Exam Overview

CRC Exam Overview

The certification examination is comprised of questions across twelve (12) knowledge domains underlying rehabilitation counseling. Additionally, each of the twelve domains are further defined into subdomains.

CRC Exam Structure

The CRC exam is administered during an allotted 3 ½ hours. Candidates should set aside four (4) hours, which includes time for check-in, instructions (tutorial) and a brief post-exam survey. The exam is divided in two (2) sections: Rehabilitation and Disability and Counseling. It consists of a total of 175 multiple-choice questions without a break in between. The timer/clock displayed in the screen will begin tracking with question one (1) of the examinations and end with question 175. Candidates will have 210 minutes to complete the examination questions once the timer/clock begins. After the first section is completed (locked), applicants cannot access this first section of the exam and the system will launch the second section of the exam immediately. Also, once the second section is completed (locked), applicants will be unable to return to any content of the exam.


CRC Exam Knowledge Domains % of Questions
Professional Orientation and Ethical Practice
• Risk management and professional ethical standards for rehabilitation counselors
• Laws and public policy affecting individuals with disabilities
• Ethical decision-making models and processes
• Diversity and multicultural counseling issues
• Rehabilitation terminology and concepts
• Professional roles, functions, and relationships with other human service providers
• Credentialing issues related to the rehabilitation counseling profession
• Organizational structure of rehabilitation counseling practice settings (e.g., public, private-for-profit, and not-for-profit service delivery systems)
• Historical and philosophical foundations of rehabilitation counseling
Counseling Theories, Techniques, and Evidence-Based Practice
• Clinical problem-solving and critical-thinking skills
• Rehabilitation techniques for individuals with psychological disabilities
• Individual counseling practices and interventions
• Establishing and maintaining effective working alliances with the clients we serve
• Individual counseling theories
• Behavior and personality theory
• Substance use and treatment
• Counseling/training to help clients develop workplace socialization skills
• Motivational Interviewing
• Treatment planning for clinical problems (e.g., depression, anxiety)
• Human growth and development
• Evidence-based psychosocial and vocational interventions in rehabilitation counseling practice
• Evidence-based psychiatric rehabilitation practices
• Evidence-based counseling/therapy for clients with PTSD
• Evidence-based counseling/therapy for clients with alcohol and other drug use problems
• Theories and techniques of clinical supervision
• Evidence-based practice and research utilization
Group and Family Counseling
• Family counseling practices and interventions
• Family counseling theories
• Group counseling practices and interventions
• Group counseling theories
Crisis and Trauma Counseling and Interventions
• Assessment of client risk and development of a safety plan
• Effective rehabilitation counseling services for individuals with polytrauma injuries
• Impact of crises, disasters, and other trauma-causing events on people with disabilities
• Use of principles of crisis intervention for people with disabilities during crises, disasters, and other trauma-causing events
• The emergency management system within rehabilitation agencies and in the community
Medical and Psychosocial Aspects of Chronic Illness and Disability
• The psychosocial and cultural impact of disability on the individual
• Medical aspects and implications of various disabilities
• Environmental and attitudinal barriers for individuals with disabilities
• Medical terminology
• Implications of medications as they apply to individuals with disabilities
• The psychosocial and cultural impact of disability on the family
• Individual and family adjustment to disability
• Human sexuality and disability issues
Assessment, Occupational Analysis, and Service Implementation
• Vocational implications of functional limitations associated with disabilities
• The functional capacities of individuals with disabilities
• Interpretation of assessment results for rehabilitation planning purposes
• Occupational and labor market information
• The tests and evaluation techniques available for assessing clients’ needs
• Ergonomics, job accommodations, and assistive technology
• Transferable skills analysis
• Job modification and restructuring techniques
• Job analysis
• Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5)
• Computer-based job-matching systems
• Methods and techniques used to conduct labor market surveys
Career Development and Job Placement
• Career development and job placement strategies
• Job readiness including seeking and retention skills development
• School-to-work transition for students with disabilities
• Employer development for job placement
• Supported employment strategies and services
• Dual diagnosis and the workplace
• Theories of career development and work adjustment
• Work conditioning or work hardening resources and strategies
• Individual Placement and Support (IPS) model – evidence-based supported employment
• Social media as a networking tool
Demand-Side Employer Engagement
• Assisting employers with job accommodation issues for their employees with disabilities (e.g., assistive technology, workspace modifications)
• Consultation process with employers related to management of disability issues in the workplace
• Educating employers on disability-related issues (e.g., ADA, compliance, disability law)
• Human resource practices, diversity in the workplace, and workplace supports for people with disabilities
• Diversity training related to disability issues for employers
• Demand-side employment issues related to hiring, return to work, and retention
• Marketing strategies and techniques for rehabilitation services
Community Resources and Partnerships
• The services available for a variety of rehabilitation populations, including persons with multiple disabilities
• Community resources and services for rehabilitation planning
• Social Security programs, benefits, work incentives, and disincentives
• Financial resources for rehabilitation services
• Programs and services for specialty populations (e.g., school-to-work transition, SCI, TBI, mental health, ID/DD, substance abuse, corrections)
• Independent living services
• Financial literacy and benefits counseling and linkages to asset development resources
• Services available through client advocacy programs (e.g., Client Assistance Programs [CAP], legal aid)
• Services available from one-stop career centers
• Life-care planning and life-care planning services
Case Management
• The case management process, including case finding, planning, service coordination, referral to and utilization of other disciplines, and client advocacy
• Case recording and documentation
• Negotiation, mediation, and conflict resolution strategies
• Principles of caseload management
• Techniques for working effectively in teams and across disciplines
• Advocacy processes needed to address institutional and social barriers that impede access, equity, and success for clients
• Techniques for working with individuals with limited English proficiency
• Principles, models, and documentation formats for biopsychosocial case conceptualization and treatment planning
Health Care and Disability Management
• Appropriate medical intervention resources
• Healthcare benefits and delivery systems
• Health promotion and wellness concepts and strategies for people with chronic illness and disability
• Insurance programs (e.g., Medicare, Medicaid, group and individual, short- and long-term disability, personal injury no-fault liability)
• Disability prevention and management strategies
• Workers’ compensation laws and practices
• Managed care concepts
Research, Methodology, and Performance Management
• Program evaluation procedures for assessing the effectiveness of rehabilitation services and outcomes
• Rehabilitation research literature related to evidence-based practice
• Effective management of rehabilitation services and programs, including areas such as administration, finance, benefit systems, and accountability
• Psychometric concepts related to measurement (e.g., reliability, validity, standard error of measurement)
• Strategic planning techniques and budget planning
• Research methods and statistics
• Systematic review, meta-analysis
• Research databases (e.g., Cochrane Collaboration, PsycINFO, MEDLINE)
• Concepts and principles of organizational development and stakeholder management
CRC Exam Scoring

The CRC Exam is scored using a conjunctive scoring model whereby the examination is divided into two parts. One part tests knowledge with regard to counseling and the other part tests knowledge with regard to rehabilitation and disability issues. Candidates must achieve a passing score on both parts on a single exam administration in order to pass the examination.

CRC Exam Results

Examinees will receive a preliminary score report at the test site indicating a pass or fail status. Those who do not pass will receive a score report including diagnostic information that can be used for further study. Official exam results packets are mailed via U.S. Postal Service approximately four weeks after the last date in the testing window. Please note that examination results cannot be released over the phone or by electronic communication.

Applicants who apply as a student are required to submit their official transcript reflecting the granting of their master’s degree in Rehabilitation Counseling or Clinical Rehabilitation Counseling before CRCC is able to release the examination results packet and officially award the CRC certification to candidates who obtained a passing score on the examination. The transcript must also reflect the successful completion of a 600-hour internship in rehabilitation counseling.


The CRC exam national average pass rate results from the last three (3) CRC exam administration windows:

  • October 2020 – First-time candidates taking the exam totaled 212, of whom 127 passed, resulting in a 60% pass rate.
  • March 2021 – First-time candidates taking the exam totaled 359, of whom 209 passed, resulting in a 58% pass rate.
  • July 2021 – First-time candidates taking the exam totaled 201, of whom 93 passed, resulting in a 46% pass rate.

The CRC exam is a competitive exam that tests the candidate’s academic knowledge and readiness to perform in the rehabilitation field to serve individuals with disabilities. The CRC certification is the gold standard for those pursuing the highest level of post-graduate credentialing in rehabilitation counseling.

The key factors that impact the pass rate on the CRC exam are related to:

  • The rehabilitation counseling program curriculum (academic and practice/internship)
  • A student’s preparation for the exam
  • An educator’s background in the academic and internship setting (CRC vs. non-CRC)


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