Monthly Archives: January 2017

Document like a clinician: The ins and outs of documenting your training supervision

By Brian Carnahan and Margaret-Ann Adorjan January 17, 2017

Supervision is critical to the career development and advancement of many mental health professionals, including counselors, marriage and family therapists, and social workers. The boards responsible for licensure set standards regarding the number of hours, frequency and nature of the supervision necessary for licensure as an independent professional. Various professional organizations also set standards for other credentials and certifications. For example, the National Board for Certified Counselors requires national certified counselors to earn 100 hours of supervision and work as a counselor a minimum of 3,000 hours.

Given the centrality of supervision to the mental health professions, it is surprising how often it is treated casually. Clinicians who must document client files are often lax in how they treat the supervision they receive. One can understand why. Supervision can feel like a break from work, even though work is discussed. Unfortunately, supervision is not the time to relax.

It helps to understand the supervision requirements in the jurisdiction in which you are receiving supervision. Some jurisdictions have limited requirements for documentation, but most jurisdictions require some tracking of supervision. Although it should go without saying, it bears repeating: It is your responsibility as the professional receiving supervision to know what is required. Too often, the professional in supervision relies on more seasoned professionals for guidance. But rules and requirements can change, making it important for the professional seeking independent licensure to remain up to date, including verifying with the appropriate board what must be done to earn supervision hours.

Think about treating supervision sessions as you might a session with clients. In this situation, you are the person receiving a service — namely, supervision. Take notes, and follow up after the session with additional notes and thoughts. The notes and comments you retain will help to make clear that appropriate training supervision occurred. This can be particularly important if any questions arise regarding the type of supervision provided. Occasionally, the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board has to consider whether supervision should be classified as work supervision or training supervision. The details in the training log, along with the applicant’s explanations, can help answer those questions.

If a supervision form is required, use the form prescribed by the licensing board. If one is not available, create one that covers, at a minimum, the supervision date, the length of the session, name of the supervisor, topics discussed, required follow-up and similar entries. Consult your jurisdiction rules regarding supervision to make sure nothing is missed.

It can help to seek templates from supervisors or colleagues, but beware. Just because someone else is using a template does not mean that it is sufficient. Too many professionals have found themselves in trouble because they relied on the work of others instead of seeking guidance from their respective licensing board. Where supervision is concerned, it pays to confirm with the appropriate board what format, if any, is required.

Consider tracking work hours, particularly client contact hours. Also, be sure to confirm whether there are requirements to log separate direct client contact hours or “relational” hours. This distinction can be important depending on the license type or certification being sought, particularly if the supervision is earned by a marriage and family therapist. Documenting and retaining these hours can make a difference in obtaining a license in another state. Even if your jurisdiction does not have specific requirements for documenting supervision, you may wish to maintain it anyway, because other jurisdictions may require evidence of supervision when you apply for a license.

Some jurisdictions require persons seeking a supervision designation (such as Ohio for its licensed professional clinical counselor with training supervision designation) to complete supervision of supervision. Supervision of supervision is when a professional is supervised while providing training supervision. These sessions should also be carefully documented. Check with your licensing board to determine how (or whether) these hours can be used by each of the professionals involved because some jurisdictions limit who can claim the hours as supervision.

Retain an electronic version of all your supervision documentation. This log could be in a Word or Excel file, or you could regularly scan and save the written log to a file sharing service. A number of free and low-cost cloud storage solutions can help with this task. Your ability to use the supervision hours is only as good as your ability to document the fact that you completed the supervision.

Turn in supervision logs or evaluations as required. In Ohio, we recommend turning in evaluations at the end of the first year of supervision and the end of the second year, when the independent license is sought. We also recommend submitting evaluations whenever supervisors change. This helps to ensure that the supervision is documented fully. Although Ohio does not require submission of the logs, they must be available and up to date in case there are any questions about the supervision and the logs are requested to confirm any details.

Completing supervision requirements does not have to be stressful. By knowing the requirements, retaining good records and completing required documentation in a timely manner, a licensed professional can secure his or her independent license.

 

 

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Brian Carnahan is executive director of the state of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Contact him at brian.carnahan@cswb.ohio.gov.

 

Margaret-Ann Adorjan is the marriage and family therapist licensure coordinator and investigative compliance officer for the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Contact her at margaretann.adorjan@cswb.ohio.gov.

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

 

 

Nonprofit News: Independent contractor or employee?

By “Doc Warren” Corson III January 10, 2017

As I review job postings for clinicians, I see a disturbing trend of nonprofits hiring independent contractors rather than full- or part-time employees. Although there can be some benefits for both the nonprofit and the contractor at times, many liabilities can come into play as well. This article is not meant to be an exhaustive exploration of the topic, and I am far from a legal or tax expert, but my hope is that this column might inspire you to think carefully before posting or replying to an ad for an independent contractor.

The status that you work or hire under can offer either liability or protection, depending on the situation. The liability can come in the form of IRS penalties and potential loss of eligibility for unemployment protection and malpractice insurance protection. FindLaw (findlaw.com) and EmployeeIssues.com are two resources that can help you learn the basics of these issues, but there is no replacement for meeting with an expert if you are contemplating moving your hires to independent contractors. Personally, I prefer to hire folks for my nonprofit as part-time employees so I can avoid potential issues with the state department of labor and the IRS. I can hire them as part-time clinicians who are paid by the session if that is what I need, but this way we both know we have certain protections in place. The choice, however, is yours.

 

Overview of employee vs. independent contractor

Here are a few quick points concerning the differences between an employee and a contractor.

 

Employees:

  • Typically work full or part time for one or more employers with set work hours and days (which can change week to week in some cases)
  • Have some type of benefits package
  • Have needed parts and supplies furnished by the employer
  • Have taxes taken out of their salary and are eligible for unemployment compensation should work stop
  • Have employment protections, including workers’ compensation
  • Are protected by minimum wage and other labor laws
  • Must have cause to lose their job unless hired “at will”

 

Independent contractors:

  • Provide consulting or other services for a wide range of places
  • Set their hours and days as they see fit
  • Have their own offices independent of their placements, although they may also be given access to an office to use while at their job sites
  • Receive no benefits from the employer
  • Do not have their supplies covered by the employer
  • Do not have taxes taken out by the employer, nor are they covered by workers’ compensation or other policies
  • Have a set contract time period and hours
  • Generally are not protected by employment laws

 

When it can get murky

Years ago, I was a consultant for a local Head Start program. I had a contract that made it clear how much I would be paid per hour, how many hours I was allowed to work during the contract period and the hours the program was open so I could be sure to complete my time within those parameters. For the most part, I came and went as I decided and used my own agency forms for performing tasks. Although I contributed to the organization’s newsletter, I was able to pick the topics and allowed to opt out of an issue if I so desired. To me, this was a classic example of what an independent contractor’s role should be.

A few years later, however, several changes occurred that made my independent contractor status a bit harder to justify. I now had set forms to use, supplied by the agency, and was given less ability to customize how I did my job. I also needed to follow set protocols and several other parameters that I had experienced in the past only as an employee. I opted not to continue the contract after the initial time period, partially because it felt like I got to experience all of the red tape of being an employee without enjoying any of the protections or benefits.

 

The IRS view

The IRS looks into common law to help determine the proper classification of employees. It uses three broad categories in helping to make this determination: behavioral control, financial control and the relationship between the parties. The following is taken directly from the IRS website (see irs.gov/taxtopics/tc762.html):

Behavioral Control covers facts that show if the business has a right to direct and control what work is accomplished and how the work is done, through instructions, training, or other means.

 

Financial Control covers facts that show if the business has a right to direct or control the financial and business aspects of the worker’s job. This includes:

  • The extent to which the worker has unreimbursed business expenses
  • The extent of the worker’s investment in the facilities or tools used in performing services
  • The extent to which the worker makes his or her services available to the relevant market
  • How the business pays the worker, and
  • The extent to which the worker can realize a profit or incur a loss

 

Relationship of the Parties covers facts that show the type of relationship the parties had. This includes:

  • Written contracts describing the relationship the parties intended to create
  • Whether the business provides the worker with employee-type benefits, such as insurance, a pension plan, vacation pay, or sick pay
  • The permanency of the relationship, and
  • The extent to which services performed by the worker are a key aspect of the regular business of the company

 

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As we start the new year and contemplate either adding workers or signing on to an existing agency, it is imperative that we consider the type of position we are becoming associated with and the potential implications from a liability standpoint. Here, as in many other situations, doing a little homework and consulting with knowledgeable professionals can go a long way toward protecting yourself or your nonprofit program.

 

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Sources:

 

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Dr. Warren Corson III

 

“Doc Warren” Corson III is a counselor, educator, writer and the founder, developer, and clinical and executive director of Community Counseling Centers of Central CT Inc. (www.docwarren.org) and Pillwillop Therapeutic Farm (www.pillwillop.org). Contact him at docwarren@docwarren.org. Additional resources related to nonprofit design, documentation and related information can be found at docwarren.org/supervisionservices/resourcesforclinicians.html.

 

 

 

 

 

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

Hooah! Thoughts and musings on Operation Immersion

By Janet Fain Morgan January 3, 2017

Hooah: Military slang referring to or meaning “anything and everything except ‘no.’” Used predominantly by soldiers in the U.S. Army.

 

My father was in the U.S. Army for more than 30 years. I grew up as a military dependent, relocating every few years (and attending more than 20 schools) until I graduated high school. I joined the Army Reserve, later married my husband, a U.S. Navy submariner, and he eventually ended up retiring from the Army after 20 years. My eldest son joined the Army out of college and is currently on active duty.

I have been a licensed professional counselor in Augusta, Georgia; Bamberg, Germany; Lakewood, Washington; Fort Knox, Kentucky; Columbus, Georgia; and most recently, Somerset, Kentucky. As a member of the American Counseling Association and the Military and Government Counseling Association (a division of ACA), I am concerned about the rising number of suicides among our military veterans. On a related note, I am also concerned by the limited number of education and training opportunities available to counselors who are dedicated to the specific needs of military clients.

This past year, the Kentucky Counseling Association (KCA), a state branch of ACA, advertised a training program for counselors called Kentucky Operation Immersion. The program offered an immersion experience into military culture that aimed to help counselors become aware of the unique culture and specific needs of military clients. The training educated counselors on how better to help soldiers as they transition back from wartime environments overseas and reintegrate into a civilian society.

Only about 1 percent of the U.S. population actually serves in the military. Many people do not understand the difference between the military mindset and the civilian frame of mind. For that reason, I was impressed and excited to see that KCA was addressing a very important topic that can make a difference to our military members.

As a counseling professional and former soldier, I jumped at the opportunity to train with the Army National Guard at the Wendell H. Ford Regional Training Center. The Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) and the Kentucky Army National Guard presented and sponsored the training, and many of their respective department members joined in the training. I had no idea what I had signed up for, but sometimes ignorance is bliss.

I arrived to join approximately 30 other participants from a variety of specialties, including drug and alcohol counselors, psychologists, school counselors and Kentucky Department of Veterans Affairs employees. The participants ranged in age from their 20s to their 70s.

Day One: Basic training

On the first day — basic training — we were introduced to the training leaders, department heads and Army National Guard soldiers who would mentor us throughout the training. We were issued our field equipment, including Kevlar helmets and flak jackets, which we would wear during our training for the next three days. Removing the metal plates that are normally part of the bulletproof garment decreased the flak jacket’s weight. Even so, the jacket was still heavy and served as a constant reminder of what soldiers wear to protect themselves during deployment.

Our first training exercise was an introduction to platoon formation and marching, but this version was much kinder than what I had experienced in my Army basic training days. Regardless, I found myself unable to maintain the pace of the platoon. This bruised my ego and provided a gentle indicator of the physical limitations I might encounter in the training exercises to come. And come they did …

The author, second from right in the back row, with fellow members of her Operation Immersion training squad.

The Field Leadership Reaction Course was a team-building exercise (obstacle course) that further introduced me to my counselor peers. We had fun coordinating our navigation of the ropes, walls and boards to achieve successful outcomes. Then Kentucky weather intervened, and we headed for shelter from tornadoes, storms and heavy rains. Chow took place in the mess hall with service members who invited us to ask them questions about the military and their military experience.

That evening we met Bobby Henline, an American hero, comedian and motivational speaker who served four tours of duty in Iraq. During his fourth tour, he was the sole survivor of a roadside bombing that left a third of his body burned. He shared his survival story and his outsize sense of humor with us. Bobby participated with us throughout the training and was an inspiration to us all. His humor helped lighten the serious moments, and his encouragement was invaluable. It was a true honor to meet him and a blessing to spend time with him.

Sleep was sweet after such a full first day.

Day One counseling takeaway: Military training is demanding physically and challenging mentally. Build relationships with military clients by asking about their training and work environments. Ask questions about any military-specific acronyms that they use. Many people know what an MRE (meal ready to eat) is, but fewer are familiar with what FOB (forward operations base) or TOC (tactical operations center) represent. Get to know these clients’ personal stories. This can shed light on what might be troubling them and why they are seeking counseling.

Day Two: Mobilization

Day Two arrived early — at 5 a.m. — and there we were, in formation, doing PT (physical training). Mobilization day started with breakfast in the chow hall, and then we had a class on sexual assault prevention. That morning we also heard personal stories of deployment from individual soldiers. Their stories spoke of bravery, tragedy, courage and, sometimes, boredom. All the stories touched our souls. In fact, when the program participants looked back over those days of classes, physical challenges and training, we decided the deployment stories were what we would remember most.

After a class on combat-related trauma, we headed to the SIM (Simulation) Center, where we ate MREs and enjoyed the virtual combat simulators in the forms of EST (Engagement Skills Training with Night Vision), IED (Improvised Explosive Device training instruction), HEAT (Humvee Egress Awareness Training Simulator) and CSF2 (Comprehensive Soldier and Family Fitness).

That evening, we were briefed by the commander, Capt. Michael Moynahan, and heard another personal deployment story from Maj. Amy Sutter, a licensed clinical social worker. Her mental health perspective on deployment was invaluable, and we also gained insight on deployment from a female viewpoint.

Day Two counseling takeaway: Deployment is rough, both mentally and physically. The living arrangements are complex, and soldiers have many challenges related to isolation and loneliness. At the same time, privacy is often limited. Build the therapeutic relationship by asking your military clients about any and all deployments. Each deployment offers military members challenges and unique perspectives. These could be explored through open-ended questions about their personal experiences. Be aware that some of these clients have seen or done things that they do not want to disclose or remember.

Day Three: Deployment

Deployment day again came early, with PT that included a warmup and running track. Classwork began with a briefing on substance abuse, posttraumatic stress disorder and traumatic brain injury. After listening to a suicide prevention panel, we headed out on a bus to the Gwynn City MOUT (Military Operations on Urban Terrain) site for our deployment training.

The Army National Guard launched a few simulated IED attacks in the direction of our bus and also created a machine gun simulation to get us “in the mood” for our urban warfare exercises. Command Sgt. Maj. Matthew Roberge led the military demonstrations and the exercises to prepare us for clearing a building of enemy personnel. The smooth, precise and sharp Army National Guard soldiers modeled the intricate procedure for us, and in teams of four, we attempted to reproduce the action with our military-style paintball weapons.

Our attempt was a less than perfect assault, with paintballs flying everywhere and Kentucky counselors doing their best to come out of the training exercise unscathed. That said, there was much laughter and excitement throughout, and everyone emerged feeling abundant respect for our U.S. military, and especially the group of professionals who worked with us during our training experience.

Dinner that evening was a relaxing outdoor cookout, during which we said goodbye to many of the soldiers who were leaving for their drill weekend. Awards were given, speeches were made and the treasured “challenge coins” — engraved with a unit’s or organization’s insignia or motto and given as a sign of respect — were secretly passed from palm to palm.

Day Three counseling takeaway: Military members face death often and rely on their training and peers to stay safe. Their training is precise and has to be executed perfectly every time, or the soldiers and their companions run the risk of becoming casualties. A high level of stress accompanies each operation, and sometimes that stress may last for days, weeks or even months, with little or no downtime for the soldier. The residual effects from this intense training and the soldier’s subsequent experiences can last a lifetime. Counselors should understand the deleterious effects of combat. Even if operations are carried out perfectly, casualties can occur, accidents can happen and the effects can be devastating.

Day Four: Demobilization

Demobilization day was early to rise — 4:50 a.m. — so we could clean the barracks, pack our bags and return the gear. Breakfast was quick, but then our first speaker arrived to awaken our senses. Capt. Phil Majcher spoke about his role as battalion chaplain and the duties that were part of the military chaplaincy. He didn’t sugarcoat anything, giving many of us moral points to ponder.

Linda Ringleka, military and national liaison from Lincoln Trail Behavioral Health System, joined Capt. Majcher. Together, they led a workshop on suicide prevention and ACE (Ask, Care, Escort) training. The counselors participated in small group activities that included role-plays and real-time suicide scenarios.

Sgt. Brooks, a female soldier, offered to speak with the female trainees about her experiences as a woman in the military with two deployments under her belt. Gathering together as women, we heard her personal story of courage, determination, struggling as a single mom and the challenges of being female in the Army. Her story was incredible and touched each of us. I must also mention that watching Sgt. Brooks throughout the entire training was like witnessing a master of all trades. She did everything that her male counterparts did, and with effortless perfection.

As we wrapped up the training, pictures were taken and awards were announced. Heath Dolen, DBHDID program administrator, presented each of us with a certificate, and a coveted challenge coin was passed secretly in a handshake.

As I drove home, I reflected on the immense amount of information and knowledge we had all gained as mental health professionals. This training was invaluable in providing us with skills to help soldiers as they return from difficult and sometimes horrific experiences. Many of these potential clients need to know that the counselors assisting them do actually understand some of the hardships they have endured. Counselors must gain the trust of hurting service members before many of them will disclose the horrors that they witnessed or even participated in during a deployment to a war zone.

The rules that we typically live by in our society do not always correspond to the experiences that soldiers see and live through. The camaraderie of this very tightknit community is exceptional, and counselors must understand the underlying military culture and gain the trust of these soldiers to be as effective as possible. Of that, I am certain.

I highly recommend that all mental health care professionals who take care of our soldiers undergo the type of training offered in Operation Immersion. Our heroes deserve the best that mental health professionals can give them, and this training definitely moved us in that direction.

 

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Janet Fain Morgan is a military family life counselor licensed in Kentucky and Georgia. She is a faculty member of William Glasser International and a member of the Military and Government Counseling Association, a division of ACA. She is also a former soldier. Contact her at JMFainMorgan@gmail.com.

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Counseling Today reviews unsolicited articles written by American Counseling Association members. To access writing guidelines and tips for having your article accepted for publication, go to ct.counseling.org/feedback

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

Ask your doctor if nature is right for you

By Bethany Bray

Happy-looking people take a walk in the woods as small-print disclosures scroll across the bottom of the TV screen and a soothing voiceover explains possible side effects. As the scene closes, one of the actors looks squarely into the camera and says, “Ask your doctor if nature is right for you.”

The tongue-in-cheek NatureRx video campaign has the look and feel of the prescription drug commercials that inundate television in the U.S. The difference, however, is that they are “selling” something that is widely available and has proved to benefit mental health and overall well-being — without prescription drugs.

NatureRx is the brainchild of Justin Bogardus, a filmmaker and licensed professional counselor candidate in Boulder, Colorado. Everything seems to have a marketing campaign in this modern age, he says, so why not nature?

Rather than relying on a heavy-handed “you should” directive, the films use humor and a witty message to emphasize the benefits of getting outside, Bogardus explains.

“As a trained counselor myself [but primarily a filmmaker now],” he says, “I really wanted to create a message like NatureRx because I resonated with it so much personally. … I think people really resonate with the message and the humor because it’s fun, funny and inspiring to remember the little things that were always there, but sometimes we forgot about them, like nature and getting outdoors.”

NatureRx “commercials” have been screened at film festivals and shared widely online since the

Justin Bogardus, NatureRx filmmaker (Courtesy photo)

first video was released in the summer of 2015.

Bogardus has a film degree from Vassar College and has worked as an editor, writer and producer for several documentaries on wrongful conviction/incarceration. In 2013, he completed a master’s degree in Buddhist psychology and contemplative psychotherapy from Naropa University in Boulder. Although he primarily devotes his time to independent filmmaking and speaking engagements, he does occasionally see clients, lead group therapy and teach Buddhist psychology at Naropa.

 

 

Is NatureRx right for you? CT Online contacted Bogardus to learn more about the campaign and its connection to counseling and mental health.

 

The holiday season can be especially tough for people with anxiety and other mental health issues. At the same time, the weather is getting colder and the days are shorter and darker. Do you have suggestions on how to find “NatureRx” throughout the winter?

Research shows [that] as little as 10 minutes outdoors can reset the nervous system, especially if you can be mindful and present with nature for those 10 minutes. … Taking a walk and tasting the cold brisk air makes a big difference even in small doses.

I get asked about winter a lot in regards to NatureRx, and I love that question. I love winter. The outdoors seems particularly tranquil and quiet to me in the winter. There are no studies about this, but I actually think the positive impact of nature on our minds happens faster in winter. Something about a little temperature change and a change of scenery from the indoors in winter really resets my mind and body pretty quickly. Yes, it can be a little harder to motivate putting on jackets and boots when it’s cold and the sun sets so much earlier, but the colder air is more refreshing, I think. I also like to remember that our bodies were built for the outdoors, including the cold weather.

I also love this thing from Denmark called hygge (pronounced hoo-ga). Everyone knows how cold and dark winters in Denmark are, and the Danes have come up with a great word and lifestyle to make the most of it. It’s basically the idea of cultivating coziness, slowing down and taking in simple pleasures. It’s like NatureRx for the indoors.

I like that with the idea of hygge, you bring an overall sense of coziness to the winter and holiday season, which you bring with you both outdoors and inside. A 10-minute walk in the cold air, all bundled up in all the scarves, mittens, hats, puffy coats — whatever makes being outside a slowing down and cozy experience too. How great is a warm fire and hot cup of tea after a short dose of outdoors? How cozy and relaxing is that? So yes, back and forth with outdoors and the family, back and forth with getting warm and then getting refreshed outside with an overall sense of hygge. That’s a perfect recipe for the holiday season I think.

During holiday get-togethers, people and families can go stir crazy if no one is getting outside. Togetherness is great, but too much togetherness in an enclosed space is well … cue the commercial … “are you feeling tired, irritable [and] stressed out?” Who isn’t feeling tired, irritable and stressed out at some point during the holiday season? That’s the cue for a dose of nature, even a microdose. It really works and so does hygge.

NatureRx has been a lifesaver for me during the holidays. Now it’s fun because as I get outdoors for short breaks during each holiday season, the rest of my family has started doing it too. … Maybe they saw how happy and relaxed I was after a little time outside.

 

What do you want professional counselors to know about nature’s connection to wellness and mental health?

I like to remind even the most self-described “I would rather do anything besides camping” indoor people that it’s all about discovering the dose of nature that works for you. [Moving] more plants inside or gardening, or having a great view of the outdoors from a window, whatever brings nature into your life in a way you like, I think, can support our well-being [and] slowing down, which is incredibly helpful, especially in [the] busy, screen-time, information-overload, never-stop-world so many of us are meeting these days.

I once met this great group counselor in New York City — a real expert and guru of counseling. I was telling him how I like to get outside and to meditate. He told me, “Getting outside and meditation are like rocket fuel for healing in therapy.” I think that’s the best way to put it. NatureRx helps on its own and in conjunction with all the others things we need for rich, healthy lives.

Yes, there’s a new big study from big-name institutions almost every week it seems about the positive impacts of the outdoors and nature on all kinds of well-being metrics, especially mental health for all kinds of symptoms and challenges [and] for healthy development of kids. But really I think NatureRx got millions of views and has made such a splash because on a deep intuitive level, we already know this. The healing impact of nature is a story as old as humanity itself.

Being outside in nature supports our well-being. Of course it’s not a panacea. It’s not a cure-all. But who knows? For some people it might be. I think it’s like good rest. It’s something we all know on some level is needed and super helpful for whatever life throws at us. And like good rest, you don’t want to overdo it or go outside with too much of an agenda, expecting nature to fix everything. Nature doesn’t work that way, but if you can hang back a little in nature, let its beneficial impact come to you more and more … it works! I could go on and on. The magic always happens eventually.

Since the dawn of human civilization, we [have] lived increasingly in busier spaces. Every culture and every civilization from every time period has countless stories about the need for nature — a respite and restorative space to not only heal, but find your truer and deeper voice in. NatureRx is that same story, updated for our times. I think nature is a timeless space, a great place to discover your authenticity and who we really are — outside the din and distraction of culture and civilization.

 

Do you have suggestions for how counselors can bring nature into their work with clients?

Well, first have clients watch the NatureRx commercial. Self-promotion? Maybe, but really it’s true. First-time viewers love the humor and then love sharing the videos with other folks — it just resonates with so many people. That was certainly part of the goal with NatureRx and the humor behind it. I didn’t want to prescribe nature and getting outside as a “should.” I wanted to playfully invite people to look at getting outside and nature from a fresh perspective, and of course spoofing a prescription commercial was the way to do that.

So for counselors of all kinds, I say … find ways to invite people into thinking about nature and getting outdoors as a fun, healing space rather than imposing the idea on them in subtle or not so subtle ways. I think [it’s] always good to start with some curiosity, asking people questions about nature, [such as] plants or places they may like. It seems almost everyone has some memory or some animal or plant or some outdoor smell or nature activity they already remember or enjoy. I think that’s a great starting point. Later on, it can also be good to offer some of the evidence-based information about getting outdoors, which some people like to know because it can increase their time outdoors and their perceived benefit from nature. But some folks don’t even need that didactic information.

I’m amazed how many folks already have some NatureRx practice in their life without even realizing they’re intuitively getting benefit from nature — even smokers I meet. Many smokers talk about enjoying the break outdoors as part of their smoking habit. It’s interesting how many, when they quit, still like to get outside, but this time just for a short walk or to sip a cup of tea or something. What they didn’t think about was how smoking was a tool to take a break outside, even in the cold. Without the cigarette, they still get to benefit from getting outside with a lot more enjoyment.

I met a woman I’ll never forget who liked to check the weather for the sunset time. She rarely ever watched the sunset. She just found herself always checking in on what time the sun would set. She didn’t care too much for camping or the outdoors; she would never describe herself as a nature person. I worked with her some, and we talked about what she liked about the sunset and knowing the rhythms of the sunrise and sunset from season to season. Before long, she told me she had started to actually take the time, even if it was just five minutes toward the end of the workday, to not only check the sunset time, but take some time outside to really enjoy watching the sunset. Simple. Relaxing. Restorative. I’m pretty sure she still does that today and loves it.

 

Who is your target audience for the NatureRx campaign?

When first creating the NatureRx commercials and the NatureRx movement online, I intended to target millennials with the humor and the particular disconnection millennials might feel around nature. It’s the first generation that may not have been exposed to the outdoors readily as kids and, consequently, that millennial generation — which I’m a part of, but on the older side — may feel that lack of nature more acutely.

I grew up in the city myself. I was lucky to have a father who took the time to take us to national parks and [go] hiking. That’s probably how I first fell in love with nature. But I had a lot of city friends who didn’t get those experiences growing up, and I always imagined those lifelong friends and what might appeal to them when crafting this message and writing NatureRx content. The millennial generation is so used to getting tons of information on their laptops and phones all the time, so certainly it was an important goal of mine in creating NatureRx to craft a fun-filled message that could connect with them in short form and on social media in a way that they could really enjoy and consider.

It’s food for thought for any age — even kids love our G rated versions of the commercials. It’s something we can all relate to.

 

Do you think medical and mental health professionals sometimes overlook nature and its therapeutic benefits?

Yes and no. I think the medical and mental health professions as a whole have some real ambivalence about nature and the outdoors. [But] I think a lot of that’s changing now as we see the alternative — being inside, disconnected and sequestered, and how that is having terrible health and well-being impacts on our bodies and minds. I think there’s a big shift in medical and mental health professionals around embracing the benefits of nature and getting outdoors because of this.

I think all this research coming out about the benefits of getting outdoors reveals this movement and paradigm shift. For the last few decades in medicine, culture and in parenting, the view was [that] getting outside and in nature is how you get sick or hurt. I think lots of folks are seeing now how wrong that view is.

 

In a nutshell, what inspired you to start the NatureRx campaign?

Nutshell? I love nutshells. That was a big inspiration. That and climate change. I wondered, how could I speak about the human relationship to nature in a way that connected with people personally, whether they believe in human-caused climate change or not? I don’t say anything about climate change in the commercials, but I think it’s in there nonetheless.

I was inspired by how nature is something I need in my personal life. It’s helped me in countless ways, and nature is something we all need as a valuable space for all earthly inhabitants. I hoped the message and humor would convey that — both the personal and universal value of nature. It was a way of giving back for me.

 

What do you want professional counselors to know about why your campaign is needed?

As a trained counselor myself, I like this phrase: “Of all the paths you take in life, make sure some of them are dirt.” For professional counselors, I think NatureRx is needed because there are many paths to healing and recovery for clients. I think it’s also true to make sure some of those paths are made of dirt. A dirt path in the woods is the real-life metaphor we can experience at anytime. It’s a great ready-at-hand place where we can see that natural healing isn’t like a manicured superhighway to health. There are twists and turns.

Getting outside reminds me of my most human qualities. It reminds me that I have a body that likes to be in nature, to look at nature and be healthy. It reminds me to take time to just be. I think that’s the energizing trail mix we all need on whatever path we’re taking in life. That’s the need I hope NatureRx fills. It’s an empowering message about how you can take back your life at any point by simply stepping outdoors. I think healing and counseling works well when people feel empowered with real solutions, and getting outdoors is most certainly one of those solutions.

 

 

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Find out more about NatureRx and watch Bogardus’ TED Talk at Nature-Rx.org

The NatureRx “commercials” are available there as well as on the YouTube channel: bit.ly/2h1MCZp

 

 

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Bethany Bray is a staff writer for Counseling Today. Contact her at bbray@counseling.org

 

Follow Counseling Today on Twitter @ACA_CTonline and on Facebook at facebook.com/CounselingToday.

 

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.