The Dose-Response Relationship at a College Counseling Center

Abstract

Most college counseling centers have adopted session limits for their psychotherapy clients though little evidence exists to support such cutoff points. In the past eight years, a few studies have been published using survival analysis statistics for investigating the speed of recovery in psychotherapy. The outcome of clients at a university counseling center was studied to assess change across time, on a session-by-session basis. The analysis of these data showed that 14 sessions of psychotherapy were required for 51% of clients to meet criteria for clinically significant change. Results were interpreted as suggesting that limiting psychotherapy at college counseling centers may result in improvements that are not clinically meaningful for the majority of clients receiving services.     

Therapy Dogs on Campus: Recommendations for Counseling Center Outreach

This article describes the design and implementation of a dog therapy outreach program through the counseling center at West Chester University in Pennsylvania. Two main goals were identified for this program: (a) provide stress relief and comfort to students across campus, and (b) increase potential access to counseling services and improve perceptions of the department by providing students with the opportunity to interact with department members outside of the office. Collected student responses appear to support the stated goals. Recommendations for other counseling centers are provided in developing this type of outreach programming.     

Beyond Borderline Personality Disorder: Dialectical Behavior Therapy in a College Counseling Center

The study investigated the efficacy of a dialectical behavior therapy (DBT) program with a general college counseling center population, not limited to students diagnosed with borderline personality disorder. A review of records of 64 students found that obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, paranoia, somatization, psychoticism, and phobic anxiety decreased, as did overall distress. All four target areas of DBT, namely confusion about self, impulsivity, emotional dysregulation, and interpersonal chaos, also significantly decreased. Limitations and implications for college counseling centers are discussed.     

The Use of Family Therapy Within a University Counseling Center

As a counterpoint to the oftentimes adversarial way that parents are viewed when they appear to be overinvolved in the lives of their college-aged students, this article advocates for the use of a family therapy perspective in university counseling centers. Benefits of this perspective include a broadening of the lens through which individual concerns are seen and a more nuanced social justice analysis in which issues of gender, race, and class are highlighted. A review of family therapy literature is intertwined with discussion regarding the relevance of this perspective when working with college students. Vignettes illustrate various applications of college-based family psychotherapy.     

Estimating the Efficiency of Therapy Groups in a College Counseling Center

College counseling centers are facing rapidly increasing demands for services and are tasked to find efficient ways of providing adequate services while managing limited space. The use of therapy groups has been proposed as a method of managing demand. This brief report examines the clinical time savings of a traditional group therapy program in a college counseling center. The savings were mixed from semester to semester, ranging from 5 individual therapy spots lost to 10 individual therapy spots gained depending on the estimation. Considerations are offered for the use of therapy groups to manage clinical demand based on this report.     

A Multi-Institution Look at College Students Seeking Counseling: Nature and Severity of Concerns

This study provides information about students seeking counseling (N = 3,844) at 9 institutions of higher education. The K-PIRS, an empirically validated measure, was used to assess 7 problem areas (mood difficulties, learning problems, food concerns, interpersonal conflicts, career uncertainties, self-harm indicators, and addiction issues). Forty-two percent of students presented with multiple problems, and most reported that their concerns interfered with their academic (87%) and social (90%) functioning. A majority of students (61%) were in a stage of contemplation when seeking counseling. Only 24% were in a stage of action. There were small differences in problem scores by participants' gender, ethnicity, year in school, type of residence, work status, previous treatment, and use of psychiatric medication. Implications are discussed for counseling practitioners working with college students.     

Trait Emotional Intelligence and Perceived Supervisory Working Alliance of Counseling Trainees and Their Supervisors in Agency Settings

The present study investigated the relationships between supervisee and supervisor trait emotional intelligence (EI) levels and their perception of the supervisory working alliance. Data were collected from 64 supervisor-supervisee dyads among masters-level community counseling internship students and their site supervisors. Findings indicated that supervisees and supervisors with higher levels of trait EI tended to perceive the supervisory working alliance more positively. However, findings did not support the presence of an interaction effect between supervisee and supervisor trait EI on either supervisees’ or supervisors’ perceptions of the working alliance. Implications of the findings and directions for future research are discussed.     

The Influence of Supervisor Multicultural Competence on the Supervisory Working Alliance,Supervisee Counseling Self‐Efficacy,and Supervisee Satisfaction With Supervision: A Mediation Model

We developed and tested a mediation model depicting relationships among supervisor multicultural competence, the supervisory working alliance, supervisee counseling self‐efficacy, and supervisee satisfaction with supervision. Results of structural equation modeling showed that supervisor multicultural competence was related to the supervisory working alliance and that alliance, in turn, was related to supervisee satisfaction with supervision.     

Trainees Versus Staff: Exploring Counseling Outcomes in a College Counseling Center

Investigators compared counseling outcomes among nonpaid graduate-level trainees and professional staff at a college counseling center. Counseling outcomes for 331 college student participants were measured using the Outcome Questionnaire 45.2 (OQ45.2), employing a pretest–posttest design. The two groups of service providers did not differ significantly (p = .179; α > .05). A unique aspect of this study was the statistical control for the clients’ readiness to change. The implications for practice in college counseling centers suggest the use of graduate-level trainees as effective counseling providers and a method to cope with high demand for services.     

A Case Study: An ACT Stress Management Group in a University Counseling Center

The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants’ ability to tolerate distress, which directly affects their ability to function in a stressful college setting; (b) the effectiveness of ACT in decreasing participants’ level of experiential avoidance, which directly affects their willingness to engage in their day-to-day tasks, responsibilities, and social interactions; and (c) the impact of ACT treatment on anxiety symptoms traditionally targeted in cognitive-behavioral therapy interventions. The results of this initial investigation show promising support for the prediction that an ACT Stress Management Group would significantly reduce participants’ level of experiential avoidance and increase their ability to tolerate distress.     

Writing Effectively as Counseling Center Directors and Administrators: Lessons Learned From a 2-Minute Speech

Administrative writing is a crucial skill needed for the counseling center professional to be able to transmit knowledge and values for the rest of the campus community. This article highlights both conceptual and technical aspects of effective writing.     

Working With Clients Who Have Religious/Spiritual Issues: A Survey of University Counseling Center Therapists

University counseling center therapists (N = 220) completed an Internet survey about religion/spirituality in therapy, with 200 of these therapists describing therapy with a recent client whose issues involved religion/spirituality. Common client religion/spirituality issues were questioning one's childhood religion, exploring religion/spirituality beliefs, and using religion/spirituality as a source of strength. Similarity of therapist and client religion/spirituality values was not related to the strength of the therapeutic relationship. Therapists with higher levels of religious commitment tended to rate religion/spirituality goals as more important and use religion/spirituality interventions more frequently than therapists with lower levels of religious commitment. Finally, therapists with more religion/spirituality training had higher self-efficacy for working with religion/spirituality issues. Implications for practice, research, and training are discussed.     

Research: Evaluating Therapy Outcome at a University Counseling Center With the College Adjustment Scales

To assess the effectiveness of time-limited therapy in a university counseling center, 333 clients' precounseling and post-sixth-session College Adjustment Scales (CAS; Anton & Reed, 1991) scores were compared. Statistically significant decreases in reported symptomatology were found on all CAS scales. Notably distressed students reported moderate to large decreases in symptomatology.     

The Gap Between Influence and Efficacy: College Readiness Training,Urban School Counselors,and the Promotion of Equity

This phenomenological study presents 11 urban school counselors’ perceptions of their graduate education in school counseling in relation to their engagement in college readiness counseling with low‐income, 1st‐generation college‐bound students. Findings from 2 rounds of interviews suggest that intentional strategies to integrate postsecondary readiness and planning into counselor education curricula is necessary to efficiently prepare school counselors to promote college access and success for at‐risk youth, thereby reducing the inequities that currently exist in postsecondary degree attainment.     

Doctoral Interns’ Perceptions of Preparedness to Work with Victims and Survivors of Sexual Assault at University Counseling Centers

ABSTRACT

Counselors at university counseling centers (UCCs) should be prepared to provide services to sexual assault victims and survivors, as an estimated 23% of females and 5% of males are assaulted during college, with rates being higher for sexual and gender minority students. We surveyed doctoral interns (N = 49) at UCCs regarding interns’ training and educational experiences during their graduate programs, practicum, and internship placements, as well as the services that the interns and UCCs provide to recent victims. Among our findings, 96% of the sample had expected to work with a recent victim, 82% had already done so, and only 22% perceived themselves as fully prepared to provide such services. In addition, the majority of UCC interns had focused on sexual assault cases during case conferences, didactic trainings, and supervision. These results have implications for graduate programs and internship sites.     

The Center for Collegiate Mental Health: An Example of a Practice-Research Network in University Counseling Centers

This article presents a model of a practice-research network that offers benefits for clinicians working at college and university counseling centers. We briefly describe the basic components of this practice-research network, challenges in developing it, and some of the empirical studies that have resulted from this initiative. We also describe possibilities for future research that not only will foster further collaborations between clinicians and researchers, but also will enhance our ability to understand and improve mental health services for college students.     

Meet Them Where They Are: An Outreach Model to Address University Counseling Center Disparities

ABSTRACT

Although University Counseling Centers continue to report increased rates of served students, those who hold marginalized identities continue to be underrepresented. Many factors may contribute to such discrepancies, including stigma, access, and trust in providers. College students across the nation have recently called for an increase in the number of professionals who identify as racially/ethnically diverse. The current article reviews one university’s response to their own students’ call for action, and particularly explores how the program was implemented and its associated costs and benefits. Considerations for other university administrators seeking to employ similar methods are discussed.     

Counseling Center Intake Checklists at Academically Selective Institutions: Practice and Measurement Implications

Psychometric evaluation of presenting problem checklists is vital, given increasing clinical severity among college students. However, checklist research has focused on students at public universities and utilized inappropriate methodologies when doing so. It is unclear whether checklists used at academically selective universities reliably and comprehensively assess the potentially unique presenting problems of their students. Exploratory and confirmatory factor analyses with independent samples examined the checklist used at an academically selective university's counseling center. A six-factor model best fit the data, suggesting that this checklist reliably and comprehensively assesses presenting problems at this university. This model holds detailed assessment, outreach, and policy implications for counseling centers.