Clinical Population and Agency
November 2, 2018
create a practice plan that will prepare you to take your place as a clinical mental health counselor who serves a selected population in your community.
November 2, 2018

Creating a Professional Disclosure Statement

Review the professional disclosure statement on pages 70–73 of your text, Orientation to the Counseling Profession, which you originally read for part of your Unit 1 studies, and complete the Internet search for other professional disclosure statements described in this unit’s studies if you have not already done so.

Imagine that you are a fully licensed independent counselor working in the specialization you aspire to, and create a professional disclosure statement of your own. Include general headings such as:

· Experience.

· Nature of Counseling.

· Referrals.

· Cost and Fees.

· Treatment Modality.

· Records and Limits to Confidentiality.

· Emergency Protocols.

Post a copy of your professional disclosure statement in the discussion area. You will refine this statement many times through the years; this will be your first draft.

Response Guidelines

Respond to a learner who has posted a disclosure statement that contains content that differs from yours and note these. What can you incorporate from his or her statement that can help strengthen the content of your contract?

Review other learners’ professional disclosure statements for ideas of how you could improve your own. Use the feedback you obtain from your peers and your professor to polish the professional disclosure statement that you include in the Practice Plan assignment due at the end of this unit.


· Discussion Participation Scoring Guide.

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