The Relation of Negative Career Thoughts to Depression and Hopelessness

Daniel D. Dieringer, Janet G. Lenz, Seth C. W. Hayden, and Gary W. Peterson

Although some research literature focuses on the integration of mental health and career counseling, there has been little that examines both areas in relation to depression and hopelessness. This study investigated the relationship among dysfunctional career thinking, depression, and hopelessness in a sample of 139 undergraduate and graduate students seeking drop-in or individual career counseling services at a university career center. The authors found that two aspects of dysfunctional career thinking, decision-making confusion and commitment anxiety, accounted for a significant amount of variance in depression. Decision-making confusion also accounted for a significant amount of variance in hopelessness. Implications for counseling practice include the need for more careful screening of career clients who present with high levels of anxiety and negative thinking. Future research could involve more diverse client populations, such as unemployed adults, and explore the use of additional screening measures to assess the intersection of career and mental health issues.
Keywords: career counseling, depression, dysfunctional career thinking, hopelessness

Distinctions are often made between career counseling and personal
counseling or counseling that is more focused on mental health issues.
The existence of separate entities such as a career center and a counseling
center on a college campus is one tangible exhibition of this dichotomous
perspective. Although understandable from an organizational standpoint,
these distinctions ignore the reality that career and mental health issues
are often strongly connected. Career decision making involves complex
psychological processes that affect all aspects of life (Yost & Corbishley,
1997). Over time, counselors in a variety of settings have embraced more
holistic career counseling approaches that include consideration of mental
health issues (Blustein, 2008; Lenz, Peterson, Reardon, & Saunders, 2010;
Zunker, 2008). Hinkelman and Luzzo (2007) noted that there was little
research that considered the potential reciprocal effects of mental health
and career development issues on students. These authors pointed out that
career practitioners, as well as college counseling center staff members,
affirmed that students often present with both types of issues.
There have been indications of the relationship between career and
mental health concerns both in clients’ identified issues and in their desire to engage in self-exploration, receive emotional support, and
discuss general issues in the context of career counseling (Anderson &
Niles, 1995, 2000). Fouad et al., 2006; Zunker (2008) suggested that
although personal and career counseling have traditionally been viewed
as separate entities, they should be viewed through an integrative approach
that takes into account career, affective, cognitive-behavioral, and
cultural needs. Lenz et al. (2010) presented a career services delivery
model that was based on cognitive information processing (CIP) theory,
which integrates career and mental health counseling in a university
setting. College students often experience career decision difficulties
and psychological distress when making career decisions (Fouad et
al., 2006). Others have noted that mental health issues have emerged
as a source of difficulty in the career decision-making process (Lucas,
Skokowski, & Ancis, 2000).
Practitioners, in a variety of settings, are challenged to effectively
assess and treat both career concerns and a range of personal concerns
(Zunker, 2008). Practitioners who desire to be more holistic by treating
mental health and career issues concurrently may consider methods to
make better use of the assessment resources to which they have access.
Learning more about clients’ emotional functioning from career assessment
data may be invaluable for practitioners seeking to improve
the integration of career and mental health services (Dozier, Lenz, &
Freeman, 2016). Using measures that are commonly administered in
career-services settings to screen for potential depression and hopelessness
and career readiness factors (Sampson, McClain, Musch, & Reardon,
2013) can enable practitioners to more readily identify and treat at-risk
individuals, as well as refer them for additional psychological support as
needed. Despite suggestions regarding the connection between career
and mental health factors, more empirical evidence is needed on how
this connection can be explored using assessment tools in career services.
This study was designed to examine whether a measure used to
identify negative career thinking could also serve as a screening device for
identifying clients who may be experiencing depression and hopelessness.

Connection Between Career and Mental Health Concerns

Examining the connection between career decision making and mental
health, including the cognitive effects of depression, can provide insight
into the relationship between the two domains. Previous research has indicated
that depression may lead to higher levels of dysfunctional attitudes,
negative automatic thoughts, and cognitive distortions such as loneliness,
feeling trapped, and hopelessness about the future (Eaves & Rush, 1984;
Murgai & Sathyavathi, 1987). Research also indicates a link between
depression and the ability to effectively engage in career decision making
(Rottinghaus, Jenkins, & Jantzer, 2009; Saunders, Peterson, Sampson, &
Reardon, 2000; Walker & Peterson, 2012). Walker and Peterson (2012)
suggested that “venturing into the realm of mental health issues has the
potential to reveal severe or chronic pathological states or even suicide
ideation. . . for which career counselors should be adequately prepared
to manage” (p. 503). Several studies have shown that psychological distress
is associated with career decision-making difficulties, and depression
and general emotional distress are associated with career concerns and hopelessness (Constantine & Flores, 2006; Fouad et al., 2006; Gati et al.,
2011; Lease, 2004). Depression has also been found to have a significant
relationship with dysfunctional career thinking (Dagenhart, 2004; Saunders
et al., 2000; Walker & Peterson, 2012).

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Independence in its Deepest Meaning

Happy Summer to all! The transition to a new season on the calendar offers an opportunity to reflect upon the previous months and also peek forward into the weeks ahead.

Summer represents different things to each of us. For some it is the relief from school schedules, for others, the promise of a planned vacation, and still others, the joy of ballgames or concerns about sweltering heat. One element of summer that brings us all together is the celebration of July Fourth. There is something about the waving of the Red, White and Blue of our nation’s flag that brings us together and compels us to think about the gifts of freedom and independence. Hot dogs in hand, with family and friends we honor both the idea of independence, and also the reality of the liberties that we enjoy. It is a great way to unify in celebration.

Of course, independence has additional meaning for DBHDD team members, and our partner providers and advocates. We strive to promote independence and integration into the community for individuals with Intellectual and Developmental Disabilities (I/DD) each and every day. Creating opportunities that allow for individual advancement is our mission, and I thank all of you for your collective commitment to demonstrating that Georgia can be a leader in this movement toward recovery and independence. Like every civil rights movement before it, the drive for people with disabilities to achieve more has been bolstered by very capable individuals that inspire and challenge us to push forward. Sometimes that requires assistance from DBHDD, and other times, that requires us to step out of the way. We are working hard to do both, so that our administrative necessities do not stand in the way of independence, but instead, facilitate it.

In June, I had the privilege to share in a celebration of Georgia’s leadership for people with disabilities. Governor and Mrs. Deal hosted a press conference at the Capitol to celebrate the launch of Georgia’s STABLE program. STABLE is the fulfillment of federal legislation designed to enhance the ability for people with disabilities to save and invest without losing benefits. It is tax-free savings plan that allows for qualified disability-related expenditures through the use of a STABLE card. You can learn more about this progressive program through the link on the DBHDD website or directly at Georgiastable.com. The press conference featured DCH Commissioner Frank Berry, Chair of the Georgia’s ABLE Board, Rep. Lee Hawkins, sponsor of Georgia’s ABLE legislation, and Tena Blakely, representing advocates and providers in Georgia. Governor Deal’s personal pride and commitment to people with disabilities was on full display. The wind beneath the wings of this effort is most certainly individuals that motivate us through individual courage and achievement. It is a proud step forward toward individual independence for people with disabilities.

This reflection upon freedom offers an additional opportunity for gratitude. This expression of thanks is to our veterans that bravely answered the call to serve our country and many of whom answered a similar call to serve Georgia’s most vulnerable individuals. DBHDD and our provider network employ numerous veterans, and we want to thank each of you for your commitment to serve. We honor your courage, dedication, and the selfless work you do each day. At our state office at 2 Peachtree, we are inspired every day by Dr. Emile Risby, DBHDD’s Medical Director. Dr. Risby is a Colonel in the United States Army Reserve and embraces this duty with the same enthusiasm that he leads our hospitals. This is further evidence that the goals and values we strive to achieve are often embodied by those right in front of us.

Happy Independence Day to us all!

Judy Fitzgerald, Commissioner
Department of Behavioral Health & Developmental Disabilities

Coordinated Specialty Care Programs for First-Episode Psychosis: Georgia’s LIGHT-ETP Initiative

In 2015, under the leadership of Monica Johnson, Director of the Division of Behavioral Health, and Dawne Morgan, Director of Federal Grant Programs and Special Initiatives, DBHDD began developing the Listening, Inspiring, and Guiding Healthy Transitions Early Treatment Program (LIGHT-ETP), to bring Coordinated Specialty Care services to Georgia’s young adults ages 16-30.

Coordinated Specialty Care (CSC) is an evidence-based approach to providing team-based, integrated treatment to young people in the early stages of severe mental illness, with the goal of reducing disability and promoting long-term recovery.

Recognizing that many individuals with conditions such as schizophrenia and bipolar disorder experience the first symptoms of illness during adolescence and young adulthood; and that many encounter long delays before receiving effective, evidence-based treatment, LIGHT-ETP is an ambitious effort to address the needs of young people and their families at a critical point in their lives.

The goals of LIGHT-ETP include early detection of psychosis; rapid access to coordinated, team-based, specialty care; recovery-focused interventions; and youth- and young-adult-friendly services that emphasize engagement, person-centered planning, shared decision making, assertive outreach, and family involvement.

The services offered by these multi-disciplinary teams include psychotherapy, case management, supported education and employment, peer support, family support and education, medication management, and primary care coordination.  The intended outcomes: a reduction in the duration of untreated symptoms and illness; reduction in unnecessary hospitalizations; and improved clinical, social, and academic/occupational functioning.

Research conducted worldwide over the past two decades supports the value of early intervention following an initial episode of psychosis.  In the U.S., findings from the National Institute of Mental Health’s RAISE (Recovery after Initial Schizophrenia Episode) Study (https://www.nimh.nih.gov/health/topics/schizophrenia/raise/state-health-administrators-and-clinics.shtml) which was launched in 2009 spurred the implementation of CSC services in community settings throughout the country.

Over 150 young people have been served in DBHDD’s Coordinated Specialty Care programs, which are currently offered by four Community Service Boards and are funded through the Substance Abuse and Mental Health Service Administration’s Community Mental Health Block Grant.  Advantage Behavioral Health Systems in Athens, Aspire in Albany, and River Edge in Macon now have Coordinated Specialty Care programs.  View Point Health in Metro Atlanta has two CSC teams, one serving DeKalb and Fulton counties, the other serving Gwinnett County.  McIntosh Trail, in Region 6, will have a CSC program operating within the next few months.

Hospitalization rates and legal system involvement have substantially decreased for young people in DBHDD’s CSC programs, and the focus on education and employment has resulted in many program participants remaining in or returning to school, and finding and keeping meaningful work.

For further information on the LIGHT-ETP initiative, or to make a referral to a Coordinated Specialty Care program, please contact Project Coordinator Ellen Dean at ellen.dean@dbhdd.ga.gov.

Home Again Targets Kids at Risk for Foster Care

Highland Rivers Health board chair Chief Magistrate Allen Wigington (with scissors, from left), state Rep. Katie Dempsey (R-Rome), Highland Rivers CEO Melanie Dallas and Tawanda Scales with the Georgia Department of Behavioral Health and Developmental Disabilities, celebrate the opening of Highland Rivers’ Home Again office at 1838 Redmond Circle Thursday.
Highland Rivers Health board chair Chief Magistrate Allen Wigington (with scissors, from left), state Rep. Katie Dempsey (R-Rome), Highland Rivers CEO Melanie Dallas and Tawanda Scales with the Georgia Department of Behavioral Health and Developmental Disabilities, celebrate the opening of Highland Rivers’ Home Again office at 1838 Redmond Circle Thursday.

Highland Rivers Health and its supporters celebrated Thursday another tool aimed at keeping local children out of the foster care system.
The brainchild of CEO Melanie Dallas, the Home Again program offers customized help for Floyd County kids, ages 8 to 18, and their families with mental health problems.
“In Georgia, as a whole, we don’t do enough to support families in crisis,” she said. “And Floyd is one of the top in the state for the number of foster kids placed outside their home county.”
She came up with a short-term, intensive, program that teaches children and their parents hw to handle the problems — such as depression, drugs, aggression, self-harm and truancy — that threaten to tear them apart.
“We try to get families so they can live in the home together, Home Again,” Dallas said.
There’s one in Gordon County, and the Floyd County office at 1838 Redmond Circle, Suite E, held a ribbon-cutting Thursday. A third is planned for space in Pickens County.
Dallas said the program is funded by the Georgia Department of Behavioral Health and Developmental Disabilities and will soon be a Medicaid-reimbursable service.

Highland Rivers Health therapist Ricardo Bermudez (left) talks with community support staffer Carol Casey during the Thursday opening celebration of their Home Again program office at 1838 Redmond Circle.
Highland Rivers Health therapist Ricardo Bermudez (left) talks with community support staffer Carol Casey during the Thursday opening celebration of their Home Again program office at 1838 Redmond Circle.

Rep. Katie Dempsey, R-Rome, championed the program by working to ensure start-up funding in the 2016 state budget.
Highland Rivers Health board chair Chief Magistrate Allen Wigington (with scissors, from left), state Rep. Katie Dempsey (R-Rome), Highland Rivers CEO Melanie Dallas and Tawanda Scales with the Georgia Department of Behavioral Health and Developmental Disabilities, celebrate the opening of Highland Rivers’ Home Again office at 1838 Redmond Circle Thursday.
She said many children who end up in foster care come from families with mental or behavioral problems, including addiction. Home Again targets those issues.

Highland Rivers Health board chair Chief Magistrate Allen Wigington (from left), Floyd County Commissioner Larry Maxey, state Rep. Katie Dempsey (R-Rome), Highland Rivers CEO Melanie Dallas and Michael Mullet, the organization’ community relations director, celebrate the opening of its Home Again program office at 1838 Redmond Circle Thursday.
Highland Rivers Health board chair Chief Magistrate Allen Wigington (from left), Floyd County Commissioner Larry Maxey, state Rep. Katie Dempsey (R-Rome), Highland Rivers CEO Melanie Dallas and Michael Mullet, the organization’ community relations director, celebrate the opening of its Home Again program office at 1838 Redmond Circle Thursday.

“It could be for the parents. It could be for the child. But it’s to try to get ahead of the situation,” Dempsey said. “We try to keep the family together because, almost always, the child wants to stay with a parent.”
Ricardo Bermudez the program therapist, is currently working with eight families. He said they could be referred through the Georgia Department of Juvenile Justice — or by anyone, including teachers, doctors, pastors, neighbors and the parents themselves.
“These are kids who potentially would be moved out of their homes,” he said. “The goal is to re-establish the unity within the families, to stabilize them.”
The Floyd office can serve up to 10 families, Dallas said, but she’s advertising for another licensed therapist and will then be able to double the number.
For information about the program, visit the HighlandRiversHealth.com website, email homeagainfloyd@highlandrivers.org or call 706-784-4175, extension 4702.

Diane Wagner May 19, 2017

view on NorthWestGeorgiaNews.com

Tony Sanchez’s RESPECT Institute Experience

In December, 2016, Tony Sanchez, Director of Recovery Transformation Services at the Georgia Department of Behavioral Health and Developmental Disabilities participated in a RESPECT Institute of Georgia training that was hosted at the Sparrow’s Nest in Athens. Below, Tony shares his thoughts about his experience.

For several years, I have heard from many Peers that the RI training was a trans-formative experience. In December, 2016, I had the opportunity to participate in a RI and I can affirm that it is trans-formative – and healing.

I confess that I felt vulnerable when I started sharing my story with the other participants. I wasn’t planning on it, but I found myself sharing
experiences and feelings that I had never shared with anyone before. I actually think everyone felt vulnerable, but there was so much encouragement and compassion, that everyone took a chance. Everyone took a chance to be open and authentic and though it felt raw emotionally, it was also very liberating and healing.

Having been a veteran of the 12-step program, I assumed that the RI training would come easy to me. But I realized that the expectations of the RI require a different approach. For example, the exercise of having to write out my story and condense 40 years of my life into a 10-minute presentation demanded that I prioritize my lived experiences and at the same time deliver an educational and poignant message. This was not an easy task, but as I continued to edit my presentation, I realized how far I had come in my recovery. I realized that my resilience and recovery eclipse all of the pains and struggles of my life.

What I will treasure the most from my RI experience is the feedback sessions. After a participant shares their story, everyone is so encouraging and empathetic and compassionate that these sessions felt sacred. And when you consider that these stories have been held inside for so long due to shame and stigma, these sessions truly are sacred.

In my position at [DBHDD], I have had many opportunities to hear RI Graduates begin an important meeting by sharing their stories. Now that I have participated in a RI, I want to impress upon everyone that behind every 10-minute inspirational presentation, there is an enormous amount of effort. The RI is designed with great precision, but to get the optimal benefits, a participant goes through three days of intense, emotional and sometimes exhausting processes as they make peace with their past and learn to tell their story. And telling their stories is precisely what the RESPECT Institute Graduates do – every day. To date, RESPECT Institute Graduates have presented their recovery stories to over 100,000 Georgia stakeholders.

From The RESPECT Institute of Georgia Team
We encourage all Graduates to go into their community and tell their story!
Contacts
Jen Banathy
RESPECT Institute of Georgia Organizational Development Coordinator
jen@gmhcn.org
Denise Hardy
RESPECT Institute of Georgia Training Coordinator
denise@gmhcn.org
Shelia Corn
RESPECT Institute of Georgia
Outreach Coordinator
shelia@gmhcn.org
Lindsey Sizemore
RESPECT Institute of Georgia
Outreach Coordinator
lindsey@gmhcn.org

Tony Sanchez’s RESPECT Institute Experience
http://www.gmhcn.org/files/Articles/TonySanchezsRESPECTInstituteExperience.html

Veterans’ Day Event at West Central Regional Hospital

vetdaywcgrh2016West Central Georgia Regional Hospital, along with three veterans service organizations, hosted a special recognition lunch event for staff, client, and special guest veterans in observance of Veterans Day last month.

The local veterans service organizations included the American Veterans (AMVETS) Post 9, Veterans of Foreign Wars (VFW) Post 12110, and the Marine Corps League Detachment 1402. The mission of these organizations is to assist veterans and their families.

The event was coordinated by WCGRH staff member Brent Eaton, who is also a veteran and member of the veterans service organizations which supported the event. Volunteers who also helped put on the event included hospital staff members of the employee appreciation function team. Guests included Edward L. Richards post commander of AMVETS, Donald Anthony Commander of VFW Post 12110, Mackey Carter Chaplain of VFW Post 12110, Charles Youmans member of AMVETS and VFW.

Regional Hospital Administrator John Robertson welcomed the guests, and Eugene Brown provided the invocation. Brent Eaton awarded 50 staff and client veterans with a certificate of appreciation for their years of service in the United States Military. Veteran and active duty service members represented included the U.S. Army, Navy, Air Force, Marines, National and State Guard, and Army Reserve.

58th annual Mayors’ Christmas Motorcade bring holiday cheer to state hospitals

ecrhmotorcade2016Cities across Georgia participated in the 58th annual Georgia Municipal Association’s Mayors’ Christmas Motorcade, donating gifts to individuals at DBHDD’s state hospitals.

The event is named for its inaugural 1959 procession which provided gifts to individuals living at what is now Central State Hospital in Milledgeville. Governor Ernest Vandiver started the motorcade in 1958 to raise awareness for mental health across the state.

“The Mayors’ Motorcade is sort of the centerpiece of the hospital’s holiday celebration because [the people we serve] don’t have an opportunity to go home to their families,” said Andy Mannich, regional hospital administrator for Georgia Regional Hospital in Savannah.

According to the association, the fund and gift drive brings comfort items and personal necessities to more than 1,000 people with developmental disabilities and behavioral health needs.

Advantage BHS consolidating three Athens operations into one location

logo-advantage-behavioral-healthAdvantage Behavioral Health Systems completed the purchase of the former Clarke School District Administration building recently, allowing the community service board to consolidate three locations into one space and enabling the agency to reduce overhead costs while expanding access.

“When we combine all of our Athens behavioral health operations into the Mitchell Bridge building, program efficiency will dramatically increase and the treatment and referral process for our clients will become much smoother,” said David A. Kidd, Advantage BHS Board Chair.

Located at 240 Mitchell Bridge Road in Athens, the 55,000 square foot facility was once the Charter Winds psychiatric hospital. The property includes a 17-acre campus. Construction is expected to begin this month with an opening date of February or March 2017.

Advantage Behavioral Health Systems is one of twenty-six community service boards in the Georgia Department of Behavioral Health and Developmental Disabilities’ statewide public safety network. Advantage Behavioral Health Systems serves individuals with mental health and addiction disorders and developmental disabilities in Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe and Walton counties.

Faith community asked to help combat the stigma of addiction

12512449_1114324658610909_734155431369925453_nMore than 100 leaders in the faith community, social workers, government officials, and families of individuals with substance use disorders gathered in Gwinnett last week to discuss the rising heroin crisis. Navigate Recovery Gwinnett, a nonprofit organization connecting individuals to addiction treatment services, hosted the event at Cross Pointe Church in Duluth.

Heroin is one of the most addictive substances in the world. The rise in its use correlates with an increase of pain reliever prescriptions. In 2013, 681,000 Americans used heroin, more than double from the previous decade. In Georgia, 1,206 deaths in 2014 were caused by heroin overdoses, an increase of 10.2 percent from 2013.

“DBHDD is trying to avert the problem that’s increasing from heroin and opioid use with access to services, a smoother transition into the community with recovery support services, and growing partnerships with our stakeholders,” said Wrayanne Glaze Parker, women’s program Coordinator in DBHDD’s Office of Addictive Diseases.

At the event last week, many of those on the front lines, including Gwinnett County Superior Court Judge Kathy Schrader who oversees the local drug court, implored faith leaders to help combat the stigma of addiction.

Profiles in success: Behavioral Health Services of South Georgia

With a history of mental health challenges and substance use disorders, as well as felonies on record, “Gloria” sought help from Behavioral Health Services of South Georgia (BHS). She was referred to an outpatient treatment program for women. After several months in recovery, she entered BHS’ Shelter Care Plus program, which provides permanent housing and support services to those who are homeless and have been diagnosed with a mental illness.

When Gloria was ready to find a job, BHS connected her with G&B Works, Inc., a supported employment service in Valdosta. They helped her build a successful résumé, researched companies that had openings, and provided transportation to the businesses so that she could apply in person and fill out applications.

“The supported employment program is so vital to people with a background and history such as mine,” said Gloria. “Not only from the beginning with the job hunting process, but with the continued moral support and most definitely with the transportation assistance. Without [that], I would have no other way to get back and forth to work every day.”

Gloria’s work experience and qualifications landed her an interview with Pleats & Creases Dry Cleaners, but it was her honesty about her past and her commitment to a better future that secured her a job.

“She is a productive and valued employee, working to live with the tragic life event of addiction,” said her boss Evan. “If she met the initial employment scrutiny and performed as desired, then it wasn’t my place in this world to judge the past.”

Behavioral Health Services of South Georgia is one of twenty-six community service boards in the Georgia Department of Behavioral Health and Developmental Disabilities’ statewide public safety network. Behavioral Health Services of South Georgia serves individuals with mental health and addiction disorders and developmental disabilities in Ben Hill, Berrien, Brooks, Cook, Echols, Irwin, Lanier, Lowndes, Tift, and Turner counties.