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 Case for Comprehensive Counseling Centers at Community Colleges

This article addresses the need for a comprehensive counseling center to be housed on each campus of community colleges. Counseling helps to improve student academic success and retention, transfer, and graduation rates. Current research also illustrates an increase in psychological and emotional disturbances among college students across the nation, which, at times, results in acts of campus violence such as those that have occurred at Virginia Tech, Northern Illinois University, Henry Ford Community College, and the University of Alabama at Huntsville. This paper discusses the needs of the 21st century student body that result in the case for comprehensive college counseling centers. Recent legislation related to counseling at institutions of higher education is examined, recommendations are given, and components of a comprehensive counseling center are described.     

Examining Treatment‐Seeking College Students With and Without Military Experience and Trauma Histories

An increasing number of veterans are returning from war, many with mental health problems. Some of these returning veterans will enroll in college, and it is important that campus counseling centers can meet the needs of this population. This study examined psychological distress among students with and without military experience. Results indicated that students with military experience showed elevated rates of hostility and family concerns. Clinical implications are discussed.     

A case for routine involvement of threat assessment and management teams with college students at risk for suicide

ABSTRACT

Institutions of higher education and their counseling centers are under intense pressure to prevent student suicide. This article proposes that routinely using threat assessment and management teams in working with suicidal students would add value to existing suicide prevention efforts. The unique features of threat assessment and management provide several advantages over traditional clinical intervention. First and foremost, the majority of students who die of suicide do not seek services from campus counseling centers. These students may, nonetheless, come to the attention of campus constituents in a number of ways and may readily be referred to a threat assessment and management team. For students who are clients of the counseling center, a campus should still activate a threat assessment and management process. In this way, threat assessment and management may be useful for students who refuse to seek help as well as in providing assistance when students are engaged in treatment. Nonetheless, higher education in general and counseling centers in particular have not engaged in a standard practice of involving threat assessment and management teams with students who present at risk for suicide. Limitations to clinical approaches for suicide prevention are reviewed in contrast with the complementary advantages of threat assessment and management as applied to suicidal students. Regularly including threat assessment and management in working with suicidal students in higher education may provide synergy in improving the likelihood of desirable outcomes in preventing suicides.     

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.     

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.     

Chapter 13 Homicide in the University Residence Halls:

On May 15, 1990, two students were murdered by a third student in the residence halls of a public university. The campus counseling center's attempt to assist the university community to adjust in the aftermath, including services to students, resident halls' staff and residents, university officals, and victims' families, is discussed. Responses to the anniversary of the homicides a year later, recommendations for counseling centers, and a stress management handout for students are provided.     

Changing Demands on Counseling Centers:

Mounting pressure on campus administrators to cope with students who disrupt the campus living/learning environment has resulted in counseling centers being increasingly drawn into the management of student behavior. Underlying this trend are the naive assumptions that counselors have the ability to predict future behavior and control disruptive students through psychotherapy. These myths not only fail to produce expected results, but threaten to undermine college counseling as an effective resource for behavior change. Counselors must not only work to dispel these myths, but help faculty/staff find more effective ways to work with problem students. This process requires a clear statement of the expectations of student behavior and a broader acceptance among faculty/staff of the responsibility for confronting disruptive students with the consequences of their behavior.     

A Collaborative Process Model for Promoting Successful Referrals in College Counseling

The need to refer students to off‐campus mental health providers is common in college counseling. Such referrals can be challenging for college counselors who strive to meet students' counseling needs while adhering to ethical and center policy guidelines. In this article, the authors explore the nature and challenges of referral in college counseling settings and introduce a collaborative process model to enhance the likelihood of successful referrals. A case study is provided to illustrate the model.     

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.     

Responding to the Increased Needs of College Students: A Case Study of Case Management

The psychological needs of college students lead to overwhelming demand on college counseling centers’ resources. In this article, we review models of case management in Higher Education including the administrative, behavioral intervention, and counseling center models. We also present a case study of the 3-year development of a counseling center case management service. Initial data suggest that expanding the role of a counseling center case manager to allow for frequent appointments/follow-up and standardizing counseling center case management procedures led to improved appointment attendance and increased communication with students following referral. A vignette and suggestions for other centers are also presented.     

Meditative Training Improves Undergraduate Executive Functioning

The experience of attending college can be a stressful experience for many students, one that college and university counseling centers may have limited resources of time and finances to assuage. For instance, decision making may deteriorate during times of stress and result in a narrowed perceptual set. The present study sought to determine through a novel design whether meditative training could effectively address the situation. Results indicated that classroom-based meditative training improved executive functioning among college students regarding stress, cognitive flexibility, and insight. Such an approach to intervention may provide college and university counseling centers with greater opportunities to better meet student emotional and academic needs.     

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.     

HANDICAPPED STUDENT SATISFACTION

This study was undertaken to investigate the relationships between selected student characteristics and measures of perceived campus and support service satisfaction of handicapped students enrolled in three comprehensive community colleges in Missouri. It was expected that specific information could be provided for decision making at the participating institutions regarding the handicapped student with special consideration to campus factors and support services. Significant correlations were found between students’ usage of specific services and their satisfaction with campus environments in general. Those specific services include: vocational evaluation, vocational counseling, instructional modification, and consumer services. Significant correlations were found between students’ usage of support services and their satisfaction with those services. High usage‐high satisfaction services included: learning centers, tutors, counseling, instruction modification, test arrangement, career exploration, job placement, equipment modification, notetakers, readers, and writers. Handicapped students used and were satisfied with the majority of services provides.     

Ultra-Brief,Immediate, and Resurgent: A College Counseling Paradigm Realignment

College counseling centers are experiencing a surging in demand for services that is unaccompanied by an equivalent growth in resources. A possible solution to this disparity is the adoption of a service paradigm founded on ultra-brief therapies, episodic treatments, and the walk-in model of mental health delivery. These models fit both the developmental needs of college students and the existing infrastructures of counseling centers. Moreover, the use of these models is already prevalent in most counseling centers, albeit in unrecognized forms.     

SERVING STUDENT NEEDS THROUGH WRITING CENTERS

Many community colleges have writing centers to help students develop their writing skills because the ability to communicate ideas clearly and accurately is essential for college success. Writing centers are staffed by faculty members, paraprofessionals, and peer tutors who assist students with planning, drafting, and revising essays and research projects. Many centers also offer computer programs and word processing as writing tools. These findings resulted from a study of 13 writing centers in community colleges belonging to the League for Innovation in the Community College. We used a questionnaire to collect data on the design and operation of each center. Although many similarities exist, each campus has modified such features as staffing, hours, and services to meet the needs of its student body. Usage rates indicate that students need and seek out services that can help them achieve academic success.     

Effects of a Brief Mindfulness Based Group Intervention On College Students

Increases in the number of college students seeking mental health services require counseling centers to explore innovative strategies to provide effective and efficient treatments. Group interventions offer an alternative to traditional individual counseling, allowing centers to serve more students with fewer clinical staff (Burlingame et al., 2016). Of current group modalities, mindfulness-based interventions (MBIs) have been growing in popularity as an effective approach for addressing college students’ increasingly complex needs. This study describes the evaluation of a three-session mindfulness-based intervention on students’ mindfulness, symptoms, and stress. Compared to a comparison group of 109 students not seeking counseling center services, 78 students who received the intervention reported increased mindfulness, and decreased symptoms of depression, anxiety, and stress at the end of the group. Furthermore, improvements in mindfulness mediated intervention effects on symptoms of depression and anxiety. These gains were generally maintained 3 weeks later. These findings support the benefits of brief group interventions for college students. Suggestions for modifications to the intervention and for future research are discussed.     

Wellness at Universities: A Group Art Therapy Approach

Art therapy process groups can be used at university counseling centers (UCCs) to treat the mental health needs of higher education students. The authors, art therapists employed at a UCC, developed an art therapy group to engage undergraduate students in creative self‐expression to increase social connection and learn healthy skills to improve insight and emotional well‐being. Such groups offer unique benefits to participants and would be a valuable addition to current UCC services.     

Research: Students' Perceptions of Need for Personal Counseling Services in Community Colleges

Although the need for personal counseling services is on the rise across college campuses in the United States, many community colleges do not offer personal counseling services on campus. Instead, community college counseling services focus primarily on academic and career advising. The purpose of this study was to survey community college students in North Carolina to determine their interest in and need for a personal counseling center on campus. Participants were 134 men and 202 women, 18–68 years of age. Of the participants, 70% indicated that having a personal counseling center on campus would be “very helpful” or “helpful.” Results are discussed, and recommendations are made for college counselors working in community college settings.     

Sociocultural Factors and Referral Outcome: An Exploratory Investigation

ABSTRACT

One response to increased service needs at university counseling centers has been community provider referrals. However, certain demographic groups may be more successful in these referrals than others. We hypothesized that students who identify as White, female, sexual minority, and older, would be more likely to be successfully referred. Self-reported demographic information was collected from clients at a Mid-Atlantic counseling center. A logistic regression analysis was conducted to test differences in referral status. Age alone emerged as significant, with older students being more likely than younger students to have a successful referral outcome. Implications of these findings are discussed.