Walk-In Triage Systems in University Counseling Centers

To meet the complex mental health needs of students, some university counseling centers (UCCs) have implemented walk-in triage intake systems, which have not yet been empirically investigated. This study compared client and clinician differences (N = 5564) between a traditional scheduled intake system (Year 1) and a walk-in triage system (Year 2) at a large, southeastern UCC. Results showed a significant increase in clients’ attendance rates and clinicians’ caseloads, a significant decrease in no-show rates, and no change in students’ symptom severity at intake between Years 1 and 2. Clinicians’ number of scheduled appointments were unchanged, indicating that clinicians were already at maximum capacity for appointments in Year 1. Results are discussed in terms of the benefits and challenges that walk-in triage systems present to students, universities, and UCCs.     

Psychiatry Resident Rotations in University and College Counseling Centers: A Pilot Study of Rotation Types and Challenges

With an increased demand for mental health services, perceived increased severity of students presenting for services, and increased number of students prescribed psychotropic medications, university and college counseling center directors have had to increasingly identify psychiatric service options. Psychiatry residents can potentially help fill these needs. To better understand the role of psychiatry residents in university and college counseling programs, we conducted a web-based survey of United States psychiatry residency program directors. This study describes clinical activities and rotation characteristics of psychiatric residents working in counseling centers. Of the 48 residency programs that responded, 27 provide rotations at university or college counseling centers, and of those with rotations, 100% report that the residents rate these as very good or excellent. Expanding psychiatry residency rotations at college counseling centers may be mutually beneficial both to the centers and to psychiatric residents.     

A Wish List for the Advancement of University and College Counseling Centers

University and college counseling centers continue to meet emerging challenges in higher education. This article addresses three issues: the need for a more unified organizational structure to represent the profession, the potential value for counseling centers in seeking accreditation, and the importance of specialized training for those entering this professional field.     

Changes Across Three Editions of The Suicidal Patient: Clinical and Legal Standards of Care: Relevance to Counseling Centers

Treating suicidality is one of the most challenging situations managed by college and university counseling centers. The first edition of Bongar’s (1991) The Suicidal Patient: Clinical and Legal Standards of Care, a compendium of empirical knowledge and clinical research regarding standard of care in the treatment of suicidality, was soon considered a valuable resource in the field. The volume was pivotal in the arena of clinical practice because, in addition to compiling state of the art information, it also positioned itself as a benchmark for determining whether standard of care has been met in treatment of suicidal people. Now in its third edition (Bongar & Sullivan, 2013), this resource continues to inform clinical practice. This article examines several noteworthy changes across the three editions of this seminal work. What has changed, possible trends suggested by the changes, and resulting implications of these changes are examined. Of particular importance are changes that represent significant developments in the field or make relatively new assertions of what constitutes sound practice. These trends, changes, and assertions regarding standard of care are discussed in terms of their relevance to the counseling center setting. In the third edition there are several instances in which Bongar and Sullivan (2013) clearly extended beyond reporting observations about clinical practice and arguably moved into the realm of attempting to set norms for standard of care. Even though these new assertions may essentially be the authors’ opinions, they may be treated as fact by regulators, expert witnesses, attorneys, and others in determining whether standard of care has been met in specific cases.     

新时期大学生心理健康教育和咨询机制探析

随着高校在校生规模的不断扩大,学校心理健康教育和咨询工作也愈发显得尤为重要。在危机干预四级网络架构的基础上,构建了＂四级二线三基点＂的大学生心理健康教育和咨询立体工作体系,强化了＂心理健康教育＂、＂心理咨询服务＂、＂心理危机干预＂三个基础服务功能,建立起了高校内部各个心理危机干预单元。     

The Comprehensive Counseling Center Model

The authors outline a four-factor model and philosophy for college mental health services that addresses the loss of comprehensiveness in some centers due to changes in organizational structure. Given research on demand for services and retention of those seen in centers, emphasis is placed in particular upon the value of consultation, outreach, and training work across the entire campus community. The model challenges some assumptions made by proponents of integrated care, including its definition, and illustrates the benefits of establishing and maintaining a fully comprehensive college counseling service.     

论高校学生的辅导责任分担

高校学生辅导应该形成“辅导合力”并进行辅导责任分担。高校学生辅导责任分担存在现实、理论与参照依据。根据高校学生辅导责任主客体地位与功能,提出辅导责任分担的概念模型。高校辅导员与教管人员、专任授课教师、校内教辅机构、家庭以及社会媒介分别分担不同的辅导责任。     

Supporting International Students: Enhancing College Counselors’ Multicultural Counseling Competence

International students experience significant difficulties as they adjust to the dominant culture in the United States. However, there is a substantial gap between the reported academic and sociological distress these students experience and their help‐seeking behaviors. This article reviews international students’ distinctive challenges in seeking professional help and proposes guidelines to effectively support these students by enhancing college counselors’ multicultural counseling competence.     

论大学生心理健康教育中的团体心理咨询

团体心理咨询对大学生心理健康教育有着天然的适切性,但现有的相关工作和研究存在着咨询目标单一、研究范式单一、理论研究缺乏的弊端,需要团体心理咨询研究者引起足够的重视。     

Challenges and Difficulties About College Counseling in China: Response to Portnoy (2013)

Portnoy (2013) shared a series of personal observations about central issues in Chinese college mental health based on his Fulbright year in China. While we really appreciated his personal observations and his discussion, which shed light on cultural differences and structural forces in China, we present here a different perspective on his observations. To summarize, we describe the current situation regarding training, supervision development, and some deficiencies in Chinese college counseling, illustrate the operations of Chinese college counseling centers, and identify challenges of applying Western theory to the Eastern mental health care environment.     

论大学生心理健康的标准及其把握

正确认识和把握大学生心理健康标准是高校开展学生心理咨询工作取得成效的前提。判断学生心理健康与否应遵循整体性、发展性、主客观相结合、以评促发展、灵活应用等原则。要注意坚持心理健康的相对性,审慎使用心理测量的结果,全面、综合考察学生的心理和行为,关注心理状态持续的时间,区分心理健康标准和道德评价标准,区分应激性的心理问题与人格特质性心理问题,把心理健康的标准看作一种理想尺度。     

论大学生心理健康的标准及其把握

正确认识和把握大学生心理健康标准是高校开展学生心理咨询工作取得成效的前提。判断学生心理健康与否应遵循整体性、发展性、主客观相结合、以评促发展、灵活应用等原则。要注意坚持心理健康的相对性，审慎使用心理测量的结果，全面、综合考察学生的心理和行为，关注心理状态持续的时间，区分心理健康标准和道德评价标准。区分应激性的心理问题与人格特质性心理问题，把心理健康的标准看作一种理想尺度。     

浅谈大学生心理健康与咨询

大学生心理健康问题是一个突出的社会问题，本文就大学生心理健康咨询的意义、常见的心理问题及大学生心理障碍的影响因素进行了阐述，对做好大学生心理健康咨询工作应注意事项进行了介绍．为咨询者提供了一些可行的方法和意见。     

高校体育是促进大学生心理健康的途径

竞争给大学生心理带来了障碍，但体育可以调节和促进心理健康，它可以通过激发兴趣、培养良好的锻炼习惯以及改革体育课程、创设课堂心理环境等措施在高校体育教学中注意培养大学生的健康心理。     

What They Never Told Me About Being a Counseling Center Director

The author offers his perspectives about the experiences that are associated with being a college or university counseling center director.     

Humor and Healing in College Counseling

Humor is an often neglected but potentially powerful tool in college counseling center interventions. In this article we review potential benefits and hazards of using humor in a college mental health setting along with perspectives on humor’s mechanism of action and distinctions between types of humor. Therapist and client-specific considerations, such as culture and identity, are discussed in relation to the judicious use of humor in individual therapy. Based on our experience employing these techniques at an urban, private university counseling center, we make specific recommendations for the application of humor in therapy, the counseling center environment, and outreach materials.     

Understanding Developmental Needs of College Students in Mentoring Relationships with Professors

College sutdents may present complex mentoring relationships with professors which reflect unresolved developmental issues that may become a primary focus in therapy. Contemporary Self Psychology theory (Kohut, 1971, 1977, 1984, 1985, 1987) is applies to the student/professor mentoring relationship as a basis for understanding how the student unconsciously uses the professor as a selfobject to : (a) fulfill unmet archaic needs, and (b) achieve greater personal and professional maturity. The mentoring relationship may parallel various tranference patterns of a narcissistic nature (idealization, mirroring, and twinship) reflecting early childhood deficits. Therapists working with students in mentoring relationships may find it useful to identify transference patterns as a basis for examining and helping students resolve developmental issues.     

The Utility of an Efficient Outcomes Assessment System at University Counseling Centers

Due to increased demands placed on university counseling centers (UCCs) in recent years, there is a need for these centers to enhance the efficiency and effectiveness of their psychological services. Regularly monitoring client progress is one approach to increase the likelihood of positive clinical outcomes. This article describes the use of the Behavioral Health Measure–20 (BHM-20; Kopta & Lowry, 2002) in monitoring the progress of 13,803 clients at 23 UCCs across the United States from 2006–2011. Results show that the BHM-20, via the CelestHealth System–MH (CHS-MH), is an effective instrument for the electronic administration, scoring, and tracking of client progress. Overall, clients improved over the course of treatment and the benefit from treatment peaked between 7 to 10 sessions. Three case vignettes using the CHS-MH in patient care are presented. Implications for continuing the use of monitoring individual client change at UCCs are discussed.     

Psychotherapy Services Provided by a College Counseling Center

Abstract

This study compared the delivery of psychological services at a university counseling center after an interval of almost 40 years in a partial replication of an earlier study at the same center. The results indicate that the changes that have occurred in service delivery reflect more the transitions in the culture of the university than trends in mental health treatment.