Performance of International and Domestic Counselors-In-Training in a University Training Clinic: An Outcome-Based Analysis

The purpose of this study was to compare the performance of international and domestic counselors-in-training attending a CACREP-accredited counseling program in the northwest region of the U.S. The effectiveness and efficiency of reducing distress levels were compared between these two groups of students. We examined the outcome of 286 clients seen by 57 counselors-in-training over 1-year period in a University Training Counseling Center. Data were analyzed using mixed ANOVA to determine and to evaluate clients’ treatment outcomes per group of counselors. Results indicated a significant decrease in the clients’ distress scores, and there were no significant differences in effectiveness and efficiency between international and domestic counselors-in-training. Implications are made for counselor educators and researchers.