The American Counseling Association ( ACA ) Website

Cultural competence and ethical responsibility of counselors is an issue that holds increasing importance. To be both multicultural and ethical is increasingly challenging. The population of the United States is changing quickly from a predominately white Caucasian society to an ethnically diverse society`. The Hispanic population, which represented only 9% of the population in 1990, is projected to increase to about 25% of the population by 2050. The number of African Americans, Asian Americans/Pacific Islanders, and American Indians/Eskimos/Aleuts will continue to increase as well (Aponte & Wohl, 2000). It has been predicted that Whites, who made up three fourths of the U.S. population in 1990, will no longer be in the majority by the

Capuzzi and Gross (2013) say there is a continual struggle for professional identity. One issue is whether counseling will develop as a united profession or as separate specialties. Other issues are multicultural counseling and social justice issues also, the organizational structure of the American Counseling Association (ACA). Remley and Herlihy (2015) address confusion about accreditation of specialties and varying state licensure and certification requirements for the Council for Accreditation and of Counseling and Counseling Related Educational Programs

As individuals, we are diverse based on the background, experience, ability, race, language, etc. which impact the lens through which we view others and ourselves. As diverse individual, we may belong to dominant or non- dominant groups. Thus, either we have power and privilege or we experience discrimination and oppression. Further, we are shelled with diversity, ethnicity, and multiculturalism issues. Counselors have some ethical primary responsibilities to respect the dignity and promote the welfare of the client (A.1.a), “honoring diversity and embracing a multicultural approach in support of the worth, dignity” and “promoting social justice” (Herlihy & Corey, 2014, p. 3)

The ACA Code of Ethics (ACA, 2014) is a critical resource for counselors involving assessment. Section E in the ACA Code of Ethics (ACA, 2014) is devoted to explaining evaluations, assessments, and interpretation. E.1. states, “The primary purpose of educational, mental health, psychological, and career assessment is to gather information regarding the client for a variety of purposes, including but not limited to, client decision making, treatment planning, and forensic proceedings” (ACA, 2014, pp.11). Counselors should only use assessment tools in which the clinician has been trained.

The purpose of the American Counseling Association (ACA), is to provide both educational and professional resources that will develop and improve the field of counseling ("American Counseling Association.", n.d.). The mission of the American Counseling Association (ACA) is to advance the growth of counselors and the counseling occupation as a means to improve society ("American Counseling Association.", n.d.). They accomplish this by encouraging the value of self-respect, self-worth, and individual varieties in counseling professionals ("American Counseling Association.", n.d.). The American Counseling Association (ACA) is governed by a president, governing council, committees and task forces ("American Counseling Association.", n.d.). There are currently 20 chartered divisions in the American Counseling Association (ACA) that cover different subspecialties of counseling ("American Counseling Association.", n.d.). The

Department of Health and Human Service (2003), stating that cultural competency is “the ability to provide services to clients that honor different cultural beliefs, interpersonal styles, attitudes and behaviors and the use of multi-cultural staff in the policy development, administration and provision of those services.” According to the National Associations of Social Workers’ (2008) code of ethics, competency is important for understanding clients and their needs. Cultural competence differs from cultural humility in that it solely provides educational information regarding diverse populations in attempts to provide quality services. Culturally humility is a philosophy that includes components of cultural competence, but also involves analyzing ones self-awareness and biases. It includes life long learning surrounding issues of cultural diversity. Cultural humility is what is strived for but for the purpose of this analysis it will focus on cultural competence as a means of educating individuals on LGBT issues in later

Over time, society has become increasingly diverse and globally connected. In order to meet the needs of an interconnected society, the American Counseling Association (ACA) endorsed the creation of multicultural and social justice competencies (Ratts, Singh, Butler, Nassar-McMillan, & McCullough, 2016). The Multicultural and Social Justice Counseling Competencies (MSJCC) were developed in order to showcase the importance of integrating MSJCC into all aspects of the counseling profession. Originally, these competencies were geared more toward majority professionals working with minority clients. However, it has become more clear that the range of diversity is endless and it is not uncommon for privileged clients to be counseled by minority counseled (Ratts, et al., 2016).

Interest in the subject of cultural and linguistic competency is beginning to reach the “tipping point” (Gladwell, 2002). Over the past two decades, there has been an “explosion” of interest in developing programs that meet the general, mental and oral health, as well as social service needs of the country’s increasingly diverse population. Cultural and linguistic competence initiatives are underway at the systems, organizational, and clinical levels in a variety of institutions. A growing number of federal agencies, foundations, and private organizations are supporting innovative educational, research, and service delivery services. The U.S. Health Resources and Services Administration (HRSA), for example, has Centers for Excellence (COEs) that use a curriculum guide for integrating cultural and linguistic competency content, methods and evaluation into existing academic programs (HRSA, 2005).

Starting this course in August, I didn’t realize the power that multicultural counseling had instilled in it. The fact that its central focus is around social justice and equality is a characteristic our society much needs today. Throughout the duration of this class, I learned about multicultural counseling as a whole, new theories that can be applied specifically to different racial/ethnic minorities, the ACA code of ethics, and who I want to be as a future counselor.

The American Counseling Association (ACA) developed the code of ethics with six principles in mind that they thought were the foundation for ethical behavior and decision making: autonomy, nonmaleficence, beneficence, justice, fidelity and veracity (American Counseling Association, 2014). This lead to the six different purposes for the code of ethics. First, it sets ethical obligations and ethical guidance for professional counselors (American Counseling Association, 2014). Second, it recognizes ethical dilemmas that are relevant (American Counseling Association, 2014). Third, it clarifies what is ethically expected and accepted of its members (American Counseling Association, 2014). Fourth, it is an ethical guide for members deciding the best course of action and expectations for conduct, when it comes to those using their counseling services (American Counseling Association, 2014). Fifth, it supports the mission of the American Counseling Association (American Counseling Association, 2014). Finally, it has standards that serve as a baseline for questions and complaints for ACA members (American Counseling Association, 2014). To fulfill the purposes of the code of ethics, the ACA categorizes the ethics into nine different areas (American Counseling Association, 2014).

It is important to be aware of one’s limitations, weaknesses and strengths in the delivery of counseling services. Taking into account the cultural values of the client, the support systems and the client’s view of the key parts of his or her makeup (the history of the client) are culture specific (because someone is of the same race does not mean that values will be the same) and does not discount the individual. Sue et al reminds us that multicultural counseling competency looks beyond racial and ethnic minorities and also includes disabilities, sexual orientation, age, and other special populations (Sue, et al, 1992).

Multicultural group counseling takes place when a counselor and/or clients are from differing cultural, race, and/or ethnicity groups. Due to the significant demographic changes that are occurring in the United States, multiculturalism is becoming increasingly important. When acting as a multicultural group counselor, it is important to modify techniques to reflect the cultural differences of the client, be prepared to deal with difficulties during the counseling process, and understand the way culturally diverse people conceptualize their problems as well how they resolve them (Gladding, 2012). In order to be an effective multicultural counselor, it is important that one is aware of their cultural heritage, understands how their cultural background affects their attitudes, values, and beliefs, recognizes the limitations of their multicultural expertise and/or competency, and identify the root of their discomfort with different clients (Gladding, 2012). One can implement these through three key aspects Gladding (2012) outlined in his book and effective leadership skills.

In a multicultural counseling perspective there are four key approaches when counseling individuals, (a) multicultural awareness of culturally learned assumptions about self and others leading to accurate assessments of clients, (b) multicultural knowledge of information, (c) multicultural skills and interventions, that are appropriate treating clients, and (d) individuals are from a variety of backgrounds, demographic status, and affiliation of cultures. The three-stage approach, will direct the counselor towards levels of multicultural competence in therapy by providing a successful outcome in the recovery process. When conducting a psychotherapy session with a client the counselor should be able to demonstrate skills, when exploring the client’s cultural background. Counselors should also be able to focus on the essential skills and pattern behaviors, when identifying cultural differences. Counseling a minority from a different culture counselors’ must be able to identify their own personal behaviors. These behaviors are crucial when counseling these individuals. First, a counselor must be able to sense the clients’ viewpoint or issue in some way. Secondly, a counselor should be specific when asking a question rather than being unclear and confusing.

This literature review was completed as an assignment for an Introduction to Counseling class at The College of New Jersey under Dr. Atsuko Seto. The use of correct APA format in both citations and general formatting, although has been evaluated prior to being turned in for grading, is not guaranteed. I would like to thank Dr. Seto and the entire Counselor Education Program at The College of New Jersey for being patient, informative, and overall very effective instructors.

Counselors must gain awareness, knowledge, and skills in counseling diverse groups of clients (Corey, Corey, & Corey, 2014). Some ways to become culturally competent include, but are not limited to, respecting religious and spiritual beliefs as well as family roles; understanding the impact of adverse social and environmental factors when assessing problems and providing interventions; and providing group members with the expectations of the group process (Corey, Corey, & Corey, 2014). In order to create a respectful, productive, and beneficial group some ways to become a more culturally competent counselor include continuing to self-reflect on my own cultural identity, values, beliefs, and biases; read about, practice and implement group interventions that have been shown to be effective with different cultural groups; gain supervision when needed; and avoid imposing my own personal worldview onto the group members (Corey, Corey, & Corey, 2014). By doing these things as well as seeking out opportunities to learn more about the various cultures that I will be working with can help to expand my knowledge of diverse groups, continue to expand my personal self-awareness, and improve my skills towards becoming a more culturally competent