Alcohol Use,Psychopathology, and Treatment Utilization in a University Mental Health Clinic

In the general population, alcohol use disorders and psychiatric disorders co-occur. Despite ample evidence of the adverse effects of alcohol use on treatment outcomes, these relationships have not been examined among college students presenting at counseling centers. The purpose of this study was to assess the prevalence of hazardous drinking among students receiving counseling at a university counseling center and to examine relationships between alcohol use, symptomatology, and treatment utilization. Participants were 214 students who had terminated therapy within a 3-year period. Intake assessments of alcohol use, anxiety, depression, and perceived stress were harvested from client files. Analyses indicated that 33% of the sample screened positive for hazardous alcohol use. Findings provided preliminary evidence that hazardous drinking is negatively related to both mental health and treatment utilization in university clinics. In light of this association, coupled with high base rates of risky alcohol use among college students, university counseling centers might consider implementing screening and brief intervention for hazardous drinking.     

‘To show or No-show’? Therapist Racial-ethnic Disparities in Clients’ Nonattendance in Therapy

Clients’ nonattendance in therapy poses a significant threat to the effective delivery of mental health services at university counseling centers. As such, researchers have investigated processes related to clients’ nonattendance in an effort to increase treatment utilization and treatment outcomes. However, there is a paucity of research testing the impact of the therapist on clients’ nonattendance patterns. Additionally, it is unknown whether therapists vary in the nonattendance of their racial/ethnic minority (REM) and White clients. Therefore, the present study sought to identify therapist effects in client nonattendance rates, and examine between-therapist disparities in REM and White clients’ nonattendance patterns. Data for this study consisted of 275 REM and 341 White clients seen by 21 therapists at a large university counseling center. Results indicated that therapists accounted for 14% of the variability in clients’ nonattendance. Additionally, therapist effects in nonattendance due to clients’ REM status were identified, suggesting that therapists are a significant source of racial/ethnic disparities in clients’ nonattendance. REM clients’ nonattendance rates were higher compared to White clients for some therapists, but not others. Clinical implications and future research are discussed.     

Interpersonal Violence and Sexual Assault: Trauma-Informed Communication Approaches in University Counseling Centers

A university in the United States Mountain West utilized grant resources to track counseling services for students who were currently experiencing or who had historically experienced relationship violence, sexual assault and/or stalking. This report reflects on the first 2 years of this program, including an overview of prevalence and reporting rates of interpersonal violence from university students. Given the prevalence of recent and historic interpersonal violence among university students, suggestions are offered for bringing a trauma-informed and communication-focused perspective to the solution-focused brief therapy model used in many university counseling centers. A case study outlining these approaches is offered.     

Conflict Resolution Strategies Adopted From Parenting Coordination: Assisting High‐Conflict Coparenting Students

This article examines the challenges faced by nontraditional college students who are coparents as a result of divorce. The need for college counseling centers to have counseling options designed to assist this special population in successfully completing their academic pursuits is presented. Conflict resolution techniques based on the Parenting Coordination model are offered to help these students deal with the challenges of coparenting responsibilities.     

Practicing in the 21st Century College Counseling Center

Although college and university counseling centers often struggle with misperceptions of their work and their role in the campus community, limited research has addressed this issue. In this article, common campus misperceptions are explored. Among the issues that often increase the misperception of counselors and counseling services include misunderstandings by campus departments about the role of counseling for students, the perception that counseling is often a solution to any emotional or behavioral issue, and the difficulty of avoiding dual relationships with students on many campuses. Implications for campus counseling centers, including strategies for combating misperceptions, are discussed.     

The Profession of College Career Services Delivery: What College Counselors Should Know About Career Centers

College career centers provide a valuable resource to students faced with choosing a major, learning about different career fields, and securing internships and jobs. Career centers must provide an increasingly sophisticated array of one-on-one and virtual services in order to meet the needs of students and recruiters. Collaborations between the career services office and other departments, including the college counseling center, are necessary to address students' needs in a holistic manner. The author describes the organizational structure of college career centers and services typically offered, discusses psychological correlates of career development and the integration of personal and career counseling, and provides suggestions for how counseling center and other college professionals can collaborate with their career services office.     

Counselor Education Students’ Exposure to Trauma Cases

In the past two decades there has been an increase in the number of studies that have examined the psychological effects on counselors who provide counseling to clients with trauma experiences. However, little is known about the experiences of counselor trainees who provide counseling to their clients seeking counseling because of trauma. This qualitative study explored the experience of eight doctoral students in a counseling program who completed their master’s-level training in the United States. Three themes emerged from the inductive data analysis process, namely: (1) immediate reactions, (2) information processing, and (3) post-exposure development. Implications for counselors, counselor educators, and clinical supervisors are examined and recommendations to enhance counseling and supervision services are offered.     

Editorial Introduction: Guns on Campus

ABSTRACT

Most college counseling centers do not utilize telehealth despite evidence of positive outcomes. The aim of this study was to examine the telehealth experience of students in a college counseling center. Participants were health professional students who utilized at least one telehealth visit between November 2015 and April 2017 (N = 67). Methods: In June 2017, the authors administered a telehealth survey that assessed access, experience, effectiveness, and impact on therapeutic alliance. Of 67 students, 36 (53.7%) responded. The majority reported telehealth was convenient (34, 94.4%), time-saving (34, 94.4%), and helped them to feel better (30, 83.3%). Over half used telehealth because of distance (20, 55.5%). Eighty-one percent reported telehealth as being as good, nearly as good, or no different than meeting in person. Conclusion: Telehealth is a viable option for college counseling centers and is experienced as convenient, time-saving, and effective with little negative impact on therapeutic alliance.     

Feasibility study of a university counseling center in Botswana: Innovative response to boundary changing worldwide

In this article, the feasibility of creating a Counseling Center at the University of Botswana as a way of responding to changing boundaries worldwide with the concomitant increase in the treatment of and solution to issues and concerns facing students is examined. The results of student and staff responses to questions on: a) types of counseling services; b) group counseling seminars which should be offered as well as c) the nature and degree of seriousness ofstudent concerns are presented.     

Communication Between College Counselors and Academic Faculty When Supervising Graduate Student Trainees

College counseling centers play an important role in the training and supervision of counselor trainees. This article addresses the importance of communication between college counselors and academic counseling program faculty when college counselors supervise graduate students from academic counseling programs. As the authors discuss, effective communication contributes to positive and productive training experiences for graduate student trainees. Suggestions are offered for successful communication between counseling center staff and program faculty.     

Treatment Groups for Sexual Abuse Survivors on Campu s:

A national survey of 199 counseling centers was conducted to examine the services offered by the centers to meet the treatment needs of sexual abuse survivors. In particular, commonalities and differences in approaches to group treatment are identified and discussed.     

A survey of intrafamilial sexual abuse treatment centers: Implications for intervention

This study was devised to determine the attitudes of treatment professionals regarding desirable therapeutic approaches for intervening in incestuous family systems. A survey of treatment centers currently providing services for the treatment of intrafamilial sexual abuse in the United States was undertaken. A questionnaire was developed to ascertain preferred methods and modalities of treatment of family sexual abuse. Current methods of treatment were identified and inquiries were made regarding what programs presently offer in terms of treatment. An inventory of 30 questions was mailed to 58 treatment professionals and/or treatment programs included in the study. A response rate of 62% was achieved. Treatment centers primarily offered treatment for family sexual abuse on an outpatient basis and staff composition was interdisciplinary in nature (psychology, nursing, marriage and family therapy, social work and psychiatry). An average of 137 cases of family sexual abuse were treated annually per treatment program, with the daughter or the stepdaughter being the family member most often sexually abused. Further findings were the following: (1) treatment programs stressed group treatment for offenders as the most effective therapeutic intervention, yet group treatment of offenders was not offered by treatment programs as frequently as other types of treatment; (2) an interdisciplinary team approach to treatment of incest cases was preferred, suggesting the need for more than one therapist working with each family sexual abuse case: (3) court intervention was seen as necessary to facilitating the treatment process by 79% of the 36 questionnaires returned; (4) family therapy was expressed as a preferred and essential component to the treatment process with incest cases—yet actual implementation of family therapy treatment was clearly not uniform across treatment programs; (5) the most critical finding of this survey is that there was a consensus among clinicians that there is no one sequence of treatment, and that it varies according to the specifics of each family. Regardless of theoretical orientation, the majority of respondents believe that a comprehensive family systems approach is advantageous to the goal of determining whether the family can and wants to rehabilitate itself.     

Take Two Pills and Call Me in December

Students utilize university counseling center services to address distress related to post-traumatic stress disorder (PTSD). Since counseling centers services such as group work or general psychotherapy may not address specific PTSD-symptom reduction, centers often give community referrals in such cases. Evidence-based therapies (EBTs), including Prolonged Exposure Therapy, have the potential to be offered within counseling center services, however. Prolonged exposure consistently provides significant symptom relief to patients with the most severe PTSD symptoms within 10–12 sessions. This article presents and examines two case examples of students who participated in a full prolonged exposure protocol within a counseling center clinic.     

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.     

College Counseling Today: Contemporary Students and How Counseling Centers Meet Their Needs

There is evidence that today’s college and university students are struggling with emotional and behavioral health problems at higher rates than in past generations. This article explores the various ways, utilizing a range of models, that college and university counseling centers have mobilized to respond to these challenges. We examine literature about the characteristics and concerns of the current student generation along with what counseling centers are doing to respond to the challenge of student needs. We describe a survey (N = 408) of members of the Association for University and College Counseling Center Directors (AUCCCD) and American College Counseling Association (ACCA) that elicited the kinds of services, functions, structures, and organizational relationships found in today’s counseling centers. In addition to confirming the core mission of providing counseling and psychotherapy, the survey revealed widespread counseling center collaboration and consultation activities beyond the counseling room. The survey also indicated a variety of administrative and structural arrangements in the way counseling centers are placed on their individual campuses. Finally, we suggest a framework for planning, executing, and evaluating counseling center and campus initiatives.     

Preparing School Counselors to Work With Students With Disabilities

Recent literature has demonstrated increasing roles for school counselors who work with students with disabilities, but it has also suggested that school counselors are not being adequately prepared to work with these students. In this research study, the authors investigated current courses and experiences focusing on disabilities offered in school counselor education programs. Results from the 137 participants suggest that school counselor education programs are incorporating more disability content into their training programs than they were in the past. Some disability content areas are included significantly more frequently in disability courses than in counseling program courses. Conclusions and implications are discussed.     

The Prevalence and Comorbidity of Specific Phobias in College Students and Their Interest in Receiving Treatment

While the prevalence of specific phobias and social phobias is believed to be high in the general adult population, little data exists regarding the prevalence of these fears among college students. This paper describes an epidemiological study that surveyed 813 college students regarding the severity of fears experienced toward 12 objects and situations. In addition, this study assessed for students' interest in seeking therapy for these fears at their university's counseling or mental health center. The data suggest that fears of spiders (34% of the total sample), public speaking (31%), snakes (22%), heights (18%), and injections (16%) are quite common among college students, and 18% of students are interested in receiving treatment for their fears. The paper concludes with some recommendations on how exposure-based treatments could be conducted through college counseling or mental health centers to address these potentially academic- and socially impairing problems.     

Reasons for Utilizing Mental Health Services as Predictors of College Students’ Alcohol Risk

The authors examined college student drinkers’ (n = 153) reasons for seeking counseling services and risk for alcohol problems. Students seeking help for impulse‐ or anger‐related issues and depression were at heightened risk for alcohol problems. Only 10% of students sought alcohol‐related help despite high rates of hazardous alcohol use (80%) and dependence (39%). Targeted screening and intervention in college counseling centers may enable providers to effectively identify and treat students in need of alcohol treatment.