Reviews various aspects of the new managed mental health care systems and details the gains and losses the various mental health service provider professions may experience depending upon how each responds to the changing demands of alternate service delivery systems. Presents recommendations regarding how counselors can establish solid base in…

Defines the concept of countertransference and four dimensions of possible countertransference responses toward the older client. Three of these responses are based on Karen Horney's interpersonal styles: moving toward, moving away, and moving against. Discusses strategies for managing countertransference with older clients, with special emphasis…

Provides an overview of prison inmate resistance to mental health counseling and describes ways that indirect, metaphorical communication can be used to establish rapport with this client population. Establishing rapport is difficult because of the suspicion that inmate clients have toward mental health professionals and the correctional system…

Reviews research on the factors that affect the mental health of Puerto Ricans who migrate to the United States. Three groups are discussed: (1) those who migrate; (2) those who migrate and return; and (3) those who migrate and return more than once. (EVL)