Theodore P. Remley

Retention Predictors Related to Intensive Outpatient Programs for Substance Use Disorders

The purpose of this research was to expand knowledge in the current literature regarding treatment retention in intensive outpatient substance abuse treatment programs. The sample in this study participated in a hospital-based program accredited by the Joint Commission on Accreditation for Health Organizations (JCAHO) that utilized the Minnesota model. Specifically, this inquiry investigated whether treatment retention would be predicted by gender, age, employment status, number of problems on the treatment plan, whether the referral was related to driving while intoxicated (DWI), marital status, race, and whether each of the following substance problems was listed as the clients primary DSM-IV diagnosis: alcohol dependence, cocaine dependence, polysubstance dependence, opioid dependence, sedative/hypnotic dependence, cannabis dependence, other (or unknown) dependence, alcohol abuse, cannabis abuse, amphetamine abuse, and caffeine intoxication. Findings indicated that those retained in treatment, when compared to those who dropped out, had significantly more problems on their treatment plans, were more likely to be alcoholics, were less often cocaine addicts, and were more likely to be employed. The results of this study suggest that clients with this profile have increased likelihood of being retained in intensive outpatient substance abuse treatment programs.

Bullying and School Violence: A Proposed Prevention Program

Research indicates that bullies and victims are more prone to violent behavior, especially as they get older, than are their peers who are not exposed to such behavior. Implementing school-based programs that address the dangers and long-term effects of bullying episodes is a major step in preventing school violence.

Attitudes of Counselors Regarding Ethical Situations Encountered by In-Home Counselors

In recent decades, in-home counseling has gained popularity as a cost-effective method of treating individuals and families who would otherwise not have access to counseling services. Unfortunately, this treatment modality has not yet been widely researched, and educational and professional requirements for practitioners are ill defined. The unique situation of in-home counseling increases the potential for ethical challenges to arise. This survey study explored attitudes of in-home and outpatient counselors in Virginia regarding ethical situations encountered by in-home counselors. Differences between in-home and outpatient beliefs were examined. Although no significant differences were found between the two, an interesting pattern emerged regarding the ethical rating of situations related to the situation’s potential to harm the client. Findings from the study, including rankings of items are presented. Implications for the training and practice of in-home counselors are discussed.

Development and Implementation of an International Counseling Outreach Effort in Bhutan: A Group Stage Conceptualization

This article highlights the development and implementation of an international counseling outreach program in Bhutan using a group stage conceptualization that includes the initial, transition, working, and final stages. The initial stage included a counseling initiative started by one of the queens as well as meetings with key leaders from the National Board for Certified Counselors International and Bhutan. The transition stage involved developing plans for an international counseling outreach effort in Bhutan that involved formal collaborations between the two countries. The working stage included selecting counselors/educators from the United States who provided counseling/training in Bhutan. Future work is discussed, and also implications for the counseling profession.

Due Process in Dismissals: A Reflection of Our Values.

Due process hearings should not be a threat to principals who have performed their evaluation duties well, according to these authors, who suggest some steps to be taken before rec ommending dismissal.

Principal-Counselor Collaboration and School Climate.

Examining whether principal-counselor collaboration and school climate were related, researchers sent 4,193 surveys to high school counselors in the United States and received 419 responses. As principal-counselor collaboration increased, there were increases in counselors viewing the principal as supportive, the teachers as regarding one another with respect, the school community as having high yet achievable standards, and decreases in schools being vulnerable to outside influences such as vocal parents and community groups. Principal-counselor collaboration was significantly correlated to four dimensions of school climate.