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Structural Vulnerability Framework: An Application

Title:
Structural Vulnerability Framework: An Application to Professional Counselors
Authors:
Christian D. Chan, PhD, NCC and Jordan B. Westcott
Description:
Professional counselors address systemic factors that underlie client wellness and utilization of counseling services. Despite growing attention toward social determinants of health and systems-based perspectives for multiculturalism, social justice, and advocacy, employing counseling interventions to address structural inequities remains nascent. Exploring structural vulnerabilities can be instrumental in reducing stigma for historically marginalized communities and their engagement with mental health services. This article introduces the structural vulnerability framework (SVF), a model of eight domains of structural vulnerability, as a tool to enhance structural humility, leverage social determinants of health, and offer systemic interventions in counseling practice. By outlining the framework, we proffer strategies that correspond to a comprehensive set of interventions and underscore the existing body of culturally responsive counseling research. We discuss future directions for research to apply domains of the SVF.

Learning Objectives:

  • Learners will describe the relationship between adverse childhood experiences (ACEs) and self-stigma of help-seeking (SSOHS) as identified through structural equation modeling in the study.
  • Learners will explain how event centrality and posttraumatic beliefs mediate the association between ACEs and self-stigma of help-seeking.
  • Learners will identify trauma-informed, evidence-based counseling interventions and prevention strategies that may reduce self-stigma and promote help-seeking among individuals with ACE histories.

CE Credit: 1 NBCC Hours; 0 CRCC Hours; 1 WA Hours; 0 APT Hours; 0 NAADAC Hours; 0 NY Hours; 0 Ethics Hours

NBCC ACEP No. 1000
December 01, 2025
Text-Based Continuing Education Product
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