Professional Disclosure Statement
Melissa Hartley (she, her, hers), MS, NCC, LPC intern
Integrated Core Counseling
6118 SE Belmont, Suite 412 Portland OR., 97215
Philosophy and Approach:
I believe that people experience life through the lens of their past, present, and perceived future, with an inherent drive to grow and reach optimal health and wellbeing. I believe that this drive for health and healing is at the core of every person. I typically work from the theoretical standpoint of Internal Family Systems, Feminist Theory, and Person-Centered approaches. It is my goal as a counselor to exercise cultural humility, meaning that I try to be aware of and sensitive to of each client’s cultural identity and background. This includes considerations of individual’s unique identities across the domains of ethnic/racial groups, ability, sexual orientation, gender identity/expression, immigration status, body size, and religion. During our work together, conversations about identity and culture will always be welcome and encouraged.
The experience of seeing a counselor is different for each person and may or may not always be effective given the numerous internal and external factors that may impact the outcome of your counseling experience. Though I cannot guarantee specific outcomes for counseling, I will provide ethical and professional services within my scope, experience, training, and educational background. I will gladly hear and discuss any concerns, questions, or suggestions you may have at any time throughout our counseling relationship.
Formal Education and Training: I hold a Bachelor’s degree in Psychology and a Master’s degree in Clinical Mental Health Counseling, both from Portland State University. Major coursework included: Theories and Interventions, Foundations of Substance Abuse, Developmental Foundations, Using Tests and Appraisal Instruments, Foundations of Couples, Marriage, and Family Counseling, Diagnosis and Treatment Planning, Legal & Ethical Issues, Psychopharmacology, Multicultural Counseling, Research and Program Evaluation, Group Counseling, Foundations of Mental Health Services, Counseling Skills, Career & Lifestyle Planning, Systemic Perspective on Human Sexuality, and Grief and Loss.
As an Intern registered with the Oregon Board of Licensed Professional Counselors and Therapists, I abide by its Code of Ethics as well as that of the American Counseling Association. As an intern, I am supervised by Kerri Anderson-Linde, a licensed professional counselor, which I will be happy to explain.
Fees, Scheduling, and Cancellation Policy:
-$95 for 50-minute individual sessions.
-Fees for groups range between $25-$50 per 90-120 minute sessions.
-Fees are payable by cash, check, or credit card, due by the beginning of each session.
-Reduced fees may be negotiated in cases of financial hardship.
-I typically schedule sessions for once per week, but we can make adjustments as needed.
-I ask that you notify me 48 hours prior to your scheduled session time if you will be unable to attend. In the event of a cancellation/request to reschedule with less than 24-hour notice, I will add the session fee to your balance, due before the next session, or I will run the payment card on file for the regular session fee.
As a client of an Oregon registered intern, you have the following rights:
To expect that a licensee has met the qualifications of training and experience required by state law;
To examine public records maintained by the Board and to have the Board confirm credentials of a licensee;
To obtain a copy of the Code of Ethics (Oregon Administrative Rules 833-100);
To report complaints to the Board;
To be informed of the cost of professional services before receiving the services;
To be assured of privacy and confidentiality while receiving services as defined by rule or law, with the following exceptions: 1) Reporting suspected child abuse; 2) Reporting imminent danger to you or others; 3) Reporting information required in court proceedings or by your insurance company, or other relevant agencies; 4) Providing information concerning licensee case consultation or supervision; and 5) Defending claims brought by you against me;
To be free from discrimination because of age, color, culture, disability, ethnicity, national origin, gender, race, religion, sexual orientation, marital status, or socioeconomic status.
You may contact the Board of Licensed Professional Counselors and Therapists at: 3218 Pringle Rd SE, #120, Salem, OR 97302-6312 Telephone: (503) 378-5499 Email: firstname.lastname@example.org Website: https://www.oregon.gov/OBLPCT/Pages/index.aspx For additional information about this intern, consult the Board’s website.