Complete and FAX a notarized copy of the AFFIDAVIT AND PETITION
                  FOR INVOLUNTARY COMMITMENT(form AOC-SP-300) (336) 335-3446
               4. Call Magistrate to verify receipt of paperwork. (336) 412-7855

                  COMMITMENT form (form AOC-SP-300). An address of the Respondent
                  (individual whom you are petitioning to have committed) must be accurate in
                  order for the police or sheriff to be able to locate and detain them.
              2. Contact the Magistrate at the Civil Magistrate’s Office and inform them that
                  you intend to file a petition for involuntary commitment. (336) 547-4310
              3. Individuals who are not licensed psychologist or physicians must appear
                  before the Magistrate and provide, under oath, information necessary for the
                  petition. Between 4pm and 8:30am Monday-Friday, Saturday and Sunday and
                  Holidays, the Magistrate’s office is located in the lower level of the Guilford
                  Detention Center (Jail) located at 401 West Sycamore Street.

When this procedure is complete, the Magistrate may issue a commitment order in the county
where he or she has jurisdiction, if the subject is a resident of the county or can be currently
found in the county.

Once the petition is approved, it is considered to be a warrant that authorizes a law enforcement
officer to take the respondent into custody and transport him to a locally designated facility for


               1.      The Director of Counseling Services and/or the University Psychiatrist
                       may, based on their clinical assessment, initiate a Student Mental Health
                       Conference. The focus of this conference will be to determine if the
                       student is ready and able to undertake the psychological, emotional, social
                       and academic rigors of the unstructured and sometimes stressful university
                       environment. The conference will include, but is not limited to, the
                       Director of Counseling Services, the University Psychiatrist, the Dean of
                       Students, and the Director of Disability Services. The student may or may
                       not be asked to be a part of this conference.
2.   The Dean of Students may require a student to participate in a Student
     Mental Health Conference when an alleged violation of the Student
     Conduct Regulations (misconduct prohibited by the University) has
     occurred in which the student demonstrates evidence of a physical and/or
     emotional condition which would preclude an effective resolution of the
     situation through the judicial conduct process. Any student who
     participates in a Mental Health Conduct Conference is entitled to the same
     rights and has the same responsibilities as any other student who
     participates in any other judicial conference, hearing or appeal. All
     university judicial procedures and guidelines apply to Mental Health
     Student Conferences.

     Once a determination is made by the Dean of Students (based on the
     incident report) to refer the student to a Student Mental Health
     Conference, the conference will be scheduled with the student, the
     Director of Counseling Services, the University Psychiatrist and the
     Director of Disability Support Services, all of whom will serve as hearing
     officers. The Dean of Students will preside over the conference.

     If it is determined that the student accepts responsibility or is found
     responsible for the violation(s), the Dean of Students in collaboration with
     the University Psychiatrist and Director of Counseling will determine an
     appropriate intervention/sanction(s). The Dean of Students may impose
     any sanction provided for in the Student Conduct Code. A student found
     responsible for violating the Code of Student Conduct after a Student
     Mental Health Conference may appeal the decision to the Vice Chancellor
     for Student Affairs in the same manner as provided in the Student Conduct
     Code (see basis for Appeal and Appellate Procedures in Student

     In the event that a determination is made that a student should not remain
     in school and/or in campus housing, there will be no academic penalty for
     the term in which the student is enrolled. Any student dismissed from
     school, in accordance with this policy, will be advised in writing of the
     procedure for applying for readmission to the University.
                    North Carolina Agricultural and Technical State University

                                        Re-Enrollment Questionnaire

Instructions: This form is to be completed by the treating psychiatrist, other M.D., licensed
psychologist, or other qualified mental health provider. Please respond to the questions listed
below and attach a brief statement of recommendation for re-enrollment and a treatment
summary on your office letterhead. Send the completed form and statement directly to the
following address:

                                            North Carolina A&T State University
                                            Office of the Dean of Students
                                            206 Murphy Hall
                                            1601 East Market Street
                                            Greensboro, North Carolina 27411

                                   PLEASE RESPOND TO ALL QUESTIONS

Full name of patient:_________________________________________________

Please check your title:
    □ Psychiatrist
    □ Other M.D.
    □ Licensed Psychologist
    □ Licensed Clinical Social Worker
    □ Licensed Professional Counselor
    □ Other: ________________________________________________

Did you provide treatment for the above named patient?          ___Yes ___No

How many treatment sessions have you provided for the patient (relating to this matter)? ___

Has the above patient completed treatment?            ___Yes ___No

Are you continuing to provide treatment?              ___Yes ___No

If not, was treatment terminated with your approval? ___Yes ___No

When did the treatment commence? ______________                 Conclude? _____________

If the patient has not completed treatment, how frequently will the patient need to see you?

If the patient is continuing treatment with you or someone else, do you believe he/she would be able to function
appropriately as a student at this University without that continued treatment?
                                               _____Yes          _____No
Do you consider that the patient presently, or in the reasonable foreseeable future, is likely to be danger
to himself/herself or others, or a threat to his/her own life or the lives of others?

                                         _____Yes         _____No

If yes, please explain:

Have you referred the patient for continuing treatment? ___Yes ___No

If yes, please indicate the name, address, and phone number of the individual or agency:



Why have you referred the patient for continuing treatment? ______________________

To your knowledge, are the parents and/or legal guardian(s) of the patient aware of the problems(s) for
which you have provided treatment?

                                              ___Yes ___No

Other comments:

_______________________________________                   _____________________
Signature of Treating Agent                               Date

_______________________________________                   _____________________
Name of Treating Agent (please print or type)                    Telephone Number

Address of Treating Agent

Please remember to attach a brief statement of recommendation for re-enrollment on your office
letterhead and a treatment summary. Return to: North Carolina A&T State University, Office of
the Dean of Students, 2060 Murphy Hall, 1601 East Market Street, Greensboro, NC 27411. The
student’s re-enrollment application will not be accepted for review unless it includes these
Child Abuse Report
Counselors have a legal responsibility to follow these procedures when they become aware of
child abuse. In accordance with NC state law, a counselor who knows or has reasonable
suspicion of child abuse, shall report that knowledge or suspicion to a child protective agency
immediately, or as soon as practically possible by telephone, and shall prepare and send a written
report thereof within 36 hours of receiving the information concerning the incident.

Abuse is understood to include physical injury, sexual molestation, willfully causing or
permitting a child to suffer unjustifiable physical pain or mental suffering or willfully causing or
permitting such child to be placed in a situation that endangers the child’s person or health.

Any ambiguous reporting situation, including the decision to report past abuse of a person who is
now an adult, will initiate a phone consultation with the Child Abuse Registry.

As a part of the assessment of child abuse and the reporting requirement, the counselor will
consult with the Director. This consultation will be documented and the documentation will be
retained by the Director in the Confidential Administrative File.

If it is concluded that there is indeed a duty to report, the counselor will also notify the client at
the time of disclosure. Any exception to this policy will be discussed and documented with the

Reporting Procedures are dictated by the Guilford County Department of Social Services and are
as follows:
        a.    A verbal report is made to Child Abuse & Neglect (336) 641-3795 as soon at
              practically possible.
        b.    The Report of Suspected Child Abuse form will be completed by Child
              Protective Services.

The report shall include the name of the counselor making the report, the name of the child, his
or her whereabouts, the nature and extent of the injuries or molestation, if known, and any other
information requested by the child protective agency, including what led the counselor to suspect
child abuse. The official reporting form will be used, and a copy retained in the Confidential
Administrative File.

Elder Abuse Reporting
North Carolina State Law mandates the reporting of physical abuse to an elder adult (65 years of
age and over) and dependent adults 18 to 64. It encourages persons to make reports of
exploitation, neglect and abandonment of any elderly or dependent adult 18 years of age and
over. Mandated reporters include psychologists, psychiatrists, licensed clinical social workers,
and marriage, family, and child counselors.

When there is suspicion of elder abuse, the counselor will consult with the Director to determine
whether a report should be made. In any ambiguous case, the Elder Abuse Hotline will be called
and consulted regarding the reporting responsibility.
Reporting procedures are dictated by the Guilford County Department of Social Services and are
as follows:
        a.    A verbal report is made to Adult Abuse and Neglect (336) 641-3137 as soon as
              practically possible.
        b.    The Report of Suspected Dependent Adult/Elder Abuse form will be
              completed by Adult Protective Service.

Responding to a Subpoena

In such cases, advice will be sought from the Vice Chancellor for Student Affairs and University
Legal Counsel. The goal of every such response will be to protect the client’s right to

Counseling Services provides individual tests in personality, achievement, learning disabilities,
aptitude and career interest; administers the placement tests for orientation; conducts university
testing in cooperation with school deans, department heads and faculty and provides national
admissions tests, application and information for students pursuing graduate and professional
Counseling Services is an official testing center for national testing programs. Some testing
programs included are:
  College Level Examination (CLEP)
  National League of Nursing (NLN)

In addition to national testing programs, Counseling Services conducts testing programs that are
required or desired by the University and individual departments. Those programs include:

   School of Social Work- The 16 Personality Factor (PF) and Career Occupational Preference
    System (COPS) is administered to candidates for the School of Social Work.

   Veteran & Disability Support- Learning Disabilities and ADHD Assessments.

When administering and proctoring testing programs, counselors:
 are responsible for the preparation of facilities and test administration for the room assigned.
 must be thoroughly familiar with all test administration procedures and adhere to those
 must be present at all times in each testing room.
 must account for both used and unused test materials during and after testing. Materials
   must be in a securely located area.
 read all instructions aloud to examinees exactly as they are written.
 must start test in a timely manner.
 must complete all forms, charts, and reports and return them to the center supervisor.
     should answer examinees questions; check identification, direct examinees to specific seats;
      distribute and collect test materials, walk around the room quietly and frequently to guard
      against misconduct and ensure that examinees are following directions.



Counseling Services provides and secures relevant information and resources through the use of
local, state and regional professional consultants. The Director and Counseling staff serves as
consultants to the University and the local community.


     Counseling staff are encouraged to maintain and improve their counseling skills to enhance
      their effectiveness in providing services to students.
     At least monthly, a special in-service program is arranged on a topic of relevance to current
      development needs.
     Counseling staff are encouraged to attend professional seminars, workshops and conferences
      relevant to their work functions. Release time is approved by the Director.
     Counseling Services endorses a philosophy of employee development, and encourages
      support personnel to become involved in appropriate development opportunities.
     All staff are encouraged to attend the various seminars, discussions, presentations, etc. that
      are offered on campus; work schedules are adjusted to accommodate attendance.

12.     RESEARCH

Special statistical reports, surveys, and studies are conducted by the Counseling Services Office
to provide analytical assessments of student characteristics around drugs and alcohol. This survey
is IRB approved and is administered every two years to assess drug use on the University


It is the policy of Counseling Services to attend to the quality of care provided to students.
  Supervision is a large component of Quality Assurance
  Surveys of student satisfaction and counselor evaluations are conducted 2-4 times per year to
      assess and determine need for changing patterns or techniques of service delivery (See
  Twice yearly a review of policies and procedures is accomplished at staff meetings to assure
      that counselors are aware of and comply with policies.
  Policies are reviewed and, if necessary, revised during the summer months of each year.
At the end of the fiscal year, the Director incorporates descriptive data on the Counseling
Services program into an Annual Report. Data are compared with that of previous years to detect
trends, program strengths and weaknesses, and suggestions for future goals and activities. This
report is submitted to the Vice Chancellor for Student Affairs and is available to the public.
Graduate Student Internship and Practicum Training Program. Visit Website for report:

The Counseling Services Office serves as a training laboratory for graduate students, particularly
those from the Department of Human Development and Services and other who desire to
complete their internship and practicum experiences within a professional counseling setting.
Students from surrounding colleges and universities also participate in this program.

Interested students should submit required documentation to Training Coordinator. Requirements
for these students will be determined by their program instructors and supervisors.

Intern/Practicum/Shadow Graduate Student Confidentiality Form (see Attachment)
Conflicting Relationship acknowledgement Form (see Attachment)



The Practicum/Internship Training Program in the University Counseling Services is geared
toward assisting the counselor trainee in developing a core of professional competencies or skills
that would enable the trainee to function effectively as an entry level counselor. Request for
placement should be submitted to Office of Counseling Services by November 1st for Spring
semester and May 1st for the Fall semester.


To be considered for placement the following is required:

  1.   Copy of Departmental Application for Field Placement
  2.   Resume/Vitae
  3.   One page description of professional objectives you desire during field placement
  4.   Copy of Department’s “On-Site Supervisor’s Qualifications, Rights and Responsibilities”
  5.   Copy of Liability Insurance
  6.   Interview with Site Supervisor and Director

The goals of the Practicum/Internship Program in Counseling are:

1. To expose the trainee to various counseling tools, techniques and strategies.
2. To expose the trainee to various assessment techniques and strategies.
3. To assist the trainee in his/her professional development.
4. To increase awareness of issues related to diversity and ethics.
5. To learn outreach approaches for prevention (alcohol/drugs, suicide, etc.) on a college
6. To develop skills in group therapy through observation and possible co-leadership.

Specific training and performance objectives for the practicum/internship in counseling
are as follows:


1.       The trainee will counsel at least five (5) clients with personal/social, academic or
         career concerns and be able to demonstrate use of the following skills:
        the ability to listen effectively;
        the ability to respond to verbal and nonverbal behavior;
        the ability to communicate time limits, confidentiality, expectations for client
         behavior and expectations for the counseling process;
        the ability to develop mutually agreed upon expectations and goals for counseling;
        the ability to keep/update adequate clinical notes and records
        the ability to make appropriate referrals; and
        the ability to effectively terminate the relationship

2.       The trainee will conduct a follow-up of each client's progress and discuss the
         observed behavioral changes with a professional counselor.

         Site Supervisor’s observation, review of audiotape and Trainee documentation shall
         be used to evaluate these skills.


1.       The trainee will administer and score at least five (5) career or personality
         assessments, profile and interpret to client if possible and provide a demonstration
         of such skills.

2.       The trainee will participate in at least one (1) standardized testing program and be
         able to administer and/or assist others in the administration of standardized tests.

     1. The trainee will provide at least one (1) presentation on topic assigned by site
        supervisor. This may include stress, study skills, relationships etc. in classroom or
        personal growth program.

     2. The trainee will assist with at least one (1) Counseling Services outreach initiative.


1.       The trainee will attend at least one (1) counseling related professional meeting,
         seminar, workshop or program and present information regarding the program's

2.       The trainee will attend at least two (2) Counseling Services in-service training
         conferences if provided and all staff meetings unless officially excused.

3.       The trainee will study community and University services and resource guides
         relevant to student needs and demonstrate an ability to make appropriate referrals.

4.       The trainee will become familiar with the University's Student Affairs (Student
         Personnel) Organizational Structure and be able to identify where each of the
         various areas, especially Counseling Services, fall under the umbrella-like

5.       The trainee will become familiar with the Office Computer System and be able to
         log intake data, locate information from the Student Master File and run office

6.       The trainee will demonstrate or develop at least one (1) new way of promoting or
         increasing student awareness of Counseling Services.

         All Practicum/Intern Trainees will work closely under the supervision of the Site
         Supervisor, Counseling staff and the Director of Counseling Services.



The student has the right:

to a quality training experience
to know the criteria for evaluation in the Internship
to know the expectations/procedures of the Internship
to know procedures for handling emergencies
to receive supervision
to request and receive additional supervision
to receive feedback from site supervisor
to ask questions regarding the counseling process and the correct handling of cases
to confidentiality
to reasonable accommodations


The student has the responsibility:

to become familiar with the requirements for the Practicum/internship
for attendance and punctuality at site and supervisory sessions.
to be prepared for supervisory sessions
to act professionally at all times.
for maintaining hours and logs and providing a copy for Site supervisor on a weekly basis.
to request additional supervision as needed
to inform the supervisor of client emergencies
to follow professional ethical standards
to obtain written consent from at least one(1) client for audiotape and/or observation by Site
Supervisor for trainee evaluation
to maintain the confidentiality of clients
to explain confidentiality and its limitations to client


In accordance with ADA, student will be given reasonable accommodation(s) according to
his/her disability. It is understood that students with disabilities will request
        accommodation(s) upon acceptance of placement.

Affirmation of Confidentiality
Counseling services are confidential, in keeping with ethical standards of the American
Counseling Association, and/or the American Psychological Association. No information is
released to outside parties without the client's prior written consent. All persons using
Counseling Services are advised in writing of the specific legal limits of confidentiality. (See
Appendix for Intern/Practicum/Shadow Graduate Students’ Forms).
Section 16: APPENDICES

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