Assessment in Counseling - Danica G. Hays - E-Book

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Danica G. Hays

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Beschreibung

This best-selling text explains the basic principles of psychological assessment and measurement and guides students and practitioners in the appropriate selection, interpretation, and communication of test results. Danica Hays introduces more than 150 assessment instruments used to evaluate mental health, intelligence, career development, wellness, personality, and interpersonal relationships. This latest edition covers new or expanded content on assessment use in schools, colleges/universities, and telehealth platforms; interprofessional collaboration to support assessment practices and procedures; qualitative assessment approaches and how they can be infused throughout counseling and assessment; cultural and social justice considerations and practices; and crisis and trauma assessment.

Numerous in-text features facilitate teaching and learning, including chapter pretests, trainee-centered reflective and field activities, practitioner perspectives, tip sheets on major concepts and practices, sample assessment items and tools, and case examples. A supplemental Instructor’s Guide is available by request that consists of a test bank, PowerPoint slides, and a sample syllabus.

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Table of Contents

Cover

Title Page

Copyright Page

Dedication Page

Preface

Council for Accreditation of Counseling and Related Educational Programs: 2024 Standards and Corresponding Chapters

Acknowledgments

About the Author

Section I: Foundations of ASSESSMENT in Counseling

Chapter 1: Use of Assessment in Counseling

Introduction to Assessment

Key Assessment Terms

Purpose of Assessment in Counseling

History of Assessment

Key Questions for Selecting Assessments

Assessment Usage in Counseling Settings

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 2: The Assessment Process

Assessment Methods

Types of Assessments

An Overview of the Assessment Process

Monitoring Client Progress and Evaluating Counseling Outcomes

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 3: Ethical, Legal, and Professional Considerations in Assessment

Core Values for Effective Assessment

Standards and Guidelines for Evaluating Assessments and Usage

Key Ethical and Legal Considerations in Assessment

Key Professional Issues in Assessment

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 4: Multicultural and Social Justice Considerations in Assessment

Multicultural and Social Justice Counseling Competency and Assessment

Fairness and Cultural Bias in Assessment

Cultural Factors in Assessment

Multicultural and Social Justice Assessment

Culture-Fair Tests

Dynamic Assessment

Chapter Summary

Review Questions

Resources for Further Learning

Section II: Key Measurement, Statistical, and QUALITATIVE Concepts

Chapter 5: Understanding and Transforming Raw Scores

Scales of Measurement

Raw Scores

Measures of Central Tendency

Measures of Variability

Characteristics of Data Distributions

Norms and Ranks

Standard Scores

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 6: Measurement and Qualitative Assessment Concepts

The Correlation Coefficient

Reliability

Validity

Trustworthiness

Assessment Development

Chapter Summary

Review Questions

Resources for Further Learning

Section III: Initial Psychological ASSESSMENT

Chapter 7: Initial Assessment in Counseling

Crisis and Trauma Counseling

Intake Interview

Mental Status Examination

Quantitative Screening Inventories

Qualitative Tools for Initial Assessment

Suicide Risk Assessment

Trauma Assessment

The Mental Health Ecosystem

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 8: Mental Health and Addictions Assessment

Diagnostic and Statistical Manual of Mental Disorders

Mental Health Disorders and Assessment

Assessment of Depression

Assessment of Bipolar Disorders

Assessment of Anxiety and Fear

Assessment of Posttraumatic Stress Disorder

Assessment of Anger

Assessment of Self-Injury

Assessment of Eating Disorders

Assessment of Attention-Deficit/Hyperactivity Disorder

Assessment of Addictions

Chapter Summary

Review Questions

Resources for Further Learning

Section IV: Types of ASSESSMENT

Chapter 9: Assessment of Intelligence

Introduction to Intelligence

Theories of Intelligence

Individual Intelligence Assessments

Group Intelligence Assessments

Intelligence Assessment and Special Education

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 10: Assessment of Aptitude and Achievement

Introduction to Aptitude and Achievement Assessment

Aptitude Assessments for Higher Education

Graduate and Professional School Admissions Tests

Academic Achievement Assessments

High-Stakes Testing

Study Habits Inventories

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 11: Assessment of Career Development and Wellness

Introduction to Career Assessment

Career Assessment Across the Life Span

Qualitative Career Assessment

Quantitative Career Assessment Programs

Wellness Assessment

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 12: Career Assessment Tools

Career Readiness Assessments

Interest Assessments

Values Assessments

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 13: Assessment of Personality

Introduction to Personality Assessment

Structured Personality Assessments

Unstructured Personality Assessments

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 14: Assessment of Interpersonal Relationships

Interpersonal Relationship Assessment

Genograms

Network Mapping Techniques

Assessment of Couples and Families

Assessment of Intimate Partner Violence

Assessment of Child Abuse

Assessment of Elder Abuse

Additional Interpersonal Assessment Inventories

Community Asset Mapping

Chapter Summary

Review Questions

Resources for Further Learning

Section V: The Assessment Report and FUTURE Trends

Chapter 15: Communication of Assessment Findings

Introduction to Communicating Assessment Findings

The Assessment Interpretation Interview

The Case Conference

The Assessment Report

Chapter Summary

Review Questions

Resources for Further Learning

Chapter 16: Future Trends in Counseling Assessment

The Assessment Process: Looking Back to Look Ahead

Changing Client Demographics and Assessment Practice

Globalization and Problematizing Counseling and Assessment

Greater Attention to Client, Counselor, and Community Wellness

Technological Advances

Increased Sophistication of Assessment Practice

The Continuation and Adaptability of Educational Accountability

Assessment and Managed Care

Building Assessment Systems

Building Partnerships With Health Professions

Assessment as Relevant and Actionable

The Next Frontier in Assessment Research and Training

Chapter Summary

Review Questions

Resources for Further Learning

Appendix A: Statistical Formulas

Pearson Product-Moment Correlation Coefficient

Spearman-Brown

Coefficient Alpha

Kuder-Richardson

Standard Deviation

Appendix B: Sample Assessment Report

Reason for Referral

Background and History

Evaluation Procedures

Behavioral Observations

Assessment Results

Recommendations

Summary

Appendix C: Test Your Knowledge Answer Key

References

Subject Index

Name Index

Technical Support

End User License Agreement

List of Tables

Chapter 1

Table 1.1 Assessment and Problem-Solving Steps

Table 1.2 Key Historical Events in Assessment

Table 1.3 Frequency of Assessment Use Among Counselors

Chapter 2

Table 2.1 Reflection Questions for Monitoring and Evaluating Client Outcomes

Table 2.2 Assessment Tools for Monitoring Progress and Counseling Outcomes

Chapter 3

Table 3.1

ACA Code of Ethics

and Assessment Practices

Table 3.2 Key Laws, Regulations, and Court Decisions Affecting Assessment in C...

Table 3.3 Fostering an Optimal Telehealth Environment for Assessment Practices

Chapter 4

Table 4.1 Types of Assessment Bias

Chapter 5

Table 5.1 Scales of Measurement

Table 5.2 Assessment Exam Scores for 15 Students

Table 5.3 Frequency Distribution of Assessment Exam Scores

Table 5.4 Interpretation (Assuming Appropriate Norms) for Given

T

Scores and P...

Chapter 6

Table 6.1 Types of Reliability

Table 6.2 Types of Validity

Table 6.3 Calculating Sensitivity and Specificity

Table 6.4 Maximizing Trustworthiness in Qualitative Assessment Procedures

Chapter 7

Table 7.1 Mental Status Examination Categories

Chapter 8

Table 8.1 Mental Disorder Prevalence

Table 8.2 Selected Addictions and Mental Health Assessments in the Public Doma...

Chapter 9

Table 9.1 Wechsler Intelligence Scale for Children Classifications

Chapter 10

Table 10.1 A Modern History of High-Stakes Testing

Chapter 11

Table 11.1 Card Sort Sample Questions

Chapter 12

Table 12.1 Quantitative Measures of Career Readiness

Table 12.2 A Foundational History of Career Interest Inventories

Table 12.3 Strong Interest Inventory Scores for Michael, a College Student

Table 12.4 Measures of Work and Personal Values

Chapter 13

Table 13.1 Sample Interpretive Descriptions for the California Psychological I...

Table 13.2 Selected House-Tree-Person Interpretations

Chapter 14

Table 14.1 Interpersonal Violence Assessments Used in Public and Mental Health...

Table 14.2 Child Abuse Assessment Tools

Table 14.3 Potential Community Asset Mapping Domains

List of Illustrations

Chapter 1

Figure 1.1 Knox Administering Performance Tests to Ellis Island Immigrants, 19...

Figure 1.2 Sample Army Alpha and Army Beta Items

Chapter 2

Figure 2.1 The Assessment Process

Figure 2.2 Client Monitoring of Depression Symptoms and Work Performance Acros...

Figure 2.3 Themes Discussed Across 10 Sessions

Chapter 4

Figure 4.1 Mini-Mental State Examination Sample Items

Figure 4.2 Similar Items to the Cattell Culture-Fair Intelligence Test

Figure 4.3 Raven’s Progressive Matrices–Standard Progressive Matrices Sample I...

Figure 4.4 Sample AnimaLogica Matrix

Chapter 5

Figure 5.1 Histogram

Figure 5.2 Frequency Polygon

Figure 5.3 Bar Graph

Figure 5.4 Relationships Between Different Types of Standard Scores and Percen...

Figure 5.5 Examples of Skewed Distributions

Chapter 6

Figure 6.1 Sample Scatterplots

Figure 6.2 Test-Retest Reliability

Figure 6.3 Alternate-Forms Reliability

Figure 6.4 Split-Half Reliability

Figure 6.5 Interitem Reliability

Chapter 7

Figure 7.1 Inventory of Common Problems

Chapter 8

Figure 8.1 Items and Scoring Weights (Shown in Parentheses) for the Michigan A...

Figure 8.2 Alcohol Use Disorders Identification Test (Questionnaire Version)

Chapter 9

Figure 9.1 Spearman’s g Factor Theory

Chapter 12

Figure 12.1 Holland’s Classification of Personality Types

Figure 12.2 Campbell Interest and Skill Survey Report Summary for Tess, a 31-Y...

Chapter 13

Figure 13.1 California Psychological Inventory Report

Figure 13.2 Rorschach Test Image

Figure 13.3 Kinetic Family Drawing

Chapter 14

Figure 14.1 Common Genogram Symbols

Figure 14.2 Genogram of Joseph and Paula

Figure 14.3 Hierarchical Mapping Technique

Figure 14.4 Interpersonal Adjective Scales Profile of Extreme Depression in a ...

Guide

ASSESSMENT in Counseling

Copyright Page

Dedication

Preface

Council for Accreditation of Counseling and Related Educational Programs

Acknowledgments

About the Author

Table of Contents

Begin Reading

Appendix A: Statistical Formulas

Appendix B: Sample Assessment Report

Appendix C: Test Your Knowledge Answer Key

References

Subject Index

Name Index

Counselor Education in the 21st Century

WILEY END USER LICENSE AGREEMENT

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Seventh Edition

ASSESSMENT in Counseling

Procedures and Practices

Danica G. Hays

Copyright © 2024 by the American Counseling Association. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

American Counseling Association

2461 Eisenhower Avenue, Suite 300 | Alexandria, VA 22314

Publisher | Carolyn C. Baker

Digital and Print Development Editor | Nancy Driver

Senior Production Manager | Bonny E. Gaston

Copy Editor | Elaine G. Dunn

Cover and text design by Bonny E. Gaston

Library of Congress Cataloging-in-Publication Data

Names: Hays, Danica G., author.

Title: Assessment in counseling : procedures and practices / Danica G. Hays.

Description: Seventh edition. | Alexandria, VA : American Counseling Association, [2023] | Revised edition of Assessment in counseling, [2017] | Includes bibliographical references and index.

Identifiers: LCCN 2023009272 | ISBN 9781556204159 (paperback)

Subjects: LCSH: Psychological tests. | Counseling.

Classification: LCC BF176 .H66 2023 | DDC 150.28/7—dc23/eng/20230227

LC record available at https://lccn.loc.gov/2023009272

For Grace Caroline and Charlotte Harper, always.

Preface

Welcome to the seventh edition of Assessment in Counseling: Procedures and Practices! The purpose of this book is to provide information about the various assessment procedures that are specifically relevant for practicing counselors across a variety of settings. The book showcases how these assessment procedures can be applied throughout the counseling process; emphasizes the selection, interpretation, and communication of assessment findings; and highlights the basic principles of ability, intelligence, career, and personality assessment. It stresses the importance of integrating assessment findings with other information about the client. One primary assumption undergirds this text: Counselors engage in assessment practices every day, and these practices affect relationships, treatment decisions, and culturally responsive counseling. Furthermore, assessment involves both quantitative and qualitative approaches.

This book is not designed to be a comprehensive textbook or desk manual on the various assessment tools themselves. A number of excellent books describe specific assessments and assessment procedures in detail. It is expected that counselors will make use of such publications along with other resources as they evaluate assessment tools.

The seventh edition continues some key features from the previous two editions:

Bolded key terms to facilitate comprehension of major concepts

Chapter pretests (“Test Your Knowledge”) to gauge previous learning

Self-development activities, such as reflective exercises and class and field activities

“Tip Sheets,” or practical, user-friendly information about major assessment concepts, issues, and practices

The inclusion of practitioner voices on various assessment topics (“Assessment in Action”)

Case examples of fictional clients that highlight assessment issues and considerations

Sample assessment items with an expanded list of common assessment tools

Review questions and chapter summaries

Resources for further learning

A sample assessment report (

Appendix B

)

Common statistical formulas used in assessment

Supplemental instructor materials available from the American Counseling Association (e.g., chapter outlines, chapter PowerPoints, a test bank of multiple-choice and true/false items, a sample syllabus)

Furthermore, this edition includes the following additions and updates:

Greater focus on assessment and assessment use in multiple counseling settings, including schools, colleges/universities, and telehealth platforms

Increased attention to interprofessional collaboration to support assessment practices and procedures

Addition of new qualitative assessment approaches and how they can be infused throughout counseling and assessment

Greater infusion of culture and social justice considerations and assessment practices

Updated assessment research trends related to gender, race and ethnicity, socioeconomic status, disability, and age

Attention to wellness assessment, counseling, and advocacy

Increased discussion of crisis and trauma assessment

Updated references for assessment tools and scholarship in assessment-related procedures and practices

Updated assessment information to reflect recent versions of popular intelligence, ability, career, and personality assessments

In the remainder of this preface, I highlight more specific additions and changes for the seventh edition.

The book is organized into five sections. Section I, “Foundations of Assessment in Counseling,” includes introductory concepts of assessment that are useful for conceptualizing measurement and statistical concepts and working with various types of assessment. The four chapters in this section include a discussion of basic assessment terms; the history of assessment; the purpose and use of assessment; wellness assessment and counseling; the assessment process related to selection, administration, interpretation, and communication; ethical, legal, and professional issues in assessment and related assessment standards; and multicultural and social justice assessment practices. Some of the new and/or expanded material in Section I is as follows:

Multicultural and social justice counseling competency and assessment

Wellness counseling, assessment, and advocacy

Assessment in telehealth, school, and college settings

Qualitative assessment methods, including story circles, graphic methods, body mapping, lifelines, self-characterizations, and ethnographic interviewing in clinical assessment

Core ethical values for effective assessment

Ethical standards and guidelines for career, mental health, group, and telehealth settings

Client cultural and explanatory models, and how these models help to explain client self-assessment of symptomatology, diagnosis, and prognosis; help-seeking behaviors; and mobilization and uses of social networks

Counselor implicit bias and discrimination in assessment

Section II, “Key Measurement, Statistical, and Qualitative Concepts,” includes two chapters that address foundational knowledge in statistics and qualitative measurement. In this edition, concepts of scales of measurement, measures of central tendency and variability, and norms are presented before technical concepts of reliability, validity, trustworthiness, and assessment development. Some of the new and/or expanded material in Section II is as follows:

Norms and normed samples

Steps in the norming process

Trustworthiness and evaluating qualitative assessment data

Evaluating reliability estimates in the context of sample size and alpha levels

Measurement invariance

Section III, “Initial Psychological Assessment,” includes two chapters related to common assessment tasks typically used at the beginning of the counseling relationship to gauge mental health and substance abuse symptoms. This section addresses the use of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the intake interview; mental status examination; quantitative screening inventories; qualitative tools for initial assessment; specialized assessment of suicide risk, crisis and trauma, depression, anxiety, anger, self-injury, eating disorders, attention-deficit/ hyperactivity disorder; and substance abuse. For this edition, the discussion of the DSM is presented earlier in Section III. Some of the new and/or expanded material in Section III is as follows:

Crisis and trauma counseling, with attention to the mental health ecosystem for crisis intervention

Qualitative tools for initial assessment

Trauma assessment tools

Counselor vicarious trauma and self-care

Updated information on the

DSM Fifth Edition–Text Revision

Mental health disorders and assessment, with updated prevalence data for major mental health disorders, including gender, age, and race/ethnicity data when available

Longitudinal assessment of mental health disorders as well as mental health service usage statistics

Updated prevalence data on depression, anxiety or fear, posttraumatic stress disorder, anger, self-injury, eating disorders, attention-deficit/hyperactivity disorder, and addictions

Bipolar disorder assessment

Process addictions assessment and additional screening tools for addictions

Biological changes due to trauma that present during posttraumatic stress disorder assessment

Section IV, “Types of Assessment,” is the largest section and includes six chapters. The section is devoted to specific classes of assessment, including intelligence, ability, career development, and personality. In this edition, you will find expanded coverage in areas such as high-stakes testing, projective assessments, and interpersonal assessment involving intimate partner violence and child abuse. Furthermore, recent revisions in intelligence and ability assessment are discussed. In this edition, specific career assessment tools are presented later in Section IV to allow space for an expanded discussion of career assessment history and wellness assessment earlier in the section. Some of the new and/or expanded material in Section IV is as follows:

Inclusion of assessment to evaluate Howard Gardner’s multiple intelligences

Intelligence assessment and special education, with specific attention to intellectual disability and giftedness

The school counselor’s role in intelligence assessment data and college and career readiness

Cultural and social justice considerations in special education assessment and high-stakes testing

History of career assessment, including attention to three waves of career assessment

Career assessment across the life span

Qualitative career and interpersonal relationship assessments

Wellness assessment tools and counseling processes

New projective assessments and case examples of fictional clients

Elder abuse and assessment

Community asset mapping

Section V, “The Assessment Report and Future Trends,” first provides a chapter that outlines general guidelines for communicating assessment findings to a client and other stakeholders as well as developing a research report. The second chapter in this section focuses on future trends in assessment, including ways that counselors can expect to respond to issues such as a changing cultural landscape, globalization, and technology. Some of the new and/or expanded material in Section V is as follows:

Communicating qualitative assessment findings

Self-monitoring after the assessment findings are reported

Positive assessment trends expected for telehealth and qualitative assessment

Future trends regarding wellness assessment and advocacy

Attention to Indigenous and global assessment trends

Future trends in assessment training

The book also includes several appendixes: common statistical formulas (Appendix A), a sample assessment report (Appendix B), and an answer key for “Test Your Knowledge” items (Appendix C).

I hope you enjoy this journey into the world of assessment—an integral part of the work we do every day as counselors.

—DGH

Council for Accreditation of Counseling and Related Educational Programs: 2024 Standards and Corresponding Chapters

Section 3: Foundational Counseling Curriculum

Standard G. Assessment and Diagnostic Practices

Chapter

1.

Historical perspectives concerning the nature and meaning of assessment and testing in counseling

1, 16

2.

Basic concepts of standardized and nonstandardized testing, norm-referenced and criterion-referenced assessments, and group and individual assessments

2, 5

3.

Statistical concepts, including scales of measurement, measures of central tendency, indices of variability, shapes and types of distributions, and correlations

5

4.

Reliability and validity in the use of assessments

6

5.

Culturally sustaining and developmental considerations for selecting, administering, and interpreting assessments, including individual accommodations and environmental modifications

4

6.

Ethical and legal considerations for selecting, administering, and interpreting assessments

3

7.

Use of culturally sustaining and developmentally appropriate assessments for diagnostic and intervention planning purposes

4, 8

8.

Use of assessments in academic/educational, career, personal, and social development

9–14

9.

Use of environmental assessments and systematic behavioral observations

2, 4, 16

10.

Use of structured interviewing, symptom checklists, and personality and psychological testing

2, 7, 13

11.

Diagnostic processes, including differential diagnosis and the use of current diagnostic classification systems

8

12.

Procedures to identify substance use, addictions, and co-occurring conditions

8

13.

Procedures for assessing and responding to risk of aggression or danger to others, self-inflicted harm, and suicide

7, 8

14.

Procedures for assessing clients’ experience of trauma

7, 8, 14

15.

Procedures for identifying and reporting signs of abuse and neglect

7, 8, 14

16.

Procedures to identify client characteristics, protective factors, risk factors, and warning signs of mental health and behavioral disorders

7, 8, 9

17.

Procedures for using assessment results for referral and consultation

7

Note. The parts of the CACREP Standards that are reproducted in this publication represent only selected parts of the 2024 CACREP Standards. This inclusion of the CACREP Standards reproduced is in no way intended to imply CACREP endorsement or approval of this work and that use of the seventh edition of Assessment in Counseling as a teaching tool does not establish or connote compliance with CACREP Standards for purposes of determining CACREP accreditation of any education program.

Acknowledgments

I thank Carolyn Baker, American Counseling Association (ACA) publisher, for her support and responsiveness throughout the writing and production process. I am also grateful for the work of Bonny Gaston, senior production manager, and the other ACA staff members who made this edition possible.

I appreciate the contributions of Albert B. Hood and Richard W. Johnson to the practice of psychological assessment in general and as authors of the first four editions of this text. The counseling profession has certainly been influenced by their countless achievements in research and practice, and I have been humbled to build on their work in the last three editions.

Finally, I am thankful for my students and mentors in the assessment world who remind me every day of the important role of assessment.

About the Author

Danica G. Hays, PhD, is a professor and dean in the College of Education at the University of Nevada–Las Vegas. She earned a PhD in counselor education and supervision, with an emphasis in multicultural research, from Georgia State University. She has published more than 130 journal articles and book chapters in her areas of research expertise, which include assessment and diagnosis, research methodology and program evaluation, leadership development, domestic violence prevention, and multicultural and social justice issues in community mental health and counselor preparation.

In addition to authoring the last three editions of this book, Dr. Hays coauthored Qualitative Research in Education and Social Sciences (2nd ed.; Cognella), Counseling Theory and Practice (3rd ed.; Cognella), and Mastering the NCE and CPCE (3rd ed.; Pearson). In addition, she is coeditor of Developing Multicultural Counseling Competency: A Systems Approach (4th ed.; Pearson) and is associate and content editor of the ACA Encyclopedia of Counseling (1st ed.; American Counseling Association [ACA]), A Counselor’s Guide to Career Assessment Instruments (6th ed.; National Career Development Association), and Corona Chronicles (two volumes; Dio Press).

Dr. Hays has extensive leadership history in the Association for Assessment and Research in Counseling (AARC) and the Association for Counselor Education and Supervision (ACES), including serving as AARC president, AARC founding journal editor for Counseling Outcome Research and Evaluation, ACES journal editor for Counselor Education and Supervision, and president of an ACES region. She is an ACA fellow and the recipient of numerous awards, including the ACES Legacy Award; the AARC Patricia B. Elmore Excellence in Measurement and Evaluation and President’s Special Merit awards; and the ACA Outstanding Research, Outstanding Counselor Educator Advocacy, Extended Research, and Glen E. Hubele National Graduate Student awards.

Section IFoundations of ASSESSMENT in Counseling