Akkurt, M. N., Ng, K. M., & Kolbert, J. (2018). Multicultural discussion as a moderator of counseling supervision-related constructs. International Journal for the Advancement of Counselling, 40, 455–468. https://doi.org/10.1007/s10447-018-9337-z

Article  Google Scholar 

Al-Mahroos, Z., & Di Braccio, M. (2022). Language as power in the therapy room: A study of bilingual (Arabic–English) therapists' experiences. Counselling and Psychotherapy Research, 1–13. https://doi.org/10.1002/capr.12608

American Mental Health Counselors Association. (2018). AMHCA standards for the practice of clinical mental health counseling. Author.

American Counseling Association. (2014). ACA code of ethics. Author.

Attia, M. (2021). Professional identity development of foreign-born counselors in U.S. counselor education. International Journal for the Advancement of Counselling, 43, 88–100. https://doi.org/10.1007/s10447-020-09419-5

Article  Google Scholar 

Balkin, R. S., & Lenz, A. S. (2021). Contemporary issues in reporting statistical, practical, and clinical significance in counseling research. Journal of Counseling & Development, 99(2), 227–237. https://doi.org/10.1002/jcad.12370

Article  Google Scholar 

Banham, J. A., & Schweitzer, R. D. (2016). Trainee-therapists are not all equal: Examination of therapeutic efficiency, effectiveness and early client dropout after 12 months of clinical training. Psychology and Psychotherapy: Theory Research and Practice, 89(2), 148–162. https://doi.org/10.1111/papt.12071

Bauer, A. M., Chen, C. N., & Alegría, M. (2011). English language proficiency and mental health service use among latino and Asian americans with mental disorders. Medical Care, 48(12), 1097–1104.https://doi.org/10.1097/MLR.0b013e3181f80749

Article  Google Scholar 

Behl, M., Laux, J. M., Roseman, C. P., Tiamiyu, M., & Spann, S. (2017). Needs and acculturative stress of international students in CACREP programs. Counselor Education and Supervision, 56(4), 305–318. https://doi.org/10.1002/ceas.12087

Article  Google Scholar 

Center for Collegiate Mental Health. (2022). Counseling Center Assessment of Psychological Symptoms (CCAPS). Instruments. https://ccmh.psu.edu/ccaps-34-62. Accessed 26 Sept 2022

Council for Accreditation of Counseling and Related Educational Programs. (2015). 2016 CACREP standards. Retrieved from www.cacrep.org

Dyason, K. M., Shanley, D. C., Hawkins, E., Morrissey, S. A., & Lambert, M. J. (2019). A systematic review of research in psychology training clinics: How far have we come? Training and Education in Professional Psychology, 13(1), 4–20. https://doi.org/10.1037/tep0000196

Article  Google Scholar 

Georgiadou, L. (2014). “My language thing... is like a big shadow always behind me”: International counselling trainees’ challenges in beginning clinical practice. Counselling and Psychotherapy Research, 14, 10–18. https://doi.org/10.1080/14733145.2013.770896

Article  Google Scholar 

Gerton, J. M., Aoyagi, K., León, G. A., Bludworth, J., Spille, S., & Holzapfel, J. (2023). Outcomes in clients transitioning from in-person counselling to telehealth counselling with trainees. Counselling and Psychotherapy Research, 23(1), 188–197. https://doi.org/10.1002/capr.12541

Article  Google Scholar 

Hays, D. G., & Erford, B. T. (2018). Developing multicultural counseling competence: A systems approach (3rd edition). Pearson.

Google Scholar 

Institute of International Education. (2023a). “Fast facts 2023” Open doors report on international educational exchange. Retrieved from https://opendoorsdata.org/fast_facts/fast-facts-2023/. Accessed 28 May 2024

Institute of International Education. (2023b). “International student and U.S. higher education enrollment, 1948/49 - 2023/23” Open doors report on international educational exchange. Retrieved from https://opendoorsdata.org/international-students/enrollment-trends/. Accessed 28 May 2024

Karaman, M. A., Schmit, M. K., Ulus, I. C., & Oliver, M. (2018). International counseling students’ perception of ethics. Journal of International Students, 8(2), 677–695. https://doi.org/10.5281/zenodo.1250370

Article  Google Scholar 

Kissil, K., Davey, M., & Davey, A. (2013). Therapists in a foreign land: Acculturation, language proficiency and counseling self-efficacy among foreign-born therapists practicing in the United States. International Journal for the Advancement of Counselling, 35, 216–233. https://doi.org/10.1007/s10447-012-9178-0

Article  Google Scholar 

Kraus, D. R., Castonguay, L., Boswell, J. F., Nordberg, S. S., & Hayes, J. A. (2011). Therapist effectiveness: Implications for accountability and patient care. Psychotherapy Research, 21(3), 267–276. https://doi.org/10.1080/10503307.2011.563249

Article  PubMed  Google Scholar 

Kuo, P., Washington, A., & Woo, H. (2021). Professional identity development and multicultural identity among international counselor education doctoral students. Journal of Multicultural Counseling and Development, 49, 116–128. https://doi.org/10.1002/jmcd.12210. https://doi-org.ezaccess.libraries.psu.edu/

Kuo, P., Washington, A., & Woo, H. (2023). Intersection of professional identity development and experiences of cultural insensitivity among international counselor education doctoral students. Journal of Multicultural Counseling and Development, 51(2), 136–146. https://doi.org/10.1002/jmcd.12273

Article  Google Scholar 

Lau, J., & Ng, K. M. (2012). Effectiveness and relevance of training for international counseling graduates: A qualitative inquiry. International Journal for the Advancement of Counselling, 34, 87–105. https://doi.org/10.1007/s10447-011-9128-2

Article  Google Scholar 

Lau, J., Su, Y. W., Chen, C. C., & Dai, C. L. (2019). Using a collaborative model in supervision with international counseling students. The Journal of Humanistic Counseling, 58, 150–164. https://doi.org/10.1002/johc.12103

Article  Google Scholar 

Lenz, A. S. (2020). Estimating and reporting clinical significance in counseling research: Inferences based on percent improvement. Measurement and Evaluation in Counseling and Development, 53(4), 289–296. https://doi.org/10.1080/07481756.2020.1784758

Article  Google Scholar 

Lertora, I. M., & Croffie, A. L. (2020). The lived experiences of international students in a CACREP counseling program. International Journal for the Advancement of Counselling, 42, 174–190. https://doi.org/10.1007/s10447-019-09394-6

Article  Google Scholar 

Li, D., Liu, Y., & Lee, I. (2018). Supervising Asian international counseling students: Using the integrative developmental model. Journal of International Students, 8(2), 1129–1151. https://doi.org/10.5281/zenodo.1250415

Article  Google Scholar 

Locke, B. D., Buzolitz, J. S., Lei, P. W., Boswell, J. F., McAleavey, A. A., Sevig, T. D., Dowis, J. D., & Hayes, J. A. (2011). Development of the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62). Journal of Counseling Psychology, 58, 97–109. https://doi.org/10.1037/a0021282

Article  PubMed  Google Scholar 

Locke, B. D., McAleavey, A. A., Zhao, Y., Lei, P. W., Hayes, J. A., Castonguay, L. G., Li, H., Tate, R., & Lin, Y. C. (2012). Development and initial validation of the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34). Measurement and Evaluation in Counseling and Development, 45, 151–169. https://doi.org/10.1177/0748175611432642

Article  Google Scholar 

MacLeod, B. P. (2013). Social Justice at the microlevel: Working with clients’ prejudices. Journal of Multicultural Counseling and Development, 41(3), 169–184.https://doi.org/10.1002/j.2161-1912.2013.00035.x

Article  Google Scholar 

Ng, K. M., & Smith, S. D. (2009). Perceptions and experiences of international trainees in counseling and related programs. International Journal for the Advancement of Counselling, 31, 57–70. https://doi.org/10.1007/s10447-008-9068-7

Article  Google Scholar 

Okiishi, J. C., Lambert, M. J., Eggett, D., Nielsen, L., Dayton, D. D., & Vermeersch, D. A. (2006). An analysis of therapist treatment effects: Toward providing feedback to individual therapists on their clients’ psychotherapy outcome. Journal of Clinical Psychology, 62(9), 1157–1172. https://doi.org/10.1002/jclp.20272

Article  PubMed  Google Scholar 

Peng, Y., Genç, E., Nicholson, B., & Markham, M. S. (2022). Not professional enough to be a therapist: International therapists’ experience of language discrimination. Current Psychology, 41(5), 3225–3235. https://doi.org/10.1007/s12144-020-00848-4

Article  Google Scholar 

Ratts, M. J., Singh, A. A., Nassar-McMillan, S., Butler, S. K., & McCullough, J. R. (2016). Multicultural and social justice counseling competencies: Guidelines for the counseling profession. Journal of Multicultural Counseling and Development, 44(1), 28–48. https://doi.org/10.1002/jmcd.12035

Article  Google Scholar 

Santiago-Rivera, A. L., Altarriba, J., Gonzalez-Miller, N., Poll, N., & Cragun, C. (2009). Therapists’ views on working with bilingual spanish-english speaking clients: A qualitative investigation. Professional Psychology Research & Practice, 40(5), 436–443. https://doi.org/10.1037/a0015933

Article  Google Scholar 

Sentell, T., Shumway, M., & Snowden, L. (2007). Access to mental health treatment by English language proficiency and race/ethnicity. Journal of General Internal Medicine, 22(2), 289–293. https://doi.org/10.1007/s11606-007-0345-7

Article  PubMed  PubMed Central  Google Scholar 

Sherman, M. F., Sriken, J., Erford, B. T., Smith, H. L., MacInerney, E., Niarhos, F., & Kipper-Smith, A. (2021). Psychometric analysis of CCAPS-34 acores with a large university sample. Measurement and Evaluation in Counseling and Development, 54(4), 219–232. https://doi.org/10.1080/07481756.2020.1843971

Article  Google Scholar 

Ulupinar, D. (2018). Foreign language anxiety among counseling students speaking English as a second language: A rationale for future research. International Journal for the Advancement of Counselling, 40, 162–172. https://doi.org/10.1007/s10447-017-9318-7

Article  Google Scholar 

U.S. Census Bureau. (2020). S1601 Language spoken at home. 2020: ACS 5-Year Estimates Subject Tables. https://data.census.gov/cedsci/table?q=DP02&t=Language%20Spoken%20at%20Home&tid=ACSST5Y2020.S1601. Accessed 27 July 2022

Vos, J., Chryssafidou, E., van Rijn, B., & Stiles, W. B. (2022). Outcomes of beginning trainee therapists in an outpatient community clinic. Counselling and Psychotherapy Research, 22(2), 471–479.https://doi.org/10.1002/capr.12541

Article  Google Scholar 

Woo, H., Jang, Y. J., & Henfield, M. S. (2015). International doctoral students in counselor education: Coping strategies in supervision training. Journal of Multicultural Counseling and Development, 43(4), 288–304. https://doi.org/10.1002/jmcd.12022

Article  Google Scholar 

Xiong, Y., Bonner, M., Travis, S., Xing, F., & Zhang, Q. (2022). International counseling students’ practicum experience in a counseling program in the United States: A phenomenological study. Journal of International Students, 12(3), 633–653. https://doi.org/10.32674/jis.v12i3.3444