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CRC Examination

Provider
Commission on Rehabilitation Counselor Certification (CRCC); delivered by Pearson VUE
Format
Computer-based multiple-choice examination administered three times a year in testing windows, in two locked sections (Rehabilitation and Disability; Counseling) with conjunctive scoring
Exam questions
175 multiple-choice questions: 150 scored items and 25 field test questions
Time limit
210 minutes to complete the examination questions (3½ hours allotted; set aside 4 hours)
Passing score
Passing score required on both the Counseling part and the Rehabilitation and Disability part in a single administration
Exam fee
$420 certification fee; $275 reexamination fee
Examination outline
  • 1. Professional Orientation and Ethical Practice (10.7% of questions) (10.7%)
    • A. Uphold professional ethical standards for rehabilitation counselors and manage risk. [C] — a) Conceptualize and articulate the counseling relationship; b) Adhere to and ensure confidentiality, privileged communication, and privacy; c) Understand how to promote and participate in advocacy and ensure accessibility; d) Maintain professional roles to ensure appropriate service provision; e) Maintain appropriate relationships with other professionals; f) Understand the differing professional relationships in forensic and indirect services; g) Understand the ethical requirements of evaluation, assessment, and interpretation; h) Understand the ethical requirements in the roles of teaching, supervising, and training; i) Understand the ethical implications of research and publication; j) Understand the limits and ethical implications of the use of technology and distance counseling; k) Understand and ensure appropriate business practices; l) Understand and apply ethical decision-making models and processes.
    • B. Understand and apply laws and public policy affecting individuals with disabilities. [R] — a) Summarize and synthesize the impacts of the Rehabilitation Act of 1973.; b) Summarize and synthesize the impacts of Title V of the Rehabilitation Act of 1973 – Sections 501-504.; c) Summarize and synthesize the impacts of the Rehabilitation Act of 1973, as Amended.; d) Understand the impact of SSI/SSDI on employment, independent living and economic self-sufficiency.; e) Understand the impact of veteran benefits (e.g., service-connected disability compensation and non-service-connected pension) on employment, independent living and economic self-sufficiency.; f) Summarize and synthesize the impacts of the Fair Labor Standards Act.; g) Understand the definition of a disability in ADA, the uses of the definition, and how the definition relates to the rights guaranteed by the ADA.; h) Understand the rights guaranteed by the ADA in an employment setting.; i) Understand the definition of a reasonable accommodation as defined by the ADA.; j) Understand the rights guaranteed by the ADA on public transportation.; k) Understand the changes to the definition of disability in the ADAAA, the changes to the interactive process, and the implications for employees and employers.; l) Understand the role of the EEOC in relation to discrimination.; m) Summarize and synthesize the impacts of IDEA.; n) Summarize and synthesize the historical impacts of WIA.; o) Understand the rights and limits guaranteed by FMLA.; p) Understand the confidentiality and technology requirements of HIPAA.; q) Understand the impact of TWWIIA (Ticket to Work) on employment, independent living, and economic self-sufficiency.; r) Understand the impact and implications of WIOA on employment outcomes, independent living, and economic self-sufficiency.
    • C. Advocate for diversity, understand, and apply appropriate services that address multicultural counseling issues. [C]
    • D. Understand and apply appropriate rehabilitation terminology and concepts. [R]
    • E. Understand and identify the differing professional roles, functions, and effective relationships with other providers and professionals. [C]
    • F. Understand the credentialing issues related to the rehabilitation counseling profession and advocate for appropriate solutions. [C]
    • G. Understand the differing organizational structures of rehabilitation counseling practice settings (e.g., public, private-for-profit, and not-for-profit service delivery systems). [R]
    • H. Understand, synthesize, and apply knowledge of historical and philosophical foundations of rehabilitation counseling. [R]
  • 2. Counseling Theories, Techniques, and Evidence-Based Practice (11.3% of questions) (11.3%)
    • A. Apply clinical problem-solving and critical-thinking skills. [C]
    • B. Understand rehabilitation techniques for individuals with disabilities. [R]
    • C. Understand individual counseling theories. [C] — a) Integrated/Eclectic; b) Rational-Emotive Behavior Therapy; c) Reality Therapy; d) Person-Centered; e) Psychoanalytic; f) Gestalt; g) Trait-factor/Person Environment Fit; h) Behavioral; i) Cognitive/Behavioral; j) Adlerian; k) Solution-Focused; l) Narrative; m) Feminist; n) Existential
    • D. Utilize individual counseling practices, interventions, and techniques. [C] — a) Systematic Desensitization; b) Behavior Analysis and Therapy; c) Social Skills; d) Time Management; e) Stress Management; f) Restructuring; g) Anger Management; h) Problem Solving Therapy; i) Person-centered practices; j) Mindfulness-based practices
    • E. Understand substance use and treatment. [C]
    • F. Establish and maintain effective working alliances with clients. [C]
    • G. Understand dual diagnosis and co-occurring disorders. [C]
    • H. Understand counseling/training to help clients develop workplace socialization skills. [R]
    • I. Demonstrate motivational interviewing use and skills. [C]
    • J. Facilitate treatment planning for clinical conditions (e.g., depression, anxiety, PTSD). [C]
    • K. Understand human growth and development. [C]
    • L. Apply evidence-based psychosocial/psychiatric rehabilitation interventions in rehabilitation counseling practice. [R]
    • M. Apply evidence-based vocational interventions in rehabilitation counseling practice. [R]
    • N. Apply or facilitate evidence-based counseling/therapy for clients with clinical diagnoses (e.g., depression, anxiety, PTSD). [C]
    • O. Apply or facilitate evidence-based counseling/therapy for clients with substance use disorders. [C]
    • P. Understand theories and techniques of clinical supervision. [C]
    • Q. Recognize and utilize evidence and research-based practices. [C]
  • 3. Group and Family Counseling (4.7% of questions) (4.7%)
    • A. Understand family counseling theories. [C]
    • B. Incorporate family counseling practices and interventions. [C]
    • C. Understand group counseling theories. [C]
    • D. Incorporate group counseling practices and interventions. [C]
  • 4. Crisis and Trauma Counseling and Interventions (6.0% of questions) (6%)
    • A. Conduct assessment of client risk and development of a safety plan. [C]
    • B. Provide effective rehabilitation counseling services for individuals with polytrauma injuries. [C]
    • C. Understand the impact of crises, disasters, and other trauma-causing events on people with disabilities. [C]
    • D. Use principles of crisis intervention for people with disabilities during crises, disasters, and other trauma-causing events. [C]
    • E. Understand the emergency management system within rehabilitation agencies and in the community. [C]
  • 5. Medical and Psychosocial Aspects of Chronic Illness and Disability (9.3% of questions) (9.3%)
    • A. Evaluate the psychosocial and cultural impact of disability. [R] — a) Individual adjustment to disability; b) Human sexuality and disability issues; c) Family or support system adjustment to disability
    • B. Understand medical terminology. [R]
    • C. Apply knowledge of the medical aspects and implications of various disabilities. [R] — a) Mental Functions; b) Sensory Functions and Pain; c) Voice and Speech Functions and Structures; d) Cardiovascular, Hematological, Immunological, and Respiratory Functions and Structures; e) Digestive, Metabolic, and Endocrine Systems and Structures; f) Genitourinary and Reproductive Functions and Structures; g) Neuromusculoskeletal and Movement Related Functions and Structures; h) Skin and Related Functions and Structures; i) Nervous System Structures; j) Eye, Ear, and Related Structures; k) Learning and Applying Knowledge; l) Interpersonal Interactions and Relationships; m) General Tasks and Demands; n) Communication; o) Mobility; p) Self-Care; q) Domestic-Life; r) Major Life Areas; s) Community, Social, and Civic Life
    • D. Review the implications of medications as they apply to individuals with disabilities. [R]
    • E. Address environmental and attitudinal barriers for individuals with disabilities. [R]
  • 6. Assessment/Evaluation, Occupational Analysis, and Service Implementation (10.7% of questions) (10.7%)
    • A. Understand the vocational implications of functional limitations associated with disabilities. [R] — a) Mental Functions; b) Sensory Functions and Pain; c) Voice and Speech Functions and Structures; d) Cardiovascular, Hematological, Immunological, and Respiratory Functions and Structures; e) Digestive, Metabolic, and Endocrine Systems and Structures; f) Genitourinary and Reproductive Functions and Structures; g) Neuromusculoskeletal and Movement Related Functions and Structures; h) Skin and Related Functions and Structures; i) Nervous System Structures; j) Eye, Ear, and Related Structures; k) Learning and Applying Knowledge; l) Interpersonal Interactions and Relationships; m) General Tasks and Demands; n) Communication; o) Mobility; p) Self-Care; q) Domestic-Life; r) Major Life Areas; s) Community, Social, and Civic Life
    • B. Access and review resources for the assessment process. [C] — a) Review of case materials for pertinent information; b) Diagnostic and Statistical Manual of Mental Disorders (DSM); c) International Classification of Diseases (ICD)
    • C. Refer or conduct informal assessments. [C] — a) Interviews and initial assessments; b) Situational assessment/job shadowing/community-based work assessment
    • D. Refer or conduct formal assessments. [C] — a) Achievement Tests; b) Aptitude Tests; c) Intelligence Tests; d) Interest Inventories; e) Career, Work Values, and Maturity Tests; f) Personality Tests; g) Psychological/Neuropsychological Tests; h) Adaptive Behavior/Behavioral Observations; i) Mental Health Screeners; j) Learning Styles Tests; k) Ecological/Functional Capacity Evaluations; l) Dexterity Tests; m) Work Samples; n) Non-Cognitive Tests
    • E. Refer or perform Transferable Skills Analysis (e.g., VDARE). [C]
    • F. Interpret assessment results for rehabilitation planning purposes. [C]
    • G. Perform job analysis. [R]
    • H. Assess ergonomic, job accommodation, and assistive technology needs. [R]
    • I. Advise on job modification and restructuring techniques. [R]
    • J. Perform labor market analysis. [R] — a) Occupational and labor market information (e.g., DOT, ORS, O*NET, OOH, other national, regional, or local government labor market sources, private salary surveys); b) Methods and techniques used to conduct labor market surveys
    • K. Use computer-based job matching systems. [C]
  • 7. Career Development and Job Placement (9.3% of questions) (9.3%)
    • A. Understand, identify, and apply career development and job placement strategies. [R]
    • B. Understand, identify, and apply job readiness, seeking, and retention skills. [C]
    • C. Understand the unique needs of specialized populations in relation to job development and placement. [R]
    • D. Understand techniques to develop and retain relationships with employers to assist with job development and placement. [R]
    • E. Understand and identify evidence-based employment models and services tailored to individuals with significant disabilities and/or barriers to competitive employment. [R] — i) Supported Employment (SE); ii) Customized Employment (CE); iii) Individual Placement and Support (IPS); iv) Self-Employment
    • F. Understand the unique needs of individuals with a dual diagnosis in the workplace and apply appropriate strategies. [R]
    • G. Understand and apply theories of career development and work adjustment. [C] — a) Trait-Factor/Person Environment Fit theories.; b) Personality theories; c) Developmental/Self-Concept theories; d) Sociological/Self-Concept theories; e) Behavioral theories
    • H. Understand, identify, and facilitate the appropriate use of work conditioning or work hardening resources and strategies. [R]
    • I. Understand the effective use of and risks of social media as a networking tool. [C]
  • 8. Business Engagement (7.6% of questions) (7.6%)
    • A. Assist employers with job accommodations for their employees with disabilities (e.g., assistive technology, workspace modifications). [R]
    • B. Provide consultation services and training to employers / businesses concerning disability concepts, best practices, and applicable laws (e.g., hiring, return to work, reasonable accommodations, and retention). [R]
    • C. Partner with employers/businesses to address needs and concerns related to hiring and retaining individuals with disabilities. [R]
    • D. Understand, communicate, and apply business-focused strategies, techniques, and terminology to improve employment outcomes for individuals with disabilities. [R]
    • E. Work with employers to develop pipelines for employing individuals with disabilities using work-based learning and training methods. [R] — a) Apprenticeships; b) Internships; c) On-the-job training (OJT)
    • F. Understand the dual customer role (e.g., employer and person with a disability). [R]
  • 9. Community Resources and Partnerships (8.0% of questions) (8%)
    • A. Understand the programs and services available for specific and underserved populations. [R]
    • B. Understand Social Security programs, benefits, work incentives, and disincentives. [R]
    • C. Possess knowledge of funding sources and community resources for rehabilitation services. [R]
    • D. Provide or facilitate skills development and independent living services. [R]
    • E. Provide or facilitate financial literacy training. [R]
    • F. Understand and refer to services available through client advocacy programs (e.g., Client Assistance Program [CAP], legal aid). [R]
    • G. Refer to and partner with one-stop career centers and other community stakeholders. [R]
    • H. Understand and facilitate life care planning and life care planning services. [R]
    • I. Advocate with community partners for full community inclusion for people with disabilities. [R]
    • J. Provide or facilitate counseling on the impact of employment on community services and benefits. [R]
  • 10. Case Management (10.0% of questions) (10%)
    • A. Understand and apply the case management process. [C] — a) Case finding; b) Planning; c) Service coordination; d) Referral to and utilization of other disciplines; e) Advocacy
    • B. Complete case recording and documentation. [C]
    • C. Understand and apply negotiation, mediation, and conflict resolution strategies. [C]
    • D. Understand and apply the principles of caseload management. [C]
    • E. Understand and address institutional and social barriers that impede access, equity, and success for clients. [C]
    • F. Apply techniques for working with individuals with limited English proficiency or varied communication methods. [C]
    • G. Understand and apply principles, models, and documentation formats for biopsychosocial case conceptualization and treatment planning. [C]
  • 11. Health Care and Disability Management (7.3% of questions) (7.3%)
    • A. Understand and provide appropriate medical intervention resources. [R]
    • B. Understand the diversity of healthcare benefits, delivery systems, and the impact of services on individuals with disabilities. [R]
    • C. Understand and collaborate with health promotion and wellness providers regarding strategies for people with chronic illness and disability. [R]
    • D. Understand different insurance programs (e.g., Medicare, Medicaid, group and individual, short-and long-term disability, personal injury no-fault liability). [R]
    • E. Understand and apply disability prevention and management strategies. [R]
    • F. Understand the variability of workers’ compensation laws and practices. [R]
  • 12. Research, Methodology, and Performance Management (5.3% of questions) (5.3%)
    • A. Understand statistics and psychometric concepts related to measurement. [C] — a) Validity; b) Reliability/ Standard Error of Measurement; c) Norms; d) Scaled and Standard Scores; e) Percentiles; f) Distributions/Bell Curve; g) Norm- and Criterion-Referenced Measurement
    • B. Understand research methods (e.g., surveys, case studies) and data analysis. [C]
    • C. Assess research literature related to evidence – based practice. [C] — a) Research databases (e.g., EBSCO, PsycINFO, MEDLINE); b) Ability to select between various levels of evidence-based research (e.g., subject matter experts to the systematic reviews and meta-analyses gold standard)
    • D. Comprehend concepts and principles of organizational development and stakeholder management. [C] — a) Effective management of services and programs, including areas such as administration, finance, benefit systems, and accountability; b) Strategic planning techniques and budget planning
    • E. Understand program evaluation procedures for assessing the effectiveness of rehabilitation services and outcomes. [R]
Examination sources

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