October 2013 | Counseling Today | 3 Counseling Today Cover Story 30 Total health care By Lynne Shallcross Integrated care holds great promise for counselors and the clients they serve, but it also presents significant challenges. Regardless of the obstacles, experts caution that the counseling profession can’t afford to get left behind. Features 38 Understanding Deaf people in counseling contexts By Aimee K. Whyte, Alison L. Aubrecht, Candace A. McCullough, Jefrey W. Lewis & Danielle Thompson-Ochoa Five professional Deaf counselors share insights and considerations for increasing cultural competence and working effectively to empower Deaf clients. 46 Knowledge Share When role models are scarce By Lynn Zagzebski Tovar, Abigail Holland Conley & Sylvia Nassar-McMillan Counselors can play a pivotal role in encouraging underrepresented populations to enter science, technology, engineering and mathematics careers. 50 Opinion The ethics of experiential activities for presentations By Rebecca A. Willow & David Tobin The same guidelines that protect the welfare, dignity and confidentiality of counselors’ clients may need to be explicitly extended to participants at professional presentations and workshops. 54 Four questions for Arne Duncan Interview by Frank Burtnett The nation’s secretary of education discusses improving college and career readiness, quality early learning programs, school safety and the key roles that school counselors continue to play. Extras 56 Counseling profession loses a friend and legend of counseling 58 President-elect candidates discuss counselors’ shared values, capitalizing on ACA’s inancial stability 30 38 46 October 2013 Counseling Today